Transcript
Connor Morley (00:00) hi, Michelle. How’s it going?
Michele Izaguirre (00:02) Hey, it’s good. How are you?
Connor Morley (00:04) Doing good. I just want to let you know. I saw your email this morning. I’ve got answers to most of the questions, but one I’ve… got just like kind of a general answer and I need to follow up a little more specifically on it around the gap explanations.
Michele Izaguirre (00:28) Before we get fully started, Chandra said that she has a conflicting meeting at this time that she just got invited to that she has to be part of. And so she wanted me to see if we can find another time just moving forward that we can reschedule this for.
Connor Morley (00:49) Are you?
Michele Izaguirre (00:51) On eastern? Yeah.
Connor Morley (00:53) Yes, Rae, you’re in eastern too. I’m in eastern. Yeah.
Michele Izaguirre (00:58) We’re now three hours behind you guys. So just don’t mind. Okay. Now, we’re three, we flip flop.
Connor Morley (01:10) How does 12 30 eastern? Which is nine 30 a. M, your time on Wednesday’s, work?
Michele Izaguirre (01:21) On Wednesdays, let me see. Let me start next Wednesday. She’s not available.
Connor Morley (01:32) Let.
Michele Izaguirre (01:32) me see. I don’t know how this lady gets work done. I feel like she’s never available. She has,
Michele Izaguirre (01:46) Tuesday, no, that would be too late for you guys. Thursdays, 1,112. What about Thursdays at two PM?
Connor Morley (02:00) At two PM Pacific Time?
Michele Izaguirre (02:03) Two P. M eastern two?
Connor Morley (02:05) P. M eastern. I can make that work never.
Michele Izaguirre (02:10) Mind. She’s not as available as I thought. Do you want to just send us like maybe a chunk of time that we can kind of let me ask her because she’s the one that’s got this crazy packed schedule?
Connor Morley (02:25) Yeah.
Michele Izaguirre (02:26) Okay. And I keep seeing like eight 30 our time, which is nine 30, 11 30 your time open, but I don’t know if she’s in the office by then or not at eight 30, I am, but I don’t know if she is… yeah, if you just want her at 11 30, would that work for you?
Connor Morley (02:46) Yeah, just set up some time. We’re Eastern Time. So, if it’s early in the morning for you guys, we can make that work. 11.
Michele Izaguirre (02:53) 30 eastern on Wednesdays.
Connor Morley (02:56) 11 30 eastern on Wednesdays, I can’t do, but.
Michele Izaguirre (03:04) Then I’m going to have to ask her to give me some time. Okay? No problem. Okay, cool. And then I’ll get back to you all.
Connor Morley (03:11) Right. That sounds good. So a couple things I want to go over for today and let me bring up my screen really quickly. I want to start with the data import template because there is a question on the… facilities and then also your guys with the facilities, the hospital applications, you know, those external facilities and the provider privileges, the provider privileges should be loaded by next Wednesday. But I was looking through a couple of things and I noticed in the provider privileges that we’ve received… there are no internal privileges on this document, but we do have like the internal linking… with the facilities. Yeah.
Michele Izaguirre (04:10) I think what happened, remember when we originally had this import template, there wasn’t clear instructions and so we may have put the information on the wrong tab. So I think the recredentials tab is like our internal privileging, yep. Okay.
Connor Morley (04:26) And that’s not the issue. And that’s actually completely fine because I can still import this into the right spot. And it actually does kind of help me kind of keep the external and the internal appointments separate. But I did not see any, like if we look at the provider privileges tab, at least I didn’t see any of the internal… privileging documents and I’m just assuming it’s you know, they, oh.
Michele Izaguirre (04:59) Because you want to know if they have existing privileges, are they considered active or provisional or what?
Connor Morley (05:08) Yeah. And so, it’s not like a, it’s not a big deal because what we can do is we can still load all of those, everything in the recreds without not that they have no privileges, but load them without privileges for now. And then we go through that reappointment. We can.
Michele Izaguirre (05:28) Have them, could you just load them all in as active?
Connor Morley (05:31) Yes, we can load them all in as active too.
