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CREDENTIALING FOR PAYERS

Boost speed and control with NCQA-compliant credentialing

Automate credentialing workflows with accuracy to eliminate risk and ensure you keep the best providers in networks for your members.

Medallion works with hundreds of

Experience expedited credentialing with industry-leading efficiency.

  • 80%Faster than other CVOs, on average.

  • 2.5xBoost in PSV turnaround times.

  • 0.8Median SLA/turnaround day.

Onboarding

Move faster with CAQH applications

Efficiently add providers to your network with minimal lift. Kick-off provider credentialing with only 5 pieces of provider data using our open API or direct CAQH integration.

Credentialing workflows

Get the gold standard in provider data transparency and control

Streamline your provider data into one hassle-free platform for a single source of truth and up-to-date provider records.

Productivity

Amplify productivity with strategic task assignments

Empower your team by setting role-specific permissions, granting access to essential data and streamlined application workflows.

Compliance

Get notified before providers’ credentials expire

Track credential expiration dates, receive advance notifications, and let Medallion do the rest to keep you ahead of risk.

Run thousands of primary source verifications in seconds

Automate checks for state licenses, DEA, NPI, NPDB, SAM, Medicare Opt Out, OIG, Medicaid Exclusions, CDS, and board certifications using our API.

Automate committee workflows to drive results

Quicken credentialing from start to finish — no more lost files or manual searches, just seamless data capture and processing.

Eliminate regulatory compliance risk

Always stay informed of provider eligibility with instant alerts tracking sanctions from SAM, OIG, Medicare Opt-Out, NPDB and more.

Effortlessly streamline provider rosters from all delegates

Easily manage and standardize provider rosters from all your delegated entities, health systems and provider groups. Our system automatically integrates updates, validates data, and formats everything uniformly, reducing the need for manual input and minimizing claim issues.

In order to continue launching in new states, Medallion was the right solution to help us efficiently grow.

Curai Health Team

Medallion's platform is very intuitive, and we have very few providers reaching out asking for help.

Matthew Ortiz Vice President of Payor Strategy and Relations

I would recommend Medallion to anyone in clinical operations.

Irina Shtemler Clinical Network Operations Lead

Start credentialing providers 3.5x faster today