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Re-credentialing

Re-credentialing and revalidation completed before deadlines, so you never fall out of network or have claims deny for a lapsed enrollment.

Get a free consultationPaid upfront$100 per payer

Payers re-credential providers on a cycle, often every two to three years, and Medicare and Medicaid require periodic revalidation. Missing a request can end a contract or stop payments.

We track every payer's cycle, watch for requests and complete them before they are due.

What's included

Cycle tracking

Every payer's re-credentialing and revalidation dates tracked in one calendar.

Request monitoring

Payer letters, emails and portal notices watched so nothing is missed.

Revalidation

Medicare (PECOS) and state Medicaid revalidations completed on time.

Document refresh

Updated licenses, malpractice and certifications gathered ahead of each cycle.

Status follow-up

Submissions followed through to confirmation.

Contract continuity

Effective dates confirmed so there is no gap in network status.

Price

$100 per payer

Paid upfront

Paid before work starts, because it covers costs we incur. How payment works

Who it's for

Established providers and groups with multiple payer contracts.

Get started

How it works

  1. Payer plan

    We agree on which payers to apply to, in which order, based on your patients and location.

  2. Document collection

    One checklist for licenses, malpractice, board certification and work history.

  3. Applications and follow-up

    We submit, then call and check portals until each payer decides.

  4. Go-live

    We confirm effective dates and fee schedules so billing can start cleanly.

Hire it alone or as part of a package

Re-credentialing is available on its own, and it is also included in Provider Enrollment. See all packages on our pricing page.

Specialties we provide re-credentialing for

We work with practices of every specialty. These pages explain what is different about yours:

See every specialty and provider type →

Re-credentialing FAQs

How often is re-credentialing required?

Most payers re-credential every two to three years. Medicare revalidation generally runs on a five-year cycle, and Medicaid timing varies by state.

What if I already missed a deadline?

Contact us right away. Some payers allow late completion, and we can move quickly to limit the gap.

Is this included in Provider Enrollment?

Yes, re-credentialing is part of the Provider Enrollment package.

Related credentialing services

Ready to talk about re-credentialing?

Book a free 30-minute consultation. We'll review your practice and tell you where to start.

Get a free consultation