Re-Credentialing Services That Keep You In-Network Without a Single Lapse


Initial credentialing gets attention because it has a start date and a goal. Re-credentialing has neither, which is exactly why it is the deadline most practices miss. NCQA-aligned commercial payers require re-credentialing every 36 months from the last approval date, with no grace period. Medicare runs on its own three- to five-year revalidation cycle. CAQH requires re-attestation every 120 days. None of those clocks line up, and a provider working with several payers is really tracking several separate deadlines at once. CureBytes tracks every one of them, for every provider, across every payer, so a missed date never turns into a terminated network status.

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Nationwide Presence Across All States
No long term contracts • No long term contracts • 50+ Specialties Covered

BUILT FOR PRACTICE

Built for Practices Juggling Deadlines That Don't Share a Calendar
A provider participating in Medicare, three commercial plans, and a state Medicaid program is really on four or five separate timelines, none of which start or end on the same date. NCQA does not treat 36 months as an approximate window either; it is a fixed cycle from the last committee approval date, and a lapsed credential is treated as a compliance violation rather than a paperwork delay. The practices that get caught out are rarely careless. They are usually relying on a spreadsheet or a single staff member's calendar reminder, and both of those fail quietly the moment that person moves on or gets pulled onto something more urgent. We replace that informal tracking with a system that follows the provider, not the person managing the file

Built for Practices Juggling Deadlines That Don't Share a Calendar

36-month commercial payer re-credentialing tracked per provider, per payer

CAQH 120-day re-attestation completed every cycle without exception

Medicare revalidation tracked on its own three- to five-year clock

License, DEA, and malpractice renewal monitoring

Monthly exclusion and sanction screening against OIG, SAM.gov, and state databases

Re-credentialing is not a repeat of the initial paperwork. It is a full re-verification, and payers hold it to the same standard every time. We treat every cycle that way, not just the first one

Bech Mark

 Re-Credentialing Performance You Can Check
Against the Benchmark

100%

120 Days

36 Months

Re-Credentialing Deadlines Met On Time

CAQH Re-Attestation Cycle

Standard Commercial Cycle We Track Exactly

Monthly

0%

500+

License and Exclusion Screening Frequency

Network Terminations Caused by a Missed Cycle

Provider Cycles Actively Managed

RE - CREDENTIALING CLOCK

One Calendar for Every Payer's Re-Credentialing Clock

A group with a handful of providers across Medicare, several commercial payers, and CAQH is realistically tracking dozens of independent deadlines at once, and no single spreadsheet stays accurate for long once staff turnover enters the picture. We map every provider’s deadlines against every payer they participate with and manage the whole calendar from one place, so nothing depends on any one person remembering.

 Individual deadline mapping per provider, per payer

 Consolidated tracking across Medicare, commercial, and CAQH cycles

Continuity that survives staff turnover on your side

LICENSE

Monthly License and Exclusion Monitoring, Not Just Periodic Checks

Current NCQA standards expect monthly monitoring between full re-credentialing cycles, not just a review every 36 months, which means a license expiration or a federal exclusion database hit needs to surface within weeks, not at the next scheduled audit. We run that monitoring every month against OIG, SAM.gov, and applicable state boards, so an issue is caught and resolved long before it becomes a credentialing committee problem.

Monthly screening against OIG, SAM.gov, and state exclusion databases

Ongoing license and DEA expiration tracking

Documented escalation the moment an issue is found

RENEWAL APPLICATIONS

Renewal Applications Prepared and Submitted Before the Deadline, Not On It

Most re-credentialing processes should start 90 to 120 days ahead of the actual deadline to leave room for primary source verification and committee review, and starting on the deadline itself leaves no margin if anything comes back incomplete. We prepare and submit every renewal well within that window, so a slow committee review never turns into a missed cycle.

Renewal preparation beginning 90 to 120 days ahead of every deadline

Primary source re-verification handled proactively

Active follow-up through committee review to confirmation

MULTI-PROVIDER GRRECOVERYOUP

Recovering From a Missed Cycle or Network Termination

A lapsed credential is treated as a compliance violation, not a delay, and NCQA does not recognize a grace period once a deadline has passed. If a provider has already been termed out of a network, we move immediately to determine what a payer requires for reinstatement versus a full new application, and manage whichever path gets billing privileges restored fastest

 Immediate assessment of reinstatement versus full reapplication

Direct communication with the payer or MAC to clarify requirements

Full management of the recovery process to restore active status

RE CREDENTIALING PROCESS

 How Our Re-Credentialing Process Works 
Whether a provider's next cycle is months away or a deadline has already been missed, the process follows the same disciplined steps.

