Transcript
Jason Zednick (00:00) hey, Tanisha, hi, Don.
Dawn Candia (00:03) Hey, Jason. How are you? I’m sick that’s how I am.
Jason Zednick (00:10) You’re sick? What’s wrong? I.
Dawn Candia (00:13) don’t know my throat is doing something and I’m not sure what?
Jason Zednick (00:18) That’s sort of the worst when like that’s the first thing and you’re like, oh, this is just going to get worse and I don’t know where it’s going. Yeah, I hate that. Are you going… to try to slip away early?
DeWayne Hiebert (00:36) You should.
Jason Zednick (00:38) We won’t tell Dwayne that’ll be hard.
Dawn Candia (00:41) Lisa’s on the phone. She’s a smitch, ouch. Yes.
Jason Zednick (00:46) That’s so.
Dawn Candia (00:46) Hurtful. Wow, this.
Jason Zednick (00:50) Call’s being recorded. Don. So you’re already there? All right. Oh, man. Yes… Dawn. I did have one thing for you. The office… manager, let… me see if I can find the email.
Dawn Candia (01:21) What?
Jason Zednick (01:25) Was their name? The office manager? That’s also… a provider, they’re not really an office manager. Oh, Kai, yang, yes, advocare garden state internal. They had responded back to the thread like two days ago, I guess Monday, but so, have… you spoken with them because… we spoke, I believe Friday, if you remember, I don’t want to give.
Dawn Candia (02:07) them all that access.
Jason Zednick (02:09) Exactly. So, if they give us another email address, we can set them up as a team manager… but that’s… sort of the only option. So, I don’t know if you wanted to respond to them.
Dawn Candia (02:26) Yeah, I will. Okay. Yeah, I don’t think he really, I don’t know, I’ll talk to him and let him know.
Jason Zednick (02:33) Okay. Yeah. In the meantime.
DeWayne Hiebert (02:36) Who’s this? Hi, yeah, garden state.
Dawn Candia (02:42) They wanted to be a team manager. Oh, okay. Yeah. But as a provider, you know, so it’s you can’t do that.
DeWayne Hiebert (02:56) Okay. Unless he has a separate email address.
Jason Zednick (02:59) Yeah, because there’s only a like provider and admin there’s not a team manager and provider role. It just doesn’t exist.
DeWayne Hiebert (03:09) And if we made him a provider admin, then he’d have everybody’s access, right?
Jason Zednick (03:13) Everybody? Okay. Yeah.
Jason Zednick (03:19) It’s sort of ironic that.
Jason Zednick (03:25) There’s a, like someone in charge of an office of like, yeah, let me do it. Let me get in there and it’s like, oh, I can’t… but… it goes that.
DeWayne Hiebert (03:38) Care center. He doesn’t have an office manager at all?
Dawn Candia (03:44) I don’t know, I think he does, but he wanted access as well. So.
DeWayne Hiebert (04:00) So I didn’t have anything today, Jason. I know I owe you a couple documents, so we’ll get the 20 first century thing signed back to you. Yeah. And then we’ve got the delegation agreement that’ll be a little longer, but.
Jason Zednick (04:15) Yeah… I.
Jason Zednick (04:22) I’m going to try very hard to get the additional credentialing… process questions over to you this week so that you have at least a little bit of time to discuss internally discuss with me. So that’s one goal of mine. I’m trying to think if I have anything else like major to.
Jason Zednick (04:54) To go through with you.
DeWayne Hiebert (05:03) So, Jason, just the other thing and I Don, I know this is still a work in progress, but so I think Don, Lisa and David have all been working… together on really a more in depth document that we could share with you for… each of the payers, you know, outline specifically their processes, and definitely like reflecting those like horizon, right?
DeWayne Hiebert (05:35) We have to provide a 90 day notice, right? Of a new practice joining advocare. So, you know, right now Lisa’s team is sending those notices. So, but the intent of this document is really to… clarify, you know, each step, right? Because it’s different, you have the new care center. So we have to send this notice… 90 percent of the time. They’re probably already credentialed. So there’s you know, linking and de linking which can happen differently, you know, so we can do it from this notice and, you know, we probably don’t even really need an enrollment request. We need the enrollment, you know, reflected, but there may not even be anything required on your end. Others, you know, there will be. So I know that’s a work in process, but I think it will be helpful because it’s at… another level of detail which I think is important and is probably causing some confusion.
