Transcript
Noah Laack-Veeder (00:00) what up, man?
Kyle Bettencourt (00:02) Yo,
Kyle Bettencourt (00:15) is my audio sounding okay? Yeah, sounds good. My computer was just having like a freaking heart attack when I went on with Kirsten earlier. So,
Noah Laack-Veeder (00:28) who’s your internet provider?
Kyle Bettencourt (00:32) At T, we just switched.
Noah Laack-Veeder (00:34) Yeah, I still have, yeah, at T, is awesome. I’m like a huge fan.
Kyle Bettencourt (00:39) Yeah, we were on spectrum. They’re awful. I know they’re.
Noah Laack-Veeder (00:43) trying to give out like, yeah, spectrum has these crazy deals and like it’s like, I’m not doing it.
Kyle Bettencourt (00:50) Yeah, we actually had a crazy at T deal because they just installed fiber in this neighborhood. So, they’re charging us like 55 a month, I think, dude.
Noah Laack-Veeder (00:59) That’s good. That’s awesome. I know.
Kyle Bettencourt (01:00) I’m paying like, I think close to 100 bucks a month in Austin for it, so.
Noah Laack-Veeder (01:06) Dang. I mean, that’s dude. Yeah, when they’re expanding, I was like, when we moved in this house, it was already kind of wired up too.
Kyle Bettencourt (01:14) Yeah.
Noah Laack-Veeder (01:15) Which is nice.
Kyle Bettencourt (01:17) It is very nice. Hi, Bobby. How’s it going?
Bobbi Ranis (01:22) Hey, guys. How are you?
Kyle Bettencourt (01:24) Doing good. Happy Monday. What time is?
Noah Laack-Veeder (01:27) It for you right now? Bobby? I was trying to do the math in my head. Is it eight o’clock your time?
Bobbi Ranis (01:33) It’s nine o’clock.
Kyle Bettencourt (01:34) okay. Nine o’clock all right. Much better.
Bobbi Ranis (01:36) Than it’s the four a. M, but it’s nine.
Noah Laack-Veeder (01:38) Yeah, yeah. Are we your first meeting of the day or not?
Bobbi Ranis (01:43) No, you’re not.
Noah Laack-Veeder (01:46) Well, hopefully, we’ll be the best one is the bar pretty high or? Well, I guess we’ll have to see.
Bobbi Ranis (01:52) Had one at six. So, you’re up here?
Noah Laack-Veeder (01:55) Oh, okay.
Kyle Bettencourt (01:55) All right.
Noah Laack-Veeder (01:56) Nice. Hey, Jeremy.
Jeremy Munoz (01:59) Hey, everybody. How are y’all, doing good?
Noah Laack-Veeder (02:02) Did either of you have a particularly exciting weekend? Yeah.
Jeremy Munoz (02:08) No, I mean, I just got sick, so, I’m getting over it.
Noah Laack-Veeder (02:11) Oh, well, that’s exciting that you’re getting over it, but not had a, yeah, I had food.
Kyle Bettencourt (02:16) Poisoning yesterday, so, I can relate. Oh,
Jeremy Munoz (02:19) man. Shut.
Bobbi Ranis (02:20) Up. Yeah, the.
Kyle Bettencourt (02:22) worst, but bounced back pretty good today. So, I will take it. I’ll take anything, right? Yeah, yeah, exactly.
Bobbi Ranis (02:31) We just had a lot of rain.
Bobbi Ranis (02:34) Really? Flooding is, yeah, people is being evacuated it’s crazy.
Kyle Bettencourt (02:42) Oh, wow. Jeez.
Noah Laack-Veeder (02:44) Seems like.
Bobbi Ranis (02:44) It’s flooding up a little today, so, I.
Kyle Bettencourt (02:47) think, I did see that Hawaii’s getting some pretty crazy. It seems like everywhere across the country is getting their record heat or record rain or record something snow.
Bobbi Ranis (03:00) Yeah, I was in vegas a week or two ago, and the first week we got there, it was for me, freezing cold, not for you guys, But for me, it was really cold jacket sweat everything. And then by the beginning of the next week, it was like, I was like, how does that happen? It’s crazy.
Jeremy Munoz (03:19) That’s.
Kyle Bettencourt (03:19) nuts. Yeah, I’m based in Texas and it was equally as crazy. Last week we started Monday was about 33 degrees when we woke up. And then by this past weekend, it was like 95, which is just nuts. I’m not from here. So, I’m still like adjusting to the craziness of it, but I don’t mind the heat to be honest, so that I can deal with. Have you guys heard from Eric if he’s planning to join?
Jeremy Munoz (03:50) I’m about to message him right now, but, looking at his calendar, he might be running late from another meeting.
Kyle Bettencourt (03:59) Okay, cool. Yeah, I saw he, accepted so we can give him another couple of minutes if, if he is running late.
Noah Laack-Veeder (04:07) You all have the full hour today still?
Jeremy Munoz (04:12) Yeah, I do, at least.
Kyle Bettencourt (04:14) I do excellent cool. And so, I guess while we’re waiting for Eric. So, Noah and I had a chance to kind of sync up or so after our call Friday and sort of the way, that we’re looking at this and I guess be curious to hear your guys’ thoughts. Is there’s sort of two? I don’t know business angles, I guess if you will. I think like one, Bobby, you’re sort of looking to see if medallion might be something that’s useful to deploy at Maui medical group. And then two, just seeing if this is something that would make sense for open practice to start incorporate, incorporating for their customer offering. So, I guess just curious, on your guys’ feedback. Is that kind of how you guys are thinking about this as well? Or, would you, phrase it, differently? I suppose? Yeah.
Jeremy Munoz (05:01) Mainly, the goal is definitely a, open PM integration with medallion, if… yeah, I guess we’re expecting what we’re hoping to see as far as, how automated credentialing is. And yeah, Maui is a client of ours. So I don’t know if they would pursue this separately because the end goal is definitely integration with open PM. And then Maui would be using open PM as the front end.
Kyle Bettencourt (05:34) Got it. Okay. And so, Bobby is more or less kind of the expert on the credentialing function and enrollment, and just being able to kind of like apply this to, you know, where this would come into play for Maui medical group.
Bobbi Ranis (05:46) And potentially other aspects.
Kyle Bettencourt (05:47) Okay. For sure.
Bobbi Ranis (05:48) Not wanting to have a whole, nother, username and password to something else and have to be able to monitor something else, right? So, if we can just build it within open PM, it’s going to be much better. I.
Kyle Bettencourt (06:01) See. Okay, that’s, yeah, at the.
Jeremy Munoz (06:05) end of the day, I would say our clients are credentialing experts. So, right? Whatever tools we can provide them, you know, we want to give them those tools.
Kyle Bettencourt (06:18) That makes sense. Eric, thanks, for hopping on. We were just kind of recapping, the call, from Friday and sort of what the ultimate goals are for, both non medical group and open practice. And, yeah, I think it sounds like we’re looking at this, at a potential, incorporation of the open practice platform, and, you know, kind of using Bobby’s expertise on how this, you know, this would work in practice, for Maui medical group and, you know, ultimately seeing if it’s something that’s worth, partnering further on.
