I'm just going to put this bluntly - ASH sucks! I worked in Chiropractic/Physical Therapy for 5 years and ASH/Cigna was by far the biggest pain in everyones rear end. You verify that the patient has so many visits for Chiro/PT per year, send your claims to ASH for repricing/review. After the 3rd or 5th visit, ASH starts requesting records to review medical necessity. You fax the soap notes, pt notes, etc to ASH at the requested number......call back a couple of days or weeks later to check on the claim, or you get an outright denial on the claim....."oh, ASH states that they never received your records or they weren't received in a timely manner".
ASH is a never ending nightmare --- to the point that we quit accepting Cigna patients or they had to be self pay for any and all Chiro/PT services. If they wanted to file a claim themselves, we would give them copies of everything at the end of treatment or every few weeks, but we did not file any Cigna/ASH patients.
Good Luck --