Medallion

About Medallion

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.

```xml <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. </problem> <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. </solution> <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 </features> <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. </target_audience> <revenue_model> Medallion offers subscription-based pricing for its platform, with additional fees for add-on modules and usage-based services. </revenue_model> ```

What does Medallion do?

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.

Where is Medallion located?

Medallion is based in San Francisco, United States.

When was Medallion founded?

Medallion was founded in 2020.

How much funding has Medallion raised?

Medallion has raised 35000000.

Location
San Francisco, United States
Founded
2020
Funding
35000000
Employees
376 employees
Major Investors
Spark Capital, Google Ventures

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Medallion

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Executive Summary

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.

medallion.co50K+
cb
Crunchbase
Founded 2020San Francisco, United States

Funding

$

Estimated Funding

$20M+

Major Investors

Spark Capital, Google Ventures

Team (250+)

No team information available.

Company Description

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.

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

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.

Revenue Model

Medallion offers subscription-based pricing for its platform, with additional fees for add-on modules and usage-based services.

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