Case Study: a leading US health plan provider cuts credentialing time to 2 days with Sutherland Global Services

Leading US Health Plan Provider cuts credentialing time to 2 days with Sutherland Global Services

The customer, a leading US health plan provider, faced significant challenges with its inefficient and manual provider credentialing process. These inefficiencies created bottlenecks that delayed new provider onboarding, increased operational costs, and heightened compliance risks. To address this, the provider partnered with Sutherland Global Services to reinvent its credentialing operations.

Sutherland implemented an automation-led solution featuring robotic process automation (RPA) and strategic workflow redesign. This approach streamlined verifications, integrated digital systems, and embedded compliance frameworks. The solution delivered a 60% reduction in non-response rates and cut credentialing time by more than half, making it four times faster than the industry benchmark. Sutherland's transformation enabled faster revenue capture and positioned the client for scalable future growth.