Transcript
Gregory Campbell (00:00) hello? Hey, Naomi. How are you?
Naomi Denson (00:05) How are you Garrett?
Gregory Campbell (00:07) I’m doing well.
Naomi Denson (00:15) Anybody else? No… there’s some more. Bye… Greg. Hey, Naomi. Hey, everyone.
Naomi Denson (00:36) All right. We can jump.
Naomi Denson (00:41) In here. All right. So.
Naomi Denson (00:45) Just starting off at the top of my agenda. I wanted to just check in and see how.
Naomi Denson (00:51) we’re progressing on the data import, but Greg, I don’t know if you’ve had any progress or anything else going on while I was out of office.
Gregory Campbell (01:00) Yeah, happy to jump into the template. So, I have a quick update on my end for the team just in terms of some data that I added to the template. I know we’ve been going through the process of pulling some data from villagemd so I’m going to go ahead and share. So this is our template. I went ahead and added three tabs here. So all of the provider practice group associations for the village providers, all of their provider enrollments and all of their group enrollments. So the majority of these are ready for import. The ones that are failing here are just because our team is currently confirming the payer names. So we have that happening here in the payer mapping tab. We should have this resolved soon, but all of this data is for the most part ready to be uploaded. As for where we are with the full implementation, we’re still pending updates to the practices tab and the group profiles tab. And I know Barrett and gab, you guys are currently working on this. Do you guys have an update for us on when we could expect for these to be completed? Yeah.
Gabriela Suarez (02:17) We’re working on getting the rest of those in. We have I’m working on it, and Andrew, I think has Jonah working on it as well. We’re just trying to make sure that we get the most accurate information to get that in there? Okay?
Andrew Herman (02:34) Perfect. I’m sorry, what are you looking for?
Gregory Campbell (02:38) So we have two tabs here in this template practices and groups?
Andrew Herman (02:42) This.
Gregory Campbell (02:43) is something I’ve reviewed with Barrett and gab. This sheet is essentially highlighting any of these cells here where either there are repeat names for practices or groups which should be unique in our platform to prevent confusion. So like these two are highlighted, for example, column and carney clinic because they’re used twice. So if you were to add a unique identifier, something like… cowhorn creek road… which is just address line one, that would clear up this issue because this is now a unique practice name. So as you go through these, it just highlights things that are causing errors. So like these addresses, for example, if you double click into them, they have suite numbers… sorry, I’ll make this larger if it’s a little small. If you double click, these addresses have suite numbers in them, and the suite number should be added to the address line two instead of address line one.
Gabriela Suarez (03:44) So, Greg, are you saying like, so for primacare, the name primacare PC is used several times because they have quite a bit of locations. Are you saying that each name of that location has to be unique, correct? So if they have 50 locations and they all go by primacare PC, each of those 50 have to have something… that makes that differentiates each one of them, correct?
Gregory Campbell (04:22) So, a unique identifier typically, we see clients use like an address line, if for whatever reason, they have the same address, you can pick whichever identifier you want. Like if you want to number them, whatever is easiest for you all.
Naomi Denson (04:36) Or if you have like internal practice codes that your team would recognize, like we’ve had some customers that have like acronyms or some sort of like practice code, like a three digit code or something that you guys would use internally to help differentiate the practices when you’re making requests?
Gabriela Suarez (04:52) So, no, we don’t but so are you saying if we, if it has primacare 50 times, but in the address, it has… different suite numbers for each of those 50 locations, the name still has to have a unique identifier… or is the address having a suite number going… to meet the needs? So.
Gregory Campbell (05:16) The address and the suite number that I highlighted here is a separate issue. The names have to be unique regardless of what the address?
Gabriela Suarez (05:24) Is of what the address is. Okay?
Gregory Campbell (05:29) Yep. So that same logic applies for these group profiles. And then these fields will also need to be populated for the group profiles as well.
