Transcript
Mitchell Thompson (00:00) good morning.
Jane Edwards (00:01) Hi, how?
Mitchell Thompson (00:02) Are you? How are you doing? I’m doing well. How are you? Good. Okay. Everybody hanging in there? Yep. That’s good. I was down in Oklahoma City last week and it was like 90 degrees. So, I’m assuming you guys are dealing with the same, yep.
Susan Matthews (00:21) Yeah, yeah, pretty warm, 71 gonna get up to about 85 today over the weekend. It was really hot hotter than it should be.
Mitchell Thompson (00:28) That’s pretty nice. We’ll take it. Yeah.
Jane Edwards (00:32) Why were you in Oklahoma again?
Mitchell Thompson (00:34) Why, March madness you ever follow the, oh, okay. Okay. Who did you see? What? Who?
Susan Matthews (00:42) Did you see,
Mitchell Thompson (00:44) Nebraska played down there? Oh, okay. We’re the only school like in power, like in the major conferences who have never won. So, it was like our first one. So, it was kind of a big deal for us.
Jane Edwards (00:56) Did you go to Nebraska?
Mitchell Thompson (00:57) I, did. You did. Yeah. Who did they play? Who did they play? They played Troy and then Vanderbilt?
Susan Matthews (01:06) And did they win Vanderbilt?
Mitchell Thompson (01:08) They won both? They won both. Huh. Yeah. Congratulations.
Susan Matthews (01:11) Thank you. So there’s 16.
Mitchell Thompson (01:13) Huh. They are, they made it. Yeah.
Susan Matthews (01:15) So, they don’t play university of Houston, do they, because I can’t remember?
Mitchell Thompson (01:20) No, I don’t think so. Well, they might. So, they play in Houston, on Thursday.
Susan Matthews (01:28) Night. Yeah.
Mitchell Thompson (01:30) Yeah. So, if they win in Houston, yeah, if they win that, then they could play Houston. Oh, okay. If Houston beats, Illinois. So, hopefully, yeah, exciting times, huh, we’ll do a little wager, if we get there.
Jane Edwards (01:46) Okay.
Susan Matthews (01:47) All right.
Mitchell Thompson (01:49) But yeah, it’s, it’s crazy because we are awful at basketball historically. So, it’s been nice.
Susan Matthews (01:56) Well, you know, Houston always gets to the end, but they can’t get across the finish line. The university of Houston.
Mitchell Thompson (02:02) Anyway, yeah, I know they are always so close last year. They were in the championship. Well, I just feel like they’re yeah, they’re missing like one seven footer I think is really, what it’s been, but I.
Susan Matthews (02:14) can’t basketball, my daughter and her husband, you know, they’re into all sports but basketball is one that, as far as I’m concerned, you watched the last two minutes? Yeah, good.
Jane Edwards (02:27) That is that’s.
Mitchell Thompson (02:29) my girlfriend right now, I’m making her watch more basketball than I think she’s ever thought she was going to. And last time she was like, you know what? I’ll just catch up at the last two minutes. I was like, okay, we’ll see you in a little bit.
Jane Edwards (02:41) Yeah.
Mitchell Thompson (02:42) Yeah.
Susan Matthews (02:43) That’s.
Mitchell Thompson (02:45) But, yeah, it was fun, got some warmth. It was nice and so, yeah, we’ll see how this week goes, but, yeah, if we play Houston, we’ll be sure to, to.
Susan Matthews (02:54) Catch up. Okay? All right.
Mitchell Thompson (02:57) So I saw your email around getting that per the provider push through, I’ll make sure connectively and make sure that we, at least elevate that, escalate that. And I’ll we’ll let, you know, is your, when’s the, is it today? Okay. What time? Is that?
Susan Matthews (03:13) 12 30? Okay?
Mitchell Thompson (03:14) Two hours central?
Susan Matthews (03:16) Time? Yeah, 12 30 central.
