The Only 5 Medallion Alternatives Worth Considering in 2025 [Ranked]

Healthcare organizations lose an average of 45 days in revenue for every provider waiting to be credentialed. If you're evaluating alternatives to Medallion, you're likely seeking a solution that can dramatically reduce this administrative burden while maintaining compliance.

While Medallion offers automation, many rapidly scaling organizations find themselves needing more hands-on support, faster turnaround times, and a partner that combines cutting-edge technology with human expertise.

This guide compares the top 5 Medallion alternatives in 2025, with a special focus on solutions that deliver measurable ROI through faster credentialing, multi-state licensing, and streamlined payor enrollment.

What is Medallion?

Medallion is a cloud-based provider network management platform designed to simplify and automate complex healthcare operations, particularly credentialing, licensing, payer enrollment, and compliance.

The platform supports healthcare organizations of all sizes, helping them onboard providers faster, reduce administrative burdens, and maintain regulatory standards across multiple states and payer networks.

List of Solutions

• Provider Data Management: Centralizes provider data in a single system of record. This eliminates scattered spreadsheets and manual updates, allowing organizations to access real-time, structured provider data at any time
• Monitoring: Continuously tracks provider sanctions, exclusions, and licensure status to mitigate compliance risks. This real-time visibility helps organizations avoid disruptions in care or reimbursement
• CVO Credentialing: Acts as a Credential Verification Organization (CVO), streamlining credentialing processes from primary source verification (PSV) to committee management. This ensures compliance with NCQA and The Joint Commission (TJC) standards
• Privileging: Accelerates hospital privileging workflows by automating tasks like form collection and coordination with hospital medical staff offices
• Direct Payer Enrollments: Automates payer applications, manages follow-ups, and sends real-time notifications. This helps providers get in-network faster and reduces the burden on internal operations teams
• Delegated Payer Enrollments: Supports compliance with NCQA standards through customizable workflows and documentation tracking
• Licensing: Helps healthcare providers secure and maintain licenses with automated application submissions, renewals, and live tracking across all 50 states

Key Features

• Automated Credentialing: Speeds up credentialing by automating provider data intake, PSV, and committee workflows
• Enrollment Management: Simplifies payer enrollment across commercial and government payers with automated tracking and status updates
• Compliance Monitoring: Have built-in monitoring tools that alert organizations to expirations, disciplinary actions, or license issues in real-time

If you’re evaluating alternatives to Medallion, you’re likely looking for a more customizable, intuitive, or cost-effective credentialing and provider network management platform. Keep reading to discover some of the top 5 alternatives.

Pros

• Has a clean, user-friendly interface
• Saves time on repetitive tasks like follow-ups, verifications, and document submissions
• Has a centralized dashboard that provides visibility into all provider statuses and enrollment processes
• Supports organizations as they expand to new states or add providers 

Cons:

• Pricing may be high for smaller teams
• Some automation tools and integration capabilities may require premium plans
• Although the platform is well-built, some users find it challenging to reach support via phone
• The onboarding process can be stressful, especially when providers have existing accounts
• Some users have experienced delays and a lack of personalized communication
• There are concerns about the quality of work, with reports of errors and a lack of “white glove” service

Pricing: Custom pricing based on organizational needs and scale. Only available upon request.

Why Look for a Medallion Alternative?

Some teams need more high-touch service, especially when dealing with complex payer enrollments, tight deadlines, or unfamiliar compliance issues. 

A more service-oriented platform may be a better fit if your team wants more proactive support or real-time guidance.

