Transcript
Collette Waddell (00:00) hi, good morning. How are you this morning?
Dreama Hembree (00:04) I’m okay. How are you?
Collette Waddell (00:07) Hanging in there before?
Dreama Hembree (00:09) We jump in, do you want me to share my screen and like share the agenda or what do you want me to do? So?
Collette Waddell (00:14) I was going to make a recommendation if you wanted to do it. Yeah, when I share screen and I’m like logging into the platform, I always log in and I hijack Lynn’s user account because that way she can toggle between all of the different instances. Like if we, does that make sense?
Dreama Hembree (00:37) So you want me to share the medallion platform? Is that what you mean?
Collette Waddell (00:41) Sometimes I look at stuff together, we don’t have to, okay?
Dreama Hembree (00:44) Maybe.
Collette Waddell (00:45) You just share the agenda, and then if we need to do like look at something together. Like I can just steal the screen.
Dreama Hembree (00:51) Okay. Yes, that’s what I’ll do. I cannot find exactly what she’s talking about. Let me make sure they’re not in the lobby. They’re not, okay.
Collette Waddell (01:01) I see them in the waiting room here.
Dreama Hembree (01:04) I do not see them. Okay. Why is it showing me? I accepted ownership? And it shows me the owner?
Collette Waddell (01:14) Like, I don’t know why and literally, all of them are sitting in the waiting room. I.
Dreama Hembree (01:17) Can’t see? I can only see me and you?
Collette Waddell (01:19) We’ll figure that out later.
Dreama Hembree (01:22) Okay.
Collette Waddell (01:22) What were you? I?
Dreama Hembree (01:24) Was just going to say the humana, denial letter that she’s talking about. I don’t know exactly what she means. I see one in there that there’s a location on garfield that was not active, that needs to be reactivated. So I don’t know if she’s talking about that. So, I guess we can ask her, yeah, like,
Collette Waddell (01:44) does she send something to me? Maybe then I just haven’t seen it honestly. Who knows? No. Okay. All right. I will let them in. Okay?
Dreama Hembree (01:57) All right. I don’t know why that’s doing that.
Collette Waddell (01:58) No, that’s okay. We’ll figure out that after.
Dreama Hembree (02:02) Okay.
Collette Waddell (02:04) Because I thought I did it, right? No.
Dreama Hembree (02:07) It shows me as the owner. So I don’t know why it’s super strange.
Collette Waddell (02:17) Well, saying they’re all joining, but are they, oh,
Dreama Hembree (02:22) here we go. Oh, there they are. Okay?
Dreama Hembree (02:30) Hello? Good morning. Morning. We I.
Collette Waddell (02:37) tried transferring ownership of the meeting to Dreama, and she accepted it, but then she couldn’t see the waiting room.
Dreama Hembree (02:44) I couldn’t see you guys.
Collette Waddell (02:45) Thankfully, I was like, well, it’s on my screen. I don’t know how that happened because I thought.
Dreama Hembree (02:49) Yeah, that would have been bad because I would have been holding the meeting all by myself and nobody would have been here. So.
Collette Waddell (02:55) After this call, we might just delete and then set up a new one. We might have to that’ll work. Yeah, we don’t but… thankfully, I was paying attention. Well, happy Thursday. Thank you, Lynn for sending all of those items. I just added the additional three things just to the running document here and I think Dreama will do a screen share so we can kind of run through it. We’re going to tag team because I know some of these items have just been ongoing. So we’re just going to bounce between us as we work through these.
Dreama Hembree (03:28) Okay. All right. Can you see my screen? Okay? Do you?
Collette Waddell (03:33) Mind zooming in just a little bit? Oh, yeah.
Dreama Hembree (03:37) Why is my thing frozen? My mouse now? Won’t move? Oh, my gosh technical difficulties here all day today. I cannot move my mouse. Why is the screen frozen? It’s okay. Let me try to stop.
Collette Waddell (03:56) And share this again… and real quick while you do that, I know I see honor there. Honor. I don’t think you’ve had a chance to meet Dreama. She is, she’s… been with the team a couple, I don’t even know how long now, but she.
Dreama Hembree (04:12) almost three months. Yeah, almost three months. Yeah.
Collette Waddell (04:15) Has a strong extensive payer enrollment background and she’s we’re going to be transitioning the account over to her to support you all but gradual. I’m not going anywhere. I’m still here to help Dreama, you know, and you all in the back end to make sure things continue on. Great.
Dreama Hembree (04:34) Nice to meet you. Welcome. Nice to meet you as well. Okay. So I think you can see my screen now. So we’ll start with the PE enrollment issues and questions. Collette and I met yesterday with the internal team on the PE side and we specifically addressed all of these issues.