Jeremy Munoz (06:51) Gotcha. Did you?
Kyle Bettencourt (06:52) Have a mustache?
Noah Laack-Veeder (06:53) Last.
Kyle Bettencourt (06:53) time… my picture has a mustache so that’s probably your.
Noah Laack-Veeder (06:58) Picture. Okay?
Kyle Bettencourt (07:00) I know where’s your?
Noah Laack-Veeder (07:02) Mustache though, man, that thing was rocking. He lost it back with me. So, I made him shave it off. I’m kidding. I would never do that to him. I wouldn’t.
Kyle Bettencourt (07:12) no, I’ve had it, I guess I had it about a month ago, and I decided to switch to the beard. I don’t know it’s just kind of a sort of a field thing. I guess I might bring it back. I.
Noah Laack-Veeder (07:23) Appreciate appreciate the compliment though. Eric. You came at a, you came at a good time. We’re just kind of talking about the two angles kind of like what, you know, talking through how this might help Bobby and her team. And then also just kind of the integration goal. But maybe Eric just kind of if you wanted to reiterate kind of, the kind of the vision of the goal you had for this, I know Jeremy commented on the integration, but just like hearing that again would be helpful.
Eric Svonavec (07:46) Yeah. I mean, that’s what it boils down to, right? I mean, from my perspective, like I just get asked about this with really no context like Jeremy and Bobby have both lived it, right? Jeremy’s, family owns an RCM company which works with a lot of, their clients. I don’t know Jeremy, if you guys actually get involved in the credentialing aspect of it.
Jeremy Munoz (08:11) Yeah, I’m not. Yeah, I wouldn’t be the credentialing expert, but I’ve been in the hot seat as far as, but.
Eric Svonavec (08:17) You know, enough to be dangerous. Yeah.
Jeremy Munoz (08:19) Right. I’ve seen quite a bit of demos and platforms gotcha. Yeah. So, and then,
Eric Svonavec (08:26) Bobby lives it right now. The thing that, you know, I haven’t heard this request much, right? It just seems like recently with some of our ehr partners, they’re like, do you guys do anything with credentialing? Because we don’t and it’s like, well, no. So if there’s any way to facilitate something from our product, I mean, I think I mentioned it last time like we’ve got the bare bones of a date that connects a provider with a insurance company in our product… and we kind of block claims from going out until the credentialing is valid, right?
Noah Laack-Veeder (09:08) Yeah, that’s interesting. So.
Eric Svonavec (09:10) Right. If there’s a way to, I looked at your API documentation, it looks like, right? We’d be polling to say, okay, is the credentialing valid yet? Is the credentialing valid yet?
Noah Laack-Veeder (09:20) And then actually.
Eric Svonavec (09:21) Just automate that, right? Because a user today would have to go in, update that record. And if you’ve got a lot of providers and a lot of insurance companies, it’s a lot of manual work. So, yeah.
Noah Laack-Veeder (09:33) 100 percent to kind of put that in manually. But yeah. So here’s kind of what I was thinking. So I’m happy to because there’s kind of like two things that we can demonstrate. We can talk through kind of the data flows back and forth and there’s actually the platform. So I was hoping maybe what we could do is just talk about first, just the credentialing workflow with and without medallion. So we can all kind of be oriented there. And I think Bobby, I guess Jeremy, as kind of you said you don’t have to be dangerous. We get some feedback from you about how, you know, how this all looks go on the platform, show you the workflow and then ultimately Eric to your point around getting these dates out of the system, I can show you how we’re automatically getting those dates and then how they would feed in your system. But ultimately, the use case that you’re highlighting about sending that out when they’re in network with the payer is the use case that we are supporting with organizations like yours. But again, the workflow behind the scenes is what is going to make sure that you feel confident in those dates. Does that sound like a decent plan for the demonstration? Cool. Bobby, anything particularly that you’re hoping to get out of this from like a credentialing standpoint?
Bobbi Ranis (10:42) I mean, I’ve got high hopes. So let’s see what you can deliver. I think in my mind I’m just like how do you do medicare? Like that has to be through picos with mpi, like how does that work? Caqh? So I want to see what you have to offer. I hope it’s not something that we already do, right? Because then it’s like, but.
Noah Laack-Veeder (11:01) Yeah. So let’s just jump.
Bobbi Ranis (11:02) Into it. So.
Noah Laack-Veeder (11:04) I just want to kind of orient. So it’s really helpful for me. Can you all see like a process map on your screens as comprehensive process map?
Eric Svonavec (11:11) So, I.
Noah Laack-Veeder (11:12) like orienting kind of like in the current state of a lot of organizations that we work through because it’s kind of helpful to see this before I jump into the platform?
Noah Laack-Veeder (11:23) But what you’re seeing here is kind of like how individuals are currently doing credentialing and this kind of calls out like another tool that we’re anything but like all of our places modio, kind of Jeremy as you talked about last time, some of those folks are kind of doing that. But ultimately, what happens here is that you hire a provider, you send some sort of onboarding email and then the provider has to provide you with a lot of information. And so Bobby, you mentioned caqh earlier, usually, there’s no integration with the caqh. It’s just let’s just get data from this provider and hope that we get everything. And then Bobby, someone on your team has to review their information, track gaps, request missing information, usually via email. And then you’re entering that information into like an internal system, an excel, and then storing documents. And then the best thing of everybody’s job of credentialing is then taking that information and then manually putting it back into caqh that’s obviously sarcasm. But I hear that this is the process a lot, Bobby, kind of you’re looking at this, is this similar to the workflow that you all are doing today with credentialing? Like does this just seem very similar to what’s going on in your organization? Yeah, kind of.
Bobbi Ranis (12:40) Similar, we sent out like a basic form that you.
Noah Laack-Veeder (12:44) know, every insurance?
Bobbi Ranis (12:45) Company has something different on their application that they want. So we’ve created an internal one that encompasses all lines or all insurance companies with the questions. So it’s one form that we fill out. We get them to send in, you know, their schooling, their Das, all of that stuff. And then we actually enter it into a program that spits us out all the paperwork, got.
Noah Laack-Veeder (13:09) It, and what’s that program today?
Bobbi Ranis (13:11) It’s intellisoft. Okay?
Noah Laack-Veeder (13:13) Intellisoft. Okay. Excellent. And then do you have any sort of interface or integration with caqh today? No?
Bobbi Ranis (13:21) So, we haven’t used caqh up until recently. We’ve just done everything on our own. So if somebody’s in caqh, it’s because I think humana is one that’s big on caqh. So they want all their providers to go through there. So they were inputting them. So just recently, have we created profiles for our primary care providers in caqh, but that seems to be the bank nowadays of where everybody’s going to grab that information? Yes. Yeah.
Noah Laack-Veeder (13:50) And the major payers like Jeremy and Eric, just so you’re kind of aware in the space is the major payers like humana, Aetna, blue cross united, et cetera. They primarily take applications from caqh or require that this database caqh has provider information. So, a lot of organizations that we work with, they’ll follow your process, Bobby and put it in the program, but then they have to then have providers or staff on their team entering that information to caqh as well. So just wanted to kind of highlight that. I know Jeremy and Eric, you guys went off mute. Any questions from that process so far?
