How to Get Credentialed with Evernorth Behavioral Health in Utah
Quick Overview
Timeline
30 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
No
Utah-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Utah.
Complete Your CAQH ProView Profile
Evernorth Behavioral Health requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.
Submit Your Application
Submit your completed enrollment package to Evernorth Behavioral Health.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified in psychiatry or behavioral health specialty
CV/Resume
5-year work history minimum
DEA License
ConditionalRequired if prescribing controlled substances (psychiatrists, APRNs)
Malpractice Insurance
Current malpractice insurance certificate
Medical License
Active state license (MD, DO, PhD, PsyD, LCSW, LPC, etc.)
NPI Certificate
Active NPI number required
Enrollment Forms
Evernorth Behavioral Health Provider Application
Provider application for the Evernorth (Cigna) behavioral health network.
RequiredContact Information
Evernorth BH Credentialing
National1-800-882-4462
Evernorth BH General
National1-800-882-4462
Quick Links
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