Transcript

Ruby Martinez (00:00) Ruby. Hi, Lindsay. Sorry, I just realized I was put on mute.

Lyndsey Farmer (00:10) That’s okay.

Ruby Martinez (00:12) How are you?

Lyndsey Farmer (00:13) I’m good. How are you? I’m.

Ruby Martinez (00:16) good. Hanging in there. It’s hot where I’m at, so, you know?

Lyndsey Farmer (00:20) Yeah. Where are you?

Ruby Martinez (00:22) I’m in Arizona, so, you’ve got a heat advisory this week?

Lyndsey Farmer (00:27) Nice. And it’s like 40 here.

Ruby Martinez (00:30) Oh, Kara was telling me it’s snowing where she’s at. So I’m like… I’m jealous but not.

Lyndsey Farmer (00:37) Right. Yeah… it looks like Kara is not coming today.

Ruby Martinez (00:45) No, she had a conflict, so she didn’t join me.

Lyndsey Farmer (00:49) No worries. We can go ahead and get started then. What did you have on your agenda?

Ruby Martinez (00:57) I wasn’t able to open the document. It’s giving me an error message, if you don’t mind sharing your screen, but.

Lyndsey Farmer (01:08) Give me just a second… trying to get it pulled up and my screen is spinning. There, it goes, okay?

Ruby Martinez (01:21) I wanted to follow up quickly on, uhc, do we have any updates from medarian from some of my uhcs, that were outstanding? Sure.

Lyndsey Farmer (01:32) I will take that back and get a full update for you. Okay? Do?

Ruby Martinez (01:38) You think we can have some movement by the end? Like just some updates. Yeah. By end of day tomorrow, if that’s okay. Yep. Yeah… yep.

Lyndsey Farmer (01:49) I can put that in with the team right now. I’m trying to share my screen with you. Are you able to see this?

Ruby Martinez (01:57) I think it’s loading. There we go. Yep.

Lyndsey Farmer (01:59) All right. Perfect. Okay. So, uhc, enrollments?

Ruby Martinez (02:08) Yes. Did dr Simpson reply to you for what the team needed?

Lyndsey Farmer (02:14) I have not received anything. Okay?

Ruby Martinez (02:18) I will personally take that back.

Ruby Martinez (02:35) Sorry, this was loading here.

Ruby Martinez (02:54) Now, some of our enrollment requests, so the number has significantly decreased. So that’s good. I’m just hoping it’s because we cleared out Anastasia gentles and got some approvals in because I’ve received a few approvals. Okay? So that’s good. Is there anything that the team is waiting on us? Because a lot of them say payer processing, but.

Lyndsey Farmer (03:28) Yep. If it’s payer processing, then it’s going forward through the payer just as it should, and we’re following up on it. If it says need client attention, then that means that they’ve requested something from you all or there’s something pending your signatures or something like that?

Ruby Martinez (03:49) Okay. But I just wanted to make sure that if… it’s payer processing and we’re getting an actual like update… or like more of a specific status than just follow up in two weeks, I know we did discuss that. So, I wanted to confirm that that’s still happening?

Lyndsey Farmer (04:10) Yes. Yeah. And I’ll reiterate that as well to retrain the team for an update. Okay? A true update when they do them.

Ruby Martinez (04:21) Awesome. Thank you. Yeah, no problem.

Lyndsey Farmer (04:23) Some.

Ruby Martinez (04:23) of them have some of them, it’s just a generic like documentation.

Lyndsey Farmer (04:29) Okay.

Ruby Martinez (04:29) Again, I need to relay this. Some of them have claims out there. So we’re trying to get them through the finish line so I can reprocess some of the claims we have going on our end.

Lyndsey Farmer (04:40) Okay.

Ruby Martinez (04:41) For providers who we’re seeing patients with these payers that we have still outstanding, can we prioritize all of the older than 60 days, if possible? Can we make that a goal, for… follow up next week? If there’s anything older than 60 days?

Ruby Martinez (05:10) If you’re able to give me high level status… sure on that, if that’s okay?

Lyndsey Farmer (05:17) Yep. I can, I, yeah, I can ask the team if they can please get that done before our next meeting?

Ruby Martinez (05:24) Thanks. Yeah. The majority of them look like they’re cigna from here. Okay? And then if a provider has termed with us, I’m gonna go in and request a stop, just so you’re aware if the team sees that, okay, as to why we’re requesting a stop, the provider either gave us notice or they’ve termed. And so, if medallion is, or was working on something, and based on the notes I see in the system, I’m just gonna put a stop request on that provider. Okay? So you have some context to provide for that one?

Lyndsey Farmer (06:05) Okay, perfect. Thank you. And that’s.

Ruby Martinez (06:11) all that I had, did you have anything that you needed or wanted to discuss with us? I.

Lyndsey Farmer (06:17) Did not. It looks, I think the only things we were waiting on last time was the dr Simpson, we had discussed the 855 B. So you’ll get that worked out and let me know either way, if you want us to submit that again or if you guys are taking that back?

Ruby Martinez (06:35) We took it back. Okay? We had a address change issue on our end. Okay? With leadership. So they just wanted us to revise that. So I took it back for us to work on, and then we will submit it. Okay?

Lyndsey Farmer (06:51) All right, perfect. Yeah, those were my only two things. So, we touched on both of those today.

Ruby Martinez (06:58) Awesome. I.

Lyndsey Farmer (07:00) will I will flag the team for the priority older than 60 lines for follow up and get something out to you before the, before our next call. And I will work with the team on retraining for the follow up notes so that it’s an actual note and not just the next follow up date.

Ruby Martinez (07:21) Yes, please. Thank you so much. I appreciate it.

Lyndsey Farmer (07:24) Sure. No problem. If you need anything in the meantime, let me know.

Ruby Martinez (07:28) Same, thank you so much, Lindsay. Thanks.

Lyndsey Farmer (07:30) Rumi?

Ruby Martinez (07:31) Yeah, bye, bye bye.