Michele Izaguirre (05:34) Yeah. I think we only use provisional in one… one site and I think it, I don’t think we even keep track of that. So I would just load them in all as active.
Connor Morley (05:55) Okay. That’s fine. And one thing, so when we go through, the, essentially the reappointments for the, all those providers and the current creds, we don’t have their, the current privileging form that they’ve signed when they initially went through or when they went through their last credentialing, but we would just have them redo and refill out that creden that privileging document when they’re going through their reappointments, does?
Michele Izaguirre (06:22) That, yeah, that’s fine. So, at reappointment, they would complete the new documents yep.
Connor Morley (06:27) And everything would be completed within medallion with like each signs and they would have checkboxes to pick the different privileging options. Yeah.
Michele Izaguirre (06:40) Perfect. That’s fine. We do have the, we do have their original privileging forms that they signed, but I think it would be very difficult for us to pull them all and send them over. So I would just have them redo it.
Connor Morley (06:55) Yeah, that, I was thinking about that as well. It would be difficult for us to import that as well. But if it’s I don’t think it’s particularly, it’s not critical.
Michele Izaguirre (07:07) It’s fine. It’s kind of the way we were doing it now, every renewal, they had to redo them anyways. Okay?
Connor Morley (07:12) Perfect. Next up, I wanted to just.
Michele Izaguirre (07:17) I’m so sorry, Connor, you mentioned that you think you’re going to have the internal privileges loaded by the end of next week?
Connor Morley (07:24) So, the hang on like pull up my screen again. I.
Michele Izaguirre (07:30) Cannot remember the time frame you gave me, yeah.
Connor Morley (07:32) April first. So, for these existing privileges should be loaded by April first, these provider privileges can be loaded on April first, and then we can load these re, credentialing, but we might hold off just to better align maybe like a week just to better align because if you have some that are coming up on their re, credentialing deadline, they might… we might not have enough time to put the packet together.
Michele Izaguirre (08:04) Yeah, that makes sense. Okay?
Connor Morley (08:07) But the question that I had was around the entities themselves. So, when you’re making new requests for either hospital applications or for your internal credentialing. So, I’ve got the list of everything that you’ve put in either both in the existing appointments tab or the, or your internal group. And I wanted to call out one thing that we can do which is we essentially create what’s known as like a parent entity. So, for example, I just looked down here at like corwell health. Corwell health would be the parents, so you could select into that. You could select all of these, child entities or a portion of them, maybe one, maybe two, it’s up to you. But essentially, I was wondering if that’s what you’d want. Yeah, that works to do.
Michele Izaguirre (09:03) And.
Connor Morley (09:03) then, I, I’m not 100 percent certain if there are other potential parent, child groupings in here,
Michele Izaguirre (09:14) Yeah, we just don’t keep track of that, but there definitely is. I’m sure there is. Yeah, banner health, honor health, those are parent orgs, but I don’t know that we have other facilities under those, that… we, oh, banner health would be banner university and banner desert. Yeah, there are some, but, got it. Okay. We would have to this is.
Connor Morley (09:47) Also, something that doesn’t I can still load all these entities, and then I can load the parent organizations later in, if you tell me and it, and I can adjust it, but I did.
Michele Izaguirre (09:57) Yeah, that’s fine. I mean, well, as your team is working hospital applications and they realize that, okay, this is actually a parent to these other facilities, would they make those updates themselves in the system?
Connor Morley (10:12) Not without checking with you first, because it would kind of change how you would select those entities?
Michele Izaguirre (10:25) Yeah, just load it in the way that you have it. And then maybe throughout we’ll try to figure it out, and just know that sometimes it takes like, if it’s not available on the website, it might take some calling. So, yep.
Connor Morley (10:38) No problem. And then I just want to confirm like, I just, the entity type for some of these. I just kind of the highlighted ones. I guessed… yeah… yeah, took an educated guess, and then covenant healthcare, I put as a health plan.
Michele Izaguirre (11:00) Well, yeah, I’m not sure why that would be on this list unless they have a hospital, but, yeah, I think those two for sure are surgery centers, okay?