Andrew Herman (05:40) Okay. Yeah, yeah. These are, Joan and I are not working on this. This is the first time hearing about it.
Gabriela Suarez (05:45) Okay. I thought we were talking about the address, the email addresses?
Andrew Herman (05:53) Yeah. I guess that’s a good point. Is that something different? Greg, because we have been working on email addresses and social security numbers. Is that just in addition to or is that something completely different? A different file? Yeah?
Gregory Campbell (06:07) So that I imagine you’re referring to this, which is the providers tab?
Andrew Herman (06:12) Okay. We did do.
Gregory Campbell (06:13) A couple of imports of providers already. I hid the tabs here, but these are the providers that were given to us that did have unique email addresses and have been loaded into our system.
Andrew Herman (06:24) Got it. Okay. All right.
Naomi Denson (06:26) The.
Gregory Campbell (06:27) providers tab is a separate tab that’s here.
Andrew Herman (06:31) Okay. So just to summarize provider tab, we need social security numbers and email addresses, practice tab. We need to eliminate the, or update. So there’s no duplicate names, and then group tab, there’s like four, three, four columns of missing information.
Gregory Campbell (06:50) Correct. And also similar issues with the suite numbers that will need to be moved over. Okay… the unique, the group names will need to be unique as well. We did send an email out a while back, highlighting each of these. Got it. Okay. If you guys have any questions.
Naomi Denson (07:11) Okay. I do just want to add a little bit more here. So, Greg has highlighted the required fields that are preventing us from importing, however, all of the fields on the group tab and the practices tab that are even optional as shown will eventually be required to complete the profiles. So I always recommend adding as much as possible even in the optional fields to prevent manual, the amount of manual entry that you’ll have to do after the import.
Gabriela Suarez (07:45) Got it. Does.
Naomi Denson (07:46) That make sense? So like the incorporation date, mailing address, et cetera. All of that is eventually going to be required to complete the profiles entirely. The required fields in the template are only required from a technical standpoint on what we need to run the import. So.
Gabriela Suarez (08:05) All of the data is needed. But the yellow highlights is the priority.
Naomi Denson (08:12) Yes, they will all be needed. And just if it’s not in the import template, just know that after we do the import to create the profiles that will fall to the reviewer team to go in and manually complete those missing requirements in each profile.
Gabriela Suarez (08:24) Okay.
Naomi Denson (08:30) And then Greg, you already addressed the village data with the payer mapping that’s in process.
Andrew Herman (08:39) Yeah, and just to take a step back, I’m sorry, Greg, I keep cutting you off just to take a step back. I thought Barrett and Clint, please. I thought we were sequencing this. So we’re focusing more on the village particularly because we have new providers at village that we need to onboard ASAP.
Barret Pickering (09:02) Greg, when will we be able to send out those invites for the village locations? We already did. Okay. So like if we needed to onboard a provider today, we could send an invite out for a village location. Yeah.
Naomi Denson (09:20) You could, you could add the provider and send the invite to get them started on completing their profile. If they’re brand new. Weren’t in the other medallion instance for village, you can definitely go ahead and start adding them. I know Vanessa and Dreama are reviewing their, any… custom operating procedures that they had for payer enrollment internally. So far, their reviews… come up with mostly standard processes. So they’re just nailing that down and then getting the existing enrollments transferred over for the village providers is what is with our payer mapping team to finalize that so we can load existing enrollments for the providers that were already in there.
Barret Pickering (10:05) Okay. So if we invite two physicians that we need credentialed, we’ll be able to track that and y all will kick them out the proper kind of packet per SE. But it’s obviously, it’s digital and we could do that this afternoon essentially are.
Naomi Denson (10:23) you saying credentialed for like in terms of payer enrollment or credentialing, in terms of ncqa, credentialing… payer enrollment?
Andrew Herman (10:34) Payer enrollment? Okay. Yeah.