Dreama Hembree (04:54) So Sadler, they’ve got eyes on that. They’re checking on that, that’s in process. So I’ve noted that on my end, just to keep a close eye on it. So I will come back to you with updates as soon as I get some more information. Hopefully by end of day tomorrow, I’ll have some additional information on Sadler for you. OK? But we did specifically call out those issues to the PE team. So they’ve got eyes on that as well as the blue cross blue shield issue where that group change form is not going out with the main application. So what we did, we went in and we added QC requirements for blue cross blue shield to make sure that those are looked at before they go out. So 100 percent qc’d before those go out. So hopefully that will alleviate that from happening anymore.
Lynn Kiter (05:42) And that would be in your team quality control, right?
Dreama Hembree (05:46) Yeah. OK. So we just set up parameters in the system that says all of these have to be qc’d to make sure that this additional application is added before they go out the door. So that hopefully will remedy that second piece of it being overlooked.
Lynn Kiter (06:05) OK. It did look like on the Molina issue where it had the carefree information that they’ve already corrected that. Yes, and they submitted it.
Dreama Hembree (06:16) Yes, they did. I did want to bring that up though because on several of your items, you said you had filed a ticket, so I would like to,
Lynn Kiter (06:24) have I did end up getting a reply on? I think on Monday about Molina?
Dreama Hembree (06:30) OK.
Lynn Kiter (06:31) And then on the other one, I did too, it just like it came late later than normal, but I did, they did follow up with me through email, OK?
Dreama Hembree (06:41) I’m going to see if I can be cc’d on those tickets kind of going forward, just so I have visibility.
Lynn Kiter (06:48) Into.
Dreama Hembree (06:49) those.
Lynn Kiter (06:49) OK.
Dreama Hembree (06:50) So, I know what they’re telling you and we’re kind of all aligned on that. Perfect.
Lynn Kiter (06:55) OK. So you’re.
Dreama Hembree (06:56) aware I’m going to try to get that set up in the system. So I can see those going forward. But my care recredentialing were both submitted yesterday, and those were tasked out for signatures in the skygen dental hub portal for signatures for those providers.
Lynn Kiter (07:18) Then they were able to finally get into the account, correct? Yes, meaning the medallion team to do the recredentialing there.
Dreama Hembree (07:26) Was a workaround there. Oh, she explained it. She said she spent quite a lot of time on there, trying to troubleshoot why it was being blocked on her end, but she was able to work around it and get those submitted yesterday.
Lynn Kiter (07:40) Then dr merriweather and Roche, the two providers, they need to log back into their account.
Dreama Hembree (07:48) Okay. To sign those. Yes.
Lynn Kiter (07:50) Okay. Got it. That’ll be like pulling teeth, no pun intended. But, yeah, but I know that they have to.
Dreama Hembree (08:00) Yeah, unfortunately, we can’t.
Lynn Kiter (08:02) find out. It’s unfortunate that a few of the portals, you know, they require the provider to really, I mean, I get it for, you know, security and all of that. But to pull them off of that isn’t your fault. But, okay, no.
Dreama Hembree (08:15) But they.
Lynn Kiter (08:15) don’t make it easy, but thank you for getting that through. I know they need to be recredentialed before the end of the month and it’s been taking a little bit of time, but perfect. I appreciate you moving that forward. Yeah, absolutely.
Dreama Hembree (08:29) The traverse humana denial letter. Are you referring to the garfield location? Is that what you’re referring to?
Lynn Kiter (08:38) Yeah, they only have one location. Okay?
Dreama Hembree (08:41) Okay. I’m still learning all of the, yeah, that’s okay. But that’s all I could see in the system. So I want to make sure I knew specifically what you were addressing. So, the notes that I see are saying that location is currently not active with the group. And so, in order to link the providers, obviously, we have to reinstate that group location. So, is that what?
Lynn Kiter (09:02) We’re referring to? Yeah, I think there were two things going on initially when we had prepared a, let me get in there real quick. They had determined that the humana agreement for… behavioral health or their current agreement that they had earlier on did not include behavioral health. It only included medical, and that they needed to initiate a new group enrollment. And then the other thing that came up in the meantime is that the medical group appears not to, they’re no longer. I don’t know if they didn’t get recredentialed, I had reached out to… humana as well. And I haven’t heard back yet. But then there was a note from medallion indicating when they tried to link a provider that the group was no longer active for.
Dreama Hembree (10:10) Medical. Yeah. Yes. Yeah.
Lynn Kiter (10:13) So, I think we’ve got two things going.
Dreama Hembree (10:15) On two things going on. Okay?
Lynn Kiter (10:16) And the denial letter that came, there were two, we had one that came and it got mailed to Travers. It was dated two two and another one on 313. And I uploaded both of them. And I can’t tell for sure if they’re related to the behavioral health or the medical, but probably the behavioral health.
Dreama Hembree (10:38) Okay. Let me dig into that a little further, okay? So that I can find out we can outreach humana and find out exactly what the deal is. And then I’ll circle back to you once I have all of the details and we’ll get a game plan together on how to move forward there.
