In most cases, physicians and facilities will file claims for you. Physicians must file on the form CMS-1500; hospitals must use the form UB-04.

Mail Paper Claims:
CIGNA Payor 62308
P. O. Box 188007
Chattanooga, TN 37422
Download claim form

Submit Correspondence Only:

U.S Mail:
SAMBA
11301 Old Georgetown Road
Rockville, MD 20852-2800

Secure E-Mail:
https://www.sambaplans.com/members/emailform/

Providers may submit claims electronically to CIGNA Payor 62308

Questions?
Call Member Services at (800) 638-6589