Lane 04 · Credentialing Maintenance
Nothing lapses on our watch.
CAQH attestations, Medicare revalidations, commercial recredentialing, and expirables — surfaced 30, 60, and 90 days out on Metolius. The work isn't glamorous; the discipline is what keeps your providers billable.
Methodology
How maintenance works with us.
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Onboarding inventory
Every provider, every credential, every payer, every expirable — license, DEA, board, malpractice COI, CAQH attestation date, Medicare revalidation date, commercial recredentialing date, hospital privilege renewal. Inventoried on day one and loaded into the Credential Expiration Report. From that moment, you have a 60-month forward view of every renewal across your roster.
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CAQH attestations on the 120-day cycle
CAQH requires reattestation every 120 days. Most payers pull CAQH at credentialing or recredentialing — a lapsed attestation is the most common quiet cause of stalled enrollments. We attest on schedule and audit the profile for gaps before each attestation, not after a payer flags one.
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Medicare revalidations on the 5-year clock
Medicare revalidates providers every 5 years and DMEPOS suppliers every 3. CMS sends the notice; if it gets missed, the provider deactivates and billing stops. We watch the PECOS revalidation list, file the revalidation early, and confirm continued enrollment so there's no gap in billing.
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Commercial recredentialing on the payer cycle
Most commercial payers recredential every 2 to 3 years. We track the cycle per payer, prep the recredentialing packet from the Metolius record, and submit ahead of the deadline so the provider stays in-network through the review.
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Expirables — license, DEA, COI, board
Licenses, DEA registrations, malpractice COIs, and board certifications all expire on their own schedules. Metolius flags every expirable 90, 60, and 30 days out. We chase the renewal with the provider's office, file the proof, and update every payer that needs the new document.
Questions, plainly answered
The asks we hear about maintenance.
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What does maintenance include, exactly?
CAQH attestations and profile maintenance, Medicare revalidations (PECOS), Medicaid revalidations, commercial recredentialing cycles, license renewals tracking, DEA renewals, malpractice COI updates pushed to every payer, board certification renewals, hospital privilege renewals, and any credential change that needs to be reported to a payer or hospital (address, group, scope-of-practice, NPI taxonomy update).
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Can I see what's expiring without asking?
Yes — that's the whole point of the Credential Expiration Report. Log in to Metolius any time and see what's expired, what expires in 30 / 31–60 / 61–90 days, and the 60-month forward outlook. Filter by provider, credential type, group, or status. Export to CSV, Excel, or PDF. The screenshot on the Platform page is the live system.
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What if a credential has already lapsed?
We address lapses first, before we worry about the next cycle. Lapsed credentials get reinstated, payers get the updated document, and Metolius reflects current status so the next cycle doesn't start from a hole. If a payer terminated a provider over a lapse, we work the reinstatement path.
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Is maintenance worth it if my volume is low?
Maintenance pays for itself the first time a license lapse would have stopped billing for a month, or a missed Medicare revalidation would have deactivated a provider. Low volume doesn't change the cost of a lapse — it just changes how visible the lapse is when it happens.
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Do you work with practices that have an internal credentialer?
Yes — many of our maintenance clients have someone in-house running credentialing, and we run Metolius and the cycle work alongside them. The platform's audit trail makes the handoff between us and your internal team clean.
See every renewal across your roster — at a glance.
Tell us your providers and your payers. We'll inventory every credential, load it into Metolius, and show you the 60-month outlook on a 20-minute call.
Talk to us