Jeremy Munoz (14:31) Yeah. I mean, the only two cents I can provide is from my understanding, caqh is pretty much the source of truth, right? Payers refer to caqh to verify credentials, right? Hence why they require a caqh id to reference? Yeah.
Noah Laack-Veeder (14:50) And, yeah.
Jeremy Munoz (14:51) I think just referencing back to modio, that was the hope at some point that they would integrate caqh. You know, that was years ago, of course, but then,
Noah Laack-Veeder (15:04) you know.
Jeremy Munoz (15:05) She had to maintain caqh as well as any documentation she did in modio, right? So she’s maintaining two platforms, yeah.
Noah Laack-Veeder (15:17) Which is, I mean, it’s a lot of work. And then caqh by the way, also has like the quarterly attestation process where you have to go in there and say, hey, is everything up to date every 120 days? Yeah.
Jeremy Munoz (15:29) I think that was the hope as well, you know, every quarter, she would just hit a button from modio to reattest, right? Yeah, we’re still good. Yeah, that never came to fruition. Yeah. And.
Noah Laack-Veeder (15:40) so why I wanted to present this is kind of this is what is currently happening. And Bobby, it sounds like you kind of have some processes to help providers throughout the process. But ultimately kind of what medallion’s process looks like is a provider’s hired if they have a caqh profile, we’ll auto, import all of their data from caqh. So there’s no need to grab that again anymore. And so when we send the email to a provider and they get click started, log in via SSL, the only thing that shows up for them is really what’s missing right after going through caqh, what was outdated, what was missing? So they don’t have to provide us any information that we don’t already have. And so the impact there and I think Bobby, this would be helpful to kind of understand a little bit more about how long it takes you all today. But with organizations that don’t have this caqh piece, it can take like a week, two weeks to get all this information from providers with medallion. Because we have the caqh upfront and are highlighting those gaps. We see these profiles getting completed in less than two days. So what that does is it speeds up the whole process. But Jeremy, to your point, medallion does have a bi directional integration with caqh already built. So that button to press, you know, link to caqh. It’s on a button. It’s just a real time sync between the data sources that’s already built within medallion. So ultimately, that onboarding process without a medallion, Bobby, is that taking like a week? Two weeks? Like how long does it take for providers to get their information in the system today? Oh?
Bobbi Ranis (17:19) Like back to us directly longer than that?
Noah Laack-Veeder (17:22) Or is it closer to like a month? I?
Bobbi Ranis (17:25) Think it depends on their start date. When are we, you know, looking to bring them on? If they’re quicker if their start date’s sooner? Of course, it’s a lot quicker, but we always say give six months for an insurance to totally credential. Okay. That’s just a good timeframe to start especially if they need a Hawaii license. Yeah, that’s what holds you up, right? The license in the state. So just depends on the scenario.
Noah Laack-Veeder (17:50) Yeah. So it’s kind of like the timeline today is around like six months to get the information and get someone with payr. Yeah.
Bobbi Ranis (17:59) Fully credentialed. Okay? And,
Noah Laack-Veeder (18:01) fully credentialed to you, do you have to do any like and do you have to do any primary source verifications or anything else like that or is it just get the data in and then go through the insurance process? Yeah, the.
Bobbi Ranis (18:12) Insurance process? They do all of the verifications.
Noah Laack-Veeder (18:15) Who knows? Sorry, Bobby?
Bobbi Ranis (18:18) My health plans, we have our own background check and that kind of stuff that we do upon before we even send out to the insurance companies, but after that, they do their own yep.
Noah Laack-Veeder (18:28) That makes sense. So, what’s interesting about medallion? So I just want to highlight this is like medallion, this is kind of the payer enrollment process. And Bobby, I’m sure this is nothing new to you, but like after we get the data, we have to determine, you know, which group contract to link to. We have to research payer requirements. We’ve never worked with them before start applications, reach out to providers. We then complete the applications. You’re kind of pressing a button in the system to do that. But then I’m not sure if your system has any manual or any quality assurance that’s happening to prevent resubmissions. And then there’s the whole payer follow up process where we have to continue to check in with these payers and make sure that everything’s coming in. Why I want to talk about this is because usually, like you said, this process can take around six months on average with medallion because of our automations that I’ll show you today and the expedited provider data collection process, we are getting providers credentialed with insurance in around 50 to 60 days. So kind of talking about your time frame of six months? I mean, that’s what six months is 180 days? Like we’re looking at about 100 day improvement in those turnaround times?
Noah Laack-Veeder (19:51) Bobby, this is the part you go. Ooh.
Bobbi Ranis (19:54) It’s a good talking point. Ooh, but I still want to see like.
Noah Laack-Veeder (19:59) No, 100 percent, I can show you that, but the big thing is like.
Jeremy Munoz (20:03) Now question, yeah, go ahead Jeremy.
Noah Laack-Veeder (20:05) So when you say.
Jeremy Munoz (20:06) 100 days of improvement, is that because you are able with all the documentation that you have stored, I assume AI, you’re able to catch errors, I guess more or less before going out because I think that’s probably the delay npi was incorrect. I have to resubmit, right? Yeah.
Noah Laack-Veeder (20:25) There’s like 100 checks that payers can be looking for, but yes, what I’ll demonstrate today is like how we’re able to get that. But I do just want to lead with if kind of the timeframe today is around six months. And I’m not sure Eric and Jeremy, the other customers you’re talking to if they have similar timeframes. The reason why organizations choose medallion is because we’re able to get these things credentialed and completed in 160 days. That’s ultimately the value proposition of our platform. And I’ll show you how we do that with the demo. But ultimately, that’s kind of what I want to prove to you today, but kind of thinking about just that thesis statement, Bobby, Eric and Jeremy like 100 day improvements like Bobby kind of what would that do for you and your organization? Like is revenue acceleration a thing that you’re kind of thinking about when you’re talking about credentialing, you’re like, how would 100 days? And also Eric and Jeremy, if you’re talking to your customers and proposing a credentialing solution 100 days earlier, like how would what would that impact look like?
Bobbi Ranis (21:32) I mean, of course, starting them earlier, you know, getting them working earlier is great.
Jeremy Munoz (21:37) We can see more patients.
Bobbi Ranis (21:39) Book appointments ahead of time if, you know, it’s going to happen. So it does increase it. I mean, it does play a factor though in where are they leaving from? Right? So great, you can credential them in 100 days, but they can’t even start because they had to give time to wherever they were coming from, right? And they got to move. And so, I think there’s a lot of factors that play into that. But great. Could I get them credentialed and going? Sure… right? You have to make sure that their malpractice starts at a certain date is when they’re going to start. And most insurance companies won’t even take a packet without a current malpractice certificate, right? So you run into that where great, I can get them in 100 days, but they really can’t start.