Mitchell Thompson (03:18) Time. Okay. Yeah. All right. Let me see, what we can do there. So I’ll get that done. And then I have one question for you. All right? Today, and then if you have anything else, we can go through that as well. Okay. So currently, like automation is a big, priority for, our product team in terms of the payer enrollment process. And some of the contracts allow you to submit. Now, this isn’t delegated rosters, but they allow you to submit rosters for like the normal PE process, which, as we continue to build out the automation, like we want to make sure that we’re building things out correctly, right, there’s two types that we’re doing. One is like the form filler, which is that we’re following the form that they give us and we’re filling that out to make sure that it happens quickly. Yeah. And the other is the roster which is obviously, like, that can happen a lot quicker. So right now, and I can send this over to you, if you don’t know it off the top of your head that’s okay. We do think that we’ve covered everything to be honest. Okay, we have humana, motive, Colorado, which I looked it’s I think that’s only happened once for you guys. Like, I don’t think that it’s something that.
Susan Matthews (04:26) Yeah, we don’t have Colorado anymore. So.
Mitchell Thompson (04:28) Yeah. Imagine health, ambetter, BCBS, Texas, cigna, healthspring and anthem wellpoint are the ones that we’ve identified for you that we’re currently using and.
Susan Matthews (04:40) PE submissions via roster. Okay. Yeah.
Mitchell Thompson (04:43) Exactly. Not delegated rosters. So.
Susan Matthews (04:48) Where’s imagine, I don’t know where the, what’s no, I mean, what is that? That doesn’t sound familiar as a payer for us? I can take a look.
Jane Edwards (04:59) What about Oscar?
Susan Matthews (05:00) That’s a, but that’s a delegated one, Jane, he’s talking about, you know, enrolling PE, enrolling in PE with a roster? Okay?
Mitchell Thompson (05:31) Let me double check on the, imagine one of where they got that from. Because, yeah, I don’t see that in your enrollments right now, either. Okay. So, I’ll double check on that. So, maybe it’s just, the six could be.
Susan Matthews (05:44) Just the six. I mean, humana, well, humana’s in every market, really, right? Not only delegated for Houston. So, I guess that would be right. The other ones all look familiar. Okay? Like they would be, why don’t you go ahead and send the names. Let me just.
Mitchell Thompson (06:01) Run it by, I’ll send the names. Yeah. And we like, sometimes it’s through your contract. Sometimes it’s through relationships with us that we can do this. Oh, okay. And so all we’re looking for is like, is there anyone else that you’re aware of in your contract that we could potentially implement this? You get quicker turnaround times to an extent like things happen a lot quicker. And so, as we start to build this out like we’re just sort of doing our due diligence right now to make sure we’re not missing anything. We think we have everything. Just so we’re on the same page.
Susan Matthews (06:31) So, Jane, which one was it that got missed for Sinha? What payer that submitted on a roster that only go once a month for Georgia? It.
Jane Edwards (06:41) Was, it was, hang on. I don’t remember.
Susan Matthews (06:46) I know it was, hold on one second. My dog’s going to break down here.
Jane Edwards (06:51) Hang on. Oh, it would be easier to go over here. Hang on… it’s humana. And.
Mitchell Thompson (07:01) What happened there?
Jane Edwards (07:05) Well, you can only submit it once on the fifth and, actually… it was him and one other person and he, was,
Jane Edwards (07:22) It was started in January… so they missed –. Hang on. I’m pulling this open. So they missed –. It was Sinha, and oziwo. I don’t know how to say that. So, it wasn’t submitted in February. It wasn’t submitted in March. Okay. So now, we have to wait and see if it’s going to be submitted, in April although, Lee had said it was going –, she was going to ask them to submit it, outside the fifth parameter, you know?
Mitchell Thompson (08:00) Huh, send us the name of the provider.
Jane Edwards (08:04) The first one’s, name is Neil Sinha, S, INH a, and the second one was magdalene… M a D a LENE, last name, o Z, IW o… and hang on, I’m pulling him up and they were both looked… like they were through with intake in January.
Mitchell Thompson (08:43) Or humana?
