Forms & MRF Files

Claim Forms

Enrollment Forms

Open the enrollment form below, download it and save it to your computer.  Once saved, open that file, fill in all necessary fields, save the completed form again and attach and email it to the IDA Enrollment Department.

Express Scripts Forms

ProAct Forms

Miscellaneous Forms

Regulatory Forms

Cigna Forms & Programs

Frequently Used

All Others

Transparency In Coverage - Machine Readable Files

In-Network Files

Out-Of-Network Files

  • Reliant
  • Zelis

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