Medallion offers a healthcare network management platform that unifies provider credentialing, enrollment, and monitoring, significantly reducing task time by 71% and verification times by 50%. The platform enhances operational efficiency and compliance for provider groups and health systems, enabling faster onboarding and improved revenue opportunities.
Funding
$35M raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Product
Problem
Healthcare organizations face significant administrative burdens and operational inefficiencies due to fragmented systems and manual processes for provider credentialing, enrollment, and monitoring. This leads to delays in provider onboarding, increased operating costs, and potential compliance risks.
Solution
Medallion offers a unified healthcare network management platform that automates and streamlines provider operations, including credentialing, enrollment, privileging, and continuous monitoring. The platform centralizes provider data, automates primary source verifications, and facilitates seamless payer enrollment, reducing administrative overhead and accelerating time-to-revenue. By automating key workflows and providing real-time visibility into provider data, Medallion enables healthcare organizations to improve operational efficiency, maintain compliance, and reduce the risk of sanctions and exclusions. The platform's direct CAQH integration and automated verifications streamline provider data imports and onboarding.
Target Audience
Medallion primarily serves provider groups, health systems, payers, revenue cycle management (RCM) organizations, and digital health companies seeking to streamline provider operations and improve compliance.
Features
- Automated primary source verification (PSV) for faster and more accurate credentialing
- Intelligent payer search to streamline provider enrollment processes
- Continuous monitoring of provider licenses, sanctions, and exclusions
- Direct integration with CAQH for seamless data import
- Real-time alerts for expirations and compliance issues
- NCQA-certified CVO services for credentialing
- Customizable reporting and analytics dashboards