The only national Payer Credentialing Alliance

$43M to scale AI-powered provider credentialing and enrollment solutions

Smarter credentialing. Lower costs. Less friction.

Instead of each payer running separate credentialing workflows, CredAlliance allows participating organizations to streamline recredentialing for overlapping providers in their network. By aligning credentialing efforts, CredAlliance reduces costs, administrative waste, and provider abrasion, while unlocking scale.

Unified recredentialing, always in sync

Providers are recredentialed through Medallion’s NCQA-certified, AI-driven credentialing platform, aligning recredentialing timelines and reducing administrative work.

Shared cost, shared value

CredAlliance lowers industry-wide credentialing spend by distributing costs across participants, maximizing efficiency and minimizing redundant effort.

One submission, system-wide updates

Providers recredential once, regardless of the number of payers they're in-network with. No duplicate requests, no repeated outreach. Updates flow automatically across networks, improving speed, accuracy, and provider satisfaction.

80
%
average network overlap
1
M+
providers on Medallion's platform
74
%
less time on administrative tasks

Fragmented credentialing means redundant processes and wasted spend.

There are ~4M credentialed providers in the US, each contracted with an average of 19 payers. That means, there are ~25M annual credentialing events, costing payers $1.25B. And, that's just the tip of the iceberg. When you add in the cost to collect accurate data, file creation, and committee oversight, the full cost of credentialing is even higher!

Cutting $1.2B in redundant credentialing costs for payers

SEE THE STORY IN FORBES

Align recredentialing with ease

Medallion’s CredAlliance synchronizes recredentialing timelines across participating networks, so providers complete fewer redundant tasks, and payers maintain shared compliance with less manual work.

Accelerate committee review with automated PSVs

Medallion pulls and validates primary source verifications (PSVs) automatically, generating credentialing packets in real time. That means faster, cleaner files for committee review, with fewer manual steps and delays.

Eliminate redundant data requests

With CredAlliance, providers only submit their recredentialing data once, even if they’re active across multiple participating payers. Updates are syndicated automatically, reducing inbox overload and streamlining the entire process for providers and plans alike.

The first national CredAlliance

We believe this new CredAlliance solution will cut our credentialing costs by roughly half while also speeding up provider onboarding and improving patient access to care. We’re harnessing AI-powered automation to accelerate workflows, enabling real-time verification and faster onboarding.

Robin Bradley

Chief Operating Officer, American Health Partners

Our collaboration with organizations like Medallion CredAllianceTM enhances the provider experience by minimizing credentialing events and removing barriers.

Zac Davidi

Senior Vice President, Operations at CareSource

Medallion’s CredAlliance brings a more efficient and collaborative approach to credentialing. By verifying a provider once and sharing that verification across networks, it removes wasted effort, speeds access to care, and delivers significant cost savings.

Scott Haas

Executive Vice President, Valor Health Plan

Ready to reduce credentialing costs, streamline onboarding, and scale your provider network more efficiently?

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Transform credentialing with Medallion's CredAlliance™