Here are a few other common reasons why healthcare organizations start exploring Medallion alternatives:

• Need for High-Touch Service: Complex payer enrollments, tight deadlines, and unfamiliar compliance issues often require more hands-on support than a purely self-service platform provides
• Customization Limitations: Medallion's workflows may feel too rigid for organizations with unique credentialing processes
• Integration Challenges: Limited integration options with existing HR, EMR, or billing systems can create unnecessary workflow disruptions
• Cost Concerns: Medallion's pricing structure may not align with your budget, especially if core features are only accessible on higher tiers
• Scaling Inefficiencies: Organizations expanding rapidly across multiple states often need a partner that can scale credentialing and licensing operations more efficiently

The 5 Best Medallion Alternatives for 2025

1. Assured (the best alternative for Medallion)

Assured is a full-stack provider network management platform that combines AI-powered automation with hands-on human expertise to simplify healthcare's most critical operational challenges: credentialing, licensing, payor enrollment, and network compliance.

As an NCQA-Certified Credentials Verification Organization (CVO), Assured meets the industry's highest standards for credentialing excellence, placing it among an elite group of trusted healthcare administrative partners.

"Assured's deep insurance network expertise and bias for action allowed us to open several markets simultaneously, and do so while increasing access to affordable care. Our work with them has helped accelerate growth and been paramount in helping us keep patient and provider experiences high."

— Quinn Donaldson, Head of Internal Operations

Below are some of the key solutions and features:

Licensing

Assured simplifies multi-state licensing and renewals, so your providers can focus on patient care while remaining compliant.

Key features include:

• Multi-State Licensing: Offers full-service licensing for all 50 states, with application and renewal management
• Automated Renewals: Uses built-in alerts and automated processes to prevent license lapses
• High Success Rates: Achieves a 99% success rate in securing state licenses across specialties
• DEA and CSR Support: Assists with Controlled Substance Registrations at both federal and state levels
• Centralized Document Management: Secures storage for all licenses and supporting documentation
• Interstate Compact Licenses: Efficiently handles IMLC licensing to support cross-state telehealth or travel providers
• FCVS Setup and Management: Speeds up credential verification by up to 30% through managed FCVS profiles
• Responsive Customer Support: Industry-leading client response times, often under 24 hours
• Broad Professional Coverage: Supports physicians, nurses, dentists, social workers, psychologists, and more

Credentialing

Assured streamlines provider credentialing to help you reduce bottlenecks, maintain compliance, and onboard providers faster.

Key features include:

• Automated Primary Source Verification (PSV): Credentials like education, board certifications, and employment history are verified directly from trusted sources
• NCQA-Certified Compliance: Ensures credentialing meets industry standards and reduces regulatory risk
• Scalable Credentialing Processes: Supports parallel processing of applications to onboard multiple providers at once
• Real-Time Status Tracking: View live updates on credentialing status across your provider network
• Cost and Time Efficiency: Reduces turnaround times by up to 80%, with most credentialing completed in under two days

Payor Enrollment

Assured’s enrollment services help providers join payer networks faster, while minimizing the risk of reimbursement delays.

Key features include:

• Comprehensive Payor Coverage: Manages enrollment across commercial and government payers in all 50 states
• Automated Tracking and Monitoring: Keeps you updated on submission status, follow-ups, and revalidation dates
• Streamlined Provider Roster Management: Consolidates multiple rosters into one consistent dataset
• CAQH Profile Management: Direct API integration with CAQH for real-time profile updates and attestations
• PECOS Integration: Automates Medicare enrollments with 99% accuracy using CMS’s PECOS database
• NPI Registry Synchronization: Ensures NPI information is always current and verified with NPPES

Why choose Assured over Medallion:

• Hands-on credentialing support: Every client gets a dedicated credentialing specialist who manages and updates progress across all payers and licenses
• Faster onboarding times: Assured consistently shortens the time it takes to get providers credentialed and seeing patients by up to 80%
• Real-time status tracking: Assured leverages AI-automation and provides real-time updates and proactive communication throughout the credentialing process
• Payer enrollment and CAQH management: Beyond primary source verification, Assured handles the heavy lifting of payer enrollment, CAQH re-attestations, and more

Pricing: Custom pricing based on organizational needs and scale. Only available upon request. However, you can book a free demo here.

