Transcript
Josh Brunell (00:00) good morning.
Samantha Bouchard (00:04) Hey, josh. Good morning.
Samantha Bouchard (00:10) I have the latest daycare illness.
Josh Brunell (00:13) Oh, no, I’m sorry.
Marie Ferailleur (00:17) I.
Josh Brunell (00:18) am.
Samantha Bouchard (00:19) You get it. So morning?
Josh Brunell (00:21) Yeah, I actually, I’m feeling okay, like I’m feeling good, but I have like a congested kind of cold thing going on.
Samantha Bouchard (00:30) Yeah, we sound the same. We’re just like all these people will be lucky that they’re not in person with us. I know.
Nneka-Shay Grant (00:38) Morning, guys, Melissa’s here. Do I let her in?
Josh Brunell (00:41) Yes.
Nneka-Shay Grant (00:42) Okay, awesome.
Josh Brunell (01:02) Hi, Melissa. Hi, Leticia, hello. Good morning.
Marie Ferailleur (01:10) How are you guys?
Nneka-Shay Grant (01:11) Morning. Wow. How are you?
Marie Ferailleur (01:14) Good.
Josh Brunell (01:17) I forgot. Is it Leticia who’s west coast?
Samantha Bouchard (01:20) Yes.
Josh Brunell (01:21) Nice. I forgot to ask you. Where are you in like San Diego, la, San Francisco north?
Marie Ferailleur (01:28) County, San Diego, north county. Nice. Okay. You familiar? Yeah.
Josh Brunell (01:33) I was just there. I was just at the well near there. I was just at the wild animal park with my kids on Sunday for our birthday. Oh,
Marie Ferailleur (01:40) yeah, that’s really close.
Josh Brunell (01:42) Yeah, I’m in orange county. I’m in Michigan. Oh, okay. Okay.
Marie Ferailleur (01:47) So, yeah, you got out before this heat wave man. It is crazy. I was like, am I in Florida? What’s going on here? I,
Josh Brunell (01:57) know it’s been hitting nearly 100 every day. Yeah.
Samantha Bouchard (02:02) All right, guys. We’re at like 35 here in south of Boston. So, I would like some 100 degrees.
Marie Ferailleur (02:11) 35. No… those are two extremes, right? We don’t want either one of those.
Josh Brunell (02:17) I.
Samantha Bouchard (02:17) know, we got up to like 72 weeks ago, and I almost wish it didn’t happen because it’s just such a tease.
Josh Brunell (02:30) Just before we kick things off, I see Marie just joined anyone else we’re waiting on your team?
Marie Ferailleur (02:37) No, that’s it.
Josh Brunell (02:38) Perfect. Cool. Anika, thank you for helping coordinate this and put this together. I know Melissa and Leticia, you had the opportunity to meet… Anika and I last week at himss, and we appreciate the follow up discussion. Excited to get into it before we do. So, maybe start with rounding out introductions on the medallion side, and then maybe pass it back to your team for. Sam, I’ll pass it to you. Obviously, I mentioned she’s our technical solutions consultant. She also used to support our customer onboarding. She was on our implementation team, good resource to have and to ask questions to anything technical or process related. She’s a great advisor for us, Sam. I’ll pass it to you to introduce yourself. Yeah.
Samantha Bouchard (03:28) Thanks for the nice introduction. Josh. I think you covered most of it, but, yeah, Sam Bouchard located south of Boston, which I highlighted. We’re very cold over here. Still got the stove going. And, yeah, I’m josh’s counterpart for anything product or technical related. So, Melissa and Leticia, it’s really nice to meet you.
Nneka-Shay Grant (03:50) Yeah, and I can do a quick intro as well, Melissa, Leticia, Marie, I know we met at himss, but just wanted to give a quick intro as well. My name is Anika and I’m on the partnerships team here. So I work closely with josh just to evaluate organizations that might be a good fit for medallion. So we’re really excited to have a conversation today.
Marie Ferailleur (04:14) Good morning. I guess I’ll go next. This is Marie. I did meet josh and I’m sorry, Nikesha.
Nneka-Shay Grant (04:23) Anika?
Marie Ferailleur (04:25) Anika?
Nneka-Shay Grant (04:25) Sorry, no worries.
Marie Ferailleur (04:27) At himss. We love the product and I am looking to hear more and how you guys can solve all our problems.
Josh Brunell (04:38) Yeah. Let’s dig into it. And I guess before we do, I just want to make sure I’m respectful of your team’s time. We have about 25 minutes left in the meeting. Do you all have a hard stop that we should be aware of? Just want to make sure if so get you out early?
