Unlock Faster Reimbursements & Speed-to-Quality Care at Scale
Are you tired of the endless paperwork, complex state-by-state requirements, and constant data updates needed for provider enrollment and credentialing? This time-consuming process can lead to payment delays and put you at risk of non-compliance.
At Sutherland, we handle the complexity for you with our NCQA CVO-certified and URAC-accredited services, helping providers streamline the process across medical, behavioral health, dental, vision, and telemedicine. We reduce paperwork, eliminate delays, and help you avoid non-compliance penalties, so you get paid for your services without the hassle.
With more than 35+ years of provider enrollment and credentialing experience, we streamline the workflows, eliminate errors, and reduce administrative costs —so providers can focus on patient care while staying fully compliant.
Outcomes Delivered
Providers credentialed annually
Accuracy on initial applications
Applications approved within 120 days
Of links/demo approved within 60 days
Comprehensive Provider Enrollment Services
Sutherland’s provider enrollment experts manage the entire enrollment life cycle—initial intake, approval, and recredentialing—across medical, behavioral health, dental, vision, and telemedicine.
Powered by SmartCred®, our cloud-based proprietary enrollment and credentialing platform and Sutherland’s BPaaS solutions allow us to handle high-volume healthcare systems and individual practices with ease. We streamline insurance application completion, payer-specific submissions, and follow-ups through omni-channel outreach to shorten enrollment timelines.
With automated Primary Source Verification (PSV) and roster reconciliation, we also efficiently manage delegated credentialing agreements.
✔ Individual provider enrollment
✔ New Group enrollment and restructuring
✔ CAQH enrollment and maintenance
✔ Delegated credentialing
✔ Traditional/non-delegated credentialing
✔ Roster management
✔ Electronic enrollment / online & paper applications
✔ Open communication with clients, providers, and their business associates
✔ Expertise in assessing the status of current provider participation
✔ NPI registration
End-to-End Provider Credentialing Services
Credentialing process is prone to inefficiency, incorrect data and delays, but it doesn’t have to be. Sutherland helps providers eliminate credentialing stress by simplifying credentialing processes, reducing payer application timelines and preventing credentials from expiring that can disrupt patient care. Our enabling platform SmartCred®, digitally transforms the credentialing process, drives downstream efficiencies and reduces credentialing turnaround time.
Prescreening
Verify receipt and completion with provider follow-up calls, automated CAQH application downloads, and missing information reviews.
Missing Information Follow-ups
Application Submission
Primary Source Verification
Privileging
Licensing
Dedicated SMEs
Six Sigma Quality
Platforms
Automates credentialing to improve quality, consistency, and speed, using omnichannel outreach to reduce provider friction and accelerate turnaround.
Sutherland SmartCred®Benefits
Faster Reimbursements
with accurate, complete submissions
Lower Administrative Cost
via a digitized, BPaaS delivery model
Confidence in Compliance
with NCQA/URAC standards and rigorous quality controls
Shorter Enrollment and Credentialing Timelines
through automated workflows and proactive outreach