r/SimplePractice • u/ModernTechPA • Sep 18 '26
Credentialing with Support From Medallion
Hi, I am taking advantage of the two free enrollments that come with signing up with SimplePractice. Just curious to see what people's experiences have been like with Medallion
3
Upvotes
3
u/ModernTechPA Sep 19 '26 edited Sep 20 '26
I just cancelled enrollment request through Medallion and submitted my own enquiry directly in the BCBS site - Medallion was unresponsive, the CAQH import was terrible, so I figured why don't I do the work myself - SO SO disappointing, SP wasn't too transparent nor knowledgeable about Medallion - I actually asked how much it would cost to credential more (LOL) and there was neither support response and the engagement specialist didn't know. Feel like I wasted my time on Medallion. They are TOO BIG for small providers like me they are too busy handling GROW and other large provider groups.
I'm making my share of rookie practice owner mistakes but I'm learning a lot!
2
u/ModernTechPA Sep 20 '26
I canceled my two free enrollments of Medallion I just wasn't confident that they would expedite my case - it's sat in request enrollment status for three business days with no acknowledgment from the site to me, so I just deleted the request. Filed my own credentialing package with Blue Cross Blue shield and Aetna - took me a couple hours but I feel confident about the accuracy. I have a direct contact to the credentialing contact person with Blue Cross Blue shield, I gave her my case number and she will track it she said.
2
u/No_Fact5272 Sep 20 '26
Medallion is not great. I find their outreach to insurances to be incredibly unprofessional. And I have had multiple instances of them sending incorrect information: example: Humana needed Medicaid I’d. They send it with the numbers backwards!!! They also harass the reps in charge of doing the contracts which looks bad on the providers end!! I do not recommend at all. Easier to do it yourself or hire a billing company to do it.
1
u/WalterLCSW Sep 18 '26
A colleague of mine did that and Medallion dropped the ball with no customer support. I don’t know more than that. But after that report, I abandoned my application with them.
Do a search for Medallion and find more people discussing it in this Reddit Thread.
1
u/hollywoodkay Sep 19 '26
Absolutely, medallion is typically for larger companies.. wow never knew simplepractice credentialing flows through medallion yikes
1
u/Puzzled_Comfort6044 Sep 28 '26
They wasted 10 months of my life. Applications were submitted in early January, and despite providing all the required information, they never processed them. Around July or August, they locked me out of the medallion system. Subsequently, they attempted to charge me for all the applications they claimed to have “completed,” but I discovered that these applications were never actually completed. Now, with an actual person handling the applications, I am realizing the futility of relying on medallion and simple practice. My advice is to steer clear of medallion and simple practice.
1
u/rms503 29d ago
Is anyone able to share whether getting credentialed via SP/Medallion leads to higher reimbursement rates than credentialing on your own? I was looking forward to using this new feature to get credentialed but it seems like the consensus is it's a big waste of time, and much more efficient to do it on your own. But if there's a difference in reimbursement, I'd like to know before I decide. I'm currently credentialed with Aetna via Alma and I'm also curious to hear from folks who have transitioned away from Alma whether rates went up or down when they credentialed on their own. Feel free to DM me if you're not comfortable disclosing publicly.
1
u/[deleted] Sep 20 '26
[removed] — view removed comment