How PM Pediatric Care Slashed Credentialing Denials by 50% with Medallion

PM Pediatric Care streamlined provider onboarding and licensing across an expansive-provider network — reducing administrative overhead, accelerating time to revenue, and enabling faster access to high-quality pediatric care.

50%

reduction in credentialing related denials within 12 months of using Medallion

950+

providers onboarded to Medallion for their credentialing, payer enrollment, and licensure needs

6,400+

payer enrollments issued by partnering with Medallion

  • HeadquartersNew York
  • IndustryHospitals and Health Systems
  • Solutions Used
    Credentialing
    Provider data management
    Licensing
    Payer enrollment
    Ongoing monitoring

Medallion has transformed credentialing from a black box into a transparent, structured process. We now have clarity into our payer enrollment data and confidence in our credentialing operations, setting us up to proactively manage and reduce claims denials over time.

Vikas BhallaChief Commercial Officer

The challenge

PM Pediatric Care faced growing operational strain tied to manual provider licensing and credentialing workflows. With 1,200 providers and hundreds of  licenses to manage, internal teams were stretched thin, relying on legacy systems and email-driven processes. As the organization scaled, bottlenecks made it difficult to onboard providers efficiently slowing time to care and revenue realization.

The solution

PM Pediatric Care implemented Medallion Core, Ongoing Monitoring, Licensing, Delegated Credentialing, and Payer Enrollment to streamline provider operations. Key workflows — like license tracking and CAQH profile maintenance — were automated & delegated to Medallion, reducing manual work and speeding up onboarding.

The impact

With over 900 providers now managed through Medallion, PM Pediatric Care accelerated enrollment, improved compliance, and reduced admin overhead — freeing teams to focus more on care delivery.

By partnering with Medallion, PM Pediatric Care strengthened the operational foundation behind its mission to deliver accessible, high-quality urgent care for children and young adults across the country. With a growing national footprint and a provider base of pediatric emergency specialists, the organization needed a scalable approach to licensing, credentialing, and payer enrollment.

With Medallion’s automated workflows and centralized platform, PM Pediatric Care accelerated provider onboarding, improved compliance, and reduced administrative burden — enabling its teams to focus on what matters most: delivering timely, compassionate care to families when they need it most.

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