Transcript
Collette Waddell (00:00) hello there?
Jacqueline Jones (00:02) I am. I?
Collette Waddell (00:06) Think we’re only probably going to have one of the admins on there. Okay. Credentialing and payer manager. Okay. I’m going to go ahead and let her in but I’m just going to, she, I gave her a heads up that I was going to have a colleague join just to kind of shadow a little bit.
Jacqueline Jones (00:21) That’s fine. If you need me, I’ll chime in. I’ll support for sure.
Collette Waddell (00:25) I might, okay, because they’re starting to ramp up on payers. So that is not my wheelhouse, so she may have some questions. I might be able to, you might be able.
Mikel Sprawling (00:34) To help me with.
Jacqueline Jones (00:35) I get it. I get it. Just let me know.
Collette Waddell (00:37) Okay. All right. I’m going to let her in. Okay?
Collette Waddell (00:44) Hi, Mikel.
Mikel Sprawling (00:46) Hi, how are you?
Collette Waddell (00:48) I’m good. How are you doing?
Mikel Sprawling (00:52) I’m okay. Yeah, just okay.
Collette Waddell (00:56) Sorry, we didn’t get to connect last week. Hope things are settling… for you.
Mikel Sprawling (01:02) Yeah, yeah. Just a lot like going on. Got a cousin that’s in the hospital. We’re close. So, you know, how that can go. Yeah, it’s like not expected, you know, so, yeah, so that, you know, it’s been a lot. So, just trying to stay busy to not put my mind on it right now. So, yeah. But other than that, I mean, sprinter’s definitely busy as always. So this definitely keeps me on my toes. So, yeah, definitely alert there. But yeah.
Collette Waddell (01:45) Well, on the call is I had mentioned a colleague newer to the team is joining just to kind of shadow a little bit. Jacqueline is here.
Mikel Sprawling (01:55) Hi, Jacqueline.
Jacqueline Jones (01:57) Hello, pleasure to meet you this.
Mikel Sprawling (01:59) Is Mikel?
Collette Waddell (02:00) Yeah. And sprinter, I think I was sharing with you. Jacqueline, sprinter is one of our newer organizations that recently. Well, I guess I recently a few months ago came out of implementation. So we’re kind of getting, you know, hit the ground running. And as they continue to submit things. And so Mikel, thank you for sending some of those items over. I started to kind of chip away at a few of them. I didn’t I wasn’t able to tackle like everything yet. And thankfully, Jacqueline’s area of expertise is much more on the payer enrollment side.
Mikel Sprawling (02:36) Of the industry. So.
Collette Waddell (02:37) While she is not here to support your account like permanently might tap into her expertise.
Mikel Sprawling (02:47) Yeah, I appreciate it. Yeah, absolutely. I appreciate any assistance because yes, sprinter is kind of unique. Sometimes the way that things are done here and then, and not necessarily. I don’t want to say totally out of the box. It’s just, it is kind of, I don’t know, I want to say urgent requests but then when you think about credit, everything is urgent. So, yeah, but yeah, but it’s always tons of things going on and, you know, definitely have questions there and just trying to make stuff easy for, you know, the other stakeholders that are here and Paula, I think you’re communicating now with Forrest on our marketops team, is that someone you’ve talked to yet? Yeah.
Collette Waddell (03:37) No.
Mikel Sprawling (03:38) Oh, okay. Well, I met and I’ll just go into it briefly. I met with Forrest on Friday because what they’re trying to do is they are trying and I gave him access to the platform. What they’re trying to do is incorporate a way that things aren’t so manual and so many questions come my way or in his way and for his team on the sprinter organization. And so he’s trying to, he’s looking at the data there. While the folks that I have working with me are making sure that we’re not missing anything that we updated everything appropriately. He’s trying to look for a way to say, okay, these providers are good for these payers, that type of thing because right now, it’s still a very manual process. I sent an approval every day and a lot of it is based on even if the provider has went to credentialing and they’re approved there, they may not be active in all of their states. So once I get the active collaboration agreement, then I’m sending approval. So it’s still a very manual process to do to make sure that we, you know, are aligned there. And then when we get certain enrollment approvals, I also add that to that email. So trying to look for a way to utilize AI and incorporate it with the data that we have. So I didn’t realize I wasn’t sure if you had talked to him, but I went in and he was like, yeah, I’ll get access and I was like, well, I can give you access to our profile that’s not a problem. So he’s in there working doing he might, I don’t know, actually let me not speak for him but I just wasn’t sure if you guys had talked but just wanted to bring it up.