Bobbi Ranis (22:23) I think where a lot of where we fall back. And I don’t know if it happens all around if it’s just a Hawaii thing. But these committees only meet once every two weeks or once a month. So, even if I get my credentialing app in there, their committee won’t meet to approve it anyway. So I think you have all those like.
Noah Laack-Veeder (22:39) Yeah.
Bobbi Ranis (22:40) All those factors that fall in and I think our biggest holdup now is a lot of these insurance carriers will not even take an application. If something’s missing at all. They’ll be like, no, you have to hold onto it. And I’m like, well, I’m not gonna pay for a malpractice and get a certificate if they’re not gonna start for another two months, we’re not gonna accept it. So I think that’s what drags out the process also.
Noah Laack-Veeder (23:05) Yeah. So what I’m hearing here is like, this is all great. You guys can credential within 60 days, but we have to make sure that we get all the information in. We gotta make sure we don’t make errors because if that’s not happening right? Then the payer’s not gonna accept the application. So that makes complete sense. I mean, they.
Bobbi Ranis (23:20) even go down to, your npps or your npi site has to be your current address. Well, I can’t change that yet because they’re still working, right? And then it takes their medicare CMS’s site forever to roll it over. So, I think there’s a lot of factors in it. Yeah, I.
Jeremy Munoz (23:36) would say for the most part, you know, there, there’s a grace period for billing anyway. So if usually… that’s not an issue, right? By the time a provider’s credentialed we, they, that was what I’m looking for. The payer will backlog, retro, retroactive pay the old claims that they’ve seen patients for it’s usually?
Noah Laack-Veeder (24:03) Have you all seen that with commercial payers today? Because typically, it’s what I see is it’s like the government payers that are doing that. But are you all working with commercial payers that are backdating today? Yes?
Jeremy Munoz (24:14) Yeah. I mean, that’s usually, that hasn’t been a major issue from what I’ve seen… usually, it’s just really angst of provider.
Jeremy Munoz (24:24) Can I, can I get paid yet? Can I get paid yet? Can I get paid yet? Right? They want to know if they’re in that’s? Usually the angst I see. So maybe conveying that they can get credentials earlier is a pro, but it’s usually a provider angst. Yeah, I would probably say that… the biggest pro and, you know, it’s not a me thing. I assume it’s a provider thing is that they’re seen on the payer directory quicker therefore they can get more patients finding them. I mean, that’s the only pro I can see out of this. Yeah.
Noah Laack-Veeder (25:04) So, Jeremy’s here, the only pro you can see from the faster credential time is just them being like located from payers earlier. Yeah, right.
Jeremy Munoz (25:18) You know, they’re on the directory earlier, therefore patients can find them quicker. But from a billing perspective, yeah, I haven’t seen a big issue with payers, you know, retroactively paying older claims once they’re credentialed, definitely a bonus.
Noah Laack-Veeder (25:34) Once they’re credentialed, is the big part? Like usually like if you, you’re not able to submit claims until you’re credentialed. And so what we typically see is like, you know, some of our customers they’ll come in and say it takes 120 days for us to get credentialed. So then they’re.
Jeremy Munoz (25:54) not billing.
Noah Laack-Veeder (25:56) For those providers for 120 days. But then if we are able to get them down to 50, then they’re billing 70 more days of revenue, which is really meaningful revenue acceleration. Yeah.
Jeremy Munoz (26:08) I definitely won’t deny that. Definitely meaningful to hear those words. Yeah, yeah, for sure.
Noah Laack-Veeder (26:14) So, yeah, let me show you the proof in the pudding. And, I’m in, Bobby. I’m really glad you mentioned npez, cause that’s something that like a lot of organizations don’t know they have to check that and they’re just getting tons of resubmissions because of that. But with medallion, we’ll be checking all of those things. So let me share my screen but just wanted to make sure I introduced the process a bit first cause sometimes like I just jumped on the platform and it’s just, I think a better start just to show you what the current state and kind of what it looks like with the medallion. So can you all see providers on your screen? Yes. Okay. Excellent. So what we want to start with is how do you onboard a provider with a medallion? And what does that provider experience look like? So, Bobby, I’m not sure how many providers you’re onboarding at a time, but what you do with medallion is you just have to give us some very basic information about that provider. And then what we’re going to do is if you can supplement us with that caqh id, that’s really the only thing that we need to do this integration is we’ll send an email out to that individual similar to that kind of that form process you talked about, Bobby. And when they click get started, what’s going to open up is actually their profile. So if I’m Michelle and I just opened up my I click get started my profile, all this information about me that’s going to be relevant for credentialing is already going to be pre populated from caqh. So if there are things that are missing, we’ll be highlighting those. So if I go here, you’ll see I still need to get a little bit more information around licenses. But my basic information is good. My professional information is good et cetera. But ultimately, it’s not only the easy stuff like first name, last name that’s going to be from caqh, but we’re also talking about documents, work history, existing licenses, if they’re there any information that is from caqh, we’ll pull in directly into a medallion. And if that needs to change, well, then we can update it on behalf of our providers. So, Bobby, I’m not sure if you’re doing that for them, if they’re like giving you some information via email and you’re like, you know, it’d be great if I could just upload their documents myself or update their malpractice that they emailed. Me and do that for them. Any updates that we make in the platform, we will update caqh automatically. So you don’t have to worry about making sure that they’re both synced. Medallion will make sure that that’s updated. So we don’t get that resubmission error of caqh not being updated if you submit it.
Bobbi Ranis (28:54) So I want to pause.
Noah Laack-Veeder (28:55) There, this is the process that usually takes less than two days to get everything ready for credentialing. And Bobby, I think this is similar to like the email back and forth that’s happening today. We’d just love to hear kind of your initial like what was going through your mind as I was showing you the medallion onboarding process.
Bobbi Ranis (29:11) I mean makes sense. But what if we don’t have a caqh number? Yeah, that’s.
Noah Laack-Veeder (29:17) a good question. How are you let’s say today? We’re not leveraging caqh. So you’re getting the information just from that form from providers, correct? Correct? So, yeah. So what you would do is in the, and again, if they’re an existing provider, we typically see that around 80 percent of them have a caqh profile. These newer folks may not, you would just use medallion as that form. So they can populate this information themselves. We have a provider view that they can use. But also if I’m kind of providing a white glove service to my providers where I’m like, hey, if you give me the information, I’ll put it in for you, then you could update this. But ultimately, the value there is if they don’t have a caqh profile, they might need one. So if you update the information in medallion, they’re not going to have to log in and update the information in caqh, we’ll push that information out for them. So they don’t have to remember to keep that up to date that’s how we handle that situation, Bobby. So I think it’s very similar to your current process. But the only I think other difference would be if you have documents like a resume, we can retrieve a lot of that information through some, we call it optical character recognition software to pull that into their profile as well. Okay. Makes sense. Yeah. And so, yeah, again, from what you said with the kind of the email back and forth to ceqh integration kind of being in here and not having providers. Like, do you see any meaningful improvements to the provider onboarding experience through medallion? Or is this kind of similar to what the current process looks like? It’s.
