Check eligibility and benefits prior to rendering services

As many benefit plans change at the beginning of the year, we recommend that you confirm a patient’s benefits, eligibility, and any financial responsibility at their first visit of the new calendar year with you.

• Register and login to the Evernorth^® Behavioral Health provider portal at Provider.Evernorth.com for 24/7 access to patient eligibility, benefits, claims status and more. See below for more information on the provider portal.
• Evernorth® Behavioral Health recently created the Coverage Confirmation Grid, to give providers a fast and easy way to verify general benefits and eligibility, including if a specific provider is in-network, prior authorization requirements, and accumulation information. If you provide employee assistance program (EAP) services, you can also use the grid to request new and/or verify existing EAP prior authorizations.  The Coverage Confirmation Grid (an Excel spreadsheet) can be used for one patient or up to 100. A completed grid will be returned via secure email within one business day from the date it was received.  Access the Coverage Confirmation Grid and instructions for its use by visiting Provider.Evernorth.com.
• Providers can also verify patient benefits and eligibility by calling the number on the back of patient’s ID card.  Patients may more frequently start to present at your office with a digital ID card. Please review the toolkit at Provider.Evernorth.com/DigitalIDCards if you have any questions or need help checking a customer’s benefits and eligibility.

Register for Evernorth’s portal for 24/7 access to patient eligibility, benefits, and provider resources

Evernorth Behavioral Health offers a secure provider portal on Provider.Evernorth.com to give you 24/7 access to patient information such as eligibility, benefits, and claims status. After portal registration, providers can also:

• View remittance reports
• Enroll in and manage Electronic Funds Transfer (EFT)
• Make demographic/directory profile updates

Visit our Provider Webinars webpage for a schedule of upcoming free webinars that show you how to navigate the portal and perform time-saving transactions that will benefit you and reduce your administrative burden.

Evernorth Behavioral Health’s website, Provider.Evernorth.com, is full of information and tools to help you do business with us, such as:

• Forms Center                             
• Behavioral Health Resources 
• Education and Training         
• EAP Resources