Lynn Kiter (10:56) Were earlier too just to reach out or to lift it up. A few of the medical providers came out. Their enrollment requests were completed earlier and I don’t know if they were, then, were they really linked to the group or not? I’m not sure. Okay. It wasn’t until more recently that medallion lifted up. Well, the provider. We’re done with that, but we can’t link it to the group because the group is no longer active, which it had to have been when they found the issue with the behavioral health.
Dreama Hembree (11:33) It does sound like it’s probably.
Lynn Kiter (11:35) Included in their original group agreement.
Dreama Hembree (11:39) Okay, right. I’ll have the team dig into that and we’ll do some discovery and then get back to that one. I’ll take that one as a takeaway. I think that was it for PE. Any questions on PE for me?
Lynn Kiter (12:02) No, no, I think we’re through all the PE. Okay?
Dreama Hembree (12:09) And then we had additional questions that you screen key threes. I’m sorry that you had for some rosters and some additional stuff that you think that Colette was going to go over?
Lynn Kiter (12:22) Okay.
Collette Waddell (12:23) Perfect. Thank you. And Dreama, I just stole the screen, so.
Dreama Hembree (12:26) No, no. You’re good. Sorry.
Collette Waddell (12:28) All right. Let me just get this zoomed in a bit. I know we just chatted through these enrollment items here. I know there was an email about the, do you offer gender affirmation treatment? Dreama and I had to do some research on this one because at least for me, it was the first, it had kind of surfaced up. We did learn that our engineering team had told us that the question’s only going to be required for providers in the following specialties, if they are, if there is, a payor enrollment request for anthem, and it sounds like I guess they’re starting to see this surface up and it’s just kind of a preemptive effort to be.
Lynn Kiter (13:14) Able.
Collette Waddell (13:14) To that’s.
Lynn Kiter (13:15) going to be a problem for us. So then, are you proposing it’ll be a required field? No, I.
Collette Waddell (13:21) think it’s only going to be required if there’s like an open anthem application for them that’s our, that’s how we believe this like because, there was, we were able to find some internal discussions on this and… that was what was the most recent like response to this inquiry. So we will continue to investigate further, but this is what we, our engineering team had informed.
Lynn Kiter (13:49) Colleagues then on the 20 fourth, are you indicating that it will not become a required field? It should?
Collette Waddell (13:55) Remain optional like it should only trigger as required if there’s a anthem request, because do.
Honor Childress (14:04) you know, what is underlying that requirement even with anthem?
Dreama Hembree (14:10) It’s at the payer level, it’s something that they’re asking at the payer level that we just kind of had a default in there before. And now they’re making it mandatory. So that’s why we’re rolling it out into our platform.
Honor Childress (14:24) Okay. That’s helpful to know. I guess, I just really want to flag that this is a very critical issue for us. It, it, we just absolutely can’t answer that question for our providers. Okay?
Collette Waddell (14:36) We’ll take that back. And again, we were, we’ll make sure that we’ve got, we’re paying attention to what the internal discussions are surrounding this, but, this is what we were able to find because, we, you and other customers also were providing some similar feedback just this week. So, yeah.
Honor Childress (14:59) And I just to add a little context, I know for our providers, we do operate on federal grants and as a condition of those federal grants, we are not able to provide those services and we do not want to be in the business of answering that question. So, if a plan in Michigan is requiring that, I guess I would just want to be flagged immediately because we have a lot of local relationships and I would just really want to be ahead of that conversation with our partners. Okay? So thank you. We will.
Collette Waddell (15:32) Absolutely. Yeah, absolutely. And well, any additional information that we’re able to uncover and we’ll make sure we flag that and send that on.
Honor Childress (15:40) Great. Thank you.
Lynn Kiter (15:42) I think the big thing related to that, I just if you learn anything different that effective the 20 fourth, you know, when they make the change, if it could impact any. I don’t think we, I know we don’t have any anthem enrollment out there for anyone right now, but that’ll be important for our team to notate in the event we have an anthem. And if anything will be different on the 20 fourth, if you could let us know immediately.
Collette Waddell (16:10) Yep. Absolutely. Yeah, perfect.
Lynn Kiter (16:13) Okay. Thank you for checking into that, you’re welcome.
Collette Waddell (16:17) Yeah. We learned a lot in our research that the other afternoon… the… vba roster discussions. So I have on here, hold on, I know the document that you provided and this, I know you had mentioned updating it since like it first came just in that email from the end of December.
Lynn Kiter (16:43) Yeah. The only thing really that we change, we’ve removed it, remove the payers in what we would like, we would like continue to want all of that information for any provider marked a primary care manager and medallion.
