“High operating costs and long timelines risked service quality and our competitive edge.”Read customer story
Scott Arnold, Executive Vice President/Chief Digital and Innovation Officer at Tampa General Hospital
Payers
Credentialing that keeps
up with your network
An NCQA-certified CVO built to lower operating costs, speed up turnaround, and reduce provider abrasion.
Request a meetingPowering 300+ healthcare organizations to scale
A CVO for payers,
built for your scale
Whether you're a regional health plan, a national payer, or a state Medicaid plan, the credentialing burden only grows with your network. Medallion's NCQA-certified CVO handles it at any scale.
01
Cut your days-to-network-readiness
AI-assisted workflows get providers ready faster — for earlier utilization and quicker member access.
02
Less friction, happier providers
Fewer touchpoints mean less friction for providers — and a smoother experience keeps them in-network and engaged.
03
See every provider's status
Replace fragmented tools and status-check calls with one source of truth and real-time dashboards.
Results that move the needle
- 74%
- average return on investment
- 66%
- estimated reduction to administrative costs
- 3.5x
- faster than legacy CVOs on average
One platform for every provider workflow
Every action is logged with a full audit trail, with regular monitoring of exclusions and expirations.
Learn more →Faster primary source verifications and automatically generated files mean faster turnaround times.
Learn more →Eliminate manual roster management with automated ingestion, validation, and compliance tracking — ensuring faster approvals and fewer network disruptions.
Learn more →
Your trusted AI operations partner in healthcare
Your questions answered
How can payers ensure their credentialing program stays compliant with NCQA standards?
NCQA compliance takes consistent policies, documented PSVs, accurate files, and audit-ready oversight at scale — and the hard part is sustaining that infrastructure. Medallion's NCQA-certified CVO builds it into the workflow, so you're ready for audits, not scrambling before them.
How do payers speed up provider verifications without sacrificing accuracy?
Medallion automates the repetitive work — primary source collection, document parsing, multi-layer QA — while experts review every file for compliance and edge cases.
What does seamless credentialing look like for health plans and payers?
For payers, seamless credentialing means providers move through the verification and network participation process quickly, and without the likelihood of manual intervention from internal teams. It requires automation across data collection, roster management, and directory updates — all connected in a seamless workflow. Medallion gives payers an AI-assisted credentialing platform with embedded specialist oversight, so network onboarding is fast and compliance is built in — not bolted on.