Manual enrollment and credentialing often lead to administrative bottlenecks, payment delays, and non-compliance penalties. Sutherland provides NCQA CVO-certified and URAC-accredited services to automate these critical workflows across all specialties including medical, behavioural and dental health.
By integrating intelligent automation with expert oversight and technologies like RCM systems, we eliminate paperwork friction and prevent onboarding delays. Our solutions ensure your providers are mission-ready and fully compliant, allowing your organization to maintain steady cash flow while upholding the highest standards of clinical integrity and patient safety.
2M+
Providers credentialed annually
99.9%
Accuracy on initial applications
87.3%
Applications approved within 120 days
91.2%
Of links/demos approved within 60 days
Case Studies
Our Solutions
Eliminate administrative friction with Sutherland SmartCred®, our AI-enabled platform that simplifies complex credentialing.
Privileging
Manage new appointments, mid-cycle changes, reappointments, and ongoing appointment administration on behalf of providers.
Licensing
Apply for new licenses, handle renewals, and manage state license, DEA, and CDS requirements to keep providers compliant and active.
Primary Source Verification
Perform online and omni-channel verification tasks with alerts, notifications, and monthly compliance monitoring.
Six Sigma Quality
Ensure accuracy with in-house quality tools and call recording, including screen capture.
Sutherland SmartCred®
Transform credentialing with SmartCred® to slash turnaround times, automate payer apps, and prevent care disruptions.
Prescreening
Verify receipt and completion with provider follow-up calls, automated CAQH application downloads, and missing information reviews.
Missing Information Follow-ups
Resolve missing details via phone, fax, or email outreach with status updates and category tracking.
Application Submission
Track enrollment applications to completion with regular payer outreach and same-day approval notifications.
Dedicated SMEs
Access state- and payer-specific credentialing experts for new practice startups, transitions, and CAQH management.
Benefits
Why Sutherland
NCQA CVO & URAC Accredited
Certified workflows that guarantee the highest level of data integrity and regulatory compliance.
Deep Clinical Domain Expertise
Leveraging 18+ years of experience and 5,000+ specialists dedicated to healthcare operations.
Outcome-Based Delivery
Aligning our success with your revenue cycle performance and provider onboarding speed.
Global Delivery and Scale
Supporting 55+ global healthcare organizations with a massive, multi-geo certified workforce.