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RCM organizations

Help your clients see
more patients

Credentialing and enrollment, powered by automation and expert oversight — so your clients get providers billable faster and you become the partner they can't replace.

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Powering 300+ healthcare organizations to scale
Iris TelehealthTampa General HospitalCarebridgeConfluent HealthUnited HealthcareCareSourceAllCareOak Street HealthVNS HealthFOLXAntidoteVirtaHeadspace

Credentialing and enrollment built for
RCM organizations

Whether you're an independent billing company, a tech-enabled RCM platform, or a hospital-based revenue cycle team — your clients need providers credentialed and enrolled fast. Automation-powered workflows with expert oversight get them there, without adding to your operational lift.

01

Optimize your clients' revenue cycle performance

Faster credentialing and enrollment workflows for fewer denials, stronger claims accuracy, and accelerated reimbursements.

02

Grow your client base

Take on more clients without adding headcount — AI-assisted workflows with expert oversight handle the complexity.

03

Become a trusted operational expert

Real-time visibility and expert oversight give your team the depth your clients can't build themselves.

Results that move the needle

3.5x
faster than legacy CVOs on average
66%
estimated reduction to administrative costs
1 day
to credentialing file readiness on average

A complete platform for every provider workflow

Speed up provider readiness with AI-assisted data collection and expert oversight — less manual back and forth.

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AI-powered enrollment workflows with expert oversight get providers in-network faster, reducing time-to-bill.

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AI agents structure and populate files to meet regulatory requirements, with our experts reviewing for completeness before submission.

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As provider rosters grow and regulations evolve, automated monitoring scales across your enterprise without adding operational overhead.

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Provider onboarding at a laptop

Data imports

CAQHSpeed up profile setup by 70%
Get data from your CAQH profileLink and retrieve relevant data from your CAQH profile.
Clinician reviewing enrollment data
Completed enrollments by payer
Credentialing specialist
Average turnaround time
Compliance monitoring
Total verifications by month

Your trusted AI operations partner in healthcare

Ready to speed up
time-to-revenue?

Get in touch

Your questions answered

How does credentialing impact revenue cycle management for healthcare organizations?

Credentialing is the revenue cycle's first bottleneck — a provider cannot bill for services until they're credentialed with the hospital and enrolled with payers. Delays in either process may delay cash flow, and errors in provider data cause claims denials that create downstream revenue cycle problems. For RCM organizations managing provider onboarding at scale, credentialing speed isn't an administrative concern — it's a financial one. Medallion brings credentialing and payer enrollment together in a single platform, which may help ensure providers are billable faster.

How can RCM organizations reduce claims denials caused by credentialing and enrollment errors?

A significant share of claims denials is likely to trace back to provider data problems — incorrect NPI information, expired licenses, enrollment gaps, or mismatched payer records. These errors may originate in the credentialing and enrollment process and surface later as revenue cycle failures. Medallion's comprehensive provider monitoring catches data discrepancies before they reach the billing stage, which may reduce the denial volume that RCM teams spend time and resources resolving after the fact.

How do RCM organizations scale provider monitoring without adding administrative overhead?

As provider rosters grow, so does the compliance monitoring burden — license renewals, OIG exclusion checks, NPDB updates, and payer enrollment changes all require ongoing attention. Without automation, monitoring at scale may mean either growing the administrative team or accepting compliance gaps. Medallion's comprehensive monitoring platform tracks providers across relevant databases, flagging changes so RCM organizations can scale their provider networks with confidence and without proportional headcount growth.