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Medallion
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Medallion

Medallion offers a comprehensive platform for healthcare provider network operations, focusing on provider data management, credentialing, payer enrollment, and licensing. Its capabilities include automated credentialing compliant with NCQA, intelligent payer search for enrollment, cross-state licensing, and ongoing monitoring to ensure data accuracy.

Overview
Reviews
Customers

Product Overview

Security and Compliance Certifications: SOC 2 Type 2
Medallion offers a comprehensive platform for healthcare provider network operations, focusing on provider data management, credentialing, payer enrollment, and licensing. Its capabilities include automated credentialing compliant with NCQA, intelligent payer search for enrollment, cross-state licensing, and ongoing monitoring to ensure data accuracy.

Customers Served

Digital Health Provider
Ambulatory Practice
Hospital / Health System
Health Plan

Categories

Company Info

HQ Location
San Francisco, CA
Founded
2020
Headcount
51-200
Total Funding
$65.0M
Latest Round
Series C
Latest Round
07/22/2022

Company Socials

LinkedIn
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Crunchbase
YouTube
Vimeo
GitHug

Demos

Reviews

See all (4)

View Product Page

5/5
17 min readReviewed on: 10/06/2023
Reviewer
Title: VP of Payor Strategy and Relations
Organization Type: Primary Care Clinic
Specialty: Primary Care
Summary
  • Product Usage: The user utilizes Medallion for credentialing process, primary source verification, ongoing monitoring, and practice management in their outpatient behavioral health group.

  • Strengths: Medallions delegation support, continual improvements, high customer service level, and relatively seamless provider enrollment process are appreciated.

  • Weaknesses: The user occasionally noticed typos or mistakes on the credentialing application during the payor enrollments by the Medallion team.

  • Overall Judgment: The user highly recommends Medallion, citing its substantial positive impact on their business operations, successful support for payor enrollments and transformation of their credentialing process.

View Product Page

4/5
21 min readReviewed on: 08/09/2023
Reviewer
Title: Director, Clinical Ops
Organization Type: Virtual-First Provider
Specialty: Metabolic Health
Summary
  • Product Usage: Medallion is used for network credentialing and delegated credentialing for healthcare providers, with the platform facilitating the verification of information submitted by these providers.

  • Strengths: The platform has a user-friendly interface and significantly improved processing speed compared to previous vendors, with most applications processed within a few days.

  • Weaknesses: The platform lacks the ability for customization, doesnt notify when a secondary verification is complete, and doesnt fully support providers in understanding and completing the credentialing process.

  • Overall Judgment: While Medallions service and user interface are appreciated, areas for improvement include ability for customization and more proactive communication regarding task completion. Their utility for a specific organization may depend on the complexity of the credentialing needs such as multiple state licenses.

Other Products Considered

View Product Page

3/5
10 min readReviewed on: 07/20/2023
Reviewer
Title: COO
Organization Type: Virtual-First Provider
Specialty: Men's Health
Summary
  • Product Usage: The telemedicine clinic uses Medallion to monitor the credentials of its physicians and to assist with contracting in-network with payors.

  • Strengths: Medallion excels at assessing payor contracts and determining market standards, and their team provides valuable advice during contract evaluation.

  • Weaknesses: Despite having a edge in technology, significant amounts of work still require human interaction which can cause delays, and the platforms internal communication could use improvement.

  • Overall Judgement: Despite some weaknesses, Medallion has proven to be as effective as any other platform for handling contracting, credentialing issues and has overall enhanced the companys operations.

Other Products Considered

Customers

5
Verified customers
Type
80%
20%
0
1
2
3
4
Virtual-First Provider (4)
Primary Care Clinic (1)
Specialty
50%
25%
25%
0
1
2
Metabolic Health (2)
Behavioral Health (1)
Primary Care (1)
Provider Headcount
50%
50%
0
1
101-500 (1)
501-2000 (1)

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