Cigna Dental Credentialing Services

Cigna is a global health insurance firm that provides individual and family health insurance plans in ten states, Medicare plans in twenty-three states, and dentistry coverage in 49 states and in Washington, D.C.  Accepting Cigna insurance allows you to welcome more customers, increase revenue, and build your reputation as a health care provider in a state where Cigna plans are available. You must first go through the Cigna credentialing procedure before you can get Cigna insurance.

The process of applying to health insurance companies to become an in-network provider, also known as insurance credentialing or provider enrollment, is known as insurance credentialing. You can bill the insurance company directly for the services you offer once you become an in-network provider.

If you are a health care professional interested in Cigna insurance credentialing, we at House of Outsourcing can assist you.

Why Choose Us for Credentialing

Taking Care of Others

Get dependable claims processing services for medical, critical illness, and dental claims.

Services on Demand

We give access to medical, dental, disease management, and disability services. Our programs adhere to all applicable government legislation and corporate needs.

Accident, Health, and Life Insurance

International group and individual insurance policies, as well as personal accident and disability insurance and supplemental health products, are available.

Payer credentialing & enrollment services at Cigna

Insurance credentialing can be a time-consuming and aggravating process. We make it simple to join insurance networks at House of Outsourcing, and we’ll do the majority of the work for you. When you’re ready to join Cigna, we’ll take care of the following tasks on your behalf.

Network research

Our credentialing team will contact Cigna to inquire about deadlines and open panel availability.

Cigna Dental Application Submission

We’ll provide you a detailed checklist of the papers you’ll need to submit your Cigna provider application. Once we have all of the necessary documents, our staff will file the proper contract application and make certain that the first submission is faultless.

Application follow-up

After we submit your application, we’ll contact Cigna every two weeks to ensure they received all of the required papers and to find out if they require any more information.

Contract Negotiations

We will research your competitors to guarantee you get the best possible rates for your services. We will negotiate price rates for you based on our research.

Setup and maintenance of PECOS and CAQH

Credentialing requires Council for Affordable Quality Healthcare (CAQH) and Provider, Enrollment, Chain, and Ownership System (PECOS) profiles, and it is vital to maintain your information up to current. We’ll set up and maintain your CAQH and PECOS profiles to ensure your data is always up to date.

Annual credentialing maintenance

If you are a major health care facility, we will handle and maintain all of your providers’ credentialing data through our secure portal designed to increase efficiency.

How to get credentialed as a new provider with Cigna

If this is your first time credentialing with Cigna, you’ll need to go through a few processes. These are some examples:

Get an NPI

The National Provider Identifier (NPI) is a unique 10-digit number assigned to health care providers that electronically submit claims or other information. All health care professionals that perform electronic transactions must have an NPI, according to the Health Insurance Portability and Accountability Act. You can obtain an NPI by using the National Plan and Provider Enumeration System.

Make sure you have sufficient malpractice insurance

Check to see if your state’s malpractice insurance requirements for your specialty are met. Cigna recommends a minimum of $1,000,000 per event and a total of $3,000,000.

Fill out a CAQH profile

Cigna and many other insurance firms rely on CAQH technology to gather data and execute administrative duties. A CAQH profile can be completed online, although the procedure can take up to two hours. Cigna will require your permission to access your data.

Contact Cigna

Before you begin the application process, call Cigna to confirm that you meet the fundamental standards for credentialing.

We will Complete and submit your dental application

Cigna will send you an application packet via email if you meet the requirements for credentialing. CAQH accepts online applications, as well as applications mailed to Cigna. Whether you apply online or by mail, you must include the following information with your application:

Medical License from the state

  1. Certificate from the Drug Enforcement Administration
  2. If your state requires it, you must have a Controlled Dangerous Substances certificate
  3. Clinical privileges at Cigna-affiliated hospitals
  4. Status of board certification
  5. Education and training for professionals
  6. Work experience
  7. Activities prior to sanctioning
  8. Insurance for professional negligence
  9. History of malpractice claims

We will verify your application’s status

The credentialing procedure at Cigna normally takes 45 to 60 days to complete. Cigna can be contacted by phone or email to inquire about the status of your application.

We offers Re-Credentialing Services for Cigna Providers

To preserve participation status with Cigna, participating providers must re-credential at least once every three years. When it comes time to re-credential, Cigna will send you an email requesting you to confirm that your CAQH information is up to date.

Credentialing for Cigna Dental health network

To become a Cigna-certified Dental health professional, complete the following steps:

We will check to see if you meet the credentialing requirements

To join the Cigna Dental network, you must have the following qualifications:

A state-issued license to practice in your state

Liability insurance that satisfies the standards of your state

If you are a clinic, you must meet the following requirements

  1. A multidisciplinary team must include at least one prescriber and one doctorate-level provider
  2. All clinicians in the state must be licensed
  3. You must agree to create a CAQH profile
  4. You must have a centralized intake process in place or be able to perform intakes at each location
  5. All billing must be submitted in the clinic’s name and tax ID number

Complete the application

If you want to work as an individual clinician, you must fill out Cigna’s Dental health provider application. Clinics must complete Cigna’s mental health screening application, and facilities must contact provider services.

Benefits of credentialing assistance from our healthcare

The insurance credentialing procedure at Cigna necessitates patience and attention to detail. You must carefully follow each step and satisfy any deadlines that are set for you. At House of Outsourcing Healthcare, we will expedite the process and reduce the likelihood that your application will be denied. When you delegate credentialing to our Healthcare, you can expect the following advantages:

Pricing transparency: We provide a flat price per application with no hidden fees.

Fast response times: When you work with our Healthcare, your Cigna application will be finished twice as quickly.

Dedicated account manager: You will have a dedicated account manager who will guarantee your demands are satisfied.

Real-time application status: You will get access to our web platform to check the status of your application in real time.

Approval rate for first-time applications is high: You can be confident that our Healthcare team will use their knowledge and abilities to assist your application in being granted.

How we assist you with Cigna certification?

We are equipped to support the following specializations after 15 years of credentialing and enrollment experience and successfully filed over 232,000 applications:

  • Cardiology
  • Radiology
  • Orthopedic
  • Psychological well-being
  • Obstetrics and gynecology
  • Sleeping pills
  • Anesthesiology
  • Urology
  • Chiropractic
  • Surgery
  • Internal medicine
  • Physiotherapy

We also provide services to the following industries:

  • Hospitals
  • Ambulatory surgical facilities
  • Practices of physician groups
  • Medical research laboratories
  • Suppliers of long-lasting medical equipment
  • Nursing homes with specialized care
  • Tele radiology and telehealth

For Cigna Insurance Provider Credentialing, contact House of Outsourcing.

Contact our healthcare to be added to the Cigna insurance panel

Joining Cigna as an in-network provider will broaden your reach and enable you to assist more people. Despite its advantages, the credentialing process is time-consuming and can be intimidating when combined with your responsibilities as a health care professional. With our Healthcare, you may avoid Cigna’s credentialing issues and leave the intricate details to us. Contact our Healthcare immediately if you’re ready to begin the Cigna credentialing and enrollment process.