Collette Waddell (05:23) But I thank you for that context. Yeah, it’s helpful… and honestly… I can’t remember if we’ve chatted before about using the API as a way to kind of pull data out of the platform and feed what other systems that you might have.
Mikel Sprawling (05:43) Yeah.
Collette Waddell (05:44) I can’t remember if we’ve really kind of dove into that. I will. So there’s an enhancement that just rolled out. So, and I don’t know if this is something that Forrest you said is.
Mikel Sprawling (05:58) If.
Collette Waddell (05:59) this is something or if you all have to pull your engineering team, it, you know, technical team. But when you are now logged into your user account on the left hand side, there’s this integration. Oh, look, we’ve already got the API set up all right, because it shows Forrest.
Mikel Sprawling (06:20) Yeah. And that is the, that’s the system he was telling me about. He’s calling it lec AI, and I think it’s licensed a little bit potentially. I mean, he.
Collette Waddell (06:29) just did this on the fourteenth. This is new. So, like he just dove right in and found this. I was going to like show you my AI. This is here now but he found it.
Mikel Sprawling (06:39) Yeah, he’s looking to have it up and running within the next few weeks. So, I mean, yeah, I’m all for it because, you know, I get questions all day. Yeah.
Collette Waddell (06:51) No, that’s perfect. Well, glad to see already getting going on that. Yeah, awesome. Okay. Just if more support or more questions are needed, reach out to myself and then I can try to pull in maybe somebody from our technical solutions team, like who can speak API data, all of that language. So, if we need to connect the teams, you know, to kind of help troubleshoot or whatever, you know, if they have questions, but you just flag it to me and we’ll make that meeting happen. So. Okay.
Mikel Sprawling (07:34) All right. Okay. So.
Collette Waddell (07:38) Just chipping away at some of the items. So you sent me the roster for centene?
Mikel Sprawling (07:43) There.
Collette Waddell (07:44) are a couple of questions that I know our technical team will ask. So I went ahead and dropped them here and this is before, okay. So I submit that template internally to my technical solutions team where they go out and they do like the build process for it and they have it. So that way you’ll get that sent to you on a reoccurring basis.
Mikel Sprawling (08:06) Got it. These.
Collette Waddell (08:07) Are some of the common questions that I’ve seen them ask as, you know, a follow up. And so before I even submit the request, I want to insert any answers I might already know ahead of time. Got it. I just dropped that here on our shared agenda.
Mikel Sprawling (08:24) Okay. Do you want me to answer it there? Or how do you want me to do it, Colette?
Collette Waddell (08:29) If you want to send it to me in an email or we can just chat through it now, whatever works best for you. I mean, I know we’re limited on time, so I want to be, if it’s.
Mikel Sprawling (08:39) yeah, let me, I will, I’ll add it directly because I have, yeah, this is in our meeting notes. Yeah, you should have.
Collette Waddell (08:46) Access to this document. Okay? I went ahead and just pulled up that because there’s a lot of tabs on here.
Mikel Sprawling (08:52) Yeah. So, we can, I can add it here or we can go over it, whichever is easier.
Collette Waddell (09:04) So,
Mikel Sprawling (09:04) which sheets in the workbook will be completed? So, can you pull it back up and I can go or I can pull it up, whichever is easier. So we would you, we would have the full active roster… we’re only contracted from what I’ve been told for the medicaid line of business. So we would do let’s see it’d. Be the end it.
Collette Waddell (09:34) May be easier for you just to maybe look through all of these. Okay? You know, if that way we don’t spend too much time. Yeah.
Mikel Sprawling (09:43) There’s a lot of that’s no problem. Yeah.
Collette Waddell (09:45) Let’s do that. Okay? And then any state restrictions, I’m actually not entirely sure what they mean by this. So, okay… I might get some, I don’t.
Mikel Sprawling (09:59) okay. Yeah. Because what we, it’s for medicaid and it’s for. And then what I’ll also do is confirm if we’re adding any additional states, but it is state specific, and it is going to be for medicaid, that line of business, but yeah, I’ll double check just to see if we’re gonna add any other stuff to it. Okay?
