For authorization requests providers may but are not required to submit an authorization request to CareCentrix this form. If you elect to use this form, please fax the completed form to Health Plan: Fax Number: Aetna: Beach Street: Cigna: Cigna Sleep: Cofinity. CARECENTRIX – CIGNA SLEEP MANAGEMENT PROGRAM PAGE 1 OF 2 This form must be completed in its entirety for all faxed sleep services precertification requests. The most recent clinical notes must also the faxed request. We recommend that all requests for sleep related services are submitted via our website at.
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