Naomi Denson (10:37) So we could definitely get them invited and get started. I would hold off on putting requests in until we have the existing group enrollment data loaded because that’s going to hold up things and wait for… the engagement team to finish the review of, the custom processes so that we don’t submit anything incorrectly as would apply to village. But we can, yeah, you can absolutely definitely go ahead and start inviting providers, having them complete their profiles while we are working on the finalizing, the payer enrollment piece to make sure the team is prepared.
Barret Pickering (11:16) I guess what’s the eta on the payer enrollment piece? We have a little bit of a tighter deadline. So we have positions that have already signed employee agreements and we’re hoping to just get them started as soon as possible.
Naomi Denson (11:35) Let me check in with her. I checked in with her this morning.
Naomi Denson (11:49) Yeah. Let me, I didn’t see that Dreama’s on the call. I don’t know was she invited, let me check in with Dreama and get a for sure answer and I will let you know Barrett. But as far as like adding the new providers to get them started and creating their completing their profiles to get them ready for enrollment, you can absolutely do that today.
Andrew Herman (12:10) Okay. Perfect. Barrett, just so I know, do you know how to do that or? Yeah, I can kick them out and invite. Okay, you might want to coordinate with Nicole because I think she’s handling onboarding, so maybe you can have her do it. And that way it’s because she’s already, I think she’s already working with the provider, those two providers to collect some of the information offline.
Naomi Denson (12:35) Perfect.
Andrew Herman (12:39) Sorry to derail that. That’s super helpful though because, we are very sensitive to these few village providers who are effective June first. So we want to make, we make sure we kick off the enrolling process ASAP. Yes.
Naomi Denson (12:54) Absolutely. Yeah. I just sent dream a message just to check in and see if she can provide me with an eta on when we can have that clearance to start requesting for the village providers?
Andrew Herman (13:05) Excellent. Thank you. No.
Naomi Denson (13:07) Problem. I will. Yeah, and I’ll let you know as soon as I get back from her. And then the only other things that I had from last week that were outstanding is gab, I, the delegated roster for elements. I didn’t see that added to the payer process scoping sheet yet. Do you have that one that you put a link in there? Yes?
Gabriela Suarez (13:28) I have it. And then I had also reached out to Vanessa. She connect, she let me know. I need to work with Drema since I have some questions. So I was waiting for Drema to get some availability so… we can get those questions answered. Okay?
Naomi Denson (13:50) Yes. All right. I’ll connect with Drema, just to make sure that with it via email.
Gabriela Suarez (13:56) Yep. That’s fine. Okay. All.
Naomi Denson (13:58) right. I will. Yeah, I’ll connect with Drema to see if we can set up some time to go through your questions, and then any luck getting the copies of your current delegated payer agreements?
Andrew Herman (14:12) Yeah. Gavin and I started working on this like first… of all, I’m not even sure some of these delegation agreements were even or even our agreements, they were part of hospital agreements that were with our, with… a predecessor.
Andrew Herman (14:32) So, I think it’s fair to say we don’t have these agreements right now, like they may be in place and being operationalized, but we don’t have copies of those agreements.
Naomi Denson (14:42) Okay. But you’re still following the delegated process? Yes, correct?
Andrew Herman (14:48) Yes.
Naomi Denson (14:51) Okay. And then, do you know, do you guys with your contacts at your delegated payers? Have you come up with a plan or notified them that you are going to be delegating the credentialing to medallion most of the time in those agreements? It will say that you have to notify them if you’re going to sub delegate to a cvo to amend the agreement.
Andrew Herman (15:16) Yeah, that’s a good point. No, we haven’t but we should definitely add it to the list of things to do.
Naomi Denson (15:23) Okay. I.
Andrew Herman (15:25) don’t know if that’s your list or Barrett, if you have an ongoing list of stuff we need to do, but we should add it to some list.
Gabriela Suarez (15:31) Sounds good. We’ll probably have to have contracting do that Andrew because it usually ends up in an amendment.
