Credential Lapses

What Happens When
a Credential Lapses?

The real cost of an expired credential goes far beyond a fine. From claim denials to payer audits, a single lapse can disrupt your entire practice.

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THE COST OF A SINGLE LAPSE

What's at stake with every credential

$10K
DEA fine per violation

Federal fines for practicing on expired DEA registration

Weeks
Re-credentialing delay

Payer reinstatement after a lapse can take weeks

Manual
Spreadsheet risk

Manual trackers make overdue credentials harder to catch early

CREDENTIALS

Credentials you need to track

Every credential type carries its own risk when it lapses.

Medical License

State board disciplinary action, fines, practice suspension

Every 1-2 years depending on state

DEA Registration

Federal penalties, civil fines, and prescription processing halts

Every 3 years

CAQH ProView

Payer enrollment suspension, claim denials

120-day attestation cycle

Malpractice Insurance

Personal liability for claims, practice shutdown

Annual

Board Certification

Payer credentialing issues, hospital privilege loss

Every 5-10 years (or continuous MOC)

Medicare Enrollment Revalidation

Medicare billing deactivation, claim denials, re-enrollment required

Every 5 years (3 years for DMEPOS)
FEATURES

How CredVault prevents lapses

Automated credential tracking that catches expirations before they become problems.

Centralized tracking

All credentials for all providers in one dashboard. Nothing falls through the cracks.

Multi-window alerts

Email reminders at 60, 30, 14, and 7 days before expiration. Multiple chances to act.

Audit-ready reports

Export credential status reports on demand. Ready for payer audits and board reviews.

AI bulk import

Upload your existing spreadsheet and our AI extracts all credential records automatically.

All credential types

Track medical licenses, DEA, CAQH, malpractice, board certs, and NPI in one place.

Compliance dashboard

See your entire practice credential health at a glance — expired, at-risk, and active.

FAQ

Frequently asked questions

What happens when a medical license expires?

Practicing with an expired medical license can result in fines, malpractice coverage denial, and disciplinary action from the state medical board. Most states require immediate cessation of practice until the license is reinstated.

What are the consequences of an expired DEA registration?

Practicing on an expired DEA registration can trigger civil penalties, controlled-substance claim problems, and regulatory scrutiny.

What happens if CAQH attestation is missed?

Missing the 120-day CAQH attestation window can result in payer enrollment delays or suspension. Providers may need to re-enroll with payers, causing weeks of claim denials.

Can a lapsed credential affect my entire practice?

Yes. Payers may audit your practice and demand repayment for claims submitted under lapsed credentials. Some contracts include clawback provisions that affect all providers in the practice.

How does CredVault help prevent credential lapses?

CredVault sends automated email reminders at 60, 30, 14, and 7 days before any credential expires. The dashboard shows all upcoming, critical, and expired credentials in one view.

Don't let a credential lapse cost your practice.

Use CredVault to keep provider credentials current and visible.

Start your free trial today

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