What if a license has expired?

Do not submit an expired license. Renew the license before submission or include proof of pending renewal to avoid application denial and potential network suspension.

Is notarization always required?

Not typically. Most payers accept signed attestations without notarization, but specific payers or state rules may require notarized affidavits—confirm payer guidelines beforehand.

Can I use an electronic signature?

Yes. Electronic signatures meet ESIGN and UETA requirements when intent, consent, attribution, and retention are documented; consumer-facing disclosures may be required.

Which supporting documents are essential?

Provide current license copies, malpractice declarations, board certification proof, privilege letters, and ID. Missing attachments are the most common source of delays.

How do I correct an error after submission?

Contact the payer or credentialing office promptly. Submit corrected documentation with an explanatory cover letter and maintain versioned copies for audit trails.

How long should I keep records?

Retain credentialing records per federal and payer requirements—commonly at least three years after filing and six years for HIPAA-regulated records.

ReCred Document

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ReCred Document

This ReCred Document (the "Agreement") is entered into by and between:

Provider Legal Name Provider Address Requesting Entity Name Requesting Entity Address

Effective Date:

WHEREAS

WHEREAS, Provider is duly licensed, qualified and experienced to perform the services and deliverables described herein and warrants that all credentials, certifications, and registrations necessary to perform such services are current and in good standing;

WHEREAS, Requesting Entity requires verification and re-credentialing of Provider's qualifications, performance history, and documentation in connection with continued participation in Requesting Entity's network and compliance programs;

WHEREAS, the parties desire to set forth the terms under which Provider will submit materials, supply information, and receive payment for re-credentialing services and administrative processing.

Scope of Work

Provider shall perform the services described below and provide all documentation reasonably required by Requesting Entity to complete re-credentialing and verification. Provider shall cooperate in good faith and deliver materials in the formats requested.

Detailed Scope (Describe in detail)

Payment Terms

Requesting Entity shall pay Provider for administrative processing and re-credentialing services as follows:

Total Fee Payment Schedule / Invoicing

Late payments shall accrue interest at the lesser of (i) per month or (ii) the maximum rate permitted by applicable law. Provider may withhold further processing for overdue accounts after providing written notice and a -day cure period.

Payment Method

Term and Termination

This Agreement shall commence on the Start Date and continue through the End Date, unless earlier terminated in accordance with this Section.

Start Date: End Date:

Either party may terminate this Agreement for convenience upon days' prior written notice to the other. Either party may terminate immediately for material breach that is not cured within a reasonable cure period after written notice, or immediately for reasons of fraud, material misrepresentation, or loss of required licensure or insurance.

Confidentiality

Each party acknowledges that in the course of performance it may receive Confidential Information of the other party. "Confidential Information" means non-public business, financial, technical and other proprietary information disclosed in connection with this Agreement. Each party shall (i) protect Confidential Information using at least the same degree of care it uses to protect its own confidential information but in no event less than reasonable care; (ii) use Confidential Information solely for the purposes of performing under this Agreement; and (iii) not disclose Confidential Information to any third party except as required by law or to affiliates, employees, contractors or professional advisors who have a need to know and who are bound by confidentiality obligations at least as protective as those herein.

The obligations set forth in this Confidentiality section shall continue for years following termination or expiration of this Agreement, except with respect to trade secrets where protection shall continue as provided by applicable law.

Representations and Warranties

Provider represents and warrants that all submitted credentials, attestations, and supporting documentation are true, complete, and accurate to the best of Provider's knowledge, and that no material fact has been omitted. Provider agrees to promptly update Requesting Entity regarding any change in credentials or circumstances that would affect Provider's qualifications.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its conflict of laws principles.

Entire Agreement

This Agreement, including all exhibits and attachments incorporated by reference, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations, and understandings, whether written or oral. No modification of this Agreement shall be effective unless set forth in a written instrument signed by both parties.

Miscellaneous Provisions

Assignment: Neither party may assign this Agreement without the prior written consent of the other, except that Requesting Entity may assign to an affiliate or successor in interest without consent. Notices: All notices shall be in writing and delivered to the addresses listed above or other addresses provided in writing.

Additional Terms or Special Instructions

Attestations

Provider attests that the individual signing below is authorized to bind Provider and that all statements made in connection with this re-credentialing are true and accurate.

Provider Contact Email Requesting Entity Contact Email

Provider:

By:

Date:

Requesting Entity:

By:

Date:

What the ReCred Document Is and When it Applies

The ReCred Document is a provider re-credentialing application used by healthcare professionals and organizations to renew network participation, verify current licensure, insurance, privileging, and professional history, and to attest to continuing qualifications. Typical users include clinicians, credentialing coordinators, managed care organizations, and payer network administrators. The form collects identifying information, education and training, malpractice history, hospital privileges, board certifications, and attestation statements required by payers and credentialing committees to meet regulatory and contractual standards.

Why a Complete ReCred Document Matters

Accurate re-credentialing protects patient access, maintains provider network status, supports timely claims processing, and creates an auditable record for compliance with payer contracts and regulatory oversight.

Primary Users and Stakeholders

The ReCred Document is completed and managed by several role types across clinical and administrative teams.

Healthcare providers and clinicians responsible for keeping their credentials current and attesting to professional status.
Credentialing specialists and practice managers who prepare, review, and submit documentation to payers and privileging committees.
Payer network administrators and medical directors who evaluate eligibility, approve re-credentialing, and maintain network rosters.