Collette Waddell (10:20) Perfect. And then they’ll just want to know like the cadence most often we see, you know, like the fifteenth of every month or the first of every month or, you know, something like that. And so they just want to know, you know, when to deliver it to you on a regular, you know, basis. Is it gonna be monthly, every other? Whatever? So you just kind of let us know there and then who it should be sent to and which the preferred delivery method, which is the last question here? This is, do you want it sent via email? Usually it’ll come over in like an encrypted email of sorts or dropped to like an FSF sftp… site or some other secure method. So… and then, you know, if it’s via email, then that’s kind of then kind of goes back to the question above, like who, what email address, would it be sent to on a regular basis? So, once, okay. So, well, you know, after this, we can just kind of like answer some of these. I’ll get it requested submitted and they will start on like the configuration, the build. And then what will happen is they’ll send me like a test sample of like what it’s going to look like for me to send to you so that you can review it. And then, you know, just like really make sure everything looks right, the right data seems to be populating in the right places. Make any tweaks or anything like that I give them. So they like to just send out a test one first and then you’ll get it, you know, delivered to you on a regular occurrence. Okay? And then you’ll handle just receiving it regularly. And then, you know, forwarding it on to the payers. So, all right. Yep. We’ll get that clarified. Yeah, it’ll be easier if you, because this second bullet here, this is the ongoing monitoring. This is going to take a minute for just to me to explain because sure.
Mikel Sprawling (12:35) You.
Collette Waddell (12:36) did recently add, I know Mitch confirmed that you all changed and upgraded the ongoing monitoring that we’re doing that has been flagged to our credentialing team. Additionally I put in a technical request for our technical team or engineers to adjust the credentialing configuration for your applications. Meaning so that in that sanctions like little section of the verifications like it’ll then list out these items. Okay? That… I don’t know what the eta is on that like I think at one time I was told like two weeks, but I actually just submitted another one this morning for another customer. So I’m kind of hoping it’s not going to be that long. Okay. One thing and I have no idea if this may have been mentioned when Mitch was working with you all to get that updated in the contract is for the CMS preclusions, you, the customer has to send us their CMS preclusions list on a monthly basis in order for that.
Mikel Sprawling (13:50) To.
Collette Waddell (13:51) occur. So there’s a document here that’s been hyperlinked, and then this is the email address where it would be sent to on a monthly basis. And so like, and then it would be like ingested in here and, you know, updated. Okay, that was a lot. Any questions about that piece?
Mikel Sprawling (14:13) Yeah. So, curious because I do understand the payor will send us a CMS the preclusion list. I do know that, but, and maybe I misinterpreted but the slide, that Mitch sent over it looked as though it would be generated in the platform like it’s something that was already that was something that is established and can be done.
Collette Waddell (14:34) Let me, okay. So they’re there’s like another layer to this. Okay. Currently, ongoing monitoring in analytics, ongoing monitoring. This will take a second to load. This is where we’re going to see in addition to seeing it actually in the credentialing profile for the provider, like this is where you come in like January and pull the reports, the comprehensive data for medicare, opt out npdb and then Sam oig. So this is where this lives. Okay. Currently, today… CMS preclusions, ofac, death master file and medicaid exclusions. Those four monitoring… items are not currently integrated in the platform. But what that means is to date, we use like a third party vendor called streamline and that’s turned on. So what will happen is you will receive an email from me with an encrypted report towards the beginning of every month and it will have like two tabs. One of them is like all the providers and all the queries that were done. The second one lists all the sources. And in that list, it’s going to show you… all of the state medicaid exclusions. And then, and so, and it’ll also show you CMS preclusions as an item. But that report that I just said you need to send us monthly that actually gets like uploaded it’s so convoluted gets uploaded on the back end. So that’s what it’s querying against, but it’s going to show there in that report. So part of the monitoring is available in platform. Now, it’s not ideal. And nobody loves to have to go to two different places to kind of like piecemeal some of this monitoring data together. Engineering knows about it. It, I keep any opportunity I get to tell our engineers that we really need to get it in the platform. I take that opportunity. So, but for now that’s what it’s going to look like. So, and so usually around, so for me personally, like I have to go in at the beginning of the month and pull all of those external reports so that I can send them to, my clients. And so I block off, just made it a habit to where I block off like a good chunk of like the first Friday of every month. So it’s you know, if you need it sooner, just email me. Hey, Colette. Is this happen to be ready yet? But, and I can always retroactively go pull them if you know. So like don’t worry about that. And I think next month will be the first one that you really see. And so on our one of our calls then we can just use some time to kind of cause it’ll look different. And so we can use some time where I can just kind of show you like, okay… got it. Do you, is?