Collette Waddell (17:01) Okay. And then, so I was trying to kind of piece together because I know we, this topic has come up over the last, you know, so many calls that we’ve had since December. And so I was trying to piece together notes.
Lynn Kiter (17:15) This I.
Collette Waddell (17:16) pulled from our notes from the call that we had right before Christmas when Mitch joined us for that conversation. We were talking about how to structure this data. I think his was.
Lynn Kiter (17:34) He.
Collette Waddell (17:35) was suggesting integrating the providers into the existing facility locations rather than creating like a net new one. And again, I’m just like,
Lynn Kiter (17:45) I recall that.
Collette Waddell (17:46) Yeah, I was trying to, I know lots of conversations I’ve had and then honor, I think you had mentioned that for purposes, you can’t exclude any that are eligible for vbas. And then we were looking at the report requirements. So he was curious about a list of the organizations that would be included into the vbas. And we’re.
Lynn Kiter (18:10) going to include all of them. And then we’ll filter. We’ll filter like we had met in turn while I met with Krisna and we were trying to regroup when you mentioned that Mitch, you know, wanted further feedback and rather than have… you know, define particular health centers given that they could evolve over time, we’re thinking all of the data for every provider that is a primary care provider. But then that kind of fell into another issue that or a question rather that I emailed not on the original email from me but later a few of the… providers. Well, for example, what did I look at here? I compared covenant to traverse and the primary care manager field is no longer like visual for every group. And I think we need to change that. What is the difference between covenant and traverse if, you know, yep.
Collette Waddell (19:24) And so I was able to dive in real quick before the call after I saw your email. And so traverse, I was looking at the configuration settings.
Collette Waddell (19:35) because when I first currently doesn’t have that service based requirements enabled, meaning that you’re going to see all of the fields that might be required for credentialing or payer enrollment. But covenant does have that checked off. So that way, like if for a covenant provider, you were to initiate a payer enrollment request, then you would see those fields open up so that’s right now, it’s just the organization configuration settings between the two. Okay?
Lynn Kiter (20:07) Because we are moving forward with payer enrollment. And I thought we, I think you confirmed either it might have been a call, two couple calls before that they were configured for payer enrollment. But am I hearing that the other fields won’t open up until we initiate a payer enrollment. And would it be at the provider or group level? I.
Collette Waddell (20:33) May have misunderstood when you said configured for payer enrollment? Because payer enrollment is like on the configuration, it’s checked off, meaning that you can go into a provider’s profile and request a payer enrollment request. It’s just the extra configuration piece. That is when.
Lynn Kiter (20:56) you add, not there at the moment.
Collette Waddell (20:58) When you add a net new provider to medallion, when they go into their profile, do you want them to see all of the fields that might be needed for payer enrollment and credentialing or do you only want them to see like if you were to initiate an application for one of those and then it expands those fields, so that’s so payer enrollment is turned on in that you can submit payer enrollment applications, but this is the other configuration. Okay?
Lynn Kiter (21:31) I’m following, I’m sorry. Yeah, it’s okay. I think in order to achieve and collect that primary care manager, then moving forward on everyone, we need to have that field opened up or any fields that would be related to that configuration, update all mchn.
Collette Waddell (21:55) Instances to disable service based requirements, meaning that it’s going to open up all the fields. So it’s going to look like.
Lynn Kiter (22:05) Right. I mean, we don’t have the ability to turn on only a few, right? It would be an all or nothing.
Collette Waddell (22:13) I can do it by instance. I don’t have to do, I can do it at the instance.
Lynn Kiter (22:17) Level I.
Collette Waddell (22:18) Just assumed that you needed to.
Lynn Kiter (22:20) Yeah, but I mean, we can’t open up primary care manager field and the other fields… that would be related to that. Yeah, it would all be like… can we open up primary care manager? Yeah, I’m thinking that. So, yeah, I think can,
Honor Childress (22:40) I just ask a quick question. Sure. So, is the challenge here in trying to produce a report of PCP eligible only providers? I mean, I think this is aimed at Lynn, like is that what we’re trying to accommodate? Because if it is creating a significant additional barrier to do that in my recent conversations with the plans, I think we could include the entire list of everyone who’s in there. And I think it would be pretty obvious which ones are not PCP eligible on RN based on, their… letters for lack of a better word. Like I think, we can, we could maybe filter that ourselves or we can just give it to the plans. They’ve they’ve sort of expressed like they’d rather have more than less like if it’s if they’ll take the whole report… if getting PCP eligible. I mean some of them actually prefer it. Some of them just want PCP eligible. I think there’s some flexibility. I just, I don’t want to create like I don’t fully. I haven’t been in all these conversations. I don’t want to create like a huge barrier just for that element if it’s just for the purpose of the monthly reporting we’re required to do.
