Medallion Gets Its M&A Credentials

Medallion continues building its case to be the go-to platform for provider network management after making its first acquisition with Andros, and it sounds like the shopping spree is just getting started.

Less friction, more healthcare. Providers have to jump through countless operational and compliance hoops before they can start caring for patients, and Medallion specializes in AI-powered hoop jumping.

  • Medallion helps automate away the back-office workflows that delay care – and revenue – such as credentialing, enrollment, and monitoring.
  • The platform not only onboards providers 40x faster, but it also serves as a unified system of record that allows customers to verify credentials, stay in-network, and connect patients to care more efficiently.
  • It also recently unveiled the industry’s first national credentialing clearinghouse, CredAlliance.

Here’s where Andros fits in. Andros has over 13 years of experience as an accredited CVO verifying provider qualifications for commercial payers, health systems, and regional medical groups.

  • It’s built more than 200 provider networks across all 50 states and processes upwards of 300k annual credentialing files.
  • Those customers will now be brought onto the Medallion platform, gaining new AI agents to handle provider outreach and follow-up, real-time status tracking, and human credentialing specialists Medallion embeds alongside its automation.

That makes Medallion the largest credentialing platform out there. It now manages over a million providers across 400+ orgs, but it’s already setting its sights on more M&A.

  • Healthcare is a collection of thousands of billion-dollar markets, and Medallion has the team and funding in place to integrate the pieces that ultimately get providers paid.
  • It’s eyeing companies that are removing the friction to make that happen faster, whether that’s in credentialing, onboarding, compliance, or elsewhere along the way.

The Takeaway

Credentialing is one of the last big administrative functions still running mostly on manual labor, and so far vertical AI plays have barely touched it. Medallion is making the play, and Andros gives it a wider footprint and more momentum to help pull it off.

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