Jason Zednick (06:46) Yeah. I think that will absolutely be helpful. Glad you mentioned, the 10 D linking and linking because it seemed to me that some of these when you were like that, that’s all that they were asking for like, that was it, which seemed pretty straightforward but it wasn’t clear to me like when that was the case or not or I’m… also… working with my team to… sort of identify a workflow for providers that you have identified as already being par and they just need to be, you know, linked to your group 10 versus providers that you identified that need to go through credentialing. And so if I can work that out with them, it might be a little involved in terms of I’m going to write an sop based on the conversations and I can review that with you. But if that works then it’ll… just be all that much more clear what needs… to be done and therefore the faster. So, yeah. So I am working with them on that as soon as I have like a draft that they… like sign off on like, yeah, that, that’s correct that I’m going to put in front of you and review. So. Okay.
Tanisha Roebuck (08:29) Yeah.
Dawn Candia (08:38) Jason question about Heather loveless? Were you able to stop that appointment?
Jason Zednick (08:43) I put the request out this morning. I can delete it. I’ve asked if there’s like another way to like cancel on archive it versus deleting it. If not then we’ll just delete it. But yeah, we’ll take care of that for the other two… that are still open. Let me see if I can find that email. I do think there’s still the question of because on the application…
Jason Zednick (09:40) Yeah. On the application. So my team’s just a little confused because on the application, there’s the question around the campus and the options are the only options listed are north south west, parentheses V o LL o L and willingboro, and based off that language on the application that’s where they’re not sure.
Dawn Candia (10:08) So, we know now that marlton is south. Oh.
Jason Zednick (10:13) Marlton is south. This is what. I expected that the application has just ninth… using like a shorthand and not making a clear way. So marlton is south. Yeah.
Dawn Candia (10:31) I’ll find out from the… young lady at virtua.
Jason Zednick (10:37) Oh, perfect. Perfect. Yeah. So if you can find out which those map to, then that solves it for us. And then I can tell my team like, hey here’s… the mapping and then they know which exactly. That would be huge. Yeah, thank you.
Dawn Candia (10:52) Okay.
Jason Zednick (11:16) Anything else?
Jason Zednick (11:28) Top of mind… Dawn?
Jason Zednick (11:37) Actually, let me check right now for the amerihealth providers that are on hold.
Jason Zednick (11:46) Let me just confirm that they, so… they’re still on hold right now. They’re supposed to be moved. I will follow up on that. Yeah.
Dawn Candia (12:11) How many do you have? Jason? I?
Jason Zednick (12:13) Have 18 total. Some of them are true holds for dependencies. Looks like maybe one four five… looks like 10 or 11 are just on hold for not following up or delay follow up for 30 days and those ones should be just put back. So, yeah, so I’ll follow up with my lead and get… an update on that.
Jason Zednick (12:56) All right. Anything else? I don’t have anything on my list, so.
DeWayne Hiebert (13:06) Yeah, I don’t have anything else and actually, I’ve got to run. So, thank you.
Jason Zednick (13:10) Yeah, yeah, thank you, Duane, right? Appreciate it. Thank you.
Jason Zednick (13:24) All right. Well, great. So, I do have, you know, some emails from y’all, I’ll you know, I’ll get to those and I’ll.
Tanisha Roebuck (13:34) Jason, I have a question. Did you guys have any issues with the medicaid like enrollment or the directions I sent you for Delaware? And pa just tried to just checking in to see if you guys were able.
Jason Zednick (13:46) To get in. Oh, yeah. You know, actually I haven’t heard back from that since it was set up. Let me ask my.
Tanisha Roebuck (13:56) Yeah, I do, because we do have a group in Pennsylvania that’s going to make a move in a month or two and, you know, that’s going to require a new location and, you know, pa medicaid and all that. And I know it’s going to be a, you know, that office. It’s it’s fairmount peas. It’s dr. Lieberman, it’s a lot. So, I’m hoping everybody’s like set up and ready and knows what they’re doing before we get to that point. You know what I mean? So.
Jason Zednick (14:21) Yeah, no, it’s a really good.
Tanisha Roebuck (14:22) Point that’s why I’m asking.
Jason Zednick (14:23) Let me add it to my agenda for my next call with that and just sort of confirm because I believe you set us up with accounts, right? Like that’s all done. Yeah.
Tanisha Roebuck (14:41) Exactly. I gave you guys the login and the instruction for how to toggle back and forth between all the accounts because it works different for you guys than me. And if you have any questions, you know, let me know and we can. Yeah, yeah.
Jason Zednick (14:55) Perfect. Yeah, I’ll bring that up. I’ll make sure that they feel comfortable, and,
Tanisha Roebuck (15:01) I should be able to see on my end if they logged in, but I just wanted to check because it’ll say like pending if nobody’s actually used it, but it’ll say active if they’ve actually logged in, but, you know, I just want to make sure they can, you know, they have the process because.
