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Credentialing services

Credentialing Maintenance Service | PPS

Ongoing credentialing maintenance for credentialed providers: re-attestation, recredentialing, document refresh, and roster management.

Initial credentialing is one milestone. Keeping providers credentialed — across the 120-day CAQH attestation cycle, the 24-month payer recredentialing cycle, the biennial hospital recredentialing, license renewals, DEA renewals, board recertification — is the ongoing operational discipline. PPS’s Credentialing Maintenance Service handles all of it on a recurring basis so providers stay in-network and billing-ready continuously.

What’s included

  • CAQH attestation every 120 days for every provider on the roster.
  • Payer recredentialing every 24-36 months (varies by payer).
  • Hospital recredentialing every 24 months at each affiliated facility.
  • Document refresh — license, DEA, malpractice COI, board certifications, state-controlled-substance registrations.
  • Calendar tracking — every credential, every expiration, surfaced 90 days before it lapses.
  • Roster management for groups — single dashboard view of every provider’s state across every credential.
  • Onboarding new providers to the existing payer panels as the group grows.
  • Offboarding departing providers so the roster stays clean and you don’t recredential ghosts.

How it works

Maintenance is structured as a recurring monthly retainer. Every month: review the 90-day expiration window, request documents from providers ahead of expiration, file re-attestations, file recredentialing applications, escalate anything stalled.

You get a monthly summary: what we filed, what’s pending, what’s coming up.

Who this is for

  • Established practices with 2+ providers where credentialing is too much for the practice manager.
  • Groups whose initial credentialing was done elsewhere and now needs an ongoing owner.
  • DSOs, MSOs, and physician groups with rosters of 10+.
  • Solo practitioners who don’t want to track this themselves.

Why this matters more than it looks

Lapsed credentials don’t fail loudly. A CAQH attestation that expires sits there until a payer pulls it during a routine review — and then the provider is silently out-of-network for a window that the practice may not discover until claims start denying weeks later. Active maintenance prevents this entirely.

Get started

Tell us your roster size and current credentialing state. We’ll quote a monthly maintenance retainer.

Start a maintenance scope — or read about Insurance Credentialing Services for initial credentialing engagements.