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.
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
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
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.
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.
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.
Linda Roberts
It Head
“Lorem ipsum dolor sit amet, consectetur adipiscing elit. Cursus nibh mauris, nec turpis orci lectus maecenas. Suspendisse sed magna eget nibh in turpis. Consequat duis diam lacus arcu. Faucibus venenatis felis id augue sit cursus pellentesque enim
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.
How often do I need to be re-credentialed?
We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again
What happens if I miss a re-credentialing deadline?
We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again
Is re-credentialing the same as CAQH re-attestation?
We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again
Do all my payers run on the same re-credentialing cycle?
We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again