Provider enrollment
Run AI-assisted direct enrollment across every payer, or skip the payer-by-payer wait with Medallion’s Fast Track Network to get providers billable in days, not months.
Powering 300+ healthcare organizations to scale
Two paths to billable
Enroll with any payer through Medallion. For the payers in our Fast Track Network, there’s no payer-by-payer wait at all, so providers start billing within a matter of days.
Standard
The complete enrollment engine for every payer, nationwide for Medicare, Medicaid, and commercial.
Medallion’s Fast Track Network
Fastest pathSkip the payer-by-payer wait through Medallion’s pre-existing payer relationships.
Meet payer-specific requirements faster. AI agents submit provider, group, and facility enrollments across every payer simultaneously.
Every application arrives complete and payer-ready. Our AI delivers a 99.9% average file accuracy rate by validating requirements and filling gaps before submission.
Denials become the exception, not the rule. AI-powered quality control flags inconsistencies and missing data before applications reach a payer.
Know exactly where things stand — live status updates and completion timelines give full visibility across every enrollment request.
01Submit and track payer enrollments for individual providers, groups, and facilities from one platform.
02Profile data maps into payer-specific forms and is validated before submission.
03Live status and estimated timelines on every request, so teams act on blockers instead of chasing updates.
“Medallion helps us scale without having to build a much larger internal credentialing team.”
Steven Shterenberg, M.D., SVP of Operations & Clinical Care Strategy at CareBridge
“It has allowed us to score over 95% on all credentialing audits.”
Katie Dave, Director of Partner Operations at Headspace
“Medallion’s platform is very intuitive, and we have very few providers reaching out asking for help.”
Matthew Ortiz, VP of Payor Strategy and Relations at Family Care Center
Each payer requires credentialing and an enrollment application before a provider can bill in-network. With Medallion, provider data maps into each payer’s requirements, credentials are primary-source verified, and applications are submitted and tracked in one platform — so providers become billable faster, with fewer errors and denials.
Medicare provider enrollment runs through PECOS: each provider’s information is verified and submitted, then revalidated on Medicare’s schedule. Medallion prepares, submits, and tracks Medicare and Medicaid enrollments alongside your commercial payers, with live status on every application so nothing stalls between systems.
Enrollment is high-volume, payer-specific, and time-sensitive, so most teams outsource it rather than build and staff the function. A partner like Medallion collects and verifies provider data, meets each payer’s requirements, submits and follows up on every application, and gives you real-time visibility instead of chasing payers.
Direct payer enrollment typically takes weeks to months and varies by payer. Medallion shortens it with payer-ready applications, pre-submission data validation, and real-time follow-up tracking. For payers in Medallion’s Fast Track Network, pre-existing payer relationships mean providers are billable in days rather than months.
Credentialing verifies a provider’s qualifications. Enrollment adds that provider to a payer’s roster so they can bill in-network. Contracting sets the payer agreement and reimbursement rates. Medallion handles credentialing and enrollment — you keep your own payer contracts and negotiated rates, and Fast Track just makes enrollment faster.
Direct enrollment submits an application to each payer and works its process, payer by payer. Medallion’s Fast Track Network skips that wait entirely: because those payers rely on the network’s credentialing, providers are credentialed and rostered on Medallion’s side — billable in days, not months.
Getting delegated yourself means negotiating with each payer one at a time — years of work, plus ongoing oversight to carry. Fast Track uses relationships Medallion already holds, so there’s nothing to negotiate for the payers already in its network. Payers outside it run as standard direct enrollment while Medallion works to add them.
