Start free trial

Behavioral health credentialing runs through a different door at almost every payer

Three of the four largest payers handle mental health credentialing through a separate entity with its own phone line, its own portal and its own form. Using the medical channel is the most common avoidable delay in the process.

Guide9 min read
An empty therapy office in daylight: two sage armchairs facing each other across a small wooden table
Optum routes through Provider Express, Cigna through Evernorth, Carelon operates as its own company. Magellan has no national credentialing line at all.

Why behavioral health has its own door

Optum runs behavioral health through Provider Express rather than the general UnitedHealthcare provider portal. Cigna's behavioral arm became Evernorth Behavioral Health, Inc. on 1 September 2021 and is a separate legal entity with its own provider information form. Carelon Behavioral Health operates as its own company inside Elevance. Three separate corporate structures, three separate credentialing paths.

The consequence is practical rather than administrative. Applications sent to the medical credentialing line at these companies do not get forwarded — they sit, or they are declined for the wrong reason, and the clinician spends six weeks assuming the payer is slow. No payer publishes a warning about this and no competitor page in this SERP mentions it.

Optum Behavioral Health

The behavioral line is 877-614-0484, which is not the general UnitedHealthcare provider number. Applications and status live in Provider Express. For group and organisational credentialing there is a separate email address, BHSCredentialing@optum.com, which is worth using when you are enrolling a practice rather than a single clinician.

Optum requires a complete and attested CAQH profile including facility licences, accreditation, malpractice coverage and NPI information. It also evaluates network need by geographic area and specialty before accepting new providers, and it recommends checking availability in Provider Express before you apply. Processing runs roughly 60 to 90 days from a complete application.

Cigna behavioral health is Evernorth

Since September 2021, Cigna Behavioral Health, Inc. has been Evernorth Behavioral Health, Inc. The behavioral number is 1-800-926-2273, distinct from Cigna's medical provider line at 1-800-882-4462. Recruitment runs through BehavioralProviderRecruitment@evernorth.com, and the application uses the Evernorth Behavioral Health Provider Information Form rather than Cigna's standard medical form.

Evernorth publishes up to 90 days from a complete application, and it advises calling before applying to confirm the network accepts your licence type in your state. That call is a availability check, and it is the same advice Optum gives in a different form. Two of the largest behavioural payers both consider the check a prerequisite rather than an optional courtesy.

Carelon Behavioral Health

The National Provider Services Line is 800-397-1630, Monday to Friday, 8am to 8pm Eastern. Carelon works through CAQH: if you already have a profile, you add Carelon Behavioral Health as an authorised organisation and keep the attestation current. Status tracking happens through Availity, under submitted applications, rather than through a Carelon portal of its own.

Carelon publishes one rule the others do not, and it carries a deadline. If a third party reports information that conflicts with what you declared, you have seven calendar days from the notification to submit a correction in writing. Seven days is short enough that a notification landing in an inbox nobody reads is the whole failure, and it is the strongest argument on this page for a named owner per payer relationship.

Aetna behavioral health

Aetna runs one credentialing line, 1-800-353-1232, with a behavioral health option inside it rather than a separate number. Applications go through CAQH, with the profile complete and attested before you apply. Published processing runs 60 to 120 days depending on the source, with 90 to 120 the range cited most often.

Aetna also states the rule that matters most for billing: the in-network effective date is the date the contract is fully executed, not the date the application went in. Recredentialing then runs on a 36-month cycle. The most common causes of delay Aetna names are incomplete CAQH profiles, missing documentation, and backlog in its own verification office.

Magellan has no national credentialing line

This is a finding rather than a gap in the research. Magellan does not centralise credentialing contact: each state has its own Network Management contact, and the number you need depends on where the clinician practises. Magellan of Louisiana, for example, publishes 318-524-8829. There is no single number that works everywhere.

The general line, 1-800-788-4005, is portal support rather than credentialing, and calling it for a credentialing question produces a redirect at best. The right move is the Network Contacts directory by state, and the right expectation is that Magellan behaves like several regional payers that share a name. Any page that gives you one Magellan credentialing number is guessing.

Headway, Alma, and what they change

Platforms like Headway and Alma panel clinicians under their own contracts, which removes the process described on this page and replaces it with theirs. That is a real option and for some solo practices it is the right one. What it also does is make the panel relationship theirs rather than yours, which matters if you later want to leave, and it changes the economics per session in a way worth calculating before signing rather than after.

What to do when a behavioral application stalls

First, confirm you used the behavioral channel. An application sitting with the medical credentialing team at Optum, Cigna or Elevance is not going to be forwarded, and the number you called is the fastest thing to check. If it was the wrong one, resubmitting through the right channel is faster than escalating the wrong one.

Second, check the CAQH profile for expired documents rather than for missing fields. A lapsed malpractice certificate blocks attestation while everything else looks complete, and an unattested profile stops all four of these payers without generating a message from any of them.

Third, if the payer reported a data conflict, find out when. Carelon's seven-day correction window runs from the notification, not from when you noticed it, and the same principle applies wherever a payer sets a response deadline you did not know had started.

A free tracker with one row per payer and a follow-up log

One email with the spreadsheet. A few things about credentialing after that, and one click unsubscribes at any time.

What this page cannot tell you

No payer publishes acceptance rates, first-pass approval rates or how often a panel reopens, and no third-party source with transparent methodology exists for any of them. Anything you read that ranks payers by ease of credentialing is inference presented as data. What is public is process and contact information, which is what this page contains and where it stops.

The three published plans

Frequently asked questions