Marie Ferailleur (04:52) I don’t have a hard stop. I don’t either. Okay if.
Josh Brunell (04:58) Conversation goes well and you’re looking to dive into more questions, happy to keep it going then, but yeah, I mean, I’ll just dive straight into it and we could just align on the agenda and make sure that we have a good plan as far as what to cover. But I mean at the highest level, just like want to obviously dive into how we’re supporting similar organizations, but in particular, better understand your current state, some of the objectives relating to these processes around credentialing enrollment. I know we talked a lot about like medallion and how we’re different than say a Healthstream or modio when we met at himss, but I think it’d be really interesting for us to just better understand your current process and workflows and teams and where you’re seeing the biggest struggles and challenges. And then we can direct you in the areas of the platform where we could best assist. If after today’s call ends, you feel like, hey, this isn’t a fit or at any time that you feel like, hey, this isn’t a fit for us. Just let me know. Happy to put time back in your day. But at a high level, agenda wise, does that look like a good use of our time? Yeah, perfect. Awesome. So I won’t spend too much time here, but I think it’s good to just kind of level set on who medallion is, the problem we’re solving. And just… at the highest level we were founded in, we were, you know, we are what you call a provider management database platform. And what that entails is everything from onboarding providers, collecting that data upfront and then using that to then submit credentialing files, payer enrollment applications. If you’re also doing any sort of privileging or facility enrollments or anything of that nature. We can support that as well as securing new or state licenses or renewals, basically anything that is needed from point of hire of a provider all the way through till they’re billable and seeing patients. We handle that and automate a lot of those back office processes with their platform to drive faster turnaround times, reduced operational costs, and really just a better experience for your administrative team, your providers, the organization as a whole as far as the different products. Once again, once we offer, this is kind of that list I just called out and I think the big part here is like you all had mentioned that you’re using two systems today in modio and Healthstream, our thesis and how we look at, you know, at the market differently and where we differentiate ourself. Is that is how we really engage with our partners. In particular, where we stand out is that we actually commit to the outcomes that we are, that we talk about here today. And during this process around faster turnaround times and accuracy. In particular, I know with Healthstream or modio, it’s hey, you buy a platform that you’re using to track the process but not a lot of automation, very manual. And they kind of implement you train you and say, hey, you’re on your way with medallion. We actually are going to be a partner that’s going to help you from an operations standpoint. Both obviously giving you a cloud based platform where you can automate the process but then actually stepping in to deliver these outcomes as well with services that back it. And so that’s really the differentiator. I just want to kind of pause and see if there’s any questions around that before we dive into maybe better understanding your process. No, no, we’re good. Awesome. So with that in mind, this… obviously varies by organization. But some of the common themes that we see is that, hey, this process is manual. It takes a long time. We spend a lot of time collecting provided data that also contributes to us not getting applications out the door very quickly. We see high resubmission rates as well because there’s a lot of… inconsistencies in how payer enrollment applications, for example, are the different data that’s needed per application may vary by state by entity by payer. And so it leads to, you know, multiple downstream issues. I just would love to hear a little bit more about your team’s process today where you feel the biggest bottleneck is and then maybe we can just focus on the kind of outcomes that we can walk you through with our platform from there. Is this all these kind of metrics here are just what we see on the average, but, you know, we’d love to just talk a little bit more about your process if you’re open to giving us a short overview.
Marie Ferailleur (10:07) Melissa, you want to take this one for credentialing or Leticia, you might want to do it? Melissa, I wanted, I was just about to ask, yeah.
MelissaFeliciano (10:14) Sure. So currently, each credentialing coordinator has its own method of contacting the providers for their own client, for their own set of clients. For example, I work closely with the clients and I collect the information from the providers. And then if there’s any lacking signatures, I’ll go ahead and I’ll send them via DocuSign. And then once their cois have been issued, I go ahead and I’ll update caqh and contact each payer and then just follow up as needed until we get those approval letters. And then we use a lot of excel sheets, Smartsheet Google sheet to house the information, our workflows and then letting the on the billing side know of when these doctors are good to go. That’s basically it like how we’re doing it right now. We’re currently just doing everything manually with excel sheets and there are times in which we might have multiple spreadsheets with the same information. And then it could just get a little chaotic sometimes.
Marie Ferailleur (11:29) A little chaotic is understatement… because we are definitely needing to streamline all of this.
MelissaFeliciano (11:38) Yes. Yep.
