medallion

JSON twin: https://www.healthaidb.com/software/medallion.json

Company Name

Medallion

Product URL

https://medallion.co/products

Company URL

https://medallion.co/

Categories

Summary

Medallion is a cloud-based provider network operations platform that automates credentialing, licensing, payer enrollment, and ongoing provider monitoring using AI-driven workflows.

Description

Medallion centralizes provider data and uses machine learning and automation to accelerate credentialing (NCQA/TJC-aligned), state licensing, direct and delegated payer enrollment, privileging, and continuous monitoring to reduce manual work and speed providers to billable status.

Api Available

yes

Certifications

Company Founding

2020

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P1003

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

proprietary commercial

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing; demo and enterprise plans available (no public list prices).

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

Security Features

Specialties

—

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Medallion",
  "company_url": "https://medallion.co/",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2020",
  "product_url": "https://medallion.co/products",
  "categories": [
    "administrative",
    "provider network management",
    "credentialing",
    "payer enrollment",
    "licensing",
    "privileging",
    "monitoring",
    "compliance",
    "automation",
    "AI"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "links": [
    "https://medallion.co/",
    "https://medallion.co/products",
    "https://medallion.co/about-medallion",
    "https://medallion.co/pricing",
    "https://medallion.co/demo-request",
    "https://medallion.co/resources",
    "https://support.medallion.co/en/",
    "https://elion.health/products/medallion",
    "https://www.g2.com/products/medallion/reviews",
    "https://www.capterra.com/p/250098/Medallion/"
  ],
  "summary": "Medallion is a cloud-based provider network operations platform that automates credentialing, licensing, payer enrollment, and ongoing provider monitoring using AI-driven workflows.",
  "description": "Medallion centralizes provider data and uses machine learning and automation to accelerate credentialing (NCQA/TJC-aligned), state licensing, direct and delegated payer enrollment, privileging, and continuous monitoring to reduce manual work and speed providers to billable status.",
  "target_users": [
    "provider groups",
    "health systems",
    "payers",
    "RCM organizations",
    "digital health companies",
    "credentialing teams",
    "administrative staff"
  ],
  "specialties": [],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing; demo and enterprise plans available (no public list prices).",
  "license": "proprietary commercial",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Provider data management (centralized provider record)",
    "Provider monitoring (sanctions, exclusions, license tracking)",
    "CVO credentialing (PSV to committee-ready files)",
    "Privileging workflows (hospital coordination, committee management)",
    "Direct payer enrollments (automated applications & follow-ups)",
    "Delegated payer enrollments (NCQA-compliant roster management)",
    "Licensing automation (applications, renewals, tracking)",
    "Primary Source Verification (PSV) API",
    "Real-time data sync and visibility",
    "AI-assisted automation and quality checkpoints",
    "Audit-ready credentialing records",
    "Reporting and dashboards",
    "Workflow automation and task management",
    "Integration with Salesforce"
  ],
  "optional_modules": [
    "CredAlliance (shared credentialing network)",
    "CVO managed services",
    "Privileging add-on",
    "Delegated enrollment compliance module",
    "Licensing manager"
  ],
  "integrations": [
    "Salesforce"
  ],
  "data_standards": [],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "NCQA",
    "The Joint Commission (TJC)"
  ],
  "certifications": [],
  "security_features": [
    "Encryption (in transit and at rest)",
    "Role-based access control (RBAC)",
    "SSO (Auth0) / SAML support",
    "Audit logs",
    "Two-factor authentication (2FA)"
  ],
  "privacy_features": [],
  "data_residency": "",
  "customers": [
    "Tampa General Hospital",
    "Family Care Center",
    "Headspace",
    "UnitedHealthcare",
    "CareSource",
    "Iris",
    "Carebridge",
    "Confluent Health"
  ],
  "user_reviews": [
    "I like the user interface of Medallion's platform!",
    "Very stable and robust platform",
    "Ease of use",
    "Great product for delegated credentialing management",
    "CVO services are strong and reliable",
    "Reduced credentialing time by ~60% (case study claim)"
  ],
  "ratings": [
    "G2 - Quality of Support 8.8/10"
  ],
  "support_channels": [
    "email",
    "ticketing",
    "help center",
    "demo/contact sales"
  ],
  "training_options": [
    "documentation",
    "help center",
    "live demo",
    "webinars",
    "case studies/resources"
  ],
  "release_year": "",
  "integration_partners": [],
  "id": "P1003",
  "slug": "medallion",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/medallion.json"
  }
}