Mikel Sprawling (17:49) There an option. So I know centene is going, they didn’t you know, of course, count to inclusion list to us. I mean for us right now, is there an option to have the dev master file sent to me like the queries like to, you know, what our providers roster now? Or do we have to wait until the next month? Let?
Collette Waddell (18:14) Me see if we’re able to download one of these reports now before, okay… April that’s yeah, April.
Mikel Sprawling (18:24) Yeah, no, I get it. Yeah. Okay. For.
Collette Waddell (18:26) a minute, I’m like, yeah, what are we going into? Yeah, let me find out. Okay. Now, I want to say… there was one hold on a second… because this one.
Collette Waddell (18:47) So I think I noticed. So this was a file, a new newer file that was like just loaded and then just, you know, we were just worked.
Mikel Sprawling (18:57) Excuse me. Okay. So, right.
Collette Waddell (19:01) Now… okay. So when you come into Vanessa’s profile, you’re going to see this here like and it’s going to just show you, it doesn’t really like give you a, it just shows you what was queried and that nothing was found. Okay? Now, you see here where it says excluded, this was the piece that I had to submit to our engineering team so that it displays in your, in the PDF. Okay? Right now, you won’t, you’ll see it in her profile right now. You will not see it as like a listed like here, you can see medicaid exclusions but opt.
Mikel Sprawling (19:44) Out. So.
Collette Waddell (19:45) What I just had to submit to our engineers is like in the packet in this, I want it to show death master file and CMS preclusions.
Mikel Sprawling (19:57) Okay. Because.
Collette Waddell (19:58) It was just enabled, right? When this provider was, her profile was being generated like.
Mikel Sprawling (20:05) You’ll see?
Collette Waddell (20:06) It here… it’s just not pulling into the application yet, got it. But it’s in her profile, however these providers because they were added before it was turned on like Hobie, for example, I didn’t see it in there or it might have been one of the one of the previous like it, but it will, yeah, now, you know, moving forward. That makes sense. Okay. But yes, the streamlined report, I can reach out to our credentialing team to see if they can download one of those so that I can send it over to you now.
Mikel Sprawling (20:43) Okay. So that you can just like, awesome. Yeah, that’d be great. That way, I can add it too because one of the required pay requirements is for us to show it on the log. And that was one that we did not do internally just because we were establishing the credentialing department and everything. And so it was one that we didn’t do. So, I’ve been trying to like make March the month that I implement this out to get the credit committee used to seeing all that stuff. So, yeah. Okay. All right.
Collette Waddell (21:16) And I’ll let you know as soon as I have an update from the engineers about when it’s going to start showing in the credentialing PDF application.
Mikel Sprawling (21:24) Okay.
Collette Waddell (21:26) But again, you’ll start to see it in the profiles like we just looked at, but I’ll see if I can get a report pulled for it. And then in this little section here, I did go ahead and list out which monitoring item and like in parentheses where you find it like it’s okay. This is in the analytics tab on this report and then the ones below just calling out that right now, it’s an external report that’s emailed to you monthly. So.
Mikel Sprawling (21:55) Got it. And I.
Collette Waddell (21:57) assume that I should only be sending it to you. Do I need to send it to anybody else? No?
Mikel Sprawling (22:03) Just to me for compliance, Brittany does use streamline verify too. She does it for the stuff that she has to do, but we weren’t we don’t we weren’t open for the preclusion list and the deaf master file. And I needed to be in the individual files. So, but she does. And then she has, the way she reviews it for compliance, she doesn’t necessarily have to make notes or like she does. And, you know, of course, she has a hit but it doesn’t have to go to committee and stuff. So, yeah, her workflow is different. So, yeah, to me, it’s fine just to send it to me.
