I would call Cigna and point out that they are disregarding the primary write off. If they still will not take the money back, I would send them a letter stating what you feel they should request back, certified if you can. You can't force them to take money back and if you send it back to them, they will just send it back to you. (I have gone through this with CIGNA). I would bill the patient for the $25 copay and document everything that you have done. That way, you have proof in the future that you tried to give the money back to CIGNA but they wouldn't take it.
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