Annual Credentialing Maintenance (After Initial 12 Months)
Renewed annually to avoid disenrollment risk and maintain payer compliance.
PractiApp is the all-in-one credentialing and provider management platform backed by PractiCons — a full-service team that handles every application, payer relationship, and compliance deadline for you.
Clinical staff consumed writing applications, navigating payer portals, and waiting on hold.
Enrollment errors cause claims to be paid at non-par rates or written off entirely.
New providers wait months for payer approval while generating zero reimbursement.
Missed re-credentialing deadlines and CAQH lapses create serious regulatory risk.
Expiring licenses across a growing roster have no reliable way to be monitored in-house.
From initial enrollment through ongoing compliance, PractiCons delivers a complete lifecycle solution — powered by PractiApp.
Securing payer participation and ensuring provider eligibility for reimbursement. We complete every application, manage every payer relationship, and track every submission from initiation through approval.
Protecting reimbursement and optimizing contractual and financial terms. We review your fee schedules, evaluate payer contracts, and provide negotiation support to maximize your reimbursement rates.
Managing recredentialing and updating provider directory records to ensure directory accuracy and regulatory compliance. Zero deadlines missed — ever.
Most platforms give you a tool and leave your staff to do the work. PractiCons does the work — with PractiApp as the operational backbone.
A 10-second look inside the platform — the credentialing dashboard, provider roster, case tracking, and organization management your team gets on day one.
Shown with sample demonstration data — not real provider information.
Purpose-built by healthcare practice management professionals — not a generic off-the-shelf tool. PractiApp centralizes everything into a single source of truth.
PractiCons handles every stage of the provider enrollment lifecycle — from initial application through ongoing maintenance.
Full credentialing and enrollment across all major commercial payers, with application processing and tracking.
Enrollment and re-credentialing with HMO, PPO, and managed care organizations to protect your contracted rates.
Medicare PECOS enrollment and Medicaid credentialing, including Medicaid Special Services programs.
Quarterly CAQH re-attestations completed on your behalf, with proactive reminders for expiring licenses.
New and renewal state medical license applications managed and tracked through to completion.
DEA registration applications and renewals handled as part of your credentialing package.
CLIA Registration (Lab 155) and CLIA Waiver Certificate (CMS 116) processing and filing.
Full recredentialing cycle management across all participating payers — no deadlines missed.
End-to-end enrollment for new physicians, nurse practitioners, physician assistants, and other providers.
Credentialing of new practice locations across all payers to prevent billing disruptions during expansion.
Complete payer notification and re-enrollment management when tax identification numbers change.
Creation and evaluation of fee schedules to ensure your rates are competitive and above cost.
Assistance evaluating and renegotiating payer contracts to maximize your reimbursement rates.
Audit of your existing payer participation roster to identify and correct enrollment errors and non-par issues.
Ongoing monitoring of OIG/SAM exclusion databases to protect your practice from compliance and financial risk.
A clear, proven process designed to reduce errors, accelerate approvals, and ensure nothing falls through the cracks.
PractiCons collects required documents from the provider, including CAQH login, CV, licenses, DEA, malpractice, and board certifications.
Our team completes all credentialing applications for every selected payer — initial or re-credentialing. Every detail handled by experts.
Completed applications are sent to you for review before submission. Payment is made only after you review and approve.
Applications are submitted to each payer with tracking numbers. Consistent follow-up confirms receipt and progress.
Payers verify training, licenses, board status, malpractice history, and references through primary sources.
You receive scheduled updates at your preferred intervals throughout the credentialing process. Always in the loop.
Immediate notification upon approval. Ongoing management of recredentialing, CAQH, renewals, and directory updates through PractiApp.
Every benefit your practice gains from a fully managed credentialing partnership.
PractiCons validates every payer number, corrects errors, and ensures claims are paid at contracted par rates.
New providers start generating revenue sooner. We manage all applications simultaneously and follow up proactively.
No more chasing payer portals or waiting on hold. PractiCons handles every form and follow-up.
All provider credentials, licenses, DEA numbers, and payer enrollment records centralized in one searchable platform.
PractiApp alerts you before licenses, certifications, and re-credentialing deadlines expire. No surprises. No gaps.
CAQH re-attestations are completed on your behalf every quarter — a task that routinely falls through the cracks in-house.
Full recredentialing cycle across all payers. No deadlines missed, no payer relationships interrupted.
Every document and approval stored with controlled access and role-based permissions. Always ready for a payer audit.
Adding a physician, NP, or PA? Expanding to a new office? We handle all enrollment across every payer.
Changing tax identification numbers triggers a credentialing reset. PractiCons manages the entire process so nothing slips.
Ongoing OIG/SAM exclusion monitoring protects your practice from employing or billing with an excluded provider.
You pay only after PractiCons completes your applications and you review the finished work. Flexible packages available.
Compensation is based on the number of applications per TAX ID. Each package includes all 3 phases (Credentialing & Enrollment, Contract Analysis, and Maintenance/PDU) for the initial 12 months.
Calculate your total applications to estimate your investment. Each payer + provider combination = one application.
| Practice Scenario | Payers | Providers | Group App? | Total Applications |
|---|---|---|---|---|
| Solo Provider | 3 | 1 | No | 3 |
| Solo Provider (Medicare + 2 Commercial) | 3 | 1 | No | 3 |
| 5-Provider Group | 3 | 5 | Yes | 18 |
| 15-Provider Group | 4 | 15 | Yes | 64 |
| 25-Provider Group | 5 | 25 | Yes | 130 |
Renewed annually to avoid disenrollment risk and maintain payer compliance.
PractiCons credentials across every major payer category. The following represent the most common applications in the area — other payers may apply depending on specialty and location.
Addressing the most common concerns practices have before making the switch.
Credentialing problems don't fix themselves. Every month without proper enrollment management is another month of potential revenue loss. Let's fix it.
Speak directly with a PractiCons credentialing specialist. We'll assess your current situation, identify gaps, and provide a custom quote — no cost, no obligation.
(818) 812-5441See PractiApp in action. We'll walk you through provider profiles, enrollment dashboards, expiration alerts, onboarding checklists, and audit-ready reporting live.
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