Traditional credentialing is costly and frustrating, leading to dissatisfaction, delayed network participation, and slower access to care. Sutherland’s MultiPayer Credentialing Solution, with AI and intelligence built in, reimagines this process with a shared service model across participating payers, including health plans, Medicaid, and Medicare. The model reduces provider abrasion by reducing the number of touchpoints, while preserving each plan’s independent admission decisions.
As an NCQA-certified and URAC-accredited CVO conducting 1M+ primary-source verifications annually, Sutherland helps payers cut credentialing time, costs, and improve compliance with state and federal mandates.
20%
Providers credentialed annually
30%
Faster credentialing turnaround time
80%
Of initial credentialing within 48 hours
50%
Automated verifications
~67%
Completion rate
How the Multi-Payer Model Works
Overlap Analysis & Shared Schedule
Analyze participating plans’ rosters to align providers and set a common, NCQA-compliant recredentialing calendar.
Unified Provider Outreach
Initiate recredentialing with AI-supported outreach to improve response rates and reduce provider effort.
Automated Primary Source Verification (PSV)
Over 90% of PSV verifications are automated, with AI improving accuracy while specialists manage exceptions.
Committee-ready Packets
We produce core NCQA-compliant PSV packets. Custom elements can be added to plans with expanded compliance needs.
Distribution, Reporting & Dashboards
Each plan receives secure access to credentialing data and dashboards with real-time status visibility.
Analyze participating plans’ rosters to align providers and set a common, NCQA-compliant recredentialing calendar.
Initiate recredentialing with AI-supported outreach to improve response rates and reduce provider effort.
Over 90% of PSV verifications are automated, with AI improving accuracy while specialists manage exceptions.
We produce core NCQA-compliant PSV packets. Custom elements can be added to plans with expanded compliance needs.
Each plan receives secure access to credentialing data and dashboards with real-time status visibility.
Why This Model Beats Traditional Credentialing
| Dimensions | Traditional Credentialing (Plan-by-Plan) | Sutherland’s Multi-Payer Credentialing Model |
|---|---|---|
| Outreach to Providers | Multiple, redundant touches by each plan | One coordinated outreach with common cadence |
| Recredentialing Dates | Different cycles and standards per plan | Common, NCQA-compliant schedule for overlapping providers |
| PSV Execution & Cost | Each plan pays full PSV and 3rd-party fees | Shared PSV and pass-through cost efficiencies |
| Operational Effort | Duplicative workflows and IT infrastructure | Centralized processing with SmartCred™ platoform-led automation |
| Provider Experience | High abrasion and administrative burden | Reduced fatigue and faster approvals |
| Speed & Throughput | Variable, committee bottlenecks | Proven 20% faster cycle overall |
| Compliance & Quality | Inconsistent controls | Standardized QC with risk sorting and dashboards |