Collette Waddell (22:36) Just to you. Yeah. And if that ever changes, if I need to add another person to the email and it’s just a standard like email here attached to your monthly report. Yeah. And it comes through securely. I have it default. Okay. The secured link, it’s like a hyperlink to get access, the report. It defaults to just being good for 90 days. But, okay, if, like I’ve had some admins be like, hey, Colette, that link expired. And so I can go back and resend it like it’s no problem, but I just have it intentionally. So that way it’s not lingering out there like, you know?
Mikel Sprawling (23:08) That, yeah, I.
Collette Waddell (23:09) just, I don’t know that’s too much confidential information, you know, that can be, yeah.
Mikel Sprawling (23:13) No problem. Okay.
Collette Waddell (23:15) Okay. So, and then I just put a note here about the engineering request to have it added into the pull into the applications for the credentialing files. You asked a question here about? Can you provide a monthly report of the edit dates and file completion dates for credentialing? I want to make sure I understand exactly what you’re trying to get at. So.
Mikel Sprawling (23:43) I made.
Collette Waddell (23:44) an assumption, but, okay. So under the analytics credentialing… and I hyperlinked it, I included the little click path there analytics credentialing.
Collette Waddell (24:03) And I don’t know if you’ve looked at this and I don’t know if this is what you’re looking for, but I’m gonna go here first. Okay… scroll down in… this summary data, credential data table. This has all your providers. But then over on the right hand side, you can see the date that the credentialing was requested, when the provider completed it, like AKA submitted it when the file was marked ready and moved to your queue in that ready queue when it went to committee, and when it was closed, and the outcome, like was it approved? So that would have been approved on 126, if that makes sense. I don’t know if this is what you need.
Mikel Sprawling (24:54) So the way I read it and I’ll definitely clarify with centene, is, that would work in addition to if there’s any changes. So say, and we don’t see it a lot because with the ncqa, it’s a shorter credentialing process but say a verification for whatever reason was incorrect, like uploaded the incorrect providers verification was uploaded to another provider’s file. Is there a way that, or is that a report that can be generated to be sent to me like for our folks for our providers? A?
Collette Waddell (25:29) Data chain, like data changes like?
Mikel Sprawling (25:32) Well, I mean… yeah, but I think I read it more of verification. Like if there’s an issue like what’s done to correct it… and it may not happen a lot, but the way and I’ll again, I’ll go back to centene, but the way I think I read it is, so say if something is attached to the incorrect provider’s profile, is there a way, an error report that’s created or generated to review to see what was done? Like, okay, for instance, did we replace this document? And when we replace this document, right?
Collette Waddell (26:10) Did they send this over to you by way of in like an email or something by chance? I’m just, I would love to just get my eyes on maybe what they said, oh.
Mikel Sprawling (26:21) Look, it was, it isn’t documentation. It was, I’m trying to remember what I was reading, what I was working on, our stuff. I have to go back, call it because I don’t remember exactly which document I.
Collette Waddell (26:33) Get you the answer that you need. So that’s really the reason why I’m asking, okay, if you can find it. So as it relates to data changes. So we, there’s let me just get back into, okay. So we being ncqa certified as a cvo, we also have to, we have our own credentialing… information integrity policies, and we have our own cii audit that we have to do for our own like universe of files. And that’s done once a year, pretty sure it’s once a year where they’re going in by, they, I mean, like our credentialing director, credentialing operations are pulling, you know, like a percentage of our credentialing universe of files that we’ve processed across the board and going in and reviewing the data changes. And if the data when the data was changed, did we capture, did we log the appropriate like reasonings and, you know, did it meet what our policies say like as acceptable changes?
Mikel Sprawling (27:43) Okay. So.
Collette Waddell (27:44) We do that ourselves and we can deliver like I can put in a request, for a… report to be generated for you. It’s showing that when we last did it, I think we’re about, I think the last one I had to share with a customer, I think we did it in may of 25 because I remember our director of operations letting me know that they’re coming up on like usually April may is when they’re going to be redoing it. Okay? So, happy to.
Mikel Sprawling (28:23) Yeah. And that’s what I need it for. It’s because we had, so we’re able to inform centene of the one that you all have like internally with medallion. However we have to have an internal one too. So that’s yeah. So that’s what I needed it for just to, you know, show that we are checking, you know, just to make sure in case they come back and ask any questions, right?
