Medallion

Medallion is a provider data and operations platform covering credentialing, enrollment, licensing, privileging and payer contract management, used by more than 300 healthcare organisations and combining AI workflows with credentialing specialists who intervene when automation reaches its limit.

The experts-in-the-loop model is the honest position on where automation currently stands in this field. When the AI flags an exception, credentialing specialists step in so applications do not stall, and Medallion experts review every critical stage before it proceeds. That matters because a fully automated pipeline with no human escalation path does not fail gracefully in credentialing, it simply stops, and a stalled provider application costs revenue every day it sits.

Stated outcomes are roughly twice as fast enrollment to unlock revenue, an estimated 66 percent reduction in administrative costs, one day average credentialing file readiness, and 99.9 percent average file accuracy. Medallion has been covered in Forbes for work cutting 1.2 billion dollars in redundant credentialing costs for payers and appears on the Inc. 5000 list of fastest-growing private companies.

The platform spans provider data management, CredAlliance, agent workflows, provider enrollment, CVO credentialing, roster management, delegated credentialing, payer contract management, privileging, cross-state licensing and monitoring. Payer contract management turns contracts into a searchable, negotiation-ready system of record, which is a distinct and underserved problem since payer terms are typically buried in documents nobody can query. Customers are provider groups, payers, health systems, revenue cycle management organisations and digital health companies. Pricing is not published on the site.