Andrew Herman (15:39) Yeah. Okay. That’s fair. We can do it. Can I go back to the process scoping grid? I thought when we talked about this last week, when we first filled out the grid, it was limited to just those providers that we were delegated with. And then we talked about adding… all payers to this grid. Yeah.
Naomi Denson (16:06) All payers. So I added a field here a couple weeks ago, got it. It’s delegated or not. So, I believe all payers are on this list and I’ll let gap confirm if this covers all of your payers or if more will be added.
Andrew Herman (16:22) Yeah. I think last time we noticed blue cross wasn’t on here.
Gabriela Suarez (16:28) Yeah, I’ll have to confirm it. And then our.
Andrew Herman (16:31) Largest payer. Okay. No, this looks like the same list we looked at last week. So it has not been updated. I think this is just limited to those contracts we’re delegated with. So… we’ll definitely need to update this with our full portfolio contracts. Yes.
Naomi Denson (16:52) Please, yes, we want to make sure we get full payer process scoping before we go live with the revere side, since we already have this technical legal village. Well shouldn’t hold up village providers unless we start transitioning them to revere, which I believe you said is going to happen next year… or later on. But currently, you’re sticking with the village processes. Okay? All right. Anything else? Any other questions for me or for Greg on the data? Would love to start getting the… groups and practices loaded so that we can move forward with the other details, the enrollments and provider practice group mappings… with the additional providers as well that we’re working on email addresses for?
Barret Pickering (17:48) No, I think we’re good. So we’ll get those profiles set up and then you’ll shoot us a message ASAP when we can start enrolling those providers, correct?
Naomi Denson (17:59) Yes. When we can start submitting requests, yeah, I’ve checked in with Drema. I’m just waiting on her to respond. And then I will, I’ll shoot you an email to let you know where we’re at.
Barret Pickering (18:09) Perfect. Thank you.
Naomi Denson (18:11) Absolutely. Anything else from anyone on the team? I?
Sarah Brashear (18:15) Actually do have one question. Okay? And it has to do with my team is going to be responsible for getting data back from the API. It sounds like maybe we already have some data in. I know we’re not quite ready to start that work on our end yet to start pulling the data back. But what do we need to start? Like what does that process look like on your end? I assume we’ll need API keys?
Naomi Denson (18:38) Yes, Gregory. Yeah, we can, I’ll… we have to send you, have you received our API documentation yet?
Sarah Brashear (18:47) I have it. Yep. Okay.
Naomi Denson (18:50) You have that, and then Greg, you can create the organizational API or we can create an API for you and share that key with you.
Sarah Brashear (19:00) Okay. Yeah.
Gregory Campbell (19:01) That’s something. Sarah. If you’re the best point of contact, I can list you as the technical contact for that, meaning you’d receive emails in any event that there are changes to our API, and I can forward you over the API key so that you have access to make changes. Okay? And,
Sarah Brashear (19:21) will this just be for a production environment? Will we have a lower environment at all? We?
Gregory Campbell (19:27) Can set one up for you if you’d like the API key I’d be sending would be for the production environment, but we can create a sandbox environment if you requested one.
Sarah Brashear (19:38) Okay. We can just go with the production one for now. And then if we need a lower environment later, I’ll let you know.
Naomi Denson (19:45) Okay, perfect.
Gregory Campbell (19:47) Yeah, I’ll do that. Once we get off of this call, I’ll create an API key for you and send it over via email.
Sarah Brashear (19:52) Yeah, no rush.
Naomi Denson (19:56) All right. Perfect. Well, thank you very much for your time today. I will follow up shortly as soon as I have an API on the village providers, but yes, please go ahead and start creating their profiles and inviting them. And that way we can get a jump start on getting their files ready for enrollment.
Barret Pickering (20:16) Perfect. Thank you.
Naomi Denson (20:18) Thank you. Everyone. Thanks, Naomi. Absolutely.
Gregory Campbell (20:21) Thank you all.