Jane Edwards (08:45) It looked like they were through. Oh, hang on. I pulled up the wrong thing. Humana. Here we go. They were through, intake was completed on one sixth, 20 26. So it couldn’t have been submitted in January because it has to be submitted on the fifth. However, they missed it on in February and they missed it in March, okay?
Mitchell Thompson (09:11) And when.
Jane Edwards (09:12) I told them to do it, they said, well, the client wants, the client wants it to be submitted on a roster just once a month, and that is true, however, you’ve missed two months, yeah.
Mitchell Thompson (09:33) That’s however.
Jane Edwards (09:35) And so, Lee was going to try to get them to submit it prior to the April fifth. And it doesn’t look like they’ve done that. There’s no note saying they’ve submitted it.
Susan Matthews (09:51) And his start date was in March, right? His.
Jane Edwards (09:54) Start date? No, let’s see. Hang on.
Jane Edwards (10:05) You know, ever since y’all, moved things around, it’s thrown me off.
Mitchell Thompson (10:09) With the boxes,
Jane Edwards (10:11) Huh, it’s just thrown me off. His start date was March second.
Susan Matthews (10:15) Yeah. See. So, so.
Jane Edwards (10:17) Really? He could have been, he could have been working on it. They could have been working on it for like a month before he ever started.
Mitchell Thompson (10:26) Right. Okay. Slightly different problem, but a problem all the same. So, I will make sure that we can actually, it sounds like she’s working on it, but, yeah, we’ll get that submitted, as soon as possible here. I don’t know if it’s better to submit it now. I’ll look at the other ones that have been submitted in terms of the turnaround times, but we’ll see what we can do there.
Jane Edwards (10:48) The rep’s name is Charles woodward, and I told her for humana, and I told her that if it, if Charles gave them, if Charles said something to them, then I would try to talk to Charles for y’all but it has been missed twice. Yeah.
Mitchell Thompson (11:06) No, I’m with you. That shouldn’t happen. Okay. I will, I’ll double check on that, with her, but,
Susan Matthews (11:13) Yeah.
Mitchell Thompson (11:16) I do see the pending dependency seems like it should be, let me look at that process. I think that might be new. So, I’ll look at that process of that, on hold one and see kind of when we can get that out of there so that it doesn’t get stuck. Go ahead, not after you. Okay?
Susan Matthews (11:37) Just popped into my head. So, we signed the unitedhealthcare delegation agreement. So, Georgia and Connecticut will probably need to be done by that roster. The building of that roster needs to be done, and I get it by April because they’ll probably make it effective April first and I’ll have to submit my first roster in April.
Mitchell Thompson (12:00) When did you submit that? Did you tell?
Susan Matthews (12:02) Lee, a long time ago? Okay. It’s been in the works for a while, so.
Mitchell Thompson (12:07) Okay. I’ll take a look at the ticket and make sure that that’s done. But, yeah. Okay. All right. We’ll have that. I’ll make sure that’s ready by the end of that time here.
Mitchell Thompson (12:17) Okay. Anything else I’ll send over that list to you just to make sure if anything pops up, like I said, I think that we’ve yeah.
Susan Matthews (12:24) We’ve done everything I sent that file, you know, to correct those last few credentialing initial credentialing dates, and then everyone should be in there and correct.
Jane Edwards (12:34) Okay. So, I hope.
Mitchell Thompson (12:39) That’ll be the last of it.
Susan Matthews (12:40) That’ll be the last one. Yep. Okay.
Mitchell Thompson (12:44) All right. Any updates on the transition of providers or anything like that? Have you talked to any of those not, you know?
Susan Matthews (12:52) No, no one’s come to me from revere asking for anything we told.
Mitchell Thompson (12:58) them to come to you. I think yesterday, just a quick heads up.
Susan Matthews (13:03) So, for what? Well, now they’re okay. I take that back. So, there was kind of some discussion about.
Mitchell Thompson (13:08) We didn’t give them your name. We told them to contact their contact at village and let you guys handle it like I just want to, I’m not passing out your, oh.
