Medical Network Credentialing

Cigna Medical Network Credentialing

Join a Cigna health plan network. We look forward to collaborating with you.

How to Join a Cigna Medical Network

  1. Pre-Application

    Before starting the application process, we’ll need some information from you to confirm that you meet the basic guidelines to apply for credentialing.

    Please call Cigna Provider Services at 1-800-88Cigna (882-4462). Choose the credentialing option and a representative will assist you. In most cases, you'll be informed on this call if you meet the basic guidelines to apply for credentialing.

    If you are a facility or ancillary provider, we’ll need more information from you than is on the Provider Information Form. Please call 1-800-88Cigna (882-4462), choose the credentialing option, and the representative will tell you the next steps in the application process.
  2. Submit your application

    If you meet the basic guidelines to apply for credentialing, you will receive an email with an application packet and all the information you’ll need to get started.

    If the application information already exists on the Council on Affordable Quality Healthcare® (CAQH) website or the One Healthport/Medversant website, with your permission we will access it electronically to gather most of the information we need. As a third option, if it’s required by the state in which you practice, we’ll accept a state application that you complete, sign, and mail to us with the required documentation.

    Depending on which method you choose to apply, please complete the steps below.

    Online applicationPrinted application
    CAQH One Healthport/Medversant State application
    • Authorize Cigna to access your data.
    • Review the data profile for any changes.
    • Ensure the profile has one of these statuses: Initial Profile Complete or Re-attestation.
    • Review the data profile for any changes.
    • Ensure that it has been attested within 100 days.
    • Ensure all applicable fields have been completed and signed within 100 days.
    • Print the application from your computer.
    • Mail it to Cigna with the appropriate attachments:
      Cigna Medical Onboarding Unit 1000 Corporate Center Drive, Ste. 500 Franklin, TN 37067

    Required application information

    Regardless of which method you use to apply, we require that you send us a completed application packet with the information below.

    RequirementDetailsOther information
    State medical license or appropriate professional license
    • Valid, unrestricted
    • With appropriate licensing agency
     
    Drug Enforcement Agency (DEA) certificate
    • Valid, unrestricted
    • One needed for each practicing state
    IMPORTANT: If you do not have a DEA certificate or CDS certificate, fill out the DEA certificate form [PDF] and fax it to 1.877.391.8228.
    Controlled Dangerous Substances (CDS) certificate
    • Valid, unrestricted
    • If required by the state
    Cigna-participating hospital clinical privileges Must be in good standing on the medical staff IMPORTANT: If you do not have clinical privileges at a Cigna network-participating hospital, you may have someone admit patients on your behalf.

    Fill out the Hospital Coverage Agreement form [PDF] and fax it to 1.877.391.8228

    Board certification status By the American Board of Medical Specialties or the American Osteopathic Association
    Professional education and training Include applicable training in the specialty for which you are applying
    Work history Must include previous five years Include an explanation for work history gaps greater than six months.
    Prior sanctioning activities By applicable regulatory bodies, and the Centers for Medicare & Medicaid Services (CMS) Must disclose sanctions information on the application.
    Malpractice claims history Professional liability coverage amounts will vary based on market standards and medical specialty Recommended minimums are $1,000,000 per occurrence and $3,000,000 in the aggregate.
    Adequate malpractice insurance Must meet the applicable state and medical specialty requirements
  3. Keeping you informed during the registration process

    Once we receive the application packet, we’ll start the credentialing process. This typically takes 45 to 60 days to complete. During this time, you’ll receive emails from us to:

    • Confirm your application was received.
    • Request any missing documentation or application information. If we do not receive missing information, we’ll send you an email notification that we closed your application.
    • Keep you updated on where your application is in our credentialing verification process, including any delays that may cause the credentialing process to extend past the standard 45- to 60-day turnaround time.
    • Confirm you have been approved and credentialed as a network-participating provider with your effective date, or notify you that you have not been approved.

    If you have been approved, we will upload your provider information into our directories and claim systems which typically happens within 10 business days.

  4. How to check the status of your application

    If you want to find out where your application is within the process:

    1) Email OnboardingStatus@Cigna.com. Include your full name and Taxpayer Identification Number (TIN).

    OR

    Call 1.800.88Cigna (882.4462), and choose the credentialing option.

  5. Welcome to the Cigna network!

    If you are approved and credentialed, you will receive an email letting you know that you have been approved and your effective date.

When you need to get recredentialed, Cigna will send you an email asking you to verify that your CAQH information is updated and re-sign it. You will receive up to 3 reminder emails. If you do not log into CAQH to verify and sign your information, it will result in termination with the Cigna network.

Questions?

1 (800) 88CIGNA (882-4462)

OnboardingStatus@Cigna.com

If you are checking the status on where you are in the credentialing process, we will need the name and tax ID number from your application.