Collette Waddell (28:49) So… I don’t let me do some, not entirely. Okay. Have we shown this isn’t like a exportable report, but have you seen where, when you’re in a provider’s profile, you can click the different chapters and it shows you the edit history. Okay? So in these different tabs here, like you get that little hyperlink that I just clicked on, and it actually shows you the log of who made or what changed and who changed it from this to that. Okay? Now, to my knowledge, this isn’t like some raw data report that we can report out on. But I wanted you to just know that this is here so you can come in and see, okay, you know, the provider here like added, you know, they selected their gender, they added their primary phone. And down here, you can see where you, it’s when you created her profile, added her first name, last name, and citizenship, and then that, and then, you know, so this shows and… here like licenses, for example, this is a good one. Okay. It’s lagging on me. Same thing. So you’ll see this pop up for them just to see what was changed, what was added? You can see if something was deleted, it’ll show you what was deleted. So just wanted to call that out. But let me do some more. Yeah. And if you could also maybe see what exactly they mean? I just want to make sure like I can get you what?
Mikel Sprawling (30:38) You need? Yeah, I may have it here in my notes, but I won’t take up time, but, yeah, I will get that over to you.
Collette Waddell (30:45) Okay. Yeah. So all right. So I may have misinterpreted that also on the report builder, you can select a report type for credentialing service request. And then I know you get options of like data points to pull out like when the application was submitted, when it was approved and all of that stuff.
Mikel Sprawling (31:05) They.
Collette Waddell (31:06) don’t have a direct contact for our payer enrollment team. We don’t, I did.
Mikel Sprawling (31:14) Are.
Collette Waddell (31:14) you still experiencing that error when trying to click that support bubble?
Mikel Sprawling (31:20) Well, I did, and then I did it. I did it a different way and somebody, it was for the Oklahoma medicaid and someone did create. I did the support and did it that way instead of trying to do it within the actual option. Does that make sense? Like I went to actual support? You went to?
Collette Waddell (31:38) Here?
Mikel Sprawling (31:39) Center bubble and I sent it that way. They opened a ticket. I just haven’t heard back yet because one of the requirements was a Dea for our medical director, however we don’t prescribe. So we’re trying to see if we can submit a, what’s it called. I asked them the question a waiver?
Collette Waddell (32:01) Like a waiver. Yeah.
Mikel Sprawling (32:02) I asked about that because it is an enrollment that we need. So, yeah. So I did it that way. So that piece was covered.
Collette Waddell (32:10) Okay. One, this had, I had seen another colleague also had an individual had it word that like when you’re on the actual like enrollment request line, they were also getting a little like when you click here, they were also getting an error. Oh.
Mikel Sprawling (32:33) Okay. This.
Collette Waddell (32:35) Is what I think you had tried to do the first time and you were getting a little error message.
Collette Waddell (32:43) Troubleshooting. What I saw internally was, you know, clearing your browser cache or history, but I don’t know if that resolves it or not. It doesn’t seem to be like a widespread thing though. So that’s okay. It’s hard for them to try to recreate the issue because it’s not like a, got it. It’s not impacting everybody that’s.
Mikel Sprawling (33:06) good. But,
Collette Waddell (33:07) next time, like if you try it again and you still get like maybe after you clear your browser’s cache, if you still are having an like not, and you’re getting that little error that it was throwing at you before, let me know because maybe they, okay, dig further into it, but I just,
Mikel Sprawling (33:26) yeah.
Collette Waddell (33:33) I know. Hold on one thing.
Collette Waddell (33:40) I’m happy to, if you have that ticket number and you don’t have to send it to me or right now the one that you had inquired, yeah, I’m happy to check… internally on kind of where we’re at with that help nudge?
Mikel Sprawling (34:00) Awesome. If I can help.
Collette Waddell (34:01) There. Yeah. And then I know you were asking about generating reports from the notes, And you were about existing enrollments, right?
Mikel Sprawling (34:15) Yeah. So, for instance, because a lot of times what they’re typically, what they’re used to now is looking at a spreadsheet and they can go and see the different, you know, the various things that we’ve done within enrollment. And so, while that’s not necessarily important to all some, it is important to, and, I mean, we, as a team, we know we can go there and check to see the note, but I was just curious if that’s something that we could report out. I haven’t.
Collette Waddell (34:44) seen that.
Mikel Sprawling (34:45) Okay. But let.