Samantha Bouchard (11:39) Yeah. Exactly. Well, if it makes you feel any better, you’re not alone. We hear this josh all the time of the spreadsheets, just getting overwhelming and really hard to maintain especially as your business is scaling and growing and you’re adding new individuals to the team. So, Melissa, like we hear you, we hear the pain. I was just curious like can you estimate when you’re kind of collecting that initial information, collecting signatures before the cois, like on average, how long does that take? Sometimes we hear, you know, 15 plus days, just curious to just.
MelissaFeliciano (12:15) Around that’s the ballpark. It could be anywhere from a week to two weeks. It all depends on that individual provider. There are times in which I would have to follow up multiple times in different formats, whether if it’s a phone call, a text, an email, going directly to the client and saying, hey, so, and so is not replying back. I need this information. Yeah. So it just takes multiples and then multiple people to contact certain doctors. Yeah.
Marie Ferailleur (12:45) I’ve gone as far as more than 15 days. Honestly, I have a provider I’m on 30 days right now. Wow, and about to pause on that enrollment so that I can move on to the next one, right? So.
Josh Brunell (12:58) Yeah, major problem. Just curious and taking a, even maybe a step back a little bit given your model like supporting multiple radiology groups, like I’m curious to understand like is the team kind of divided based off of like, hey, you know, this team member, this team member is supporting, you know, these handful of customers or is it kind of like a shared responsibility across the entire org to?
MelissaFeliciano (13:24) Support all companies currently. It is. So I handle two clients. The other credentialing coordinator handles another number of clients. And then the other credentialer handles another number of clients. We typically just stay within our own clients. It does not mean that we don’t assist each other, but we currently, typically, we just stick with our own client.
Josh Brunell (13:51) Got it. And assuming as, the customer, the client base grows, then your team is trying to match that right now with more headcount and capacity due to the fact that it’s a very manual workflow today.
MelissaFeliciano (14:04) Correct. Yes.
Josh Brunell (14:06) On the caqh piece. So going from collecting that data to going into caqh, it sounds like you’re I mean, from your website as well. It seems like you’re looking to provide a really white glove service where you’re actually handling and managing and owning that caqh profile on behalf of the providers that you’re supporting and updating those on a recurring basis. Curious to understand. Like is there a dedicated, are all those individuals doing that as well to, for their customers?
Josh Brunell (14:34) Yes. Okay. And obviously, you have to handle attestations on a quarterly basis. But you’re also having to do those updates prior to submitting the payer enrollment applications. Like, is that a big time investment as well?
MelissaFeliciano (14:48) Yes, it is. It does take it’s very time consuming. For example, I may have, one of my clients is 84 providers. I just did all of their attestations, their cois are getting ready to expire. So once they get issued in mid April, I have to go right back in to those 84 upload, you know, enter the information, upload the new one. So it’s just a constant and that is prior to their attestation, 120 days.
MelissaFeliciano (15:18) So then I’ll between the attestations, I may go in there once or twice depending on what type of update the ceqh file needs.
Josh Brunell (15:29) Yeah, we hear that a lot and yeah, it’s difficult when you’re having to bounce between spreadsheets, caqh, the payer portals, email all that. Well, I mean, I, I’m happy to, I guess talk about like a little bit of where we can help, on that front. One other piece of this which I think we can maybe dive into, in a future conversation in more detail is like on the payer side, I assume since you’re working with so many customers, they just, you say you bring on a new one. They just say, hey, these are the payers we work with like and enroll our providers, correct? Like, it’s not the same across every single group you’re working with. I assume. Yeah.
MelissaFeliciano (16:19) No, yeah. Each group has its own set of contracts, yes?
Josh Brunell (16:23) Okay. So you’re managing multiple contracts, multiple tins, multiple orgs, in multiple states, I imagine as well or all in Texas, correct?
MelissaFeliciano (16:33) No, it’s all throughout the.
MelissaFeliciano (16:42) State, for example, I have a client that is in California and in Illinois, and currently, they are looking to expand into Pennsylvania and potentially Texas. So, yeah. So that particular client is expecting to grow. Are.
Josh Brunell (16:58) the enrollments that you’re doing the majority of them, I assume are like direct payer enrollments, correct? Do you have any relationships or do your customers have any relationships where they are either submitting via roster or have, you know, delegated credentialing agreements in place?
