Axuall vs Medallion (2026)
Data you plug in against work done for you. Axuall supplies verified provider data from its own network to health systems and staffing firms and keeps their systems current, leaving the credentialing decisions with the customer's staff. Medallion runs the provider network operation itself: credentialing through its own NCQA certified verification organization, payer enrollment, rosters, licensing and monitoring, with agents doing defined tasks and people taking defined cases. An organization with a credentialing team that needs better data buys Axuall. One that wants the team's work taken off its hands buys Medallion.
- Verified updates pushed straight into Epic's provider master file, directories and scheduling tools, so the data stays current in the systems already in use.
- Public API documentation and a patented verification method a technical buyer can examine.
- Staffing firms are a named buyer, so recruiting and onboarding use the same verified record.
- The work done as a certified service: credentialing, enrollment, rosters, delegated credentialing, privileging and cross state licensing in one engagement.
- Oversight is published as structure: the company names which tasks its agents do and what sends a case to a person.
- Contractual service levels stand behind turnaround and accuracy, and SOC 2 Type II is named on its own pages.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Axuall and Medallion are each graded against the same capability taxonomy, from each vendor's own public materials and the regulatory record, under the AI Health Index verification standard. No vendor pays for placement, and no vendor has reviewed this page. How this evidence is graded
Plain facts
| Fact | Axuall | Medallion |
|---|---|---|
| Primary category | Healthcare Administrative Automation | Healthcare Administrative Automation |
| Founded | 2018 | 2020 |
| Headquarters | Cleveland, Ohio, United States | San Francisco, California, United States |
| Website | axuall.com | medallion.co |
Side by Side
Select any grade to read the note behind it.
Product updates
The latest logged changes from each vendor, newest first, each linked to its source.
Medallion
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Product / capability
Medallion shipped three platform capabilities at once.
Source
Each vendor in one paragraph
Written to be quoted whole. Each paragraph opens the AI Health Index profile of the vendor: what the product is, who buys it and what it does.
Axuall, based in Cleveland and founded in 2018, runs a provider data network that it describes as spanning more than 30 billion data points from public and private sources, real world practice patterns and primary source verification, assembled into a verified super record for each clinician.
Source: AI Health Index, September 2026
Medallion runs provider network operations for healthcare organizations: credentialing through its own NCQA certified credentials verification organization, payer enrollment, roster management, delegated credentialing, payer contract management, privileging, cross state licensing and ongoing monitoring, with a provider data management platform underneath and a credentialing alliance product sold to health plans to cut redundant recredentialing.
Source: AI Health Index, September 2026
Questions buyers ask
How do Axuall and Medallion work with the EHR?
For Axuall, the company publishes API documentation for developers from its footer, and it has integrated with HealthStream's CredentialStream through the hStream ecosystem so those customers can use its verified data without replacing their credentialing platform.
With Medallion, the company integrates directly with primary sources for verification and ongoing monitoring, including the state medical boards' federation, the national practitioner data bank, federal exclusion and entity databases and the national provider registry, and it auto fills provider profiles from the registry, CAQH and uploaded documents. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 23, 2026. No vendor pays for placement.
How are Axuall and Medallion priced and sold?
In Axuall's case, the enterprise platform is sold as three products, Explore for recruiting intelligence, Confirm for onboarding and credentialing, and Sync for provider data maintenance, to health systems and staffing firms through a demonstration, with public API documentation for integration.
For Medallion, the page's reference to performance commitments connects to what the why page publishes: outcomes backed by contractual performance with defined service levels, guaranteed turnaround times and a 99.9 percent accuracy figure. Whether any fee is at risk when those levels are missed, or whether the commitment is a service level with credits, is not stated, and that decides what the guarantee is worth. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 23, 2026. No vendor pays for placement.
Which settings and specialties do Axuall and Medallion cover?
With Axuall, coverage extends to physicians, advanced practice providers, specialists and nurses.
In Medallion's case, the Andros acquisition, which the company says brings more than a million providers across nearly 400 organizations and health plans onto its platform, will extend the plan and health system side when those customers move. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 23, 2026. No vendor pays for placement.
What evidence is published for Axuall and Medallion?
For Axuall, the Sync page names Cleveland Clinic, whose IT director describes using it to keep external provider records current and to meet federal notification of admission requirements, and reports that Sync cuts operational costs of data maintenance by 80 percent and the results routing error queue by 86 percent. The home page quotes Hartford HealthCare's chief clinical officer on clinician population data.
With Medallion, the company reports more than 300 healthcare organizations as customers. The platform figures on the home and why pages are aggregates: 99.9 percent average file accuracy, one day average credentialing file readiness, an estimated 66 percent reduction in administrative costs, enrollment estimated twice as fast, and credentialing 3.5 times faster than legacy verification organizations on average. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 23, 2026. No vendor pays for placement.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers. The full set for this category is on the Healthcare Administrative Automation page.
The core distinction is who does the work. Axuall is data and software your staff operate; Medallion is a service with commitments attached. Medallion acquired Andros in September 2026, so Andros customers are moving onto its platform.
Neither publishes a price. Medallion describes an investment model shaped by volume, scope and performance commitments; Axuall sells three products through a demonstration. Axuall publishes nothing on how its models are governed. Ask Axuall for the rate at which staff overturn its pushed updates, and ask Medallion for the service levels in writing.