Lynn Kiter (23:58) Right. I think in order to get, the information that we identify though for the vba, like some of the detail, not only the primary care manager, I, are there other, you would know better than I, Colette, I’d have to go in and look at one… of them, but I think we’re currently not collecting some of that information. Not only the primary care manager part, but other items because they’re not currently available, an available field within medallion.
Honor Childress (24:34) For all the fields on the, what you submitted for the report? Yeah. Okay. That makes sense. Again. Sorry to add more count. No, I just want to make sure no one’s trying to jump through hoops for something that we can be flexible on, but we do need all these fields.
Lynn Kiter (24:47) Right. Yeah. And.
Collette Waddell (24:49) These are these fields here. Lynn, these are all fields that we do currently correct are reflected in the profiles they’re.
Lynn Kiter (24:58) available, but not in every instance, right? At the moment.
Collette Waddell (25:04) Right. With the, yeah. But.
Lynn Kiter (25:06) They are all fields that you accommodate.
Collette Waddell (25:10) Yeah, this one would be because I think everything else really.
Lynn Kiter (25:18) You do have the primary care type and all of the other, I took out of traverse. I think everything appeared to be okay.
Collette Waddell (25:28) Like, yeah, I was just going into this traverse provider profile. So… I just want to make sure that I can take back to Mitch exactly what, we’re not creating like a net new instance like in the, you know, in the platform, right? Right? You want to add providers to where they actually belong, like traverse all of the different.
Lynn Kiter (25:52) Correct. And.
Collette Waddell (25:53) Really, we’re just getting the shell of the profile or that provider in there with that limited data populated just so that you can use and as an identifier? Is that what you’re thinking? Maybe building out and using that teams functionality as a way to, I guess, have we?
Lynn Kiter (26:12) Talked about, yeah. Well, there would be additional instances that we’d have to add that currently aren’t in there. Okay? A portion of them will not do payor enrollment and might not be delegated credentialing either, but would be vba only. Okay. Now, but we want a report of every instance, every provider.
Collette Waddell (26:35) Yeah, yeah.
Lynn Kiter (26:37) Would be eligible. I,
Collette Waddell (26:39) think just a few questions that come to mind is okay. Well, like when you’re adding, I think two things, right? To initially get load the platform with existing providers that might not currently be in there. We might be able just to utilize like the provider import template that, you know, used from implementation and get that in there. The second thing is as new providers are added to the platform, are you needing the providers to actually log in and do any, and complete this?
Lynn Kiter (27:14) We wouldn’t no, not if they’re not doing delegated credentialing and, or payor enrollment, no?
Collette Waddell (27:21) And can.
Honor Childress (27:22) I just say one more thing too as we progress through bringing on more delegated credentialing the universe of people who aren’t in delegated or pay enrollment will be shrinking.
Lynn Kiter (27:34) Right. So just clarify.
Honor Childress (27:37) That.
Collette Waddell (27:38) yeah. No, that’s helpful. And I’m just thinking of, you know, because I think when you go to add a new provider and platform… I’m just thinking like logistically on a move forward, you know, we’ve got everybody existing loaded and you go in here and you click this like if you would just uncheck that invitation email because you’re not inviting them to the platform, but this would at least give you the.
Lynn Kiter (28:04) Shell.
Collette Waddell (28:06) Of the profile created. Yeah. Okay. I was just for a,
Lynn Kiter (28:11) split second. I know that I do realize we’d have to get a unique email to create their account, but we would never invite them until if and when they were to join, either pay or enrollment or delegated credentialing and like honor mentioned, we’re going to have more initially, but, you know, when time goes by, the goal will be that none of them would only be in a vba or very few.
Collette Waddell (28:37) Right. Okay. All right. Let me… sync. We’ll sync with Mitch after just to give him an update on what we chatted about now. Okay. I think the next is just for like the providers, you know, the providers and maybe sending you like a blank temp, you might already have a.
Lynn Kiter (29:01) We have a blank, yeah.
Collette Waddell (29:03) That import template, I’ll make sure nothing has changed since the one that you had received, oh.
Lynn Kiter (29:08) Did it? I don’t.
Collette Waddell (29:09) imagine it has, no, I don’t know that it has, okay. I’ll check.
Lynn Kiter (29:13) With Naomi, we have one from may, I think of 25. I’ll.
Collette Waddell (29:17) ask Naomi, she would know off the bat if that template has evolved over the last nine months or so, and I’ll like I’ll send you a new one, if it has, okay, but I think then it’s just a matter of loading the providers into the, where they belong. Like, okay, what instance they belong in? I don’t even think we were able to get through this whole document. Hang on one sec. We still have more time, right? Yeah.
Lynn Kiter (29:48) We have a 45 minute tell now that’s why we wanted to make it a little longer.
Collette Waddell (29:53) Yeah, I know. All right. I don’t have an update here, on the ongoing monitoring one. I had to dip back on that one. I, okay. Deathmaster file. I know that information is coming out on those monthly reports.
