Certify vs Medallion
Two Credentialing & Provider Data vendors, side by side. Facts from public sources; judgments are ours.
At a glance
Derived from public facts · a rough scale, not a ranking
| Certify | Medallion | |
|---|---|---|
| Pricing model | Not published · custom, scales with provider count | Enterprise contract (custom) · Priced by provider count and modules |
| Speed to go live | API-first platform, onboarding in weeks | SaaS onboarding in weeks, no EHR project |
| Automation model | Software platform · credentialing automation plus NCQA-certified CVO | Tech-enabled service · Automation plus credentialing operations team |
| Built for | Payers, Enterprise systems, Mid-size groups | Mid-size groups, Enterprise systems, Payers |
| Security posture | SOC 2 Type II | SOC 2 Type II |
| Company maturity | 5 yrs (est. 2021) | 6 yrs (est. 2020) |
| Financial backing | $69M · Series B | $130M · Series C+ |
| Named customers | 3 named | 5 named |
| Published results | Specific numbers public | Specific numbers public |
| Documented integrations | None documented | 2 listed |
| Third-party validation | None found | None found |
Bottom line
- Pick Certify if you are a payer or provider network buried in credentialing and roster work and want it API-driven.
- Pick Medallion if you want licensing, credentialing, and payer enrollment taken off your team's plate by one NCQA-certified vendor.
Certify
Provider intelligence platform for credentialing and enrollment
- Founded
- 2021
- HQ
- New York, NY
- Stage
- Series B
- Raised
- $69M
What it does
- One API for credentialing, licensing, enrollment, and monitoring
- Provider data refreshed from thousands of primary sources
- Delegated credentialing services for health plans
- Roster management and network data cleanup
- End-to-end provider data management platform, launched 2025
Where it's strong
- Built payer-first, with about 30 health plan customers including national and Medicare Advantage plans, so it understands plan-side credentialing and delegation.
- Case studies show real numbers: Select Health cut credentialing turnaround from over 6 months to 8 weeks.
- Fresh $40M Series B (June 2025) from Transformation Capital and General Catalyst gives it runway to build out the full provider data lifecycle.
What buyers should weigh
- Most customers are unnamed, so demand references that match your organization type and size.
- The end-to-end provider data platform launched in October 2025 and is young; the proven core is credentialing and verification.
- Provider organizations should confirm fit, since the product and go-to-market lean toward health plans.
Named customers
Oscar Health · Select Health · Lucet
Medallion
Credentialing, licensing, and enrollment on one platform
- Founded
- 2020
- HQ
- San Francisco, CA
- Stage
- Series C+
- Raised
- $130M
What it does
- Automates state licensing applications and renewals
- Credentialing with primary source verification
- Payer enrollment across commercial and government plans
- Continuous monitoring for sanctions and expirables
- CredAlliance clearinghouse shares credentialing across payers
- Single system of record for provider data
Where it's strong
- Broadest scope in the category, covering licensing, credentialing, enrollment, and monitoring in one platform, which cuts vendor sprawl.
- Well capitalized at $130M with brand-name investors and 250+ customers, so vendor risk is lower than most peers.
- Strong fit for multi-state telehealth and fast-scaling groups that need licensing and enrollment handled together.
What buyers should weigh
- Much of the work is service-backed rather than pure software, so outcomes depend on Medallion's ops team; get turnaround SLAs in writing.
- Pricing is per-provider and per-service, and enrollment is typically priced separately from credentialing, so total cost climbs with scope.
- CredAlliance launched in August 2025 and its payer network effects are still unproven.
Named customers
Tampa General Hospital · Carbon Health · Hims · Headspace · Oak Street Health
Integrations
Compare against the rest of Credentialing & Provider Data
Deciding between these two?
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