Collette Waddell (34:52) me do some digging. I don’t know if.
Mikel Sprawling (34:54) There’s.
Collette Waddell (34:54) anything that could we could put in at least maybe the analytics tab like that might show it. Yeah… the note, the notes on like all the different places doesn’t seem to.
Mikel Sprawling (35:08) Be okay. Let me,
Collette Waddell (35:12) come back. Let me do some research on that.
Mikel Sprawling (35:14) Okay. No problem. Whatsoever. It’s just trying to, you know, I,
Collette Waddell (35:19) know.
Mikel Sprawling (35:19) Things are going to change once we get out of that spreadsheet all together. So, I’m just trying to cover everything I can think of that I’m going to be asked later.
Collette Waddell (35:28) Yeah. Okay. I know we’re over time, I have a minute or two. Oh, okay. No, no, no, we’re fine. Okay. Let’s see. Is there an option to add a pending or an in progress in existing payers? Do you want to screen share so you can show me what you?
Mikel Sprawling (35:47) Mean by that? Oh, yeah. Absolutely. I’ll show you because one of the statuses that they look for internally with that spreadsheet is they look to see if something is not started submitted in progress. They look for those types of things to see where we are with it. Give me a second and I will share and this is on three. Okay. So for instance, let me think of somebody. I think I always use Liz as an example because she’s been here the longest. So going into hers, for instance, when we go to add an enrollment, we would like to have an option to just show pending or in progress or in process. I know, you know, it depends on the terminology depends on the person. Hold on. So in existing payers, if I were to add an enrollment and say, I’m doing, I don’t know any state medicaid, like a state medicaid, but there’s no option for us right now to show that it’s in progress. The only thing that I’ve seen to utilize was in billing status and in market inactive. But another thing that kind of follows along with it, they don’t necessarily see the notes that we would enter on here and everybody isn’t going to like, I’m not going to give all of our stakeholders access, you know, but I was curious if there’s a way because as far as working on a way to integrate the information with lec, AI, I was just curious if there’s a way to like show a status for pending. So at least they can understand pending means in progress here. Okay? Let.
Collette Waddell (37:38) Me do some homework on that one.
Mikel Sprawling (37:39) Okay. Yeah. Okay. Yeah.
Collette Waddell (37:43) Let me do some research there. Got it. All right. Don’t have an answer for you on that today?
Mikel Sprawling (37:49) But no, it’s okay. It’s okay. And I did tell him, I’ll let Forrest know as well, but it is something internally that we were like shoot, we don’t want to market inactive because it’s going to be interpreted. We’ll have to explain it every single time. Yeah, I just already know, I’m going to have to explain it every single time. What that means? So, yeah, I was just trying to figure out if there’s a way that we can have something that shows in progress or, you know, any pending that type of thing just to be able to assist, you know, other folks that have to look at the enrollments, right?
Collette Waddell (38:23) And this is really to capture existing enrollment data, not like related to a new enrollment that you need medallion to process.
Mikel Sprawling (38:32) Not necessarily. Well, it would be great for those that medallion is processing to show pending too because they will be looking for those as well, but mainly just to show, well, yeah across the board because they look for all of that. They’re going to look to say, okay, well, this has been in progress for this long. When is it submitted? Or do you know what I mean? Like it’s other people is going to interpret it a different way. Do me a favor. Click the.
Collette Waddell (38:59) Payers tab up like up next to where you see her profile, verifications, licenses, practices, click payers here. Okay. Click. Okay. So click the enrollment requests tab. Okay. So this is where you’re going to see any open requests. Once they are completed. They move over into that second tab where you see just where your mouse is hovering over right now, where it just says enrollments. I don’t know if that helps.
Mikel Sprawling (39:38) So, it does for the ones that you all would do for us. But then internally, is that, should it show the same way? Well, no, because we don’t have, I don’t think we have that option because we either have the market inactive or active.
Collette Waddell (39:57) Click because that bottom one said client who’s that Elizabeth? Okay. Yeah.
Mikel Sprawling (40:03) This one, I know. I think I did this one during the implementation.
Collette Waddell (40:07) I was going to say that looks like it might be implementation related.
Mikel Sprawling (40:11) I.
Jacqueline Jones (40:11) have an idea. Forgive me, do?
Collette Waddell (40:13) You? Yeah, no, please?
