Medallion (managed)
Managed credentialing from a software company
How Medallion scores
Documented capabilities describe the scope supported by our sources, which may include vendor documentation. They do not establish service quality or independent performance.
58/77 relative capability weight reviewed. Scores with different coverage are not directly comparable. Read the score with its coverage: 100 means full support within the reviewed scope, not that every capability is supported. Unverified capabilities are excluded, not counted as zero. How to compare scores →
Quality evidence: 1/6 dimensions reviewed. Pricing transparency alone does not establish service quality.
Overall rating: Not published. Requires 12 total dimensions, all four core capabilities and at least 3 quality dimensions with sources.
Capability 60% of the composite
- Primary source verification Full Credentialing specialists verify source data and resolve discrepancies in CVO files. Source: Medallion CVO service description (read )
- Payer enrollment automation Full The managed service prepares, submits, follows up on and tracks commercial, Medicare and Medicaid enrollments. Source: Medallion enrollment service description (read )
- Re-credentialing Partial The CVO description mentions recredentialing cycles, but this page does not establish the complete renewal workflow. Source: Medallion CVO service description (read )
- License and expirables monitoring Full Monitoring provides alerts for expiring and changing state licenses, DEA and CSR credentials. Source: Medallion monitoring description (read )
- OIG / SAM exclusion monitoring Full The monitoring service explicitly identifies OIG, SAM and state exclusion databases. Source: Medallion monitoring description (read )
- Privileging Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- CAQH / DataSpring integration Full The CVO workflow pulls and verifies provider data from CAQH. Source: Medallion CVO service description (read )
- Provider data management Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- NPDB queries Partial NPDB is named among monitored sources; continuous-query enrollment and authorization are not documented here. Source: Medallion monitoring description (read )
- Delegated credentialing support Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Reporting and analytics Full The enrollment service provides live application status for individual providers, groups and facilities. Source: Medallion enrollment service description (read )
- API and integrations Not yet verified We haven't found a source for this yet. Vendors can send evidence →
Quality 40% of the composite
- Ease of use Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Support quality Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Security and compliance (SOC 2, HIPAA, HITRUST, NCQA, KLAS) Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Implementation time Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Value for money Not yet verified We haven't found a source for this yet. Vendors can send evidence →
- Pricing transparency 1 of 5 No public price list found on the vendor's site; pricing is by quote. Source: Medallion website (read )
Scores are our editorial judgment on the published rubric, based on the sources shown. They are not user ratings.
What does Medallion do?
Managed credentialing from a software company. Medallion says it serves: Provider groups, Digital health. Read the vendor's own description on its website ↗.
Where Medallion is strong, and what to check
Not written yet. We add strengths and watch-outs once enough evidence is in. See the scorecard above for what's sourced so far.
Is Medallion NCQA-certified?
Certified NCQA's directory lists Medallion as certified under CR-Cert, as of September 15, 2026. Check the directory for the elements covered.
We take NCQA status only from NCQA's directory, never from vendor marketing. Check the directory ↗ · What each status means →
How much does Medallion cost?
Medallion doesn't publish prices, so you'll need a quote. We don't show third-party estimates as a vendor's price.
Medallion in the Briefing
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Medallion buys Andros, an NCQA-certified CVO
Terms were not disclosed, and no migration timeline was published. Plans that delegate to Andros should confirm which legal entity will hold the NCQA certification, and for which verification elements.
Source: PR Newswire (Medallion release)
User reviews of Medallion
These reviews are submitted by readers and moderated before they appear. They are separate from our editorial score and do not change it. We can't confirm that a reviewer used the product.
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Medallion: common questions
Is Medallion NCQA-certified?
NCQA's directory lists Medallion as certified under CR-Cert, as of September 15, 2026. Check the directory for the elements covered.
How much does Medallion cost?
Medallion doesn't publish prices, so you'll need a quote. We don't show third-party estimates as a vendor's price.
What are the alternatives to Medallion?
Every service we track is on one list, scored on the same rubric. See all 19 →
Who owns Medallion?
Venture-backed. Acquired Andros on 2026-09-15.
Want to talk through your options?
A specialist from Metolius Health can walk through your needs and what to ask Medallion and any other service. Discovery calls go to Metolius Health, which operates this site.
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