01Experts-in-the-loop
When AI flags an exception, credentialing specialists step in — so applications don’t stall.
Better outcomes for credentialing.
Faster paths to billable providers.
Medallion is the AI operations partner powering healthcare’s first real-time CVO.
Powering 300+ healthcare organizations to scale
AI-fueled healthcare operations at enterprise scale
Faster time-to-revenue, driven by natively-integrated AI.
Learn moreAccurate, compliant credentialing files delivered on time.
Learn moreUp-to-date provider data, enterprise-wide.
Learn moreScale credentialing network-wide, without adding headcount.
Learn moreMove through applications, reviews, and approvals faster.
Learn moreMulti-state licensing velocity built for enterprise expansion.
Learn moreStay ahead of compliance standards with automated alerts.
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AI and human expertise, woven into every workflow
2xestimated faster enrollment to unlock revenue
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02Checkpoint review
Medallion experts review every critical stage before work moves forward. Turnaround times guaranteed.
03Built-in compliant oversight
Expert review is embedded at key steps — so compliance is never a question mark.
04AI agent training and configuration
Our specialists continuously train Medallion’s AI to reflect evolving payer rules and regulations.
Real-time visibility into your provider network
A complete platform for every provider workflow
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Adaptive provider data operations
Operations that improve automatically — AI agents learn from every credentialing and enrollment workflow, getting faster and more accurate over time.
02
Full operational visibility
Real-time status across credentialing, enrollment, licensing, and monitoring — all in one command center, so nothing falls through the cracks.
03
Confidence and capacity to focus on care
Stay in control of what matters most — AI handles payer follow-ups, verifications, and admin work automatically.
04
Performance written into your contract
Move faster with confidence — we stand behind every credentialing operation with performance-backed guarantees.
Our fully autonomous agents handle work across many interactions.
Payer enrollment is not a single-turn task. It is weeks of work involving dozens of touches across payer portals, CAQH, email, SMS, fax, and phone — handled end to end.
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Step 19 of 28Honored across healthcare and beyond
From industry to top-tier press, we’re setting the new standard for intelligent healthcare operations.
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
“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
“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
“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
FAQs
Credentialing in healthcare is the process of verifying a provider's qualifications — education, training, licensure, and work history — before they're authorized to treat patients or bill insurance. Health systems, medical groups, and health plans use credentialing to ensure clinical quality, meet regulatory standards (NCQA, The Joint Commission), and maintain payer contracts. Without it, providers can't legally see patients or generate revenue.
Provider credentialing is the formal process of verifying and approving a clinician’s qualifications to practice within a healthcare organization or payer network. It covers primary source verification of licenses, certifications, malpractice history, and education — and must be repeated on a regular re-credentialing cycle, typically every two to three years. Traditionally a manual, paper-heavy process, credentialing today is increasingly managed through automated platforms to reduce turnaround times and administrative burden.
Provider enrollment and credentialing are two related but distinct processes. Credentialing verifies a provider’s qualifications to practice clinically. Enrollment is the separate process of contracting with payers — Medicare, Medicaid, and commercial health plans — so a provider can bill for services rendered. Both must be completed before a provider can see patients and generate revenue, and delays in either directly impact an organization’s bottom line.
Traditional provider credentialing takes 90 to 120 days on average, though delays from incomplete applications, slow primary source responses, or payer backlogs can stretch timelines further. With automated credentialing platforms, organizations have significantly compressed that window — Medallion customers like Tampa General Hospital have reduced credentialing turnaround from 30 days to 3 days, and median provider onboarding on the Medallion platform is 2 days.
Provider credentialing typically requires a current state medical license, DEA certificate, malpractice insurance certificate, board certification, education and training records, CV, work history for the past five to ten years, and a completed CAQH profile. Requirements vary by organization and payer, but incomplete or outdated documentation is one of the most common causes of credentialing delays and denials.