As the year begins, it’s essential to confirm patient eligibility and financial responsibilities at their first visit, especially since benefit plans often change January 1. Evernorth^® Behavioral Health (Evernorth) provides several options to help you access important information regarding your patients with Cigna Healthcare^® and Evernorth benefit plans.

Provider portal – your 24/7 online resource

The secure Evernorth Provider portal (Provider.Evernorth.com) gives you 24/7 access to vital information, including:

• Patient eligibility and benefits.
• Claims status.
• Remittance reports.
• Electronic funds transfer enrollment and management.

Portal access requires registration. After that’s completed, we invite you to attend one of our live web-based demonstrations to familiarize yourself with the portal’s features. Our free online webinars show you how to navigate the portal and find the information you need. For registration assistance and a schedule of upcoming webinars, please visit our Education and Training web page.

Coverage Confirmation Grid – get the information you need within one business day

The Coverage Confirmation Grid, available as an Excel spreadsheet, allows providers to verify information for one patient or up to 100. You can: 

• Verify patient eligibility and general benefits.
• Confirm provider network status.
• Obtain prior authorization requirements.
• Get patient accumulation details.
• Request new or confirm existing employee assistance program authorizations. 

Within one business day from the date we receive your request, you’ll receive the completed grid(s) via secure email. 

Call center – assistance whenever you need it

Providers can verify a patient’s benefits and eligibility by calling the number on the back of their patient’s ID card.Please note that patients may increasingly present digital ID cards. For more details, check out our toolkit at Provider.Evernorth.com/DigitalIDCards.

Additional resources

Visit Provider.Evernorth.com for a variety of tools and information designed to streamline your administrative tasks, including:

• Behavioral Health Forms Center.                             
• Behavioral Health Resources. 
• Behavioral Health Education and Training. 
• Employee Assistance Program.

Stay informed and ensure a smooth start to the new year!