Bobbi Ranis (30:56) similar to our process today. Okay? I mean, a better place to keep everything and be able to search for something on the fly for sure, right? We do everything on an excel sheet or right? When is the next thing due or something like that. So, yeah. And you,
Noah Laack-Veeder (31:13) said you do have an integration with ceqh or you don’t no.
Bobbi Ranis (31:18) We do not. Okay. We just started doing it only because we have to directly contract with humana now. So we only just started and we only have a few providers in there. So if a provider already comes with one great, right? If they start to work with us, but that’s not something we have been doing. Yeah.
Noah Laack-Veeder (31:38) That makes sense. So, I think the only, the one meaningful improvement I can see is like if you are contracting with additional payers that require it, we can just send that data out automatically that integration’s built. And Jeremy and Eric kind of thinking about kind of the other customers with a credentialing vendor. They, our ceqh integration is out of the box. So that would be something that’s available to them as well.
Kyle Bettencourt (32:05) Bobby, quick question for you. And you may have answered this on our call Friday, but how many providers do you guys typically onboard over the course of a year?
Bobbi Ranis (32:15) In the whole year, maybe five?
Noah Laack-Veeder (32:19) If it’s a busy.
Bobbi Ranis (32:20) Year five to seven depending… right? If they’re fresh out of school, mid levels, they go a lot quicker than providers who’ve been working for 20 years. Those take a little bit longer, right?
Kyle Bettencourt (32:35) And then how large is your provider base today? Was it about 75 to 100 or so?
Bobbi Ranis (32:42) Providers including mid levels just.
Kyle Bettencourt (32:45) Yeah, total providers under Maui medical group.
Bobbi Ranis (32:47) Yeah, 100 plus a little over 100, maybe 115 or something like that. Got it. Yeah.
Noah Laack-Veeder (32:57) Go.
Jeremy Munoz (32:57) Ahead, Jeremy, in terms of the integration, so you can sync with caqh, we can see existing information. We can update their profile from medallion as well as for a new provider, you know, they’re… fresh out of college, I’ll say, but we can add the new provider to caqh. Yeah, the.
Noah Laack-Veeder (33:26) Information from medallion can pretty much function as the first attempt to update to like enter into caqh. So like usually caqh is blank for those new folks and the processes they have to make, manually, type it in. And it’s not a really great experience. So with medallion customers, what they’ll usually do is just fill in the information here. And then we’ll push that into caqh automatically on behalf of their providers. So the providers don’t have to go into caqh at all. The ultimate goal for a lot of providers is I don’t want to go into multiple systems. So they’ll just enter their information into medallion. And then everything else goes to where it needs to through our integrations.
Noah Laack-Veeder (34:13) This is just the data collection piece, which again, Bobby, you mentioned sometimes it can take like two weeks to a month medallion. Our average performance takes less than two days to get this complete. And then what that means is that we can start processing these new enrollments really quickly. So how you do pay your enrollment with a medallion is really, you just need to tell us what you need. So for a provider, let’s say it’s Michelle. Again, she is part of the arbor health partners contract. And Bobby, do you all just have one tin today? Or do you have multiple tins?
Bobbi Ranis (34:48) One?
Noah Laack-Veeder (34:48) Just one? Okay. So you would just have one to pull from… and you would choose the state in which you want to be enrolled. And one thing that’s really neat, you know, you talked about the Hawaii license piece. You’ll notice here that Michelle doesn’t have a license in Hawaii. So if I try to do that, it’s going to give me an error because I am not licensed in Hawaii. So it tries to make it really easy for you not to make mistakes. And then what it’ll do is it’ll tell you and give you a list of all the payers you’re contracted with and you just tell us which payers you need to include in this. So for example, let’s just say I want to do like cigna. I can type in cigna. Here we go. And I’m going to just enroll for the commercial line of business. If I have practice locations that need to be part of that. And Bobby, I’m not sure how many do you have like a single practice location that’s going to be part of this? Or do you have like multiple that are part of enrollments today?
Bobbi Ranis (35:41) We have five.
Noah Laack-Veeder (35:43) Okay. And if you let’s say, do you automatically include all five every single time? Do you kind of pick and choose which locations have to be part of the enrollment? Yeah, we’ve.
Bobbi Ranis (35:55) been before, we were only pulling our main clinic and where they were practicing. And then we found insurances just being very sticky on that. So, if you came to cover one day because you were off and somebody called in sick, well guess what they all deny? Yeah, exactly. Yep. So if that was the case, you?
Noah Laack-Veeder (36:12) Just click this button and then it’s going to automatically pull in all the practice locations and you just click next. And now you don’t have to do any of the work of pre populating these applications. So what medallion does, let’s talk about medicare specifically. So we do need to fill out the appropriate 855 I form via Pecos to get this enrollment started for medicare. What we do is we have an integration with that with Pecos. So we will pre populate the 855 I form with all the information from here. So if you can think about it, if you’re doing it manually, you have to just look at information about Michelle and then type it all into a form with Medellin. We’ll pre populate 855 form. And then we’ll also do some QA on that. So what that looks like is before we submit to anybody, we’ll go through and check all of the requirements across all the different payers that you want to be enrolling in to make sure that we don’t make a mistake and get a resubmission, because every resubmission pretty much resets the clock. So as long as we can submit this perfectly, the first time, we’re going to get the best turnaround time. So I’ll just show you this one thing that we check you talked about earlier, Bobby is npes. So we have integration with npes. So we’ll tell you like, hey, we took a look at this and this data that we have on the form isn’t matching npes. So this is a very obvious example that this is wrong because it’s a demo environment. But those different things that aren’t matching within npes will be flagging. So we’re not able to submit it until that’s fixed. Because if we submitted it, it’s not going to help anybody because it’s going to be rejected and kind of go all the way back. So what medallion does, is any of these forms that we’re going to be submitting on your behalf? We quality check them instantaneously. And then we’ll work with you to make sure we resolve these things before they are submitted to the payer? What we typically find is, you know, you asked earlier, Jeremy, like, you know, hey, how you could meaningfully improve these turnaround times is having these auto checks. We’ve got all the checks across every payer across the United States. So that when you are submitting these different things to different payers, they’re not going to get rejected. So I want to pause there. I know I just went through a lot there, but Bobby, I know you were talking about npes. Do you have any automations to quality check today, correct?
Eric Svonavec (38:46) No.
Bobbi Ranis (38:47) We all do it manually.
Eric Svonavec (38:49) And so, how much?
Noah Laack-Veeder (38:50) Time do you think this would save you if we did all these checks automatically?
Eric Svonavec (38:57) I can’t tell you it.
Bobbi Ranis (38:59) Would save a lot of time, I think.
Eric Svonavec (39:01) Like, you know?
Bobbi Ranis (39:03) Credentialing, Clark, who just does this all day. She’s probably got it down to a science because that’s all she does, credentialing, right? I need to update a Dea. I need an updated state narc, I need a signature. I need this. So she’s pretty much got it down. I think what takes long is the providers to sign them to send them back so that we can send it out.
Eric Svonavec (39:27) I think that is.
