Total providers
347
across 28 states
Billing ready
291
84% of total
Expiring ≤ 30 days
38
action required
Billing suspended
12
immediate attention
State coverage — click any state for detail
Urgent tasks View all →
DEA license expired — Dr. R. Patel
Texas · Cardiology · Novitas
2d ago
PTAN revalidation overdue — Dr. K. Morris
Florida · Internal Med · First Coast
Today
Malpractice lapsed — Dr. S. Chen
California · Oncology · Noridian
Overdue
CA license expiring — Dr. S. Chen
California · Oncology · Noridian
18 days
Malpractice missing — Dr. T. Okonkwo
Georgia · Family Med · Palmetto
22 days
Providers at risk View all →
RP
Dr. R. Patel
Cardiology · TX, FL, NV
KM
Dr. K. Morris
Internal Med · FL, GA
SC
Dr. S. Chen
Oncology · CA, OR, WA
TO
Dr. T. Okonkwo
Family Med · GA, SC
LZ
Dr. L. Zhang
Psychiatry · NY, NJ
| Provider | Specialty | Active states | Billing status | Next expiry | Tasks |
|---|
State licenses
| State | License # | Expires | Status | Doc |
|---|---|---|---|---|
| California | CA-MED-88421 | Jun 2, 2026 | Expiring | |
| Oregon | OR-PHY-14832 | Jan 15, 2027 | Active | |
| Washington | WA-MD-20019 | Mar 8, 2027 | Active |
MAC enrollments
| MAC | PTAN | Type | Status | Reval. due |
|---|---|---|---|---|
| Noridian | NOR-88291-O | Individual | Active | Nov 2026 |
| Noridian | NOR-88291-G | Group | Active | Nov 2026 |
| WPS | WPS-44012-O | Individual | Pending | — |
Other credentials
| Credential | Number | Expires | Status |
|---|---|---|---|
| DEA registration | BC4829301 | Sep 2026 | Active |
| Board certification | ABIM-2021-ONC | Dec 2026 | Active |
| Malpractice insurance | MED-INS-39021 | Jan 2026 | Lapsed |
| CAQH attestation | 00293847 | — | Due in 14d |
| Task | Provider | Type | Due | Priority |
|---|
What does Dr. Chen need to become fully billing-ready, and why?
Dr. Chen is currently billing-ready in Oregon (Noridian) — all 4 required conditions are met.
She is not yet ready in two areas:
California (Noridian) — blocked: Her malpractice insurance lapsed in January 2026. The GMG Oncology rule set requires active, on-file coverage before the billing gate opens. This is required because CMS and California state regulations mandate verified malpractice coverage for all billing providers. Renew the policy and upload the certificate to trigger automatic re-evaluation.
Washington (WPS) — enrollment pending: Her individual PTAN application was submitted 34 days ago. WPS standard processing is 60–90 days, so no action is needed yet. Estimated billing-ready date in WA is approximately July 2026.
Suggested questions
About this AI
Powered by Claude (claude-sonnet-4-20250514). Answers are grounded in portal data and the active rule set. Read-only — cannot modify records.
Billing readiness conditions
All conditions must evaluate true simultaneously before the billing-ready flag is set.
days
days from start date
Alert & escalation thresholds
Workflow routing
Document requirements