Re-Credentialing Services and Medicare Revalidation.
Tracked deadlines and early filing so no provider drops out of network by accident.
Credentialing isn’t a one-time task. Health plans require providers to re-credential on a regular cycle, and Medicare requires periodic revalidation. Miss a deadline and claims start denying as out-of-network. Our team builds a re-credentialing calendar for every provider and payer, files applications well ahead of the due date and confirms continued participation in writing. It works together with your CAQH profile management and our wider credentialing services.
What's included in our re-credentialing services.
Every item below is part of the service, not an upsell or an add-on line on your invoice.
- A re-credentialing calendar for every provider and payer
- Applications filed 90–120 days ahead
- Updated documents collected in advance
- Payer confirmation of continued participation
- Lapse risk flagged long before it bites
How our re-credentialing process works.
Calendar
Every provider-payer pair gets a tracked renewal date.
File early
Applications go in 90–120 days out, not when the reminder arrives.
Confirm
RWe get written confirmation that participation continues without a gap.
Re-credentialing FAQs.
How often is re-credentialing required?
Most payers require it every two to three years, and Medicare revalidation runs on its own cycle.
What happens if it lapses?
Claims start denying as out-of-network, and re-enrollment can take months. That’s the whole reason we track it.
More credentialing services.
Payer Contracting & Fee Schedules
Contract requests, rate comparisons and negotiation support so you're not signing below-market terms.
Hospital Privileging
Privilege applications, committee paperwork and reappointment cycles managed alongside your payer credentialing.
Primary Source Verification
Licenses, board certification, education and work history verified directly to payer and accreditation standards.
