Medallion vs Verifiable
Updated October 16, 2026
Credentialing teams at provider groups and health plans trying to shorten onboarding often compare Medallion and Verifiable. Medallion pairs credentialing with payer enrollment and state licensing, which suits digital health companies adding clinicians across many states, while Verifiable focuses on fast primary-source checks and committee-ready files for networks and plans. Whether enrollment is part of your backlog often settles the matter.
Our analysts compared Medallion and Verifiable on verification speed, payer enrollment, NCQA alignment, AI automation, and staffing needs, using the HIR review of each company and each vendor's news pages. In the following sections, we compare the platforms in one table, describe the team each fits, and list what each announced this year.
Medallion vs Verifiable at a glance, October 2026
| What buyers weigh | Medallion | Verifiable |
|---|---|---|
| Pricing model | Software and service packages for credentialing, enrollment, and provider network operations. | Credentialing automation software, NCQA-certified verification services, and ongoing monitoring for plans and provider networks, priced by quote. |
| What drives cost | Number of providers, states and payers covered, delegated credentialing needs, and credentials verification service levels. | Number of providers, mix of software and verification services, how often monitoring runs, and integration scope. |
| Who it is built for | Digital health companies and mid-market provider organizations. | Health plans and provider networks. |
| Payer enrollment | Credentialing and payer enrollment in one platform, measured in days to a billable provider. Clear edge | Centered on credentialing files and license verification, with less on payer enrollment. |
| Verification and monitoring | Specialists review AI-prepared work. | Primary-source verification plus ongoing monitoring from one vendor. Clear edge |
| Results | Scores 7.9 on days to billable provider. Higher score | Scores 7.4 on file turnaround and compliance. |
| Product | Scores 7.8. Higher score | Scores 7.2. |
| Getting live | Scores 7.3 on standing up credentialing operations. Higher score | Scores 6.9, and governance rules must be configured first. |
| Time to full value | About 3 to 7 months | About 3 to 8 months |
| What you need first | Your provider list and access to primary source data. | Clean provider applications and rosters. |
| Deal-breaker | You only need an EHR for visit charting. | You only need a simple OIG check with no file work. |
| Pricing clarity score | 7.4 Clearer pricing | 6.8 |
| HIR overall score | 7.7, Recommend. Higher score | 7.1, Recommend. |
| Best for | Digital health companies and mid-market providers that need faster credentialing and payer enrollment. | Health plans and provider networks clearing credentialing backlogs with NCQA-aligned automation. |
| Not a fit for | Tiny practices with a handful of providers and no enrollment pain. | Groups that will not staff credentialing exception review. |
Which fits which buyer
Count how much of your work is enrollment rather than verification.
Choose Medallion if
- You need licensing and payer enrollment alongside credentialing.
- You are a digital health company adding clinicians in many states.
- You want specialists who handle the work on your behalf.
Choose Verifiable if
- You are a health plan or network clearing a verification backlog.
- Your own team will review exceptions and run committee.
- Ongoing monitoring of licenses and sanctions is the core need.
Verdict
Medallion scores higher and covers more of the onboarding path. Verifiable suits plans and networks that want fast verification tools for their own staff.
Ask both how they handle a file that fails an automated check.
Where the two tools are headed in 2027 and beyond
Medallion: Medallion added an agent that chases missing provider documents on August 24, 2026, closed its purchase of Andros on September 15, 2026, and renewed its NCQA credentialing certification on September 17, 2026.
Verifiable: Verifiable launched CredAgent, an autonomous credentialing agent with human oversight, on February 26, 2026.
Run a sample of your own provider files through each during evaluation.
Methodology
Each row comes from the HIR reviews of Medallion and Verifiable, scored under the HIR method, and from each vendor's public pricing where it exists. Any published price for Medallion or Verifiable was checked on that vendor's own site on October 16, 2026.
A green check marks a clear edge for Medallion or Verifiable only where their review scores differ by at least 0.3 points or the two reviews show a plain difference. Rows with nothing published for either Medallion or Verifiable are left out, and time to full value for each adds up the rollout stages in its review.
Sources
- HIR review of Medallion and HIR review of Verifiable
- Medallion website
- Verifiable website
- Medallion document outreach agent, August 24, 2026
- Medallion closes Andros purchase, September 15, 2026
- Medallion NCQA renewal, September 17, 2026
- Verifiable launches CredAgent, February 26, 2026