Credentialing and Recredentialing

See how the CAQH universal credentialing tool can make the credentialing process easier and more cost-effective.

Join the Cigna Network

You must meet our standard credentialing criteria to become a health care professional in Cigna’s network. Recredentialing is required every three years in most states. The recredentialing process requires you to meet the same criteria as you did during the initial credentialing process.

Here are our credentialing criteria:

  • Signed application and agreement (see below)
  • Verification of unrestricted state medical license with appropriate licensing agency
  • Verification of valid, unrestricted DEA certificate
  • Verification of full, unrestricted admitting privileges and good standing on the medical staff at a Cigna-participating hospital
  • Board certification status with the American Board of Medical Specialties
  • Review of malpractice claims history
  • Verification of education and training
  • Review of work history
  • Verification of adequate malpractice insurance
  • On-site visit to PCPs, OB/GYNs and high-volume behavioral health specialists
  • Verification of prior sanctioning activities
  • Proof of appropriate professional licensing (only for practitioners whose professions do not require medical licensure)

You may be able to submit an application and agreement using the Council for Affordable Quality Health Care (CAQH) Universal Credentialing DataSource application at www.caqh.org.

Once we verify all your credentialing information, we'll present it to the health plan credentialing committee. This committee is composed of community physicians for peer review, and the health plan medical director. If you're accepted for participation in our network, you'll receive a "welcome" letter within 60 days of the date of the decision, or sooner, if required by state law.

Important notice for Texas:

Cigna will accept applications for participation in their networks of physicians, pharmacies, dentists, and other providers from December 1, 2020 through December 31, 2020. Applicants must meet all credentialing and other participatory criteria. All applications will be reviewed and responses will be made within 90 days of receipt. To request an application, or for further information, please review the notices below:

For participation in Cigna HealthCare of Texas, Inc., Cigna Health & Life Insurance Company, and Connecticut General Life Insurance Company, Providers located in Austin–Round Rock–San Marcos, Beaumont- Port Arthur, College Station-Bryan, Corpus Christi, Houston-Sugar Land-Baytown, San Antonio-New Braunfels, and Victoria metropolitan statistical areas should write:

Cigna Companies
Attn: Provider Relations
2800 North Loop West, Suite 700
Houston, TX 77092

For participation in Cigna Health & Life Insurance Company and Connecticut General Life Insurance Company, providers located in Laredo, McAllen–Edinburg–Mission & Brownsville–Harlingen or San Angelo metropolitan statistical areas should write:

Cigna Companies
Attn: Provider Relations
2800 North Loop West, Suite 700
Houston, TX 77092

For participation in Cigna HealthCare of Texas, Inc., Cigna Health & Life Insurance Company, and Connecticut General Life Insurance Company, Providers located in Dallas-Fort Worth-Arlington, Sherman–Denison and Waco-Killeen–Temple–Fort Hood metropolitan statistical areas should write:

Cigna Companies
Attn: Provider Relations
1640 Dallas Parkway
Plano, TX 75093

For participation in Cigna Health & Life Insurance Company and Connecticut General Life Insurance Company, providers located in Abilene, Amarillo, El Paso, Lubbock, Midland-Odessa, Texarkana, Longview-Tyler, and Wichita Falls metropolitan statistical areas should write:

Cigna Companies
Attn: Provider Relations
1640 Dallas Parkway
Plano, TX 75093

Cigna Dental Health of Texas, Inc., which provides dental care benefit services, will accept applications for participation in its network of General Dentists, Pediatric Dentists, Endodontists, Periodontists, Oral Surgeons and Orthodontists from December 1, 2020 through December 31, 2020. Applicants must meet all credentialing and other participatory criteria. All applications will be reviewed and responses will be made within 90 days of receipt. For providers located in any Texas metropolitan statistical area, please write:

Cigna Companies
PO Box 9072
Denison, TX 75020

For physicians, pharmacies, dentists and other providers located outside of the cities listed above, please contact Cigna at the address shown for the city nearest to your location.