Medallion
Medallion is a San Francisco-based healthcare technology company that automates provider credentialing, payer enrollment, and compliance via an AI agent platform with expert-in-the-loop oversight, serving 300+ healthcare organizations across providers, payers, and health systems.
- Company typePrivate
- Founded2020
- HeadquartersSan Francisco, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What Medallion does
Medallion is a San Francisco-based healthcare technology company, founded in 2020 and operating as FirstLayerAI, Inc., that automates provider credentialing, payer enrollment, license monitoring, and ongoing compliance through an AI-powered platform combined with expert-in-the-loop human oversight. The platform is structured as a core data layer (Provider Data Management plus the CredAlliance national credentialing clearinghouse launched in August 2025) supporting modular agent workflows for CVO credentialing, provider enrollment, roster management, delegated credentialing, privileging, cross-state licensing, and monitoring — each generating NCQA-compliant output with claimed 99.5% accuracy and SLA-backed turnaround guarantees. Medallion sells primarily through enterprise field sales to provider groups, payers, health systems, RCM organizations, and digital health companies, monetizing via a hybrid model of Platform subscriptions priced per provider per day and End-to-End managed services priced per service request, plus passthrough regulatory fees such as the $2.50/provider/year NPDB monitoring fee. With 300+ healthcare organizations as customers, approximately 1 million providers supported, and an investor roster that includes Sequoia Capital, GV, Spark Capital, Optum Ventures, Salesforce Ventures, Acrew Capital, and UnitedHealth Group Ventures, Medallion has raised approximately $138 million across six rounds through August 2025 to scale its AI agent workforce and the CredAlliance shared infrastructure.
Medallion firmographics
Firmographics- Name
- Medallion
- Legal name
- FirstLayerAI, Inc.
- Website
- https://medallion.co
- Company type
- Private
- Founded year
- 2020
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Medallion is a San Francisco-based healthcare technology company that automates provider credentialing, payer enrollment, and compliance via an AI agent platform with expert-in-the-loop oversight, serving 300+ healthcare organizations across providers, payers, and health systems.
- Ownership category
- akta.pro rank
Medallion industry classification
Industry- Product category
- Healthcare Credentialing Software
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- iBPMS (Intelligent BPM Suites) & Process Automation Suites (HDAEAHAG)
Keywords
Where Medallion is headquartered
LocationHeadquarters
- HQ city
- San Francisco
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Medallion business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- Platform subscription (per provider): Recurring Platform product revenue priced per provider per day on multi-year contracts, with purchased, available, used, and remaining consumption tracked in the Medallion Usage Dashboard.
- End-to-End managed services (per service request): Usage-based End-to-End product revenue where Medallion executes the credentialing, enrollment, and monitoring workflows on the customer's behalf; priced per service request, with weekly service request counts and consumption tracked against committed contract value.
- End-to-End consumption-based billing: Usage-based billing component for End-to-End engagements, where customers consume dollars against committed contract value with multi-year contract structures and annual billing periods.
- Passthrough regulatory fees: Passthrough fee of $2.50 per provider per year is billed for NPDB continuous monitoring enrollment initiated through Medallion.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Hybrid | Multi-year contract | Hybrid: Platform subscription per provider/day plus End-to-End usage-based managed services |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels8 records
Medallion product offering
Product offeringCore offering
Medallion operates an AI-powered healthcare operations platform that automates provider credentialing, payer enrollment, privileging, cross-state licensing, and ongoing monitoring workflows. The platform combines AI agent workflows with expert-in-the-loop human oversight and includes CredAlliance, a national credentialing clearinghouse that eliminates redundant provider verification. Medallion sells two product categories: Platform subscriptions (per provider per day) and End-to-End managed services (per service request).
Product overview
Medallion is a single, integrated AI-powered healthcare operations platform organized as a core platform (Provider Data Management and the CredAlliance clearinghouse) plus a suite of modular agent workflow solutions. The core platform centralizes provider data, while Agent Workflows — Provider Enrollment, CVO Credentialing, Roster Management, Delegated Credentialing, Privileging, Cross-State Licensing, and Monitoring — operate as end-to-end automated modules on top of it. Supporting features such as the Medallion Usage Dashboard, Analytics Dashboard (Provider, Licensing, Payer Enrollment, Credentialing, Ongoing, Consumption reports), Quality and Audit Process, and teams management extend the platform with operational transparency. The CredAlliance module is the newest addition, functioning as a shared national credentialing clearinghouse to reduce redundant verifications.
Differentiator
Problem solved
Functional benefit
Brands
- CredAlliance: A national credentialing clearinghouse launched in August 2025 to eliminate redundant provider verification processes, supporting approximately 1 million providers and reducing the $1.2 billion in annual redundant credentialing costs.
Products and services
- Provider Data Management
Quantifiable outcome
- 80% reduction in credentialing turnaround time (WellBe Senior Medical: from 30 days to 6 days)
- +9 more outcomes
Companies that use Medallion
Customer profileNamed customers18 records
Segments5 records
Ideal customer profiles4 records
Medallion technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration8 records
AI capability8 records
Feature7 records
Medallion partnerships and signals
Strategic signalPartnerships
Five partnerships are on record, tiered core and minor.
- National Practitioner Data Bank (NPDB)coreMedallion is registered as an authorized agent with the NPDB under FirstLayerAI, Inc. DBA Medallion, enabling automated Continuous Query Service enrollment and ongoing NPDB Report Change Notification polling for enrolled providers, with a $2.50/provider/year passthrough fee.