Lynn Kiter (30:16) We.
Collette Waddell (30:17) can have our engineering, add… it to, well, let’s see. I was just going to show you where it might be,
Lynn Kiter (30:29) Do we have the ability Colette to add that as a credentialing requirement up front or not in the initial credentialing?
Collette Waddell (30:40) Yes. So, it’s going, yes, that’s what I’m saying, yes, we can get it. Oh, okay. We can get it added. I just wanted to show you like what it would look like. Right now, I’m just in a provider’s profile who’s already been processed, but,
Lynn Kiter (30:53) it would live.
Collette Waddell (30:55) And,
Collette Waddell (30:59) so, down here, where you see this section here, it’ll just be another line item that says deafmaster file. So, and then this will be reflected on, you know, what, how you currently are seeing those credentialing applications. So you’ll it’ll just be like a fourth item listed and that’s been queried, and reflected on that report that you get?
Lynn Kiter (31:23) Any idea of how long that would take to implement?
Collette Waddell (31:29) I can ask engineering, maybe a.
Honor Childress (31:32) Week, maybe.
Lynn Kiter (31:34) Quicker, oh, really? Oh, yeah. Yeah.
Collette Waddell (31:36) I don’t know. I’m like, yeah, like I don’t want to speak for them, but like I could, I’ll ask them. Okay, I’ll see how quickly they can turn that around. Okay? We do want that turned on for all instances, right? Okay.
Lynn Kiter (31:50) Yeah, it’s definitely a requirement in the meridian application. I have a hard time believing it is an ncqa, you know, updated requirement from July, but I.
Collette Waddell (32:04) know it’s not. I’m actually surprised it’s not either, but honor.
Lynn Kiter (32:08) Do you concur with that? I mean, if we need to, we really shouldn’t be credentialing a file per meridian without checking the dmf file?
Honor Childress (32:19) Yeah, I agree. Okay.
Collette Waddell (32:24) So, Dreama and I will work on getting that engineering request out. Where did that go?
Collette Waddell (32:36) To eventually configuration?
Collette Waddell (32:52) Speaking of meridian, the technical team had clarifying questions and I just dropped them here on this document. They wanted to just confirm which instances the roster applies to. And then I think that document that was sent, there was multiple tabs on there. And so they just wanted to confirm which sheet in the workbook needs to be completed, if it needs to be filtered by any specific group tins, if there’s any state restrictions expected… cadence. And the initial due date ASAP, I assume is the initial due date, cadence. I imagine would be monthly, but you can confirm the cadence of receiving that report and then who should be the recipients of that. And the preferred delivery method, I suspect just an encrypted email, like a secured email would, unless you have like an sftp site that you would just want it to be delivered or something like that?
Lynn Kiter (34:01) Honor or Krisna, do you have any feedback on that for the ongoing meridian report?
Honor Childress (34:11) Related to encrypted email versus sftp. I think it’s a fair question. If we already have an SF. I think it’s really a Tricia question. If we already have an sftp where we’re sharing… things like this. We’d probably use it. Otherwise, an encrypted email would be fine, but we can check on that.
Collette Waddell (34:35) And then if the answer comes back to be email, then we would just want to know which email addresses should receive that. Okay?
Lynn Kiter (34:44) And then I’m initially thinking we can take it back to the group that we wouldn’t filter by tin, that we’d have all. And then could we then filter it given that it could change and evolve over time or would you rather have the rules built in initially?
Honor Childress (35:04) I am fine with us filtering just, I agree with you and it does, it has potential to change. It doesn’t change often, but it has the potential to change.
Collette Waddell (35:17) Yeah. I think it’s easier to do it on that end than having to go back later and having the whole format, yeah, on the engineering side, but let me know if that changes. So right now, we’re going to say no… to this response, no filter.
Lynn Kiter (35:41) And then it’ll apply to all apply to.
Collette Waddell (35:46) All I’ll.
Lynn Kiter (35:47) have to go back and look at the document from meridian to comment on the workbook, the different sheets that are in there. We’ll do that and get back with you. Okay?
Collette Waddell (36:02) Yeah. I had it pulled up earlier, but I guess I closed it.
Lynn Kiter (36:06) And then we need to confirm the due date. Okay? And then go to what would the question in regard to state restrictions mean? Do you know?
Collette Waddell (36:23) I don’t know. Okay, state restrictions.
Collette Waddell (36:35) No, let me get clarification on that. I’m not sure what they’re if… I’m wondering if it’s related to providers, like where they’re licensed, if there’s any state restrictions that I don’t let me, I’ll confirm I’ll clarify what they meant by that question. It’s not like a little bit vague. I could interpret that a few ways. So.
Lynn Kiter (37:02) Okay.
Collette Waddell (37:04) Yeah, we’ll get clarification on this. So TBD on which tabs and yeah, I just pulled it up. Let me see if I can.