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2. Symplr Provider

Symplr Provider (formerly Cactus Software) is a cloud-based platform that manages credentialing, privileging, compliance, and contract management. It aims to simplify, standardize, and transform healthcare governance and risk compliance. 

List of key solutions:

• Workforce Management: Streamlines provider data management, scheduling, and communication to improve operational efficiency
• Credentialing Services: Automates the credentialing process, including primary source verification and committee review, to reduce turnaround times
• Compliance Management: Provides tools for facility and industry compliance management, ensuring adherence to regulatory standards
• Provider Enrollment: Facilitates payer enrollment processes, supporting both direct and delegated models
• Vendor Management: Manages vendor credentials and compliance, integrating with supply chain operations
• Contract Management: Automates contract creation and management, linking credentialing data with contractual obligations
• Survey Management: Offers tools to manage surveys and assessments related to provider performance and compliance

Key features:

• Automated Credentialing Workflows: Provides customizable workflows that automate credentialing tasks, reducing manual effort and errors
• Integrated Scheduling Tools: Has built-in scheduling capabilities that coordinate provider availability and assignments
• Compliance Tracking: Contains real-time dashboards and alerts to monitor compliance status and manage expirations 
• Real-Time Communication: Facilitates communication among stakeholders through integrated messaging and notifications

Pros of Symplr

• User-friendly interface for storing, organizing, and viewing provider data
• Customizable queries and reporting tools that improve data analysis
• Efficient data integration and automation capabilities that streamline workflows
• Integrated credentialing and data management within a single platform
• Widgets and dashboard tools that provide quick access to essential information

Cons of Symplr

• System performance issues, including occasional slowness and freezes
• High costs for customizations and upgrades, which may be prohibitive for some organizations
• Complex transitions and implementation challenges during onboarding
•  Less intuitive reporting and integration features 

Pricing: Custom pricing based on organizational needs and scale. Only available upon request. 

3. HealthStream

HealthStream offers different solutions designed to streamline provider credentialing, privileging, enrollment, and ongoing compliance. It's part of the VerityStream suite, which has deep roots in credentialing compliance.

List of key solutions:

Credentialing

• Provider Credentialing: Automates provider onboarding, verifications, and privileging to meet compliance standards
• Network Credentialing: Manages credentialing requirements across multiple provider networks efficiently
• HealthStream CVO: Provides access to NCQA-certified credentialing services for primary source verification
• Provider Portfolio: Allows providers to maintain and share up-to-date credentialing data in real-time
• Provider Validation: Instantly verifies provider credentials and syncs validated data into EMRs or directories
• Industry Rep Credentialing: Manages vendor and rep credentialing to maintain compliance in clinical settings

Learning & Performance

• Learning Management: Assigns, tracks, and reports on employee training and continuing education
• Video Learning: Offers engaging, on-demand video modules for upskilling and compliance
• Reporting & Analytics: Provides insights into performance, training completion, and credentialing timelines
• Performance & Engagement: Assesses employee competencies and engagement through structured evaluations
• CE Management: Monitors continuing education requirements and completions for licensed professionals
• Clinical Development: Offers specialty-specific development plans to elevate clinical care standards
• Competency Development: Tracks and validates provider skillsets aligned with patient care goals
• Specialized Care Training: Delivers targeted education for high-risk or complex care environments
• Clinical Placement: Streamlines scheduling and onboarding for clinical rotations and placements

Scheduling

• Nurse & Staff Scheduling: Creates optimized, equitable schedules for nurses and care teams to meet staffing needs

Quality & Compliance

• Compliance Solutions: Maintains regulatory readiness with built-in policies and audits
• Quality & Safety: Implements best practices and safety protocols through structured training
• Policy Management: Authors, distributes, and tracks staff acknowledgment of internal policies
• Culture & Leadership: Delivers leadership and DEI-focused training to promote a healthier work environment
• Medical Product Training: Trains staff on the safe use of medical devices and products
• Workforce Validation: Confirms workforce eligibility and credentials across your teams

