Healthcare Industry Solutions

Health Plans (National, BCBS, Regional)

Member Consumerism Solutions

Attract, engage, enroll, and keep members by using Sutherland’s Member Consumerism Solution.

In the consumer-focused healthcare world, it is important to provide new, in demand operational services. Our member consumerism solution makes it easy to attract, engage, and enroll the right mix of members based on their profiles. This solution also helps to retain important members through better outreach and improved satisfaction.

Provider Data Management (PDM)

Experienced professionals at Sutherland provide support on a host of maintenance needs.

From demographic updates to complete contract loads, Sutherland provides high quality and cost-effective support services.

Data Cleansing and Verification (DCAV) Services

Maintain highly accurate provider data using our DCAV services.

Using this solution, Sutherland can store key healthcare provider data. Sutherland also maintains accurate information using web searches and provider outreach.

Credentialing/Re-credentialing

Sutherland helps to ensure complete collection of primary source verification (PSV) documents.

We use outreach to find missing information from PSV documentation. The credentialing packets we provide are ready for use and will be automatically updated when necessary.

Claims Administration

Sutherland can help save time and improve quality through end-to-end claims processing solutions.

Sutherland provides high-quality, accurate, and cost effective claims processing assistance. With reduction in errors, administrative costs will diminish and provider and member satisfaction will increase.

Automation that delivers results while retaining a pricing structure where all savings flowed to the client.

Automation that delivers results while retaining a pricing structure where all savings flowed to the client.

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ICD-10 did not cause the sky to fall for Palomar Health. In fact, for Palomar Health the sky is the limit.

ICD-10 did not cause the sky to fall for Palomar Health. In fact, for Palomar Health the sky is the limit.

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Revamping the Medicaid and uninsured patient experience creates a 10:1 ROI for Touchette Regional

Revamping the Medicaid and uninsured patient experience creates a 10:1 ROI for Touchette Regional

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How Customer Experience Design Became a Game Changer in Healthcare’s Disrupted Market.

How Customer Experience Design Became a Game Changer in Healthcare’s Disrupted Market.

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Turning Data Into Information and Moving Beyond Data for Data’s Sakes

Turning Data Into Information and Moving Beyond Data for Data’s Sakes

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