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Credentialing

Re-credentialing and revalidation before deadlines pass

We track every payer’s re-credentialing cycle and Medicare revalidation date, and submit on time so providers are never dropped from a network.

Open monthly planner on wooden desk

What’s included

  • Re-credentialing calendar for every provider and payer
  • Medicare revalidation in PECOS
  • Medicaid revalidation by state
  • License, DEA and malpractice expiry tracking
  • CAQH re-attestation
  • Responses to payer information requests

How we handle it

STEP 01

Track

All due dates recorded in one tracker.

STEP 02

Prepare

Documents updated before the request arrives.

STEP 03

Submit

Applications sent before the deadline.

STEP 04

Confirm

Continued participation confirmed in writing.

Details that matter

Commercial payers usually re-credential providers every 3 years. Medicare requires revalidation every 5 years, and every 3 years for DMEPOS suppliers. Missing a revalidation can stop Medicare payments until enrollment is restored.

FAQ

Questions about re-credentialing

How do we know when Medicare revalidation is due?

CMS publishes revalidation due dates, and we check them in PECOS for every provider and group we manage.

Free billing audit

See where your revenue is going.

Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.

We sign a Business Associate Agreement before we handle any patient data.