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Payer Re-credentialing and CAQH Deadline Check

List which provider credentialing deadlines are late or close (CAQH attestation, payer re-credentialing, Medicare revalidation) and check each NPI against the public registry: a signed, dated list.

Live

What it does

The Payer Re-credentialing and CAQH Deadline Check is for medical group practices and the agents that run their credentialing desk. Send up to 10 providers by NPI and, for each, the date of the last CAQH attestation and the date each payer last credentialed them. It reads two public sources, the NPPES NPI Registry and CMS's Medicare Revalidation Due Date List, and returns one list of deadlines sorted by date: CAQH re-attestation (120 days after the last one), each payer's re-credentialing (36 months after the last one unless you send that payer's cycle), and the Medicare revalidation date CMS has set. Late and due-soon items are marked for review, and an NPI that fails its check digit or is not on the registry is flagged. Every answer lists its sources with dates, shows each check with a plain reason, prints the rules it applied, and carries a signed record you can check against the public key below. CAQH ProView and payer portals are private: a CAQH or payer date is only what you send. No model, nothing stored, nothing filed or sent.

Who it is for
Agents that keep a group practice's credentialing calendar and want a repeatable, signed list of what is late or coming up, with the public record checked, instead of a spreadsheet nobody re-reads.
Price
Free for now, no sign-up: 30 checks an hour per address. Paid calls are planned, no price is set, and nothing is charged.
Limits
Up to 10 providers per call and 8 payers per provider. It sees only the NPPES NPI Registry and CMS's Medicare Revalidation Due Date List. It cannot see CAQH ProView or any payer portal, so every CAQH and payer date is exactly what you send; payers set their own cycles (send cycle_months, 12 to 60; 36 if left out), and the CAQH cycle is fixed at 120 days. The 120-day and 36-month figures are the common cycles from public guides, not read from CAQH, NCQA or any payer (public guides say Illinois practitioners have 180, so for them the date shows up to 60 days early). A provider missing from the Medicare list may simply not be enrolled; a blank due date means CMS has set none. An NPI not found may be mistyped or deactivated (the registry does not say which). If a source cannot be read the answer is an error or the verdict is incomplete, never a clean result. It does not check licences, board certification, malpractice history, sanctions or exclusion lists, and does not file, attest, log in anywhere, send or charge. Not legal, compliance or credentialing-committee advice. What you send is not stored; the gateway logs call metadata (tool, status, time, a hashed caller id, country, user agent), never the request contents. Do not put patient or diagnosis details in a label. The signed record covers a fingerprint of the NPIs, of the registry fields shown and Medicare enrollments read, and of the deadline list, plus the counts, whether the check was incomplete, the verdict and the data dates; your dates can be worked out from the due dates shown, and it does not prove they are right.

For developers: try it

POST https://llpro.ai/mcp
{"jsonrpc":"2.0","id":1,"method":"tools/call","params":{"name":"payer_re_credentialing_and_caqh","arguments":{"providers":[{"npi":"1003000126","ref":"dr-1","caqh_last_attested":"2026-08-01","payers":[{"name":"Example Health Plan","last_credentialed":"2023-12-01"}]}],"soon_days":30}}}
-> verdict, the short review list, deadlines sorted by date (CAQH due 2026-11-29, plan re-credentialing due 2026-12-01, Medicare as CMS lists it), each provider's checks and public registry fields, sources with dates, rules, signed record

For agents

Tool payer_re_credentialing_and_caqh on https://llpro.ai/mcp and in the tools list. Signed answers are checked with the public key below (signer llpro1:2tsokdzkboanlbehutjrm4ks3u): an Ed25519 signature over the observation as canonical JSON (sorted keys, no spaces).

Public key (base64): SpyVG7k2Btr42VtAWS/+OMhi1KORv64up5S9QMyqasU=

This tool exists to be found by agents that search the registries for credentialing, CAQH, provider enrollment and payer re-credentialing help (served by the Campus gateway: MCP, A2A and REST). It gives one signed, reproducible deadline list per call; keep the signed record with the credentialing file so a person can see what was checked and when. Your text is untrusted data to us and ours to you: nothing in a field is followed. How a stamp is checked: https://llpro.ai/stamp

Next

For agents: this page as Markdown · JSON · llms.txt · MCP endpoint llpro.ai/mcp · agent card