Susan Matthews (13:17) Yeah, no, I mean, it would be okay. I mean, if it was, it would eventually come back to me anyway. But so now, there was some kind of conversation about, you know, how you ask us for, you… know, at contract renewal time, you ask us for forecasts, like what we think the numbers are going to be for the year and blah.
Mitchell Thompson (13:36) Blah, blah. Yeah. Well.
Susan Matthews (13:38) There was some kind of question about us providing that and I’m like I’m not going to do that to them. That’s not revere. I don’t know what revere has in store for themselves. They asked who?
Mitchell Thompson (13:53) Asked you that it was.
Susan Matthews (13:54) In this work group, there’s this work group and I can’t remember specifically who asked the question… but I said, well, they always do that. They ask for projections on what you’re going to do for initial and recred through the year,
Mitchell Thompson (14:09) Huh. And they.
Susan Matthews (14:10) asked for projections, I said, I’m going to provide that because I don’t know.
Mitchell Thompson (14:16) You’re revere, right? Yeah.
Susan Matthews (14:17) And I’m not revere, and so legal, it was the legal Guy. He bottom line said, no, we’re not doing that. We’re not providing that and I said, okay, it.
Mitchell Thompson (14:27) Was an Ann, was it?
Susan Matthews (14:30) No, I don’t think it, was, it. I was multitasking. Okay?
Mitchell Thompson (14:36) Because I did talk to Ann about something similar to that in terms of like because… of how you guys have your contract set up. Oh, okay. But yeah. So that’s okay. It’s fine. So, if she asked it, then yes, I would double click on that. Okay? But if it was somebody else, if not from us, we’re not asking you to project their forecast? Like that’s not, it’s more like we’re removing these providers from you. Huh. How many did you include in your forecast for that provider? In case you need to? Oh.
Susan Matthews (15:14) I see. Okay. So, Sherry would be able to answer that question.
Mitchell Thompson (15:18) Okay. Because we worked on those. I’ve asked Sherry, I haven’t heard back but that’s okay. But that’s, if it did come from Anne, that would be the question that we’re looking for so that we can reconcile. And,
Susan Matthews (15:32) I don’t think it was Anne, I think it was specifically for Arizona. Okay? Maybe maybe it was Anne. I don’t let me look at that meeting. Hold on one moment, please.
Mitchell Thompson (15:46) No, what we, what they, while you’re looking, what they had asked was regarding the delegation like their delegated agreements, first year delegated agreements. Huh. It sounds like they were hoping to maintain.
Susan Matthews (16:04) Oh, no, they, I’m sorry. Well, that’s great. I’m glad they were hoping, but.
Mitchell Thompson (16:11) that’s why we sent them to you because I was like that’s a different conversation. Oh.
Susan Matthews (16:13) I see that’s.
Mitchell Thompson (16:15) A different conversation? Yeah, not, I think it was through the end of the year or something like that.
Mitchell Thompson (16:19) But so, I don’t know if you removed them but that was, I was like, I, we shouldn’t be in that in the first.
Susan Matthews (16:26) Place. No, you shouldn’t be in that conversation.
Mitchell Thompson (16:27) That’s a conversation with you guys. So, yeah. We sent them.
Susan Matthews (16:30) Your way, well, and, you know, for Arizona, there was only one and it termed 12 31. Okay. There was only alignment in Arizona and it, the contract termed with that payer on 12 31 for.
Mitchell Thompson (16:42) Delegated agreements for.
Susan Matthews (16:44) Delegated agreements. So there would be no others. Now, harvard health, different story. Okay. I don’t see Ann. Oh, my God. The guests have been hers in this meeting. Well, Ann is on this invite as optional. Is it Ann holzmeister? Is that her? Yeah, she is on here but, you know, bottom line to it, the legal Guy said no, don’t do that and I.
Mitchell Thompson (17:08) said, okay. If it comes up again, that’s what we’re looking for. Okay? If anyone wants to provide some clarification, there may have been some confusion in that ask, but it’s like it’s more how much of your contract was allocated towards those providers so that we can potentially if you need us to reallocate… those that invoice cost to, yes.