Reimbursement & Resuscitation

• Revenue Cycle Education: Educates staff on billing, coding, and documentation to reduce denials
• BLS, ALS, PALS Certification: Manages clinical team certifications with integrated life support training
• NALS: Offers neonatal life support certifications as part of clinical training
• Data Collection & Analytics: Collects data on performance, compliance, and outcomes for continuous improvement
• Obstetric ALS Training: Delivers maternal-focused emergency training modules
• First Aid, CPR, & AED Training: Equips staff with core emergency response knowledge
• Prevention & Trend Recognition: Identifies clinical trends and supports early intervention through education

Key Features:

• Comprehensive Content Library: Provides access to a huge repository of evidence-based content and pre-validated provider data to support credentialing and compliance efforts
• Customizable Learning Paths: Provides training and development programs to meet the specific needs of your organization and staff
• Advanced Reporting & Analytics: Contains insights into credentialing processes, compliance status, and workforce performance through robust analytics tools
• Integration Capabilities: Seamlessly integrates with existing healthcare systems, including EMR/EHR platforms, to streamline workflows
• User-Friendly Interface: It is designed to be intuitive, enabling ease of use for learners and administrators

Pros of Healthstream

• Easy navigation and intuitive design that improve the user experience
• Healthstream offers a range of clinical and non-clinical courses
• Staff can access training materials from various devices, including computers, tablets, and smartphones
• Allows organizations to customize their learning pathways

Cons of Healthstream

• Occasional glitches, such as slow loading times and system refresh delays, have been noted
• Some users report difficulties in locating specific reports or features within the system
• New users may require time to become proficient with all features and functionalities

Pricing: Custom pricing based on organizational needs and scale is only available upon request. However, you can request a free demo.

4. MedTrainer

MedTrainer is a compliance suite that includes credentialing, learning management, and policy documentation. It’s especially useful for clinics, behavioural health providers, and FQHCs (Federally Qualified Health Centers) that want a centralized compliance platform.

List of key solutions:

• Learning Management System (LMS): Provides access to a library of over 100 healthcare-specific courses, thereby facilitating staff training and compliance education
• Credentialing Management: Automates the credentialing process, including primary source verification, payer enrollments, and license tracking, reducing manual errors and accelerating provider onboarding
• Compliance Oversight: Centralizes policy and procedure management, incident reporting, and safety plan documentation, ensuring adherence to regulatory standards
• Safety Data Sheet (SDS) Management: Offers a proprietary database with over one million SDSs, allowing for easy access, updates, and compliance with OSHA requirements

Key features:

• Large Course Library: Access to a wide range of up-to-date courses covering various healthcare compliance topics
• Smart Credentialing Tools: Features like auto-fill forms, customizable reporting, and real-time dashboards are available to improve the efficiency of the credentialing process
• Policy & Procedure Tracking: Facilitates the creation, distribution, and acknowledgment tracking of organizational policies and procedures
• Incident Reporting System: Enables staff to report incidents promptly, with tools for investigation and resolution tracking
• Safety Plan Builder: Provides customizable templates for creating and managing safety plans, ensuring compliance with health and safety regulations

Pros of Medtrainer

• Contains a comprehensive course library covering various compliance topics
• Has efficient credentialing management that streamlines processes
• Has responsive customer support that addresses issues promptly
• Provides a centralized platform that integrates training, compliance, and credentialing

Cons of Medtrainer

• Occasional technical glitches that affect the user experience
• Has limited customization options for certain modules
• Some users report challenges with report generation features
• Initial setup and onboarding can be time-consuming
• Has periodic delays in system updates or feature rollouts

Pricing: Pricing is available upon request.

5. Modio Health

Modio Health offers OneView, a cloud-based platform designed to streamline credentialing, licensing, and compliance management for healthcare providers and organizations. 