Bobbi Ranis (39:28) The chasing them down and no fall at anybody, even if I send them an email to just do it online. All you got to do is click a button. They’re still not going to do it. I still got to go to their office and be like, where is what we sent you? So, I think she’s got that down to a science. Would this be helpful that it’s all in one place? She can see everything. I’ll go to her and say so and so, is denying it with this location. How come, where’s their… acceptance letter? We got to go dig through a file because it comes in a fax and look for it. So, is that part helpful and save time for sure?
Noah Laack-Veeder (40:04) I mean, do you all have issues with resubmissions today or?
Eric Svonavec (40:09) No, it’s.
Bobbi Ranis (40:10) just pretty much getting the providers to sign it is what takes long?
Eric Svonavec (40:13) Okay. And then, Jeremy?
Noah Laack-Veeder (40:15) And Eric, as you’re talking to individuals, I mean, because Bobby, sounds like you guys have this down, which is awesome. Do you think that other customers that you’re talking to have this process all dialed in, or do you feel like this could be helpful for them?
Eric Svonavec (40:32) Yeah.
Jeremy Munoz (40:32) As far as my two cents, I do agree with Bobby, that always, the running target is trying to get.
Eric Svonavec (40:40) the required?
Jeremy Munoz (40:40) Information from the provider or get their signatures? It’s always a reminder, but I think that will always be a running target.
Eric Svonavec (40:51) I.
Jeremy Munoz (40:51) would agree that if… these visuals can assist the user on identifying errors more rapidly, I think it’s a win overall.
Noah Laack-Veeder (41:05) Okay. Eric. How are you feeling about the presentation so far?
Eric Svonavec (41:09) Well,
Noah Laack-Veeder (41:10) this is.
Eric Svonavec (41:12) All brand new to me.
Noah Laack-Veeder (41:13) Sure. So.
Eric Svonavec (41:14) Questions I have, and… maybe this is for you guys. Maybe this is for my team… how do we know what… providers require credentialing with? What insurances? Yeah, that’s a.
Noah Laack-Veeder (41:33) Good question. So, typically, if that’s something that the customer would be informing you on. So what happens is Bobby, if I’m not saying this correctly, please jump in because you probably know more than me here. But the way that it happens is like if you want to be in network with the payer, you have to get a group contract and that group contract is typically under your tax id. So you’re saying, for this tax id for my provider group, I want all providers that are going to be associated with this tax id to be in network with your organization. So then you submit that request for bid, they’ll send you rates back and say, this is what will reimburse you for these different types of services. And then as the provider group organization, you accept that contract and then start linking providers to that. So ultimately, what that means is now going forward, if I get these providers underneath this group contract, I can bill for their services under insurance. So, they would tell you which payers they have contracts with. If they don’t have any payers they’re contracted with, they would need to go through that group contracting process and get that request for bids submitted. So that’s how that process works. So to answer your question, Eric, that’s something that provider groups that you’re working with would have to know like which payers they have contracts with. Does that make sense?
Jeremy Munoz (43:04) Yeah.
Eric Svonavec (43:05) Yeah. So, Bobby, do you guys use that credentialing required flag on the insurance today. Yes. Okay. Now, we have a claim.
Bobbi Ranis (43:14) Status. So all those that are pending will kick to there till we get their numbers, and then we just submit them all one time.
Eric Svonavec (43:20) Gotcha. So we have to have a valid date for every provider for that insurance before we will release claims. Okay?
Noah Laack-Veeder (43:33) Yeah, yes, exactly. So, then, okay.
Eric Svonavec (43:36) I.
Noah Laack-Veeder (43:37) think I see where your mind’s going. Eric is like the faster those dates happen, the faster you can release claims. Yeah. And.
Eric Svonavec (43:45) ideally, there’s no keep… updated in our system.
Noah Laack-Veeder (43:51) Right. Like from an,
Eric Svonavec (43:53) integration standpoint, I’d like to, from the provider library, go directly into that provider’s profile in medallion and have those dates automatically update as soon as the credentials are reviewed. Does that make sense?
Noah Laack-Veeder (44:10) Yeah. Is that what we want? Actually? Yeah, I’m following it. So, this is how it typically works with organizations like yours. Yeah. So you will have like,
Eric Svonavec (44:21) if you’re only.
Noah Laack-Veeder (44:21) Interested in that one date, like one, you can start flipping claims. We.
Eric Svonavec (44:28) send.
Noah Laack-Veeder (44:28) The effective date instantaneously to your system. So then you would know, okay, like we just got in network with this person. This provider is so, okay, release the claim. And so typically with organizations. And Bobby, let me know if this is your experience. Is that effective date?
Eric Svonavec (44:47) It might get to?
Noah Laack-Veeder (44:49) You like three weeks later? Oh, I didn’t so it’s like, oh, the payer sent me an email. Maybe I missed the email. Maybe the payer didn’t send the email. Maybe they sent her the wrong email. Maybe it was a letter medallion has that data instantaneously in our system. So, as soon as someone’s effective, you can start billing with that and, we even have that proof of enrollment in our platform. This isn’t a real one. But so, to your use case, Eric we.
Eric Svonavec (45:15) either in.
Noah Laack-Veeder (45:16) Some cases when it takes 150 days for folks to be credentialed any day that we can go faster is going to be revenue acceleration or more patients quicker.
Eric Svonavec (45:26) But from like an,
Noah Laack-Veeder (45:27) Ar, backlog perspective, if you’re waiting until you get this, like we’re able to get those claims released as soon as this date comes in. So, if they’re like we’ll backdate, absolutely. But if they give you the date like three weeks later, you were sitting on that revenue or that those claims for three weeks. So that’s typically, how we’ll help those organizations, yeah.
Eric Svonavec (45:49) No, that makes sense. Can you click on payers list for me?
Noah Laack-Veeder (45:52) Absolutely.
Eric Svonavec (45:54) So, yeah. Where does.
Noah Laack-Veeder (45:55) this come from?
Eric Svonavec (45:56) What was that?
Noah Laack-Veeder (45:57) Where does this come from? So, what you’re seeing here is just the list of payers that we have active enrollment lines in. If I’m an organization like yours, Bobby, you would only see like your payers here. So, what are the payers that you typically work with? Bobby? I should put them.
Bobbi Ranis (46:17) All I have all.
Eric Svonavec (46:20) Of the.
Bobbi Ranis (46:20) uhcs, humana, we have a lot of local ones here, which you probably don’t have, but hmsa?
Noah Laack-Veeder (46:26) Yeah, we actually have some enrollments that I was looking at them earlier. Yeah.
Bobbi Ranis (46:29) Okay. Alohacare, Ohana, which is centene.
Eric Svonavec (46:37) Like in our system, they’ve got 492 payers in their library. So, is that something that we could sync with you so that they’re seeing in your system, what they’re seeing in our system? And we would just sync all the ones that require credentialing. I.
Noah Laack-Veeder (47:00) Think I’m seeing where your mind’s going. Typically, how it works is like… we typically only need to send like information out to the like.
Eric Svonavec (47:14) I’m just gonna call.
