Medallion Features

Enables in-platform (or provides access to services that offer) verification and validation of provider data

Supports and enables timely claims payment and reimbursement

Prompts providers to update out-of-date or inaccurate records

Improves communication between disparate health plans, systems, and plan administrators

Configures, customizes, or modifies credentialing paperwork and/or workflow

Maintains provider database

Provides varying access levels to administrators, stakeholders, etc.

Manage the enrollment and onboarding of all new members and accepted applications

Track employee/learner's progression through training programs

Store, manage, and track all electronic documents in a centralized location

Store, manage and track all forms in a centralized location

Manage a group of members established for coordinating plans, programs, or other initiatives

Track, manage and store the applications of potential future members, customers or candidates

Track and manage expiration of various items including products, warranties, licenses, and contracts

Track and manage adherence to policies for any service, product, process, or supplier

Manage various aspects of appointments including booking, rescheduling, canceling

Manage usernames, account numbers, passwords, biometric data, public access keys, and other documentation

Create, manage and track all task activities and progression

Generates insights and reports from aggregated provider data to improve efficiencies and ready systems for audit

Manages and reconciles data from disparate sources

Automatically captures essential provider data, routes data to health plans, and tracks data to identify any data anomalies

Securely stores provider data and supports import and export to improve data governance, ensure data accuracy, and facilitate de-duplication

Stores and maintains credentialing documentation in the cloud

Stores and maintains credentialing documentation in a secure server

Automates notifying and following up with missing information or documentation

Pulls data from a regularly updated or real-time provider database

Streamlines monitoring, screening, and verification of sources

Provides a built-in commitee review process manager

Compliant with HIPAA, which sets standards for sensitive patient data protection

Generate one-off reports that meet information requirements

Timed notification for any upcoming task, deadline, appointment, or activity

Track and document all activities across devices, networks, and other systems

Verify the member/provider has a valid license, certification, or registration for specific jobs, procedures, or industry standards.

Application programming interface that allows for integration with other systems/databases

Observe and track the demand, usage, progress or quality of a system, product, or user

Web form that allows users to enter data that is sent and processed for different reasons

Alerts or notifications of various types such as pop-up messages, sounds, banners, or badges

Import and export data to and from software applications

A virtual assistant that uses AI to pursue goals and complete tasks on behalf of users

Online portal through which end users can access the system, manage tasks, or obtain information

Securely stores data to prevent data loss or breaches

Set up connections to third-party platforms to improve business processes

Reporting on how each user, task or process has advanced since its initiation

Use AI to generate content in the form of text, images, videos, etc.

Process of checking different types of data for accuracy to avoid errors or inconsistencies

Collection, analysis, and representation of numerical data and generation of reports to understand various patterns

Reminders sent via email

Ability to fill out and submit application forms on the web

Supports healthcare facility policies, requirements, and needs

Manages vendor or provider access controls and compliance

Adheres to or aligns with relevant industry regulation

Create, design and manage workflows for repetitive tasks