MEDALLION ALTERNATIVE
Built for health plans, not provider groups.
CertifyOS is built for health plans and delegated provider networks. NCQA-certified CVO with payer-grade compliance, enterprise reporting, and the dedicated Client Success Manager you need to scale from 200 providers to the largest plans in the country.
- Payer-side depth: NCQA delegation, network adequacy, compliance
- Dedicated Client Service and Support team included
- Built to scale from 200 providers to the largest plans in the country
Book a 20-minute demo
See the modern alternative to Medallion built for payer operations.
Trusted by leading health plans, digital health companies, and provider networks
Built for payer scale
- 99.8%file-level accuracy at Select Health
- 90days to platform go-live
- 8of the 10 publicly listed US Health Plans are CertifyOS Clients.
THE PROBLEM
Medallion solves provider-side. The payer side is its own discipline.
Provider-side credentialing and payer-side credentialing share a name and almost nothing else.
Payer-side ops require NCQA delegation, network adequacy reporting, payer-to-payer roster sync, audit-grade evidence, and the support model enterprise plans need. Medallion was built for provider groups and digital health — fit-for-purpose at small scale, missing the payer depth at 5,000+ providers. CertifyOS was built for the payer side from day one.
Five reasons payers switch from Medallion.
Payer-grade compliance
NCQA delegation, URAC, state oversight, and committee workflow built for health plan operations. Audit-ready evidence at every step.
Dedicated Client Service and Support team
Dedicated Client Service and Support team. Named owner from kickoff through every audit and renewal.
Enterprise reporting
Self-service reporting and ad-hoc analytics for ops leaders. Cohort analysis, payer-by-payer status, file-level audit drilldown.
Network adequacy + PDM
Real-time network adequacy, NSA-compliant directories, and roster sync — capabilities Medallion's provider-side roots don't cover.
White-glove implementation
Dedicated implementation team, file migration, and parallel processing during cutover. Built to land enterprise plans without provider disruption.
CertifyOS vs. Medallion.
CertifyOS
- Built for health plans (payer-side)
- NCQA-delegated CVO + payer-grade compliance
- Network adequacy + PDM + roster sync
- Dedicated Client Service and Support team
- Scales from 200 to the largest plans in the country
Medallion
- Built for provider groups (provider-side)
- Lighter compliance / delegation depth
- Limited PDM / network adequacy capabilities
- Chat-first support model
- Hits friction past ~200-500 providers
FROM OUR CLIENTS
“Oscar Health unlocked 29% in annual cost savings. Alma reduced annual provider costs by 85%. Select Health hit 99.8% file-level accuracy. The numbers come from automation that just works — and from a team that shows up the way enterprise software promises but rarely delivers.”
— CertifyOS Client Outcomes