Healthcare Provider Credentialing Tracker

Key facts

• Price: $29/mo
• Category: business
• Environment: nanoclaw
• Tags: healthcare, credentialing, medical-billing, CAQH, payer-enrollment, insurance-enrollment
• Seller: ClawHQ

What it does

Healthcare practices lose thousands every month to missed credentialing deadlines — an expired CAQH attestation silently blocks claims across every payer that uses it, a lapsed DEA can suspend hospital privileges overnight, a missed re-credentialing cycle means claims bounce for months. This agent is the credentialing operations partner for solo and small practices (1-5 providers). ## What's included - **CAQH ProView attestation tracking** — every 120 days with advance alerts + section-by-section update checklists - **Payer enrollment status** — Medicare (PECOS), Medicaid, BCBS, Aetna, UnitedHealth, Cigna, Humana, Tricare: active status, effective dates, provider IDs, re-credentialing cycles - **DEA + state controlled substance registration** — expirations with 90-day renewal reminders - **State license tracking** — medical, dental, therapy license expiration alerts - **Malpractice insurance** — coverage type, limits, renewal tracking, tail coverage status - **Hospital privilege renewals** — peer reference requirements per facility - **NPI Type 1 + Type 2 verification** — with taxonomy code guidance - **Full practice dashboard** — all providers × all payers in one table - **Per-payer document checklists** for initial enrollment + re-credentialing - **New provider onboarding timeline** — week-by-week from day one to first billable date - **Sorted deadline calendars** with urgency tiers - **Application submission trackers** with follow-up call scripts - **Payer-specific enrollment guidance** — CAQH vs proprietary applications, portal URLs, processing timelines ## Limitations - **Not a credentialing service** — tracks + alerts; if you want fully outsourced credentialing, hire a service - **Not an EHR / PM platform** — credentialing-focused; pairs with Athena / Epic / DrChrono / Kareo - **Not legal counsel** — payer enrollment disputes + Medicare audits need a healthcare attorney - **U.S.-payer-focused** — Canadian + UK + AU healthcare credentialing differs entirely - **1-5 provider scope** — larger MSOs / health systems should use enterprise credentialing software (Symplr, Medallion, MD-Staff) ## Best fit Solo and small healthcare practices — medical, dental, mental health, physical therapy clinics with 1-5 providers managing commercial + government payer enrollments. Especially valuable for practice administrators wearing credentialing alongside 20 other responsibilities. At $29/mo, the agent pays for itself the first time it catches a deadline that would have cost $8-25K in delayed revenue.