Maverick Health Innovations
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Services

Re-credentialing & Credentialing Maintenance Services

Expirables tracked, directories current, and every re-credentialing cycle filed early — the upkeep that prevents silent deactivations.

Credentialing isn’t a one-time event — it’s a subscription payers expect you to keep up. Licenses expire, CAQH wants attestation every 120 days, commercial plans re-credential every two to three years, and directories demand confirmation — miss any of it and the failure mode is silent: no warning call, just claims that stop paying.

We turn all of it into one tracked calendar with lead-time buffers, filed early every cycle, so “quietly deactivated” never appears in your revenue report.

What's included

  • Re-credentialing applications filed before every payer deadline
  • Expirables calendar: licenses, DEA, malpractice, board certifications
  • CAQH re-attestation every 120 days
  • Payer directory accuracy checks and corrections
  • Demographic and location changes filed with every payer
  • Roster cleanup: reconciling payer records against your actual roster

How it works

  1. Baseline audit

    We reconcile what every payer has on file against reality — expirations, addresses, roster, directory listings.

  2. Calendar built

    Every re-credentialing date, expirable, and attestation goes onto one tracked calendar with lead-time buffers.

  3. Filed early, every cycle

    Renewals and re-credentialing packets go out ahead of deadline — deadline-week filing is how gaps happen.

  4. Changes as they happen

    New location, new provider, name change — filed with every affected payer the week it occurs.

✦ Typical timeline: Ongoing service. Commercial re-credentialing hits every 2–3 years per payer; expirables and attestations cycle continuously.

Pricing is quoted per practice — payers, providers, and states drive it — and your exact number goes in writing before you commit.How pricing works →

Common questions

Why did a payer deactivate me when nothing changed?
Usually a missed re-credentialing packet or a lapsed expirable — payers mail one notice to an old address and terminate quietly. The first symptom is denied claims. Maintenance exists to make that impossible.
Why do payer directory listings matter?
Wrong directory data (old address, closed panel status) costs referrals, and payers are under federal pressure to purge inaccurate listings — providers who never confirm their data can be suppressed from the directory or flagged for termination.
What's roster cleanup?
For groups: reconciling who payers think works for you against who actually does. Departed providers still on your contract and new ones never linked both cause billing chaos; cleanup fixes the record with each payer.
Is this included with your credentialing service?
Initial credentialing gets you in-network; maintenance is the ongoing subscription that keeps you there. Most clients roll from one into the other — it's priced separately and quoted in writing.

Talk it through with a specialist.

Free 20-minute consult — your payers, your timeline, and what it'll cost.

Talk to a specialistor call (737) 231-4078