OneView centralizes provider data, automates credentialing processes, and provides real-time compliance monitoring, making it a comprehensive solution for efficiently managing provider credentials.

List of key solutions:

• License Management: Centralizes tracking of state licenses, DEA registrations, and other certifications, with automated renewal reminders
• Primary Source Verification: Ensures data accuracy by verifying credentials directly from the original sources
• Compliance Tracking: Monitors compliance with regulatory requirements, providing alerts for expirations and other important updates
• Expirables Management: Keeps track of expiring documents and certifications, helping organizations maintain continuous compliance
• Customizable Workflows: Allows tailoring of credentialing processes to fit specific organizational needs
• Integration Capabilities: Supports integration with various healthcare systems, enabling seamless data exchange
• User Access Controls: Provides role-based access to sensitive information, enhancing data security
• Mobile Access: Enables credentialing tasks to be performed on the go via mobile devices
• Task Management: Offers tools to assign and track tasks related to credentialing processes

Key features:

• Reporting: Generates customized reports for audits, compliance checks, and operational insights
• Document Storage: Securely stores provider documents, accessible anytime for quick reference
• CME Tracking: Monitors Continuing Medical Education credits, ensuring providers meet ongoing education requirements
• Workflow Tracking: Provides visibility into the status of credentialing processes, helping identify and address bottlenecks
• Compliance Monitoring: Continuously checks for compliance with various regulatory bodies, alerting users to potential issues
• Prefilled Forms: Automates the completion of standard forms, reducing data entry errors and saving time
• CAQH Monitoring: Tracks the status of CAQH profiles, ensuring timely updates and re-attestations

Pros of Modio Health

• A user-friendly interface that simplifies credentialing tasks
• A centralized platform for managing provider credentials and compliance data
• Automated gathering of provider details like NPI, DEA, and license numbers
• A cloud-based system that allows access from various locations

Cons of Modio Health

• Lack of advanced features compared to other platforms
• Requires additional support for complex integrations
• Customization options are limited for specific organizational needs

Pricing: Custom pricing based on organizational needs and scale. Only available upon request, but a free demo is available.

Comparison Table

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The Assured Advantage: ROI Comparison

When comparing Medallion alternatives, consider these quantifiable benefits that Assured delivers:

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Choosing the Right Medallion Alternative

Some platforms are built for large health systems with in-house credentialing teams and complex IT infrastructure. Others suit smaller organizations looking for simple, out-of-the-box solutions.

Consider:

• How much internal support do you have
• The level of automation and human assistance you need
• How much visibility and control do you want over credentialing timelines
• Your organization's growth trajectory and multi-state expansion plans
• Compliance requirements and audit readiness needs

Why Assured Stands Above Other Alternatives

As an NCQA-Certified CVO with a unique hybrid approach combining AI automation and hands-on expertise, Assured delivers:

1. Fastest Time-to-Revenue: 80% reduction in credentialing time means providers start billing weeks sooner
2. Seamless Multi-State Expansion: 99% success rate with licensing across all 50 states
3. Continuous Compliance: Real-time monitoring across 2,000+ data sources prevents costly lapses
4. Transparent Process: Full visibility into every step with proactive communication
5. Cost Efficiency: Half the cost of in-house credentialing with better results

"Assured has been pivotal to our portfolio companies' market expansion. They've helped us get in-network quickly while giving us full visibility into the process. This has allowed us to scale to patient populations across multiple states with remarkable speed and efficiency."

— Matthew Milford, Founder

Take the Next Step

While Medallion offers a solid platform, organizations looking to scale rapidly, navigate multi-state compliance, or dramatically improve credentialing efficiency find that Assured delivers measurable advantages through its unique combination of technology and expertise.

Don't let slow credentialing and administrative bottlenecks delay your time-to-revenue. See how Assured can transform your provider operations today.