Medallion
Credentialing, enrollment, licensing and monitoring
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.
77/77 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 Partial Medallion documents automated primary-source collection and source timestamps in its on-platform credentialing files, with specialist review of the evidence. This supports software-assisted verification, but this page does not specify the complete software verification scope required for full support. Managed CVO delivery alone is not counted as software capability. Source: Medallion Help Center — Credentialing File Updates (read )
- Payer enrollment automation Full Medallion describes AI agents preparing, submitting and following up on enrollments, mapping profile data into payer-specific forms, and showing live request status in one platform. This documents platform workflow scope; vendor speed and accuracy claims are not scored. Source: Medallion provider enrollment page (read )
- Re-credentialing Full Medallion describes automated workflows for reappointment cycles alongside application assembly and committee review/approval controls on its privileging page. The software assessment uses those workflows, not its claimed percentage of managed recredentials completed on time. Source: Medallion privileging page (read )
- License and expirables monitoring Full The monitoring page describes alerts for expiring, suspended or changing licenses across state licenses, DEA and CSR. Source: Medallion monitoring page (read )
- OIG / SAM exclusion monitoring Full The monitoring page states providers are monitored against OIG, SAM.gov and state exclusion databases, plus OFAC, Death Master and CMS Preclusions. Source: Medallion monitoring page (read )
- Privileging Full Medallion describes automated packet assembly, hospital-specific form mapping, serial or parallel committee routing, notifications and approve/reject controls. These are the software behaviors supporting this assessment, distinct from expert service delivery. Source: Medallion privileging page (read )
- CAQH / DataSpring integration Full The CVO page says provider data is pulled from CAQH, and the provider data management page says profiles pre-fill from CAQH and onboarding can run via CAQH. Source: Medallion CVO credentialing page (read ), Medallion provider data management page (read )
- Provider data management Full The provider data management page describes a centralized provider record reused across credentialing, enrollment, licensing and monitoring, with roster management on a separate page. Source: Medallion provider data management page (read ), Medallion roster management page (read )
- NPDB queries Partial Medallion lists NPDB alerts in its automated monitoring workflow. The page does not specify ongoing NPDB enrollment handling, so this is partial under the same criterion used for other software and services. Source: Medallion monitoring page (read )
- Delegated credentialing support Full Medallion describes automated payer-specific roster templates, verification and monitoring workflows supporting delegated programs. This assessment concerns those platform capabilities, not its specialists obtaining delegation agreements. Source: Medallion delegated credentialing page (read )
- Reporting and analytics Full The provider data management page lists pre-built or custom reports alongside permissions and audit history. Source: Medallion provider data management page (read )
- API and integrations Full The provider data management page describes an API and Integration Engine for syncing with EHRs and HRIS, plus real-time webhooks for status changes. Source: Medallion provider data management page (read )
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?
Credentialing, enrollment, licensing and monitoring. Medallion says it serves: Provider groups, Payers, 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.
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?
We found no entry for Medallion in NCQA's directory as of September 15, 2026.
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 software we track is on one list, scored on the same rubric. See all 20 → · Medallion alternatives →
Who owns Medallion?
Venture-backed. Acquired Andros on 2026-09-15.
Compare on the merits.
Open two or three other platforms built for Provider groups, and compare the same dimensions.