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Manage your network smarter. Onboard providers faster.

Medallion's provider data management platform gives you one continuously verified source of truth — centralizing provider data, driving onboarding with AI agents, and powering credentialing, enrollment, and monitoring.

Requests by status: 124 in progress, 63 ready, 171 in committeeAverage turnaround time trending down to 10 daysFiles generated: 1,756, up 23%Time to approve a credential: 30% admin, 70% committee124 recredentials nearing expirationNew enrollments up 32.6% this month vs. last quarter; 323 enrollments processed

Powering 300+ healthcare organizations to scale

  • Headspace
  • Iris Telehealth
  • Tampa General Hospital
  • CareBridge
  • Confluent Health
  • UnitedHealthcare
  • CareSource
  • AllCare
  • Oak Street Health
  • VNS Health
  • FOLX
  • Antidote Health
  • Virta Health

The operational foundation for your entire provider network

  1. 01

    One continuously verified provider record

    Every clinician's data centralized into a single structured record that stays current — verified at the source and reused across credentialing, enrollment, licensing, and monitoring.

  2. 02

    Profiles that fill themselves in

    Profiles pre-fill from NPPES, CAQH, and uploaded documents the moment those sources are available, with field-level auditability showing exactly where every value came from.

  3. 03

    AI outreach that closes the last mile

    When a provider stalls on a task, our outreach agent takes over by phone, text, and email until it is done. Providers engaged through automated outreach are 8.2x more likely to complete their profiles.

  4. 04

    Real-time updates in the systems you already use

    Enrollment and credentialing status changes post straight to your connected systems the moment an event fires in Medallion — no polling the API, and no lag between the platform and your system of record.

Provider data management

Everything your team needs to onboard and manage providers

  • Onboard providers via CAQH and automated resume import, with in-platform background checks through Checkr.

  • NPPES, CAQH, and document OCR fill the profile as each source arrives, with conflicts flagged for review.

  • Profile updates, expirables, and collaborative agreements generate their own tasks, so nothing waits on a reminder.

  • Phone, text, and email follow-up the moment a provider stalls with every interaction logged, compliant, and auditable.

  • Enrollment and credentialing status changes post to your systems the second they happen.

  • Sync provider data across EHRs, HRIS, and internal systems through Medallion's API and Integration Engine.

  • Granular user permissions, comprehensive audit history, and pre-built or custom reports backed by SOC 2 Type 2 certification.

A structured provider record for every clinician

Accurate, up-to-date provider records from onboarding to ongoing compliance — centralized lifecycle data reduces reconciliation work so credentialing teams operate with confidence.

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Your trusted AI operations partner in healthcare

“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

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“We’re at a turnaround time of six days. It’s unbelievable compared to where we were before.”

Joshua Autry, Chief Compliance & Privacy Officer at WellBe Senior Medical

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“Medallion tracks our data and ensures we’re compliant with all requirements—it has allowed us to score over 95% on all credentialing audits.”

Katie Dave, Director of Partner Operations at Headspace

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“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

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FAQs

Provider network data management is the process of maintaining accurate, verified, and up-to-date information about every provider in a health system or payer network — including credentials, specialties, practice locations, contact information, and enrollment status. When provider network data is incomplete or outdated, the downstream effects are significant: claims denials, directory non-compliance, credentialing delays, and degraded patient access.

The biggest challenges are scale and fragmentation. Provider data lives across credentialing systems, payer portals, rosters, and directories — and it changes constantly as providers move, add locations, or renew licenses. Without a single source of truth, teams spend hours reconciling conflicting records, chasing missing attestations, and correcting errors that resurface downstream as claims denials or directory inaccuracies. Manual upkeep doesn’t scale as networks grow, which is why leading organizations centralize provider data and automate verification and updates.

Inaccurate provider network data creates problems on both ends of the care delivery equation. For patients, outdated directories mean being directed to providers who are unavailable, out-of-network, or no longer accepting their insurance — eroding trust and access. For health systems and payers, directory inaccuracies trigger CMS compliance risk, claims denials, and revenue cycle disruptions. Maintaining accurate network data isn’t just a compliance requirement — it’s a direct driver of provider onboarding speed, billing accuracy, and patient satisfaction. Medallion keeps provider network data current and verified, so organizations can focus on care delivery rather than data cleanup.

Trusted by 300+ healthcare organizations.

See how Medallion can support yours.

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