Medallion vs Modio Health
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
| Medallion | Modio Health | |
|---|---|---|
| Pricing model | Enterprise contract (custom) · Priced by provider count and modules | Subscription (per user or PMPM) · Quote-based, sized by provider count |
| Speed to go live | SaaS onboarding in weeks, no EHR project | Cloud setup; data migration paced |
| Automation model | Tech-enabled service · Automation plus credentialing operations team | Software platform · Credentialing system of record |
| Built for | Mid-size groups, Enterprise systems, Payers | Small practices, Mid-size groups, Enterprise systems |
| Security posture | SOC 2 Type II | SOC 2 Type II, HIPAA |
| Company maturity | 6 yrs (est. 2020) | 12 yrs (est. 2014) |
| Financial backing | $130M · Series C+ | Subsidiary of CHG Healthcare (acquired 2019) |
| Named customers | 5 named | None public |
| Published results | Specific numbers public | No public numbers |
| Documented integrations | 2 listed | 3 listed |
| Third-party validation | None found | KLAS / analyst cited |
Bottom line
- Pick Medallion if you want licensing, credentialing, and payer enrollment taken off your team's plate by one NCQA-certified vendor.
- Pick Modio if you need one shared system of record for provider credentialing, licensing, and expirables across teams and facilities without an enterprise IT project.
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
Modio Health
Cloud credentialing platform for provider teams, part of CHG Healthcare
- Founded
- 2014
- HQ
- San Francisco, CA
- Stage
- Subsidiary of CHG Healthcare (acquired 2019)
- Raised
- n/a
What it does
- Centralized provider credential and license tracking
- Automated expiration alerts and renewals
- Primary-source verification support
- Payer enrollment tracking
- Exclusion and sanction monitoring
- Extended credentialing services (outsourced support)
Where it's strong
- Consistently strong KLAS scores (91.0 in the 2025 Credentialing report, rated five straight years) with a reputation for responsive service.
- Faster to deploy and easier to use than legacy enterprise credentialing suites, especially for mid-sized groups.
- CHG Healthcare ownership gives it stability and staffing-industry credentialing expertise without PE exit pressure.
What buyers should weigh
- Owned by CHG Healthcare, a staffing company, which some health systems weigh when the vendor's parent competes with their locum strategies.
- Built for credentialing teams rather than full medical staff governance, so hospitals needing privileging and peer review workflows may need more.
- Named customer references are scarce in public materials, so expect to rely on KLAS data and sales-provided references.
Integrations
Compare against the rest of Credentialing & Provider Data
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