Axuall 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
| Axuall | Medallion | |
|---|---|---|
| Pricing model | Subscription (per user or PMPM) · Tiered subscription by organization size | Enterprise contract (custom) · Priced by provider count and modules |
| Speed to go live | Network onboarding plus credentialing system integration | SaaS onboarding in weeks, no EHR project |
| Automation model | Data / network utility · verified clinician credential network | Tech-enabled service · Automation plus credentialing operations team |
| Built for | Enterprise systems | Mid-size groups, Enterprise systems, Payers |
| Security posture | SOC 2 Type I | SOC 2 Type II |
| Company maturity | 8 yrs (est. 2018) | 6 yrs (est. 2020) |
| Financial backing | $40M+ · Series B | $130M · Series C+ |
| Named customers | 2 named | 5 named |
| Published results | Specific numbers public | Specific numbers public |
| Documented integrations | 1 listed | 2 listed |
| Third-party validation | None found | None found |
Bottom line
- Pick Axuall if credentialing and onboarding delays are costing your health system revenue and you want pre-verified clinician data to cut turnaround time.
- Pick Medallion if you want licensing, credentialing, and payer enrollment taken off your team's plate by one NCQA-certified vendor.
Axuall
Real-time practitioner data network for workforce decisions
- Founded
- 2018
- HQ
- Cleveland, OH
- Stage
- Series B
- Raised
- $40M+
What it does
- Clinician Wallet holds portable, reusable digital credentials
- Real-time practitioner data network for primary source verification
- Cuts onboarding, privileging, and enrollment timelines
- Workforce analytics for network planning and staffing
- AI document processing added to the Wallet in 2025
Where it's strong
- The clinician-owned credential wallet model means a provider verified once can be onboarded quickly anywhere on the network, which locums and multi-site systems feel immediately.
- Strategic backing and co-development with major systems (Cleveland Clinic, MetroHealth, Intermountain and University Hospitals ventures) shows real health system buy-in.
- HealthStream partnership distributes it through CredentialStream, with reported application processing time cut up to 70%.
What buyers should weigh
- The network model works best when your peers are also on it; value in regions with thin Axuall adoption is weaker.
- At about $40M raised it is the smallest company in this set, so weigh vendor durability.
- It complements rather than replaces credentialing software, so expect to keep your MSO/credentialing system of record.
Named customers
MetroHealth · Cleveland Clinic
Integrations
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
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