Collette Waddell (37:18) I’m just going to move it over here.
Collette Waddell (37:29) So, I think there’s practitioner… roster, form, provider roster form.
Collette Waddell (37:42) I imagine it’s just between the two or both of them. So just maybe review all the tabs that were on there.
Lynn Kiter (37:48) I think the other ones are like directions, right? Yeah, but one would be, one would be any that we’re adding. I think for the month, from the prior month or removing from the prior month that we’ve provided them.
Collette Waddell (38:07) Yeah, provider.
Lynn Kiter (38:08) Roster. One’s kind of like a change sheet, and the other one is the complete one. I think.
Collette Waddell (38:15) Practitioner roster instruction… practitioner roster form. Yeah.
Lynn Kiter (38:23) Because that one’s add and change in column E. Yeah.
Collette Waddell (38:30) Okay. If you wouldn’t mind just maybe confirming that. I’m directing them to build the correct ones?
Lynn Kiter (38:40) Right. Okay. Yeah.
Collette Waddell (38:43) And then… well, the delivery method will just confirm that, and then if it’s sent by email, who it’ll go to.
Lynn Kiter (38:52) Okay. Let’s see.
Collette Waddell (38:54) We’re going to add the configuration for this. And then I know we were still working with our support team on bursar, Chamara’s, I sent them.
Dreama Hembree (39:06) A follow up yesterday on that and told them it was urgent that we needed to either build another profile or get a, I think it’s.
Lynn Kiter (39:14) been remedied. And we, Amy, you’ll have a little bit of feedback on that, but we got a notification at the end of the day that the provider’s been credentialed. It apparently resolved. I don’t know, but Amy, go ahead.
Collette Waddell (39:28) Wait, what?
Amy Reyes (39:30) Yeah. Lynn messaged me last night that it was, and we looked this morning and the names that are in the profile for that provider, don’t look familiar. So I’m not sure if it’s your guys end or what, or when it got remedied, I think.
Lynn Kiter (39:47) It might be the it team. Yeah, it just so.
Collette Waddell (39:51) I do know our support team was working with engineering… but hold on. I just want to get my eyes on that real quick.
Collette Waddell (40:07) And you said the providers think… oh, it is in the ready status so they were able to the,
Lynn Kiter (40:17) files in credentialing ready?
Collette Waddell (40:25) So, earlier this week?
Amy Reyes (40:28) Just yesterday, well, two days ago, and.
Collette Waddell (40:31) then, oh, two days, yeah, two days ago.
Amy Reyes (40:33) That name, none of those names are familiar to me. So I don’t know if that’s your team who?
Lynn Kiter (40:39) Verified. Well, that’d be the credentialing team that verified, but the document area there are uploaded documents by unfamiliar names, let me go in, which would be your team?
Collette Waddell (40:52) If they did.
Collette Waddell (40:57) So, the provider was able to get sorry, there’s a little bit of disconnect here like we’re working with our support team. And I mean, I’m glad engineering got it sorted. Why? Okay. So, yeah, the provider was able to go in there and add, do all of these here. And then, yeah, these get attached when they’re updating verifications, a copy of it gets added here too.
Lynn Kiter (41:29) Well, I’m.
Collette Waddell (41:31) glad that this isn’t an issue anymore. Apologies for all of the disconnect there, but I’m thankful that we were able to get it resolved and processed quickly. We’ll let our team know our support team because we were just flagging. All right. What else do we have?
Lynn Kiter (41:56) Carefree. Oh, yeah. We are going to need to report an address change here before real shortly. And I wanted to confirm for payer enrollment in particular, the way to go about that. It’ll be at the group and practice level. I imagine I would go ahead and update the group. But then do you recommend that we keep intact the information in the current? They only have one practice or should, I didn’t know if I should create like a new practice to be able to keep the old information intact that we currently have or what you would recommend?
Collette Waddell (42:42) So, I… think if you create a new one.
Collette Waddell (42:51) We’ll have to like associate the providers and everything. And if there’s open requests in flight, it’s all linked here. So I’ve… seen customers do like one of two ways at least just, I think it’s just kind of a personal preference. I’ve seen some where they create like a new one and they then update this one. And then like brackets, they put like, you know, old.
Lynn Kiter (43:20) Or whatever.
Collette Waddell (43:21) Yeah, some kind of indicator and then they go through and just kind of migrate like the links over together. But then I’ve also seen it where they just go in and update here. If you think that there is a need to maintain.
Lynn Kiter (43:41) Well, I wanted to, I don’t know, I mean, what we are going to need to do will be a demographic update, right? Yeah, for each for everything that we have in there. Do you have any thoughts on that?
Dreama Hembree (43:55) I would probably just keep it on that same line. This is my thoughts, just add the new address, the demographic update request, and then once that has processed, then we could go in and remove, you know, the older address. If there’s no need for, you know, historic reasons to keep it.
