CIGNA Transition of Care Request Form

CIGNA Transition of Care Request Form

Daniel Gottry

9/29/2006

A number of providers have asked about the CIGNA Transition of Care Request Form for patients that wish to continue to receive care from their formerly CIGNA contracted provider rather than being required to move to a Hanger facility. I understand that the issue of new patients is a larger issue, not addressed by this action.

I have provided a copy of this form on my website (www.gottrys.com/leggo/ - click on CIGNA/LINKIA Communications) as well as my completed request form and letter if anyone wants that information as a guide. I am optimistic that my request will be approved!

Good luck in this endeavor. If you have success, drop me a note!!

Dan

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Daniel Gottry
<Email Address Redacted>
480-491-1020
Visit: www.gottrys.com