Jacqueline Jones (40:15) Oh, yeah. How about, if, and I think I’m pronouncing your name correctly, Mikel, If you were to download this information and pivot it out and then distribute to your staff, you see where the down towards the end. Well, on my right? I don’t know if it’s on your right or not at the very top. See that downward download the information. Of course, it’s going to come out in like a spreadsheet form. Okay? Once it downloads, you can go in and, you know, you can best ascertain what you want your internal folks to see and then pivot it accordingly, and then distribute statuses and so forth. That way that’s the idea that I have. Okay, I don’t know if that’s beneficial or not.
Mikel Sprawling (41:03) No, it’s helpful. He’s also trying to figure out a way to do it in that lec AI piece too. Yeah. So, yeah, I’ll so, but that’s a great way to do it as well. And then what I’ll do is I’ll share that information with him that right now, the only options we have are either for the billing status to be active or inactive. And then you’re going to let me know about the notes.
Collette Waddell (41:29) Yes, I will do some notes. Okay. I did, and I don’t know.
Collette Waddell (41:44) And, okay.
Mikel Sprawling (41:45) Click.
Collette Waddell (41:46) That integrations tab on the far left hand side, we’re going to go back to where we looked at that API thing. And then do you see up towards the top? It says API docs, click that and I assume that Boris would have already seen this.
Mikel Sprawling (42:06) Okay.
Collette Waddell (42:08) There’s this tab up towards the top next to overview. It says API reference. This is going to show every single like field and section that can be like exported out through like an API. Okay. I don’t know yet. Like if the notes live anywhere in here, but just, it was just a thought as we were talking. So again, and then when you expand these, like there’s payr, there’s a payr enrollment section.
Mikel Sprawling (42:40) Keep your documents when.
Collette Waddell (42:43) you click on these, they get real technical. You see all like the code, you know?
Mikel Sprawling (42:48) Like I.
Collette Waddell (42:49) don’t.
Mikel Sprawling (42:49) want that.
Collette Waddell (42:49) But this might like… yeah, on the left there’s payer enrollments, and then click the first one where it says get payer enrollments. And so, like again, this is somebody for somebody who knows what they’re doing like. But this may be down here because down here, if you start scrolling down, you can see like the kind of the data call for like the line of business, the payer entity, the practice, the provider… and so on. And so forth. Again, I don’t know if notes lives anywhere here, but I just wanted to like mention that maybe it does. I have no idea. Okay?
Mikel Sprawling (43:32) No, not a problem. Thank you. Yeah.
Collette Waddell (43:35) No problem. Yeah. More to come. I’ll do some digging there to see if anything, if there’s any way that we could maybe even have it just generated into like that analytics somewhere. I don’t know… I’ll do some homework on that. Okay?
Collette Waddell (43:51) I know we are way over time. I owe you some follow ups for additional things that we weren’t able to get through anything else that I can help with like before we wrap up.
Mikel Sprawling (44:04) No, those are the priority items there. So that would be great. And then I’ll get that verbiage that I saw with the centene stuff and I’ll send that to you so you could take a look at it. Perfect. I’m going.
Collette Waddell (44:18) To go ahead and submit the centene, the request to have this report starting to build. I just know when they get that and see it, they’re going to then come back with those questions that I posted in our shared. So, but that way at least I’ve already like created a ticket for it and it’s on their radar and so, and it kind of buys us a little time to like get, you know, kind of know exactly how to respond to their questions that they’re going to ask. So.
Mikel Sprawling (44:46) Okay. No problem. Yeah, I’ll answer that. I’ll put some answers on there, yeah. And.
Collette Waddell (44:52) We will sync next week.
Mikel Sprawling (44:54) Yeah, absolutely. Thank you, you’re.
Collette Waddell (44:57) very welcome. And I just wanted to mention that I am out of office the week of the kids, spring break, the week of April six. So I’m going to cancel our weekly call then, but we have the one before and the one after. So got it. You should be fine.
Mikel Sprawling (45:15) Yeah, I’m sure. Okay. Thank you. Great to meet you, Jacqueline. Thank.
Collette Waddell (45:21) You pleasure. Thanks for letting me join. Yeah, thank you.
Mikel Sprawling (45:25) Bye.
Collette Waddell (45:26) Bye bye.