MelissaFeliciano (17:16) We don’t have delegated agreements. There are some that will accept the roster template. So, like, for example, some of the blues will accept the roster and unitedhealthcare… Aetna. And typically those also are on avelity’s, pdm that as long as you keep that updated, then they will add the provider to the group’s contract.
Josh Brunell (17:44) Yep. Okay. That’s helpful. Hey?
Samantha Bouchard (17:49) Josh, I just had a quick question here for Martha too. So where does like modio and credstream come into this process? Are you storing some of the data in there?
MelissaFeliciano (18:00) With modio, we’re currently using it just for our radpod side. And then the Healthstream was in place prior to me starting with civie. And that is currently just being used to house information. So when I first started with civie, when I looked in there, it didn’t really, it wasn’t user friendly at all. And I had at the supervisor at the time I said I cannot work in this system. We need to look at something else because it is not user friendly, the way that we have to update information. And so I currently don’t use it, however, we do have a facility credentialer that uses it for one of the clients that we do both facility and payer credentialing. And then we also have another credentialer that just uses it to house provider information and her payer enrollment information in there.
Samantha Bouchard (19:00) And those are different than the initial cred specialists that you mentioned that each have a number of clients.
MelissaFeliciano (19:08) We’re all the same. We all work in there the same. So like for example, my co worker does her sets of clients in the Healthstream. So she houses all of the new doctor’s information. She’ll type it all in there. And then she’ll make her notes within that Healthstream portal. And so I’m not really sure how she keeps her excel sheets because we’re not really so.
Marie Ferailleur (19:31) Basically, she does have excel sheets but all her updating, she does it in the Healthstream. So she’s just bypassed the process of having these many excel sheets that she’s updating and everything is housed in Healthstream but it’s still a manual process. Got.
Josh Brunell (19:46) It… any other questions, Sam, before I kind of dive into how like what our turnaround times look like and a little bit of the product.
Samantha Bouchard (19:59) I think I was just curious if like, you know, for these individual payer processes, like are you storing those just generally on like a word documentation? And like how are you maintaining? Like if their process changes? Like are you finding out from a, you know, potential denial in that case or how are you guys maintaining the payer requirements today?
MelissaFeliciano (20:22) That is individually per credentialing coordinator. I know, I keep notes on each of my payers that we’re contracted with. So then when I submit a brand new doctor, that is the process that I do and if anything changes, the insurances are really good at letting me know if the process has changed or if there’s a new email address or a new template that needs to be followed. And then I’ll go ahead and I’ll update that according into my files.
Samantha Bouchard (20:58) That’s, super helpful, Melissa. So it sounds like, you know, you guys are kind of each monitoring these, you potentially could have payers that overlap but you’re not necessarily like sharing that documentation, correct? So I can, yeah, I could see some challenges there. No, that’s helpful. Thank you so much for all the information. I definitely have a better sense of kind of how you guys are doing this today. And it really helps me personally focus when we, if you know, you all do want to move to a demo, really like what to highlight for you and how we can solve some of these challenges. So I appreciate it.
Josh Brunell (21:34) Yeah. And then as far as like I will just say like where we’re different is like I mentioned the turnaround times that we’re committing to. I did just want to highlight like what we’re seeing based off of the data across all of our customers. And then I could talk a little bit about how we’re getting there. So some of the ways that you had mentioned manual provider data being collected upfront stored in spreadsheets, and then being, you know, having to manually put that in a caqh. Like a lot of that, I would say the majority of that goes away with medallion. We actually have a proprietary relationship with caqh. And so one of the ways that we help expedite the process to take that, you know, two weeks of collecting data down to just usually a day or two in the platform is we can actually create a medallion profile for your individual provider, and then link caqh to that. And we don’t need a username or password, which is always difficult to track down since we have a unique relationship with caqh that some of these other vendors don’t we actually just need their caqh id, first and last name, and SSN. And then from there, we have a good starting point, right? We typically have, you know, 90 plus percent of what we need to then submit the enrollment applications. All the provider does at that point is essentially accept that like, hey, you’re getting invited into the medallion platform, take a look, make sure all this information up to date, do it a quick E cig. And then from there, your… team can take on that onus and that responsibility of handling the actual requests. So some of the outcomes that lead to is obviously a much better experience for the providers. They’re not having to track down all this paperwork and send multiple data points to your team and obviously reducing the time that you can then get that out the door. And then from, once we have that data in the system, one other thing that’s unique about medallion is that we have what we call payer process guides for each, you know, 900 plus payers in our system. So your team’s not having to do the research of like, hey, we get this new customer. They’re working with the payer that we’ve never worked with. How do they accept the enrollment applications? What are the requirements? Like all that’s already built into the platform? And then we have automation to then go and execute on that. So say it’s a pair portal that we’re taking the data in medallion to and then submitting. It to the payer portal we’re using we could use like a robotic process automation to just handle that. All your team does is essentially hit requests and then the automation takes it from there and you have full visibility of like every step of the process. So when something was submitted, where it’s at, is it being reviewed with the payer? Has it been, are we, is our provider reached par status or not? And then all the follow up emails that are automated through the system are all tracked. So you have full visibility into that as well. And that’s just on the payer enrollment piece. We could obviously do other things such as credentialing generating cred files as well privileging applications or hospital applications.