Jason Zednick (15:15) Yeah, I recall, you know, confirming with them. I mean, like, hey, like it was done, but I don’t think I’ve heard anything back. So, all right. So, yeah, I’ll check, I’ll ask, yeah.
Tanisha Roebuck (15:26) Thank you of.
Jason Zednick (15:28) Course. No, thank you. All right. Well, well, great. Well, appreciate your time one.
Dawn Candia (15:35) More thing, Jason, can you make sure you let me know about Dora, saldan’s clover id number? Remember that long, crazy number… provider id for Dora? Oh.
Jason Zednick (15:47) I do remember that. I don’t think I ever got like a definitive answer. Hold on. Let me see if I can find that email.
Tanisha Roebuck (16:08) You know what? I have a question too now that I thought of it. Yeah. So I,
Jason Zednick (16:13) let me go back and see my messages on this internally. I don’t think I ever got a definitive answer. I do know that I looked at some of the other like approval notices, and they all had weird provider ids like that. I’m not sure what’s going on. Well, yeah, let me find my messages, follow up there. Let me make sure I have a task for that real quick.
Tanisha Roebuck (16:53) So, Jason, when you, you answered us yesterday about ibc and the payr portal and how you guys the link and you confirmed it because we were having some trouble when it was me and Dawn and David and you guys gave us the link, right? For the ibc, the dashboard, for the practitioner participation. So, how do you actually like, let me ask a dumb question for myself like, how do you actually fill out the form? Do you have to go into the payr portal to do any of this?
Jason Zednick (17:26) So, so, this is actually a good.
Jason Zednick (17:33) Question, because, so, for… I’m sorry, which it was.
Tanisha Roebuck (17:43) Sorry, I didn’t want to, if you were writing something or doing something?
Jason Zednick (17:46) No, no, no, no. You’re you’re good. You’re good. I’m sorry, what was the payr again?
Tanisha Roebuck (17:51) Ibc and amerihelp. So, that question that we asked yesterday about?
Jason Zednick (17:55) Yeah. So I have… different instructions, different advocare instructions for amerihealth, and ibc for amerihealth, I have a new enrollment through the fhmp portal.
Dawn Candia (18:15) For.
Jason Zednick (18:15) ibc. I have the… email pnsproviderequests… at ibx. Com. And here, let me just show you that.
Tanisha Roebuck (18:37) So, you’re using that email box for everything? Yes?
Dawn Candia (18:42) I think don’t they both take you to the same. Well.
Tanisha Roebuck (18:46) He said he’s using an email box. It’s not, I saying that wrong? David, you said it’s a?
Jason Zednick (18:54) I mean, David, no, no, yeah, no, no, no, yeah. No. You are saying that correctly? Because this is what we have documented in the instructions that.
Tanisha Roebuck (19:03) we have. Yeah. So Don, he’s not using the link, they’re emailing or not you, but the team, they’re just emailing pns requests for everything they’re not using the link. Is that what we want them to do? No, right? We want them to.
Dawn Candia (19:20) Use the link. No, you have to, that practitioner participate, participating practitioner participation form. It should take you there, whatever the, but I don’t think it’s this link here? Yeah.
Tanisha Roebuck (19:34) It’s not an email address. It’s an actual website.
Jason Zednick (19:37) So, the portal then, the portal, yeah. Okay. So one second, let me go. Let me look up our default instructions, which is, I think what I sent you. Yeah, and let me just confirm that. And then if that’s the case, then I can just, we’ll just default to the default.
Tanisha Roebuck (19:54) And, but the problem. So here’s the thing here’s the problem with that and let me share really quickly if I can. Yeah, that should work… when you do that. So, if you click on that link, am I sharing my screen? Can you guys see that?
Dawn Candia (20:12) Right. This is where you want to go? Yes, right here?
Tanisha Roebuck (20:16) Am I, am I sharing my, I don’t I can’t tell what you’re.
Jason Zednick (20:19) sharing it’s the independence?
Tanisha Roebuck (20:21) Okay. It’s this one. All right. So, when you click on the link that we gave you, it takes you here, right? Which is right? But in order to, oh, and then you just click proceed, right? Dawn you click.
Dawn Candia (20:31) Proceed. And then it brings up the application where, yeah. Okay. So this is this?
Tanisha Roebuck (20:37) Is what you guys should be okay?
Jason Zednick (20:41) And,
Tanisha Roebuck (20:42) then you would follow up in that with that email box, right? Right. Okay. All right. I just wanted to make sure.
Dawn Candia (20:48) David, Jason, I sent you an email earlier today, I did too.
Jason Zednick (20:52) Yes. So.
Dawn Candia (20:53) Confirming where Tammy wants you to follow up?