Core Sections a Professional ReCred Document Should Include

A complete ReCred Document groups information logically to support verification. The following six components are typically required and should be organized for reviewer efficiency and audit readiness.

Provider ID

Full legal name, NPI, tax identification (TIN/EIN), date of birth, and primary practice location. Matching these fields to payer records avoids TIN or NPI mismatches that can trigger denials and backup withholding.

Licenses

State medical or professional license numbers, issuing board, expiration dates, and any active or past disciplinary actions. Include license lookup URLs or printouts when available to speed verification.

Education

Medical school, residency, fellowship, board certifications, and completion dates. Attach certificates and primary source verifications where required by payers or privileging bodies.

Malpractice

Claims history, current malpractice insurer name, policy limits, policy period, and copies of declarations pages. Disclose pending or settled matters as required by payer questionnaires.

Privileges

Hospital privileges and membership status including facility names, service dates, and any restrictions or suspensions. Attach privilege letters when used for payer credentialing.

Attestation

Signed attestations covering accuracy of information, consent to primary source verification, and acknowledgment of reporting obligations. Include signature date and signatory authority details.

Step-by-Step: Completing and Submitting the ReCred Document

Follow these sequential steps to prepare and submit a complete application that meets payer expectations.

01

Gather records: Collect licenses, certificates, privilege letters, and malpractice declarations.
02

Complete form: Populate all fields accurately, using MM/DD/YYYY for dates.
03

Attach documents: Upload scanned or native PDFs for primary source documents.
04

Submit and track: Send to payer or credentialing committee and retain the audit trail.

Typical eSubmission Workflow for the ReCred Document

Electronic submission streamlines verification and creates an auditable record; the workflow below outlines a common routing pattern.

Upload: Sender uploads completed form and supporting files.
Place fields: Designate signature, date, and attachment placeholders.
Assign reviewers: Set routing order for internal credentialing staff and external payers.
Capture audit: System records timestamps, IPs, and signer authentication events.

Configuring an Online ReCred Workflow

Key settings reduce friction and help ensure secure, auditable submissions when configuring an electronic workflow.

Field	Configuration
Authentication	Email + SMS code or higher for payer-required identity proofing
Field Types	Signature, initials, date, file attachment, conditional fields
Routing Order	Sequential for internal review then payer acceptance
Audit Trail	Enable detailed logs capturing timestamp, IP, and actions

Technical and Integration Considerations

Ensure the platform you use supports required file formats, integrations, and security controls needed for re-credentialing.

Formats: PDF, DOCX supported
Integrations: Connect with EHRs, NetSuite, Salesforce
Security: TLS in transit; AES-256 at rest

Typical Deadlines and Processing Expectations

Understanding common timelines helps avoid lapses in network participation; actual deadlines depend on payer contract terms and credentialing cycles.

Re-credentialing cycle:

Often every 24 months; confirm with each payer

Submission window:

Submit within the payer-specified renewal period to prevent coverage gaps

Primary source checks:

Verification may take 2–6 weeks depending on institutions

Payer decision:

Credentialing committees typically finalize within 30–90 days

Follow-up requests:

Respond promptly; delays extend processing time

Consequences of Incomplete or Incorrect ReCred Documents

Network removal: Loss of payer participation

Claim denials: Payment delays or refusals

Sanctions risk: Potential disciplinary action by payers or boards

Contract breach: Exposes practice to contractual penalties

Backup withholding: TIN mismatch may trigger withholding

Audit exposure: Insufficient records increase audit vulnerability

Common Preparation Mistakes to Avoid

Missing or expired licenses and certificates submitted without verification cause primary source check failures and extended processing times.
Inaccurate NPI or TIN entries lead to claims mismatches and potential backup withholding by payers.
Incomplete malpractice history, such as failing to disclose settled claims, can lead to application denials or later contract rescission.
Using inconsistent names (legal name vs. professional/maiden names) across documents creates identity-matching errors during verification.

eSignature Vendor Comparison for ReCred Document Workflows

Basic vendor differences in pricing and capabilities affect total cost and compliance support; signNow is listed first as the initial column for comparison.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by plan	Varies by plan	Varies by plan	Varies by plan
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No
Envelope Cap	No envelope cap	100 envelopes/user/year	Varies	Varies	Varies

Frequently Asked Questions and Troubleshooting

Answers to common issues encountered during preparation, signing, and submission of the ReCred Document.

Need help? Contact support

What if a license has expired?
Do not submit an expired license. Renew the license before submission or include proof of pending renewal to avoid application denial and potential network suspension.
Is notarization always required?
Not typically. Most payers accept signed attestations without notarization, but specific payers or state rules may require notarized affidavits—confirm payer guidelines beforehand.
Can I use an electronic signature?
Yes. Electronic signatures meet ESIGN and UETA requirements when intent, consent, attribution, and retention are documented; consumer-facing disclosures may be required.
Which supporting documents are essential?
Provide current license copies, malpractice declarations, board certification proof, privilege letters, and ID. Missing attachments are the most common source of delays.
How do I correct an error after submission?
Contact the payer or credentialing office promptly. Submit corrected documentation with an explanatory cover letter and maintain versioned copies for audit trails.
How long should I keep records?
Retain credentialing records per federal and payer requirements—commonly at least three years after filing and six years for HIPAA-regulated records.

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