Streamline Provider Touchpoints and Maximize Your Network Reach
Credentialing delays continue to challenge payers, providers, and members—driving up costs, slowing provider onboarding, and limiting faster access to care. Traditional, manual processes only add to the burden. Similarly, frequent recredentialing for providers across all contracted payers, including health plans, Medicaid, and Medicare, can be as time-consuming and labor-intensive as first-time credentialing. Sutherland changes that.
Sutherland – a NCQA-certified and URAC-accredited Credentialing Verification Organization (CVO), streamlines every stage of the payer credentialing and monitoring journey. Powered by our SmartCred® platform, automation, and flexible service models, we help payers accelerate accuracy, compliance, and efficiency—while reducing provider fatigue and ensuring faster access to care.
Build a future-ready credentialing solution that helps you maximize network reach and balance cost with performance.
Outcomes Delivered
Providers credentialed annually
Faster credentialing turnaround time
Of initial credentialing within 48 hours
Automated verifications
Completion rate
Credentialing accuracy
End-to-End Provider Credentialing Services
From CAQH integration and automated Primary Source Verification (PSV) to real-time inventory monitoring, advanced tracking and reporting, we simplify complex credentialing processes and accelerate timelines. With continuous sanctions monitoring and 300+ built-in business validations, we ensure compliance, accuracy, and exceptional quality. We drive seamless healthcare provider outreach and document collection via a flexible omnichannel outreach platform while optimizing workflows that shorten credentialing timelines.
As a top third-party payer credentialing service provider, we help firms build a stronger, safer and efficient provider network with credentialing powered by intelligence and automation. Our solutions include
Application Collection & Prescreening
- Integration with CAQH to auto download Credentialing application & Data
- Perform Prescreening to ensure completeness of the application
- Automated outreaches to providers for missing information
Perform Primary Source Verifications
Data Validations & Quality Reviews
Final Packet & Risk Level Assessment
Benefits
Faster Approvals
and reduced delays
Deliver Better
provider and member experiences
Optimized Workflows
that cut costs and errors
Improved Compliance
with state and federal regulations
Reduced Provider Fatigue
through omnichannel outreach
Improved Process Visibility
with near real-time dashboards
Our Engagement Models
Credentialing Technology + FTE Support
A combination of highly efficient SmartCred® technology and trained Sutherland credentialing staff configured to address more complex credentialing needs, enabling you to deliver compliant, optimized and streamlined credentialing.
Credentialing BPO Services
Contracted team of trained and managed FTEs to support your existing credentialing services and clear backlog to help you onboard faster.
Credentialing NCQA/URAC compliant CVO Services
Outsourced end-to-end credentialing, monitoring and reverification to certified and accredited standards to meet your compliance needs with high-quality, low-cost models.
Multi-payer Credentialing Solution
This unique and cost-effective model, in addition to the CVO and BPaaS models, allows shared credentialing, keeps networks confidential, and provides each organization with committee-ready, unique packages.
Platforms
Automates credentialing to improve quality, consistency, and speed, using omnichannel outreach to reduce provider friction and accelerate turnaround.
Sutherland SmartCred®