Provider Re-Credentialing & Medicare Revalidation Services
Re-Credentialing Management — Because Networks Quietly Expire
Every payer contract you hold has an expiration date on its credentialing. Commercial payers re-credential every 2–3 years; Medicare requires revalidation every 5; CAQH attestation expires every 90–120 days. Miss any of these and the consequence isn't a warning — it's network termination, claim denials backdated to your lapse date, and a from-scratch application to get back in. Practices lose $30,000–$90,000 per terminated provider in the gap. ProEnrollment tracks and executes every renewal across your entire roster so none of this ever happens.
Why Re-Credentialing Fails Inside Busy Practices
Re-credentialing notices arrive by mail or portal message addressed to whoever filled out the original application — often someone who left two years ago. The notice sits unopened, the 30-day response window passes, and the first sign of trouble is a denied claim with remark code reading "provider not in network." Our system makes this impossible: every client credential lives in our tracking calendar with renewal workflows triggered 120 days before each deadline, documents refreshed proactively, and confirmations obtained in writing.
What's Tracked Under Management
Commercial payer re-credentialing cycles for every plan you hold. Medicare revalidation (5-year cycle, MAC-specific). Medicaid renewal in every enrolled state. CAQH re-attestation every 90–120 days. License, DEA, and board certification expirations that payers verify at renewal. Malpractice policy continuity documentation. For group practices, we manage the full roster — including clean terminations when providers depart, which prevents payer audit exposure. Full credentialing services | free re-credentialing tracker | Medicare revalidation | free consultation.