Josh Brunell (24:48) But on average, we’re getting those out the door in just about three days and we SLA to 10 days on the enrollment side and SLA to three days on when it comes to cred files. And we’re very accurate with those payer process guides. It helps us to not make mistakes prior to submission. We know exactly what’s a clean application looks like. So that downstream on the for, I think it’s Leticia, you oversee revenue cycle. Is that right? Yes. Yeah. So I don’t this is not an area I really talked about with you, but we often see that any sort of claims denials or write offs that are caused by delays or errors in the credentialing or payer enrollment process reduces significantly because we often see resubmission rates on applications go from. I don’t know what it is for your organization, but we typically see around 10 percent double digits down to sub one percent. So, yeah, just wanted to kind of talk about those different metrics there. Get your sense of like directionally, would this be a meaningful improvement as far as turnaround times and process… that we could potentially automate.
Josh Brunell (26:13) Melissa, what’s your thought?
Josh Brunell (26:19) Yeah, I think it’ll work. Yeah. And I know it’s hard not we’ll dive into the platform and I wanted to just, I guess use this time as Sam had mentioned to just better understand how you’re doing things today, so we can highlight the areas of the platform demonstration. One thing other point that I wanted to just maybe get a better sense of today is like… overall like what has been like the biggest kind of… impact on the business? Do you think as a result of some of these workflows? Like do your customers, I guess during the onboarding process, are you frequently interfacing with them? And I know this is kind of like a value added service that you’re delivering on their behalf. Like do you see that speeding up these turnaround times can then be, and then guaranteeing that speed and accuracy for your providers would improve those not only relationships but maybe help grow those relationships as well? I.
Marie Ferailleur (27:28) Can say on my end, for sure, it would, the turnaround time is a major issue on some of the clients that I worked with or that I’m working on right now. And we have a lot of Leticia can attest to this. We have a lot of holes because of pending credentialing and it’s because on our end, everything we’ve mentioned thus far is a lot of manual process… and delays on the provider side. But if we can reduce this issue, then we can move faster and just concentrate on getting what we need from the provider. My question to you, where would you step in to any delays from the provider side? Do we still handle that? Or would you guys handle that via just sending out emails? So?
Josh Brunell (28:17) There’s a few different methods we have what we and Sam, maybe you could talk about like the task automation, and then we could actually partner with your team on like what a follow up cadence, like a good follow up cadence would look like and then execute on that cadence. So if we send that if say we get like 90 percent of what we need from a documentation standpoint, but we need an updated state license or like the PDF didn’t come through for whatever reason, that actually can get tasked out in the platform to both the provider or the administrator. In this case to say, hey, we cannot submit this at enrollment application because we know it’s going to bounce back. We need this piece of info. And so it’ll email. And then we could also set cadences as well of like, you know, when you would want us to continue to nudge them with emails or platform notifications as well as calls. So it’s up to kind of your expectation of what you’d like to you still own the strategy we just execute on the action. So. Okay.
Samantha Bouchard (29:27) Yeah. And I would just add Marie too that where we’re able to have our direct integration with caqh, we’re able to pull in so much of this data out of the gate, which just kind of eliminates some of the gaps. So that really does help a lot. But I’ll definitely highlight the provider enrollment and, or sorry, the provider onboarding experience when we move to a demo. One quick question. I know we’re at time, but are you all running any primary source verifications on any of these providers? And are you also doing any hospital applications to get them privileges at partners or care sites? Or is it just payer enrollment this?
Marie Ferailleur (30:09) Piece is just payer enrollment. The hospital piece is done by another team. Okay? And we did mention caqh, but we’re talking CMS and everything else as well. You do, right? Yep. Okay. Yep. Thank you. So I’ve got a lot of CMS.