Collette Waddell (44:14) I think.
Dreama Hembree (44:15) Creating a new group would be a lot of confusion in terms of like what is out there?
Lynn Kiter (44:22) Yeah, I wouldn’t do the group, but I didn’t know about the practice, should I keep, should I add an additional or update everything on that line?
Dreama Hembree (44:33) I think update on that line?
Lynn Kiter (44:35) Okay. Yeah.
Dreama Hembree (44:36) That’s my opinion. Okay. Unless, you know, I think.
Lynn Kiter (44:41) The only thing maybe that could impact it, we’re hoping that they don’t need a new npi. If they do, we’d probably keep the old one in here and create the new one. But if they are able with medicare and medicaid to keep the current npi, then I’ll merely update the address when they get the approval… on their.
Dreama Hembree (45:04) Grant. Yeah, I don’t see a reason why you would need a new npi. Obviously, we would get that address updated in. Mpez. Yeah.
Lynn Kiter (45:11) Well, it could, but I’m hoping not quick.
Kelsea Frazier (45:16) Question. If we make that change, we can still like, we can note the previous information somewhere correct?
Collette Waddell (45:23) So, but I, it’s funny Kelsea, because I was actually having the same thought. I was thinking if it were me, I’d almost want to like PDF this page and.
Dreama Hembree (45:33) It’s.
Collette Waddell (45:34) not ideal. But then maybe store that in the document tab of the, I think when you’re in the group profile, you have a document tab in here like maybe just to have like a reference, like a, just a document that you could reference just if you needed to pull up to see what it was. But I don’t think it captures like previous dates… or addresses or, you know, previous like profile data. That was just my thought like because I am always terrified of losing data and not having a copy of it somewhere. But that’s just.
Dreama Hembree (46:16) your practice address is changing, right? Not your billing and all of that.
Lynn Kiter (46:20) Your billing address, it’ll all change it’ll.
Dreama Hembree (46:23) All change, okay?
Lynn Kiter (46:24) They had to physically move. And the only reason we’d need a different npi would be heaven forbid, if the hrsa approval has any gap in it from, they ended up having to vacate the building due to a, they had a flood. So, they had to vacate the bill, you know, the building pretty rapidly and they’ve established a different area. But anyway, we.
Collette Waddell (46:58) can maybe just also take your, this back internally to see how, you know, if other teams have had very.
Lynn Kiter (47:06) That’d be appreciated.
Collette Waddell (47:07) Yeah, to see kind of maybe what they tried and they seem to have worked versus maybe what they tried and wish they hadn’t done. Okay. That’d.
Lynn Kiter (47:15) be great. We’re not ready immediately to change it anyway. Okay. We’ve got a couple of things that we’re waiting for approval on, but yeah, it won’t be long. We’ll.
Collette Waddell (47:25) poke around and see if somebody’s had a similar scenario. Yeah. Okay.
Lynn Kiter (47:30) Okay, perfect. All right. I only had one more agenda item if we have real, if we have the time, the attachment I notated for the caqh management, would there be any way to remove that agreement from a provider profile? If we’re not actively having medallion do the management of it?
Collette Waddell (47:57) For a, because right now, it’s enabled.
Lynn Kiter (48:01) Because like at the organization?
Collette Waddell (48:03) Level, we do have those services turned on, but it might not be applicable to us that I did. I saw that, and I was like, oof, we got to take that back to engineering just to, on the engineering side, just to see.
Lynn Kiter (48:20) If.
Collette Waddell (48:21) there’s a way… yeah. Okay. Actually be nice if that was only almost like if that checkbox was created, then it presents as like being a necessary, you know, signature in that profile, right? Because right now, yeah, it’s in everybody’s let’s we’ll come back to that one. Okay? I don’t know off the top of my head if there’s.
Lynn Kiter (48:47) yeah, providers don’t want to agree to it when it won’t be applicable, right? Fair.
Collette Waddell (48:55) Fair request there should.
Lynn Kiter (48:58) Be, I hate the power of attorney document, I know.
Collette Waddell (49:06) Yeah, I’d like to see that. I have a lot of feedback, but yes. Okay. We will take that back and do some investigating on that one.
Lynn Kiter (49:15) Okay. But thank.
Collette Waddell (49:18) you all. Thank you, Dreama. And we’re going to also update the meeting entirely. So that way.
Dreama Hembree (49:24) Yeah. Well, I’ll investigate that to make sure that it’s working. And if not, you’ll see a new request come out. Yeah, if worse comes to worse, so.
Collette Waddell (49:33) Okay. Anything else before we wrap up?
Lynn Kiter (49:37) Not on my end? Okay. All right. Thank you.
Dreama Hembree (49:42) All. Thank you. Have a great rest of.
Collette Waddell (49:44) Your day. All right. Bye.