Credentialing does not end after a provider joins an insurance network. Payers periodically review and renew provider credentials to ensure that licenses, certifications, malpractice coverage, and other required information remain current.

The recredentialing process generally begins by tracking the payer’s due date and reviewing the provider’s existing information. Required documents are collected, the application is submitted to the payer, and follow-ups are performed until approval is received.

The provided service material notes that many payers require recredentialing every two to three years, depending on the payer and state. Starting the process before expiration gives the practice time to review documents, collect missing information, submit the application, and monitor the payer’s response.