Susan Matthews (17:36) Okay. Oh, I remember. Now, you said ask for me to ask Sherry about all that. Okay? That’s.
Mitchell Thompson (17:42) okay. I can reach out directly to Sherry again if you’re like she’s the person, I just need to know.
Susan Matthews (17:47) Well, you know, and my only concern here is, you know, she doesn’t really have anything to do with us anymore.
Mitchell Thompson (17:54) Huh. I know. So.
Susan Matthews (17:55) That’s probably why she’s not answering. I can look, I’ll look around to see what we had allocated for each. And since negotiating with you and talking to you is now in my purview, I’ll look and see what we negotiated and what we came up with because I should have that somewhere because Sherry and I worked on it together. Yeah. And, and then I’ll show you okay.
Mitchell Thompson (18:23) And the conversation is sort of like, are you guys invoicing internally to them? Like, how does your agreement look like? Like that is where I think we need to kind of iron things out is like, are.
Susan Matthews (18:34) you, well, and to answer your question, they have tsa, they Arizona, well, revere had tsa costs, okay?
Mitchell Thompson (18:42) Yeah. And it was.
Susan Matthews (18:43) Invoiced to them. They had to pay it, my services. Our work is included in that bucket.
Mitchell Thompson (18:50) So, potentially, if you’re doing that, then maybe you’re accounting for it in that. And like we’re okay.
Susan Matthews (18:56) Yeah, it should be because that, yeah, we should be accounting for it. You know, you shouldn’t it’s a pass through like for, you shouldn’t have to worry about it at all because.
Mitchell Thompson (19:08) You know, we.
Susan Matthews (19:09) still allocated for all that market for the entire year because we didn’t know that’s why the numbers were much smaller. Okay. Huh, this year than in the past because we knew it was going to go away, right? So, and then, we, you know, I’m sure at some, at a higher level than me. Looked at that when they were calculating the tsa cost. Yeah. Okay. So we should be covered there.
Mitchell Thompson (19:34) We might be okay, then. Yeah. And it’s a challenge because, you know, we have confidentiality agreements with you. We have, and so, it’s like I can’t no, I know what am I telling? Yeah. So I.
Susan Matthews (19:43) don’t know how much it all cost? I don’t know what they were paying, but I do know that they were paying us, okay, as is harbor health for the same thing?
Mitchell Thompson (19:53) That would, that would be the easiest way to be honest if it’s like, hey, when we sold this, we included the cost of getting them. Yeah. And so if you’re doing it that way, then that’s great because then you can kind of assign the invoice cost to those and just pass them along.
Mitchell Thompson (20:09) But I just want to make sure we don’t find ourselves in a position where things were double sold and we’re trying to backtrack in the future. I.
Susan Matthews (20:17) Don’t think, I don’t think that’s going to happen. Okay? I will see what I can.
Mitchell Thompson (20:26) There’s a lot of movement on a lot of places I get it to be.
Susan Matthews (20:32) Honest with you Mitch, you know, nobody might ever even thought about all that quite frankly they could have. But then again, you know, there were other things that really should have been thought about that weren’t and so I, you know, like I said, yeah.
Mitchell Thompson (20:46) That makes sense. You know, at a high level, what could happen?
Mitchell Thompson (20:49) And then it’s sort of like, okay, what, how does it actually happen once it comes through? Exactly? So, yeah, no, that’s all good. I just want to make sure I’m fighting for you guys here if I need to. So you just keep me posted. All right. I’ll send this over. I think we’re okay in terms of the rosters, but if anything else pops into your head that, and obviously, as we add new ones, you let us know if anything pops up. But for the most part, I think we have a pretty good grasp on what can be done with each payer. But you let us know. All right, guys. Good to see you both go big red. Yeah, go Houston too. Hopefully we meet go.
Susan Matthews (21:25) Houston.
Mitchell Thompson (21:26) Red too. All right.
Susan Matthews (21:30) I’ll talk to you later. All right, guys. All right. Bye bye bye.