- HospitalogyminorHospitalogy is a featured speaker/contributor at Medallion's Elevate 2026 conference (fifth annual), participating in content delivery for healthcare leader audiences across AI, financial leadership, platform healthcare, and policy/compliance tracks.
- Simple PracticeminorSimple Practice is a featured speaker/contributor at Medallion's Elevate 2026 conference, contributing content for healthcare leader audiences.
- Southwest Medical ImagingminorSouthwest Medical Imaging is a featured speaker/contributor at Medallion's Elevate 2026 conference, contributing content for healthcare leader audiences.
- GuidehouseminorGuidehouse is a featured speaker/contributor at Medallion's Elevate 2026 conference, contributing content for healthcare leader audiences.
Scale indicators9 records
Recent moves6 records
Expansion highlights6 records
Medallion competitors and assessment
Company assessmentDirect peers
- symplr: symplr is the largest dedicated healthcare credentialing and provider data management platform (formerly known for symplr Credentialing/Provider), serving health systems, payers, and providers. It is the most directly comparable legacy CVO incumbent that Medallion is positioning to displace with AI-native automation.
- VerityStream (HealthStream): VerityStream, a HealthStream company, is a long-standing CVO and credentialing SaaS provider focused on healthcare provider enrollment, credentialing, and privileging. It is one of the primary legacy competitors Medallion benchmarks against in its '3.5x faster than legacy CVOs' positioning.
- CredentialMyDoc: CredentialMyDoc offers outsourced medical credentialing, payer enrollment, and licensing services to healthcare organizations and providers. It competes most directly with Medallion's End-to-End managed services product line rather than the Platform subscription.
- Andros: Andros is a healthcare credentialing, provider enrollment, and network management platform serving payers, providers, and digital health companies. It is a direct software peer in the same payer enrollment and credentialing workflow Medallion automates.
- Cactus (formerly Aperture Credentialing): Cactus (formerly Aperture Credentialing) provides credentialing, payer enrollment, and delegated credentialing software to healthcare organizations. It targets the same provider groups and health systems as Medallion with comparable CVO functionality.
Emerging players
- InteliCred (InteliScript / Par8o): Par8o's provider credentialing and network management tools target payers and providers with a focus on provider directories and roster management. It is an emerging adjacent player competing for some of Medallion's payer enrollment and provider data management workloads.
- LeanMD / Silversheet: Silversheet is a credentialing and privileging platform focused on outpatient and ASC (ambulatory surgery center) providers, an adjacent segment where Medallion's mid-market customer base (Ivy Rehab, Confluent Health) competes.
Broad incumbents
- R1 RCM: R1 RCM is a large incumbent revenue cycle management (RCM) provider serving health systems and providers. While not a pure-play credentialing competitor, RCM organizations are a target customer segment for Medallion and a potential strategic acquirer or competitor for provider data workflows.
- Availity: Availity operates a large healthcare information network connecting providers and payers for eligibility, claims, and provider data exchange. It overlaps with CredAlliance's vision of shared provider infrastructure and represents a major potential competitor or partner.
- Optum (UnitedHealth Group): Optum, the health services arm of UnitedHealth Group and a Medallion investor (Optum Ventures), operates massive provider data, credentialing, and RCM operations across the U.S. healthcare system. It is a strategic customer/investor relationship but also a long-term competitive threat given its scale.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks6 records
Key highlights6 records
Customer concentration
Medallion social profiles
Digital presenceMedallion compliance and trust
Trust signalCompliance4 records
Medallion financial estimates
Financial estimateRevenue estimate
Valuation estimate
Medallion leadership team
Management profileNumber of profiles
Profiles6 records
Medallion funding detail
Funding detailFunding overview
Funding rounds7 records
Investors16 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Medallion M&A and investment
M&A and investmentM&A1 record
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Medallion
What does Medallion do?
Medallion operates an AI-powered healthcare operations platform that automates provider credentialing, payer enrollment, privileging, cross-state licensing, and ongoing monitoring workflows. The platform combines AI agent workflows with expert-in-the-loop human oversight and includes CredAlliance, a national credentialing clearinghouse that eliminates redundant provider verification. Medallion sells two product categories: Platform subscriptions (per provider per day) and End-to-End managed services (per service request).
Is Medallion a public or private company?
Medallion is a private company. It is classified as venture growth investor backed and is currently operating.
When was Medallion founded?
Medallion was founded in 2020. It employs 101 to 250 people.
Where is Medallion based?
Medallion is headquartered in San Francisco, United States, in the North America region.
How does Medallion make money?
Four revenue lines are on record. Platform subscription (per provider) is the primary driver. The others are end-to-End managed services (per service request), end-to-End consumption-based billing and passthrough regulatory fees.
Who are Medallion's main competitors?
Direct peers on record are symplr, VerityStream (HealthStream), CredentialMyDoc, Andros and Cactus (formerly Aperture Credentialing). Emerging players are InteliCred (InteliScript / Par8o) and LeanMD / Silversheet. Broad incumbents are R1 RCM, Availity and Optum (UnitedHealth Group).
Does Medallion have an API?
Yes. Medallion provides API key creation and management functionality for customers/admins (documented in the Medallion Help Center under Admin FAQs). Medallion also integrates programmatically with external data sources such as NPDB and CAQH, and exposes an eNotary Integration feature for providers. Specific public/partner availability, REST/GraphQL type, auth method, rate limits, and versioning are not detailed in the source material.
What industry is Medallion in?
Medallion's product category is Healthcare Credentialing Software. Its primary akta.pro industry code is HDAEAHAG, iBPMS (Intelligent BPM Suites) & Process Automation Suites. Its NAICS code is 518 and its SIC code is 7370.