Jason Zednick (20:57) I did, I updated that. Okay. So it’s we will, okay, do the general box after 90 days if we’re still waiting. Yeah. And I pinged my team as well to, okay?
Dawn Candia (21:07) Okay.
Jason Zednick (21:09) Especially when it’s like when… we have like… a responsive invested rep. Yeah, I want to do right by them because, you know, I want to keep that. So, so I did, we did change that. So, Lisa… yes. So our default instructions for ibx are that link. And then if there are follow up questions or to check the status, email credinquiries at ibx. Com. Those are just our normal run of the mill instructions. Sounds like that is what it should be.
Tanisha Roebuck (21:50) Yeah, right. Yes. So.
Jason Zednick (21:52) What I’m going to do is I’m going to remove… custom instructions from your plan with us, and then my team will just default to what there’s what they do for everyone else. Yeah, other.
Tanisha Roebuck (22:07) Than the thing that Dawn just said about Tammy because she’s our rep for both. So whatever she just told you about Tammy… follow that too. Yeah, let me.
Tanisha Roebuck (22:26) like use the portal for the initial, but then follow up with her, right?
Jason Zednick (22:30) So, only,
Dawn Candia (22:31) after 90 days?
Tanisha Roebuck (22:33) Only after 90 days, okay?
Jason Zednick (22:34) So, actually, so here’s a, good conversation. So, for Tammy, I have it documented for amerihealth, and I have amerihealth and ibx. I keep wanting to say ibc. I.
Tanisha Roebuck (22:53) know, I say the same thing.
Jason Zednick (22:55) Yeah, they are considered separate payers. Yeah.
Tanisha Roebuck (23:01) In.
Jason Zednick (23:01) our system. So I have separate instructions. So, let me ask you.
Tanisha Roebuck (23:05) She’s basically assisting. So our contract is the same. It’s under the amerihealth and our ibx ibc contract is actually under amerihealth, Tammy is technically helping us with ibc. She’s our pseudo rep for ibx. Put it that way. So she’s assisting us with ibx?
Jason Zednick (23:26) So, would it be safe to say for the ibx instructions? I could say, follow our standard if after 90 days, yeah, then reach out to Tammy with that. Yeah, because.
Tanisha Roebuck (23:42) That’s what we do on our side for contact.
Jason Zednick (23:44) Same, same. Yeah, that’s easy enough. Yeah, I can.
Tanisha Roebuck (23:48) That’s what I would say because that’s what we have to do because we don’t really have someone, it’s her. Okay? She basically takes it and reaches out to the ibc side and sort of pushes it along on our behalf.
Jason Zednick (24:05) Okay. So that’s great. Yeah. So I’ll just copy the language I have from amerihealth on the follow up side for ibx. And then there’s no special instructions for the submission part. Yeah. Okay. Great. Yeah. And then just so as you know, I know Duane said that we’re… working on a… sort of like slps around like the big payers, at least, I think this is exactly the time to have those conversations of like, well, what does medallia… have as our standard? And then we can sort of have those conversations of compare and where it does match, then we can just, you know, follow that and that is generally… I keep thinking of the word faster but it’s not faster. It’s just easier. Now. Hey, just do it, do what you’ve been doing for everyone else and they don’t have to worry about. Yeah, and that.
Tanisha Roebuck (25:14) Way, we know if something’s not working where, you know, where the holes are or what, you know, what was working before and why it might not be working now.
Jason Zednick (25:23) Yeah, exactly. Yeah. So, okay, great. Yeah. So I’m just hanging out. Thanks ipx follow up is amerihealth. OK. All right. Great.
Jason Zednick (25:46) Anything else Dawn?
Tanisha Roebuck (25:48) Did we have any other questions in that meeting or, did we ask them all yesterday? Did David ask them all? I?
Dawn Candia (25:56) Think that was the one the amerihealth. Yeah, that was.
Tanisha Roebuck (26:00) OK. All right. I was just trying to remember if we were getting anything else.
Dawn Candia (26:05) OK. I think that was the only thing we were, because remember, I forgot to ask the first time.
Tanisha Roebuck (26:10) Yeah, that’s right.
Dawn Candia (26:12) So, yeah, I think that was it.
Jason Zednick (26:14) OK. All right. Well, thank you all. Appreciate your time. If I owe you an email, I will get to it and Don try to, you know, try to kick off as soon as you can. I won’t say anything. It’s no fun. I can’t guarantee what Lisa does.
Tanisha Roebuck (26:35) But… I’m going to be watching, finish it out that’s it, let’s.
Dawn Candia (26:40) see… all?
Jason Zednick (26:44) Right. Thanks. Y’all all.
Tanisha Roebuck (26:47) Right. Bye guys.
Dawn Candia (26:47) Bye.