Ongoing Credentialing
Ongoing Credentialing For Providers And Practices
Keep every provider current with the plans they’re in. Choose Complete or Essentials, and you get a written quote before we start.
Ongoing Credentialing
After your applications are done, we keep every provider current with the plans they’re in. Both plans include a CAQH/DataSpring profile review and reminders before attestation; the provider attests. We also track license, DEA and malpractice dates, run monthly exclusion checks, and update rosters and locations. Both start with a baseline review in your first 30 days. It’s month to month, with monthly autopay.
Complete
$100 per provider a month for up to 3 plans, plus $15 a month for each added plan, with 20% off at 10 or more providers.
For practices that want recredentialing and revalidations included.
Essentials
$80 per provider a month, flat.
For practices that want routine upkeep and prefer to pay for recredentialing when it comes due. Recredentialing costs $200 per provider per plan, in addition to the monthly fee.
We can do the DataSpring/CAQH and payer portal work for you, or walk you through each step on a screen share if you’d rather keep the logins. It’s part of your package either way.
How It Works
From Baseline Review To Monthly Upkeep
1. Baseline Review
In your first 30 days, we review every provider with every plan they’re in.
2. Monthly Upkeep
Each month we run exclusion checks, update rosters and locations, and remind you before a date arrives.
3. You Sign What Only You Can Sign
The provider attests and signs anything that only a provider can sign. We remind you before each attestation is due.
Where It Fits
Applications Come First
New payer applications are Insurance Credentialing. Ongoing Credentialing starts after the applications are done. If you opened your practice with First Practice Launch, payer follow up runs through your 90 day Launch period, and after that, follow up is optional Ongoing Credentialing.
FAQ
Ongoing Credentialing Questions
Which Plan Should I Choose?
Choose Complete if you want recredentialing and revalidations included in the monthly fee. Choose Essentials if you prefer routine upkeep and want to pay for recredentialing when it comes due.
Do You Attest My CAQH Profile For Me?
No. We review your CAQH profile with you and remind you before each attestation is due. The provider attests.
Is There A Discount For Larger Practices?
Yes. Complete is 20% off at 10 or more providers.
How Do I Get Started?
Ask for a written quote. We confirm your providers and the plans each one is in, and send the price before we start.
Choose The Right Credentialing Path
Opening a practice, adding a provider, moving existing payer relationships, and seeking new contracts require different work. See the price and scope that match your situation.