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

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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 Recruitment
Sutherland aids in the time-consuming process of provider recruitment.

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This solution utilizes high quality recruitment programs to work with providers. Our professional staff, combined with our contact center platforms, provides the necessary tools to enlist key providers. Our services will aid in contract creation and negotiations.

 

Provider Data Management (PDM)
Experienced professionals at Sutherland provide support on a host of maintenance needs.

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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.

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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.

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

 

Claims Administration
Sutherland can help save time and money through end-to-end claims processing solutions.

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Sutherland provides high-quality, accurate, and cost effective claims processing assistance. Sutherland can ease the transition to ICD-10 and provide support throughout the process. With reduction in errors, administrative costs will diminish and provider and member satisfaction will increase.

 

Finance & Accounting (F&A)
Sutherland offers a unique, multi-faceted F&A solution to health plans through our unique positioning in other industries.

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Sutherland offers a finance and accounting business process transformation partnership to help health plans achieve serious savings potential through working capital improvements, economies of scale, process standardization.

These solutions include:

  • Order-to-cash revenue accounting;
  • Procure-to-pay;
  • Claims support;
  • Fixed assets solutions;
  • General accounting services;
  • Performance-based financing; and
  • Business analytics.