Samantha Bouchard (30:26) Do you know if you’re high like at higher? If you’re running just any basic like primary? Like, well, I know you’re working with your partners, but do they look to you to run any primary source verifications at all? Or is it just the hospital application piece? No, there is no primary source verification? Okay. Cool. Well, I think I have everything I need josh.
Josh Brunell (30:53) Awesome. Yeah. And yeah, I think with the time we have, so typically we would allocate like an hour to go through the platform end to end. And when we do so, there’s going to be a few things that we’ll obviously walk through that we talked about how provider day gets into medallion, how we handle and automate the management of caqh, how we automate the process of getting payer enrollments out the door. And then the visibility we’ll give your team from an analytics perspective on where everything is at in the process to drive better efficiencies as well. I think on the, I guess my last question now, I was just thinking about the kind of like the provider follow up. We also do. I did want to just call out like if your team wants to own that great. If they don’t and they want medallion to own that, we actually do have like an AI agent that will do automatic phone calls to them to direct them like specifically as well, like, hey, you know, we’re with medallion, we need you to just send this one piece of information over in order to get you enrolled with this payer. And so will you please do so? So like there’s if you want us to automate that process as well, we can, it kind of varies by customer. So up to you. Yeah… cool. So, would this team have an app? Like probably we need at least 45 minutes to an hour to go through the platform and all those different pieces I had mentioned anytime next week?
Josh Brunell (32:28) Let’s see.
Marie Ferailleur (32:31) I’m open in the afternoons after two PM central… or morning on Thursday.
Marie Ferailleur (32:44) We’re open most afternoons.
Josh Brunell (32:47) We could do any time after. Well, let me see here… on, we could do Tuesday at two PM central. Does that work? Or sorry, did you say central or eastern you?
Marie Ferailleur (33:01) Said central?
Samantha Bouchard (33:07) Yeah, that should work for me, josh three eastern.
Josh Brunell (33:10) Yep. Okay, perfect. I’ll get that invite sent out. It’ll be for an hour. This info was super helpful for us for the demo. We appreciate it. And I’ll get… this invite out to the three of you. Any other questions or areas that you wanted to focus on while we have you three? No, not for me.
Marie Ferailleur (33:35) No.
Josh Brunell (33:36) My.
Marie Ferailleur (33:37) question’s still pending maybe next call? What are your most common concerns from your current clients?
Josh Brunell (33:45) Yeah, I actually have a follow up for you on that, Marie. So I’ll send this to you there’s. I’ll tell you, I’ll tell you like I went and I spoke to my account management team and they said for any, at least on the churn customer side, I could give you like anecdotally, what we’ve seen but on the churn customer side, we actually have like contractual privacy and legal obligations to not refer you to ex customers. Oh, that’s okay from a legal standpoint, but, there’s a couple places I could direct you to. So like gii, capterra, there’s like a number of third party review sites that I could connect you to that I’ve actually looked at. And, and obviously, there’s great things they say in medallion, there’s some obviously not so great things as well, just like any kind of software vendor out there. So I will send you that link to those. And then also like just like talking about it where I’ve when I was talking to the account management team, one of the areas that they said like historically that we’ve seen some challenges with is more so on organizations who are, I would say not either, not in like hyper growth mode, like to where growth slowed down, that’s typically where we see organizations where they say, hey, medallion is an automated service and a service that we’re paying for. As far as that we’re growing, we’re running into these challenges and then that growth flattens or actually decreases that’s typically where they say like, well, we actually don’t really care as much about getting providers in network as quickly as we used to, right? And so they bring it back in house so that’s happened a few times, not necessarily anything related to like the medallion product the.
Marie Ferailleur (35:41) Product.
Josh Brunell (35:42) But just, yeah, where the business kind of direction goes. But if you’re looking to like get like real, what real customers say, like feedback, those review sites, I’ll send you some links to those or I would just recommend any kind of third party software review sites where you can get like direct quotes from people of their experience, good or bad?
Marie Ferailleur (36:02) Perfect. Awesome. Thank you so much. Yep. Awesome.
Josh Brunell (36:07) I’ll send this invite out. Thanks for the additional time and we look forward to the demonstration. I think you all will be pleased with some of the areas that I feel confident we can help with. So, thank you.
Marie Ferailleur (36:20) Thank you so much guys. Thank.
Samantha Bouchard (36:21) you. Thank you for joining you guys on the platform. It was nice to meet you. Thank.
Marie Ferailleur (36:24) you have a good day.
Josh Brunell (36:26) Bye.
Marie Ferailleur (36:27) Bye bye.