Noah Laack-Veeder (47:14) it RCM or billing system when things are completed because we’re kind of waiting in that claims release use case, we can send data earlier, but it’s like if ultimately the two flags are, is credentialing required, is credentialing completed? Then we would just flip those switches at like the, is it completed as soon as that par, effective date’s reached?
Eric Svonavec (47:38) Yeah. I guess I need to know, like how do I match it up? Like if insurance is gonna be created in our system with an id or with a name, or right with our hearing… proprietary payer id, if that doesn’t sync into medallion and the provider finishes some credentialing, how do I know what insurance on my end to update?
Noah Laack-Veeder (48:06) Oh, yeah. I mean, that’s a, I mean, that’s a really good question. I mean, the, ultimately, that’s just part of the implementation integration where we have to sync payers, like, we’ve got ids, we can do that kind of stuff. But yeah, that is work that would need to be done, if you didn’t have any payer information in your system, then I would say just use medallion so we can just match them one to one. But if you have, if you already have it, we just have to go through that fun mapping exercise.
Eric Svonavec (48:38) Okay. So that’s a manual process?
Noah Laack-Veeder (48:42) Can you help me like by how, I guess, how would you do it if it wasn’t manual?
Eric Svonavec (48:49) So, in my mind, when an insurance gets added in our system, we’d add it to your system through an API call?
Noah Laack-Veeder (48:59) Yeah, that can totally work. Yeah, I think ultimately, what we need to solve for is just if we have a record of a provider for a certain insurance, like making sure that we’re linking up to the right keys in your system, and we can use apis to make that work. Typically. As part of implementation, we just walk through and say, here are the payers that we’ve mapped. Are we missing any things like that… after implementation? Ultimately, what would happen is if there’s a new payer, that would be, they’d have to get a, if they don’t already have a group contract with them, medallion would be submitting that group enrollment to get that completed. And I think that once the group enrollment was completed, we would send via API, call the new payer information in your system, but how that’s digested would be something that we still have the solution for. I’d say.
Eric Svonavec (49:56) Like we could store in our library like an external id, right? Which would be some unique medallion id for that insurance.
Noah Laack-Veeder (50:05) Yep. Or, or vice versa.
Eric Svonavec (50:09) Right. If we’re if we’re adding a payer in your library, then we’re able to store some unique id… or if we’re adding a payer from our end in your system, that gets, you know, that gets returned as part of, the request that we.
Noah Laack-Veeder (50:21) Make, yes, exactly. Yeah, that’s I mean, it’s yeah, it ultimately comes down to that, it’s just like which key, which keys do we need to link on? And that’s it. But so, kind of like zooming out, kind of Eric, Jeremy and Bobby’s are kind of evaluating credentialing vendors, kind of a couple of things that stand out with medallion. Our turnaround times are around 50 days to get credentialed. We’ve got the integrations with caqh. We’ve got the open, bidirectional apis that we can connect with your software in. What else I guess, are you looking for as you’re evaluating a vendor, or a partner when it comes to credentialing?
Eric Svonavec (51:00) Yeah. I mean, I think an obvious question would be your revenue model and… how that jives… with, you know, how we invoice, our clients, how do you guys make your money? Yeah, that makes sense… Jeremy, Bobby?
Noah Laack-Veeder (51:19) Any other things that, yeah, go ahead.
Jeremy Munoz (51:20) Yeah, I don’t know if I missed it. I stepped out at one point, but, in terms of payer applications,
Eric Svonavec (51:28) And… I’m not familiar with.
Jeremy Munoz (51:31) Which payers today, you still have to do this, but, right. You still have to go to their portal to submit an application. Can we do that through medallion? Is there any integration today?
Noah Laack-Veeder (51:43) Yeah, we can, we do that. And we, I mean, we do that, we work with, I think the number’s 900 payers. Now, a lot of them use portals. I mean, Bobby, as, you know, medicare uses paycos. So, we have integrations and workflows to get through those different processes. And Bobby, you, you’re.
Jeremy Munoz (52:02) probably cause I’m not in that process, but, can you name a couple of payers where you have to go to their portal and, submit an application?
Bobbi Ranis (52:18) Yeah, I’m talking away on mute, medicare paycos, of course, for sure. State medicaid now doesn’t allow, apps. They use this hoku system.
Noah Laack-Veeder (52:28) Which.
Bobbi Ranis (52:29) is very falling apart. And then like hmsa, now, just recently, the ending of last year requires it to be on their portal.
Noah Laack-Veeder (52:38) So, a lot of.
Bobbi Ranis (52:40) people are going portal, how?
Jeremy Munoz (52:42) About the big payers like cigna, blue cross, are those?
Bobbi Ranis (52:46) Yeah. So in Hawaii, MDX, who is like a third party administrator, they do it all. So, we’re still paper with them and they outsource to those bigger clients. So we don’t directly credential with them. We go to a secondary only humana, now that we’re direct with them is using caqh. Yeah, that’s consistent and.
Noah Laack-Veeder (53:09) Jeremy, just so you know, from a medallion’s perspective, so, we do like at least 200,000 payer applications a year. So, for these larger like the humana’s, the united’s the ones that have huge volumes, cause they’re I mean, if their organization’s top payers, they’re going to be our top payer too. We have a, I call it like the fast pass where we’ll send enrollments via roster and those are processed a lot faster. So, based on size, you can also sometimes in a medallion’s case, skip the portal process altogether because we have different means due to our high volume of submissions, in the pool situations, we’ve got crawlers and authentications that let us populate those. But for the most part, due to our size and size of submissions, we’re doing it via roster when payers allow.
Jeremy Munoz (54:02) Okay. Because of the volume that you’re able to send, you can bypass the portal. Okay. I mean, that would be a big one in my mind as well. The more the user can do out of open and, you know, not having to break and go to a different portal to do things I think is a big win as well.
Noah Laack-Veeder (54:21) Oh, it’s huge. I mean, from a just to kind of make it clear from the user’s perspective, they just click request enrollment. They don’t need to log into the portal because we’ll do all that work.
Jeremy Munoz (54:32) Right, right. Exactly.
Noah Laack-Veeder (54:34) Things like that. So kind of, I think it’s really important to remember the like in the experience of like, hey, your… organization’s offering like, hey, we can really help with credentialing from their perspective. And we have a super large customer who’s doing this more from like a, they’re trying to encourage folks to sign up for their emr platform. They offer free credentialing. So, this individual says, oh, that’s great. I want to get credentialed. They say, I want to get credentialed at Unitedhealth group. They just click a button, and then they just sit back and wait until their par that’s what their experience is. There’s no portal navigation, no logging in. That whole process is automated from the user. Ultimately. From Bobby, your perspective is since you’re kind of managing a provider network, you would be the one kind of working through the requests, working through any follow ups and things like that. But then if there are kind of caqh updates needed or quarterly attestations, the medallion platform is automating that process as well. So, it’s kind of like a it’s really important to remember the provider experience here is they are not going to log into a portal, they’re just going to think that credentialing is automated for them, right? So we have about five minutes left. I just really want to like to kind of talk through next step next steps here. So, Eric, Jeremy, Bobby, we talked about like, well, you know, revenue model being important, like, what?