Deadline Mapping Across Every Payer and Provider

We build a complete map of every re-credentialing, revalidation, and re-attestation deadline your practice is currently carrying.

Document Refresh and Primary Source Re-Verification

Renewal Submission 90 to 120 Days Ahead of Deadline

 We Know the Clocks. We Know They Don't Match.

Every payer and every credentialing body runs its own re-credentialing schedule, and treating them as interchangeable is one of the most common ways a practice loses track of a deadline. Our team manages each clock on its own terms instead of forcing them into a single generic reminder system.

 An Honest Comparison of Tracking Re-Credentialing Yourself vs. Letting CureBytes Manage It

 transparent, side-by-side look at what re-credentialing actually costs in time and risk, whichever way you manage it
Factor
Multi-Vendor Approach
Net Collection Rate
Often unclear without one team owning the full number
95–97%, tracked continuously
Cost to Collect
Frequently 6–8%+ once vendor overlap is counted
2–4% of net patient revenue
Days in Accounts Receivable
30–40+ days, often longer across handoffs
Under 28 days
Denial Rate
8–12% industry average
Under 5%
Accountability When Something Breaks
Vendors point to each other's stage
One team, one point of contact
Root-Cause Visibility
Each vendor sees only their own slice
Cross-stage reporting catches upstream issues
Reporting
Fragmented across separate systems and vendors
Unified, benchmarked to HFMA MAP Keys
Upfront Cost
Multiple vendor fees, salaries, and software licenses
Pay only on collections

Re-Credentialing Built for the Way Your Practice
Actually Operates

Solo Providers With Multiple Payer Clocks to Track

We track every payer’s deadline for a single provider so nothing falls through simply because there is no dedicated staff for it.

Multi-Provider Groups With Staggered Cycles

We manage each provider’s re-credentialing on its own timeline while giving the practice one consolidated view of where everyone stands.

Practices Recovering From a Lapsed Credential

We move immediately to determine the fastest path back to active status, whether that is reinstatement or a full new application.

Practices Going Through Staff Turnover in Their Credentialing Function

We keep every deadline tracked independently of any one employee, so a departure never becomes a missed cycle.

Pricing

Transparent Re-Credentialing Pricing. No Guesswork.

Re-credentialing management is priced as a flat fee per provider, or bundled into your broader credentialing and billing services. You will know the cost before any work begins, with no separate charge each time a cycle comes around.

Team

How Our Team Keeps Providers From Ever Lapsing

A missed re-credentialing cycle almost always traces back to a deadline nobody was actively watching, not a provider who suddenly stopped qualifying. We start every new client relationship by mapping exactly where every provider currently stands against every payer’s clock, so the next deadline is never a surprise.

50 States Strong

Ready to Find Out Which Deadlines You're Actually Tracking?
Start with a complimentary review of your current re-credentialing status across every payer, whether everything is current, a deadline is approaching, or a cycle has already been missed.

Complimentary review of your current re-credentialing status

Deadline mapping across every payer you participate with

Identification of any cycle already at risk

Clear findings delivered with no strings attached

Dedicated credentialing coordinator assigned from day one

Hannah Schmitt

Dr. Michael Anderson

Office Manager

“

CureBytes has made a noticeable difference in how we manage our medical billing. Their team is responsive, detail-oriented, and keeps our claims moving efficiently. We spend less time worrying about billing issues and more time focusing on our patients

Hannah Schmitt

Hannah Schmitt

Practitioner

“

Before working with CureBytes, our staff was spending far too much time dealing with claim follow-ups and billing questions. Their team streamlined the entire process and has been excellent at keeping us informed. The service has been professional from day one.

Hannah Schmitt

Sarah Mitchell

Lead Operations

“

CureBytes has been a great partner for our practice. From claims submission to follow-ups and payment posting, their team handles the process with great attention to detail. Their communication is consistent, and we always know what is happening with our accounts.

Hannah Schmitt

Dr. James Carter

Accounts Manager

“

What impressed us most about CureBytes is their responsiveness. Whenever we have a billing concern, their team is quick to investigate and provide a clear update. They have helped us make our billing workflow much more organized and efficient.

Hannah Schmitt

Linda Roberts

It Head

“

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Hannah Schmitt

Dr. Emily Thompson

Vice Administrator

“

Dr. Emily Thompson

Frequently Asked Questions

Everything You Need to Know Before You Decide

What is re-credentialing?

Re-credentialing is the periodic re-verification of a provider’s qualifications, standing, and compliance so a payer can confirm the provider still meets the requirements they were originally credentialed under. It involves a full primary source re-verification, not just an update to existing paperwork.

We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again

We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again

We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again

We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again