Get 15-Day Free Trial!
We are ready to answer right now! Sign up for a 15-days free trail.
I consent to the processing of personal data and agree with the user agreement and privacy policy
Provider Enrollment & Credentialing
Every 90–120 Days
Provider Re-Attestation
Timely review, verification, and confirmation of provider information with payers and credentialing platforms — ensuring continued network participation and uninterrupted reimbursements.
Overview
Re-attestation is a mandatory, recurring process in Provider Enrollment and Credentialing that requires healthcare providers to review, verify, and confirm the accuracy of their information with payers and credentialing platforms such as CAQH. Timely re-attestation ensures continued network participation, uninterrupted reimbursements, and ongoing compliance with payer requirements.
Objectives
- Maintain active provider enrollment and credentialing status
- Ensure provider data remains accurate and up to date
- Prevent claim denials or payment holds due to expired attestations
- Support regulatory and payer compliance requirements
- Enable seamless continuity of patient care and billing
Key Activities
Re-Attestation Activities
Comprehensive recurring verification across CAQH, payers, and credentialing systems.
90–120 Days
CAQH Re-Attestation
CAQH ProView Verification- Review provider demographic, practice, and specialty information
- Update licenses, DEA, board certifications, and malpractice insurance
- Confirm practice locations, affiliations, and hospital privileges
- Complete required attestations within CAQH timelines (typically every 90–120 days)
Payer-Specific
Payer Re-Attestation & Revalidation
Multi-Payer Compliance- Complete payer-specific revalidation or re-attestation forms
- Respond to payer notices and recredentialing requests
- Submit updated documentation as required by payers
- Track payer approval confirmations and effective dates
Ongoing
Monitoring & Tracking
Proactive Deadline Management- Track re-attestation due dates and expiration timelines
- Maintain centralized logs for CAQH and payer re-attestations
- Proactively notify providers of upcoming or overdue attestations
- Escalate delays to prevent enrollment suspension
Compliance & Data Accuracy
Maintaining precise, consistent provider data across all credentialing systems and payer records
Data Consistency
Ensure all re-attested information is accurate and consistent across systems
HIPAA Compliance
Maintain HIPAA-compliant handling of all provider data and documentation
Record Retention
Retain re-attestation records for audit and payer reviews
Expiration Monitoring
Monitor license and credential expiration to avoid compliance gaps
Tools & Systems
Technology & Platforms
Industry-standard systems for re-attestation tracking and credential management.
CAQH ProView
Attestation Management
Payer Portals
Enrollment Systems
Credentialing Tracking
Enrollment Tools
Practice Management
PM Systems
Business Impact
Impact on Revenue Cycle & Operations
Protecting revenue continuity through proactive re-attestation management.
01
Continued Eligibility
Continued eligibility for claim submission and reimbursement without interruption.
02
Reduced Denials
Reduced denials related to expired credentials or enrollment through proactive management.
03
Provider Satisfaction
Improved provider satisfaction and operational continuity across the organization.
04
Audit Readiness
Stronger compliance posture and audit readiness at all times.
Performance Metrics
Key Performance Indicators
Tracking re-attestation timeliness, accuracy, and compliance outcomes.
Completion Rate
Re-attestation completion rate across all providers and payers
On-Time Percentage
On-time re-attestation percentage meeting all payer deadlines
Credential Denials
Denials due to expired credentialing or enrollment tracked and resolved
Suspension Incidents
Provider suspension or termination incidents prevented through timely action
Never Miss a Re-Attestation Deadline
Re-attestation safeguards provider enrollment, compliance, and revenue integrity by ensuring ongoing accuracy and timely validation of provider information.