Eric Svonavec (56:06) Seems like the right next step. How do you price this? What is your model?
Noah Laack-Veeder (56:10) Yeah, I’ll point that over to you.
Kyle Bettencourt (56:12) Kyle, yeah. So the pricing model is sort of twofold but there’s sort of a base platform fee. And then we also do it based on usage and service feeds that are tied to the amount of transactions that you guys run on the platform. So, I think kind of based for how this might work for open practice, we could lean it more towards like the usage fee or like projected volumes that you might need across the customer base and how you’re looking to.
Noah Laack-Veeder (56:41) Sort of offer this.
Kyle Bettencourt (56:42) But yeah, generally, it’s sort of like a base platform fee for the number of providers that you have on the platform. And then based on your projected enrollments or credentialings, we can kind of price on the usage around.
Eric Svonavec (56:55) That. So base. So I, what do you mean base platform fee based on number of providers? So, I mean, once they’re credentialed and the work’s done, are we still paying for them because they got credentialed or?
Kyle Bettencourt (57:11) Yeah. So there’s sort of like an annual license fee for your providers for sort of like the ongoing maintenance of their provider profile with medallion. And then we charge it on like a per transaction rate for like a recredential or like if they’re doing a new pay enrollment, we’ll just charge based on the transaction. So that will kind of allow us to like scale up if you’re expecting a higher amount of volume over a given, you know, month or a couple of months. And then we can also scale it down if you guys are expecting.
Eric Svonavec (57:41) Lower usage, gotcha. And then do… you allow reselling?
Noah Laack-Veeder (57:50) I think that’s just ultimately, I think that’s just, yeah, that’s a conversation. I think we’re willing to have. I think we just there’s several models that we do with organizations like yours. It typically just what makes the most?
Eric Svonavec (58:03) Sense. Okay?
Noah Laack-Veeder (58:06) So, I think, we should have.
Eric Svonavec (58:07) A.
Noah Laack-Veeder (58:09) conversation around like, I mean, ultimately around like both business models, like for example, some organizations think, okay, well, we’re just going to kind of like charge.
Eric Svonavec (58:21) Higher subscription.
Noah Laack-Veeder (58:22) Fee because we’re doing free credentialing, some are just kind of just giving this as kind of, more or less a customer acquisition fee. And then others are saying like, hey, I’ll introduce you to this particular provider group that we have. And there’s kind of more partnership agreement. I think we just, yeah, so there’s a, there’s options that are on the table. I think we just have to kind of talk through because ultimately like to be direct, it has to make sense, for you all as well, right? Like it’s if we’re going to charge, let’s say X dollars for this and you go with a contract with us, it would have to make meaningful sense to you. And on the flip side, like if it’s a, you know, working with a customer. So ultimately, I think that’s just something that maybe we want to bring in more of our sales leadership to talk through.
Kyle Bettencourt (59:14) Yeah, yeah. I think.
Eric Svonavec (59:15) I mean, ideally, our strategy in general is that we hold the contract with you all and, you know, there doesn’t need to be, you know, for every client that wants automated credentialing, that there’s some onboarding signup process, right? It’s a box they can check, and they get the feature, right? That’s the ideal workflow from our standpoint with all the integrations we do. So as long as that’s on the table and, yeah, whatever we got to work things out and talk about it. And, you know, I’m with you on that. You definitely need to do that, but we’ve run into things where we get so far down the line. And then we see the contract and it’s explicitly prohibited and we have to end the engagement because we’re not committed to spending a 1,000,000 dollars a year with the vendor and we just wasted everybody’s time. That makes sense. Yeah. So yeah. So what are you thinking should be?
Noah Laack-Veeder (60:15) Involved in that next conversation, Eric, should we bring anybody else in? Do you think you and Jeremy are the right folks? Like who else would be kind of like part of this decision process?
Eric Svonavec (60:23) Yeah. I mean, there’s yeah, there’s another level above me. Ultimately, our president would… ultimately get involved with, you know, the details of that conversation and ultimately making the final decision. So what I did is I reached out actually to a counter of mine, one of our ehr partners who’s been kind of in my ear about this and I wanted to get their feedback. So I asked her if she was okay with me sharing her information with y’all, I have not heard back yet, but I think just to get more, you know, more perspectives… obviously, I’ll talk with Jeremy and Bobby outside of this to get their actual thoughts on what they’ve seen. Yeah. But I mean, you know, if the pricing’s not egregious… and offensive, I mean to have an option. And hey, this is what it’s going to cost. I mean that… is where we want to be. We want to at least have an option in the tool. Bag. So, you know, I don’t plan on doing some extensive due diligence on this. If you guys solve a problem and here’s what we can offer that. I mean I’d be comfortable moving forward. Yeah, that makes sense. Is there.
Noah Laack-Veeder (61:47) a timeline that you’re kind of working towards?
Eric Svonavec (61:51) Not a hard timeline. No, I wouldn’t say this is, you know, there’s a lot of initiatives. This is an initiative. It’s on the lower half of the list. But if the actual contracting and, you know, the onboarding isn’t too difficult, right? Where it might be with something else that has a higher priority, then you know, no reason not to squeeze this in there. But, you know, three months, four months, that type of thing. What I’m.
Kyle Bettencourt (62:27) thinking may be helpful for our next step is just kind of having a deeper dive on sort of the pricing models. But then also understanding like, you know, how valuable is this for you guys in practice? And so like generally, what we’ll do for a lot of our partnerships is do like a business value assessment where we can kind of do a deeper conversation just on sort of like the metrics around like your provider volumes, credentialing enrollment volumes. And then we can also understand from that point, like what would your actual value be from partnering with medallion? And then at that point, we should also have some pretty good information to put some pricing packages together for you. Yeah. So would that be maybe like a helpful next step from here is diving into that a bit further?
Eric Svonavec (63:11) Yeah. If you can hit me up with some of the metrics that you’re interested in seeing, I can get with my data team to just get a rough idea of our numbers… and we can go from there. Yeah, that sounds good.
Kyle Bettencourt (63:28) So, Noah and I will follow up with some questions just on kind of the rough numbers that we need.
Kyle Bettencourt (63:32) And then do you want to throw some time out maybe for like Friday afternoon just to sink on that or what would be a good follow up?
Eric Svonavec (63:40) Yeah. Let’s shoot for next week. Okay? Should you just same time next week? Yeah, that’s fine. Same time next week.
Kyle Bettencourt (63:51) Okay, great. That sounds good. So, I’ll follow up with some of those questions over email here, update the invite, and then I guess anything else while we’re still on that we can help with today?
Eric Svonavec (64:06) No, I.
Kyle Bettencourt (64:06) think we’re good. Appreciate the time. Alrighty. Thanks guys. Well, thank you all.
Noah Laack-Veeder (64:11) Thank you so much.
Eric Svonavec (64:12) Take care.
Noah Laack-Veeder (64:13) Bye.
Eric Svonavec (64:14) Guys. Bye bye.