Frequently asked
Straight answers about Larch.
What we track, how the alerts work, how pricing works, and how we make money. If yours isn’t here, email support@larchhealth.com.
The product
What Larch does
What is Larch?
Larch Health is three à-la-carte clinician trackers under one account: a License tracker (state licenses, federal DEA, state CSR/CDS, board certifications, encrypted document vault), a Collaboration tracker (record collaborator details, set your own review cadence, attest reviews on your schedule), and a CE tracker (log credits, map them per state-board requirement). Pick the trackers you need. Built for nurse practitioners, physician assistants, and physicians.
What does Larch cost?
$5/month per tracker, or $49/year per tracker. The all-three annual bundle is $119/year — saves $61 versus monthly billing. No per-state surcharges, no setup fees, no contracts.
How does Larch Health make money?
Subscription only. $5/month or $49/year per tracker, $119/year for the bundle. We don't take a cut of supervision payments, we don't charge matching fees, we don't sell clinician data, and we don't run ads.
What credentials can I track?
State medical, NP, PA, CRNA, dental, and pharmacy licenses in every US state; federal DEA registrations (one per practice address — multi-state clinicians track multiple); state controlled-substance registrations (CSR/CDS — about half the states issue these alongside the federal DEA, with separate numbers and expirations); board certifications (AANPCB, ANCC, ABMS specialty boards, AOA, NCCPA, NBCRNA); continuing-education hours (CME, CE, contact hours — whatever your board calls them); plus an Other type for BLS, ACLS, PALS, malpractice or COI policies, CAQH attestations, and payer enrollments. Pick which types are visible on your dashboard at signup — toggle any on or off later.
Can I hide credential types I don't have?
Yes. At signup you toggle on the credential types you actually carry — a hospital-employed PA might only need state license + CME; a multi-state NP running her own practice might want every type on. The dashboard hides what you've turned off, and you can flip any toggle later when something changes. The point is to keep the calendar focused on what's real for you.
How do the renewal alerts work?
You pick the cadence. Each credential has its own alert schedule — set the days that match how you want to be reminded (e.g., 120/60/14, or just one ping at 30 days, or every Friday for the last month). If you don't pick anything, we default to 90, 60, 30, 14, and 7 days out, which catches most clinicians' renewal cycles. Multi-state? Each state has its own clock — we don't blend deadlines. Email by default, push notifications when you've enabled them on your phone.
What goes in the document vault?
Anything you'd be furious to lose: license PDFs, DEA renewal receipts, CSR cards, CE/CME completion certificates, training certificates. Encrypted at rest and audit-logged on every access. Files live with the credential they belong to, so renewal day means everything you need is already in one place.
Multi-state and specialty
Tracking across states and roles
Does Larch work for multi-state clinicians?
Multi-state from day one. The product was built around this: if you hold licenses in 8 states, you'll see 8 separate clocks for state-license expiration, plus a separate clock for each federal DEA you hold (one per practice address), plus a separate clock for each state CSR/CDS where the state issues one alongside the DEA. The dashboard rolls up so you can see what's coming due across the whole map at a glance.
Can I track CE / contact hours by state?
Yes. We map state-board continuing-education requirements per credential — total hours, category breakdowns (pharmacology, pain management, controlled substances, ethics, suicide prevention, where applicable), reporting periods, and accepted accrediting bodies. Log an hour once, and Larch shows which state requirements it satisfies. The terminology mirrors how each profession is regulated: CME for physicians and PAs, contact hours / continuing education for NPs.
I'm a physician, not an NP. Is this for me too?
Yes. Physicians, NPs, PAs, dentists, pharmacists — anyone who holds clinical credentials with expirations is in scope. The renewal calendar doesn't care what letters are after your name; it just needs the credential's expiration date and the state board's renewal rule.
Security and data
Your data stays yours
How secure is my data?
Your data is encrypted in transit and at rest, and access to credential data is audit-logged. Credential numbers and DEA registrations don't appear in our logs in plaintext. Files in the document vault use expiring signed URLs — never public links.
Who owns my data?
You do. Export everything as JSON or CSV any time. Delete your account and your data goes with it (we keep audit log entries we're legally required to retain, scrubbed of identifying detail). We don't sell credential data to anyone — that includes pharma, insurance carriers, recruiters, and lead-gen brokers.
What happens to my data if Larch shuts down?
You get notice and an exit path. If we ever wind down operations, we'll give at least 90 days written notice, keep the export tools running through that window, and let you pull your full credential history and document vault as a single JSON+ZIP archive. Your data is yours; we don't hold it hostage and we don't make you ask for it. The audit-log entries we're legally required to retain stay scrubbed of identifying detail.
How do you verify the credentials I add?
Today, you self-report — Larch is a calendar-and-vault for credentials you already hold. We pre-fill profile fields from the public NPPES NPI registry when you supply your NPI, and the document vault gives you a place to attach the issuing-body PDF that backs each credential. Direct verification with state boards (i.e., we automatically check that license #X is still in good standing) is on the roadmap and will surface as a separate trust signal — always available regardless of plan.
Ready to start?
$5/month per tracker, $49/year per tracker, or $119/year for all three trackers bundled. About 30 seconds to add your first credential.