Evernorth / Cigna EAP Billing: 99404 and Payer ID 62308

Public guidance reviewed October 22, 2026. US therapy-practice billing; documentation review, not a live claim submission.

A separate EAP benefit does not necessarily mean a separate insurance-company destination. For Evernorth-administered EAP counseling, the important combination is the confirmed EAP authorization, the EAP service code and the correct route. A Cigna logo alone does not tell you whether the client’s employer uses this program.

The published claim destination and service code

Evernorth requires 99404 for its EAP services and lists payer ID 62308. Its table gives different paper-claim PO boxes for alphanumeric authorizations and the Disney employer exception, while retaining that same EDI ID. Submit promptly after each visit under the applicable filing rules. Evernorth EAP claims guidance.

If you file electronically, choose the clearinghouse entry that corresponds to the actual Evernorth EAP administrator. Do not send a claim to a different EAP vendor simply because an EHR has a separate “EAP” payer label. For paper filing, take the address from the current authorization-specific instructions instead of a saved medical-insurance address.

Does Cigna EAP require HJ?

The current public EAP page reviewed here specifies 99404 but does not establish a universal HJ requirement. That is not a statement that HJ is prohibited in every arrangement. Obtain the modifier instructions for the relevant contract; do not import Optum’s psychotherapy-plus-HJ pattern or Carelon’s 99404-HJ requirement by habit.

Likewise, verify telehealth modifiers and place of service rather than automatically attaching the set used for ordinary Cigna psychotherapy. Keep any written program-specific instructions with the billing configuration so another staff member can understand why it differs.

Get and preserve the authorization

Evernorth describes authorization references that can be alphanumeric or begin with OP; Disney is a named employer exception. The authorization identifies the visit allowance and date window. Do not replace it with a generic employer name for other groups. Authorization details on the EAP page.

The Coverage Confirmation Grid with EAP can request a new authorization or verify an existing one, alongside network-status and benefits information. Use the grid’s secure submission instructions, not an ordinary unprotected email containing patient information. Evernorth coverage verification.

A practical claim review before transmission

• Check the actual procedure-code value in the claim preview. A service named “99404” in an EHR can still be configured with a different underlying code.

• Keep the authorization reference, approved dates and visit balance with the encounter. Populate the supported claim authorization field and inspect the submitted output; this article does not establish that a missing Box 23 always causes denial.

• Separate the practice’s charge from the contractual EAP allowed amount. Neither a familiar commercial rate nor a pending status proves what this EAP will pay.

• Keep the acknowledgment and payer claim reference. If the claim cannot be found, reconcile those references before filing again.

When a different reimbursement process applies

Evernorth says employer specialty services, such as seminars or critical-incident work, are arranged separately and are not reimbursed through this claims process. Confirm the assignment’s compensation and submission terms before treating that work as an EAP counseling claim. Specialty services.

When counseling continues beyond EAP coverage, verify the next benefit, clinician participation and patient cost before changing the billing route. An authorization for the brief EAP episode does not establish a medical-plan claim for the next date of service.

Related EAP guides

Compare EAP networks or review authorization and session-limit checks.

Frequently Asked Questions

Should every Cigna-branded EAP claim go to 62308?

The published route applies to Evernorth-administered EAP services described in its guidance. Verify the actual administrator on the authorization; another employer EAP may have a different destination.

Can I use my ordinary 90834 claim configuration for Evernorth EAP?

Evernorth’s EAP page requires 99404. Verify program-specific modifiers and the authorization instead of copying the routine psychotherapy configuration.

Sources and scope

Use the cited program and transaction-specific instructions with your current referral and agreement. Clearinghouse listings establish connectivity, not authorization or a guarantee of payment.

• Evernorth EAP authorizations, claims and specialty services

• Coverage Confirmation Grid with EAP