Medallion

Medallion

Unified platform for healthcare credentialing and enrollment

About Medallion

Simplify's Rating
Why Medallion is rated
A-
Rated A on Competitive Edge
Rated B on Growth Potential
Rated A on Rating Differentiation

Industries

Enterprise Software

Healthcare

Company Size

201-500

Company Stage

Series C

Total Funding

$82.7M

Headquarters

San Francisco, California

Founded

2019

Overview

Medallion provides a platform that helps healthcare organizations manage provider credentialing, enrollment, and monitoring. The platform allows clients to streamline their administrative tasks, significantly cutting down on the time needed for these processes. For example, it claims to reduce task times by 71% and verification times by 50%, which has led to over 500,000 hours of saved administrative work and the successful completion of more than 94,000 credentials, enrollments, and licenses. Medallion operates on a subscription-based model, where healthcare organizations pay to access the service. This platform not only simplifies operations but also helps organizations convert more applications into revenue opportunities, ultimately aiming to enhance client retention by being user-friendly and efficient.

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Simplify's Take

What believers are saying

  • The rise of telehealth increases demand for rapid credentialing, benefiting Medallion's offerings.
  • Healthcare's shift to value-based care aligns with Medallion's efficiency-focused platform.
  • Increasing healthcare regulations drive demand for Medallion's automated compliance solutions.

What critics are saying

  • Resistance to automation in healthcare could limit Medallion's market penetration.
  • Manual workflows in credentialing cause revenue leakage, challenging Medallion's value demonstration.
  • Skepticism about rapid credentialing accuracy may affect Medallion's one-day solution adoption.

What makes Medallion unique

  • Medallion offers a one-day credentialing solution, expediting the credentialing process efficiently.
  • The platform integrates with Salesforce, automating primary source verifications for healthcare organizations.
  • Medallion's SaaS model supports cloud-based solutions, enhancing administrative efficiency in healthcare.

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Funding

Total Funding

$82.7M

Below

Industry Average

Funded Over

3 Rounds

Notable Investors:
Series C funding is usually for startups that are doing well and are looking for more money to fuel major growth, such as acquiring other companies, expanding into global markets, or launching new product lines. Investors typically include larger venture capital firms and private equity.
Series C Funding Comparison
Below Average

Industry standards

$50M
$40M
Figma
$50M
Medium
$62M
SeatGeek
$100M
Oura

Growth & Insights and Company News

Headcount

6 month growth

-9%

1 year growth

-9%

2 year growth

-1%
PR Newswire
Feb 10th, 2025
Medallion Ceo And Founder Derek Lo Recognized As One Of Modern Healthcare'S 40 Under 40

Visionary leader honored for driving innovation in provider networkmanagementSAN FRANCISCO, Feb. 10, 2025 /PRNewswire/ -- Medallion, a leader in end-to-end credentialing and provider network management solutions, is proud to announce that CEO and Founder Derek Lo has been recognized by Modern Healthcare as one of the 40 Under 40 for 2025. The profiles of all honorees are featured in the Feb. 10, 2025 issue of Modern Healthcare magazine and online at ModernHealthcare.com/40Under40. This program recognizes the healthcare industry's rising stars aged 40 and under who contribute to a culture of innovation and help their organizations achieve and exceed financial, operational and clinical goals

PR Newswire
Jan 22nd, 2025
Slow Credentialing And Enrollment Are Draining Revenue--And Most Healthcare Teams Aren'T Tracking The Loss, According To Medallion Report

60% of executives say slow credentialing and enrollment hurt their bottom line, yet most teams resist automation and continue relying on manual workflowsSAN FRANCISCO, Jan. 22, 2025 /PRNewswire/ -- Medallion , the leader in end-to-end credentialing and provider network management solutions, today released its annual 2025 State of Payer Enrollment and Credentialing report.The findings reveal a growing paradox in healthcare operations: despite rising pressures, healthcare teams are holding on tight to manual, in-house processes. Managing credentialing and enrollment manually is creating inefficiencies that drain revenue and exhaust staff resources. This reluctance to let go of control is causing delays, burnout, and bottlenecks—even as tech-enabled solutions offer a clear path to relief.Medallion surveyed 507 provider-based healthcare organizations across the U.S. to explore how staffing challenges, budget restraints, and turnover are impacting payer enrollment and credentialing workflows—and to uncover opportunities for change."Healthcare operations are at a pivotal moment, and everyone's asking the same question: 'How do we reduce the admin burden and get back to what really matters?'" said Derek Lo, CEO and founder of Medallion. "Big innovations will clearly shape the future, but right now, real progress means tackling inefficiencies head-on

PR Newswire
Mar 20th, 2024
Nearly Half Of Healthcare Organizations Report Revenue Impacts Due To Unoptimized Workflows And Slow Turnaround Times, According To Medallion Survey

The new survey of 337 healthcare organizations reveals insights on how manual, slow, and error-prone processes lead to revenue leakageSAN FRANCISCO, March 20, 2024 /PRNewswire/ -- Medallion , the leader in end-to-end credentialing and provider network management solutions, today released the 2024 State of Payer Enrollment and Credentialing Report. Medallion surveyed 337 provider-based healthcare organizations across the U.S. to explore and quantify their payer enrollment and credentialing workflows and the impact staffing challenges, budget restraints, and turnover have on these workflows.As healthcare organizations face extreme pressure to get providers in network with insurance payers and see patients faster, the report offers a detailed view into the most painful and time-intensive payer enrollment and credentialing processes."Our mission at Medallion is to free healthcare teams to focus on what matters," said Derek Lo, CEO and founder of Medallion. "This report dives into how much time is spent on administrative tasks rather than patient care. It also highlights the collective optimism and support our industry has for technology solutions that help speed up these processes and eliminate wasteful tasks. We hope the findings within our '2024 State of Payer Enrollment and Credentialing Report' help healthcare organizations see the impact they can have on efficiency and ultimately patient outcomes by implementing more effective solutions for back office administration."Below are five key findings for the 2024 State of Payer Enrollment and Credentialing Report :52% of respondents reported entirely manual credentialing workflowsCredentialing is a mission-critical function that ensures providers are who they say they are and have no sanctions against them

PR Newswire
Feb 22nd, 2024
Medallion Announces Launch Of Accurate One-Day Credentialing Solution

Accurate, One-Day Credentialing Expedites the Credentialing Process without Sacrificing QualitySAN FRANCISCO, Feb. 22, 2024 /PRNewswire/ -- Medallion, the leader in end-to-end credentialing and provider network management solutions, announced its one-day credentialing solution for healthcare organizations that accurately and quickly transforms the credentialing process."Medallion's one-day credentialing solution is transforming the healthcare industry as we know it," said Caitie Barrett, Senior Director of Credentialing at Medallion. "Our customers used to spend more than four hours per provider to run manual primary source verifications. Now, Medallion can complete those PSVs instantly and at a nearly 100% accuracy rate. Credentialing is a critical part of patient safety. We've seen far too many times organizations attempt to be the fastest and, as a result, sacrifice accuracy

Digital Music News
Dec 21st, 2023
Web3 Artist-Community Platform Medallion Announces $13.7 Million Series A, Preps 'Ambitious Technical Roadmap' for 2024

Following a multimillion-dollar seed raise - and notwithstanding data showing a falloff in Web3 funding - artist-to-fan community platform Medallion has announced a $13.7 million Series A.

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