Michele Izaguirre (11:15) I’m not sure covenant healthcare actually does have hospitals,
Michele Izaguirre (11:24) So, it might be a hospital and medical center that one. But I’m not really sure. Do you know who is linked to that?
Connor Morley (11:40) I’m checking Shama, FN, Shama,
Michele Izaguirre (11:47) health care.
Connor Morley (11:53) And it’s just FN, Shama, it looks like.
Michele Izaguirre (12:00) Yeah, they do have a lot of medical centers, but they’re I don’t know.
Connor Morley (12:06) Is, do you know if this is getting, a specific medical center or if it’s getting privileging to the entire medical center… or the entire health system?
Michele Izaguirre (12:21) I have no idea. I would have to ask separately. Can you just change that to a hospital? Yeah, hospital medical center, yeah.
Connor Morley (12:32) That’s fine. The next piece is we talked about that parent? Org, so structure, so, I’m going to make pinnacle fertility, just a parent org so that you would be able to just type in pinnacle and then select from one of the surgery centers. Okay? The,
Michele Izaguirre (12:50) only one is that, this list is a little bit wrong. So, instead of ivf consulting is not a surgery center, it would be surgical center for human reproduction. That would be the name of that one.
Connor Morley (13:11) Okay. All right. That makes more sense. Because that was the, was actually another question I had because I thought they were similar, but.
Michele Izaguirre (13:21) Yeah. So, what happens in fertility is that it could even still be in the same physical space, but we have like clinics where we do medicine, but we also have to have surgery centers where our providers or it could be office based surgery, where our providers perform the fertility procedures in some of our clinics, that is an office based procedure, but it’s still accredited. So we have to do credentialing, which is why you see like California fertility partners is a clinic, but it’s also an ambulatory surgery center that we’re doing privileging for, but like ivf consulting, their surgery area is actually accredited as an asc. So, ivf consulting is the clinic space of that, and surgical center is for human reproduction is their asc okay?
Connor Morley (14:15) That makes a lot more sense. And can.
Michele Izaguirre (14:19) you see my screen? It’s weird. So, yeah. So that one’s surgical center for human reproduction. And then the Seattle one instead of that, it’s Seattle surgery center, Seattle reproductive surgery center. It’s something like that. Srses, Seattle reproductive surgery center. Okay. The other ones, naperville is the surgery center. The other ones are the actual clinics because they do the office based surgery… for your categorization. Some of them aren’t officially ascs, does that matter? I?
Connor Morley (15:05) Can change them? What would they be?
Michele Izaguirre (15:11) That’s a great question because.
Connor Morley (15:13) this will be used like what I put here will be used for the facility enrollments.
Michele Izaguirre (15:20) So, California fertility partners then is not, it would be an office or a clinic, a medical office. I don’t know what your categories are.
Connor Morley (15:34) Hang on one second. Let me look at. We have some options in here. There we go. Yeah.
Michele Izaguirre (15:40) It’s weird, like because they’re office based surgeries, we still have to do credentialing because of our accrediting bodies, but they’re not ascs. So they don’t do facility enrollment. They still do like normal clinic enrollment. It’s a little weird.
Janice Laran (15:58) So, would they?
Connor Morley (16:00) Still be a facility? No, because.
Michele Izaguirre (16:03) We don’t do facility enrollment. We just do group and provider enrollment for those. Okay? Because they’re not actually accredited surgery centers. They don’t have a separate entity or tax id. So, I’m not sure what you would use for your like just regular medical office that’s what that one would be. So this.
Connor Morley (16:24) One would just be a regular medical office, the California, right? Yeah. But,
Michele Izaguirre (16:28) we still internal privilege there. That’s like what I want. That’s what I’m trying to explain like we still internal privilege, but we don’t do facility enrollment. So.
Connor Morley (16:38) I’ll still keep them as an entity to do credentialing there and to.
Michele Izaguirre (16:42) do exactly. But they’re not an asc for facility enrollment. Gotcha?
Connor Morley (16:48) I will leave them off of the facility enrollment and leave them on the entity. Oh.
Michele Izaguirre (16:53) Okay. So, is this facility tab only for facility enrollments? Yes. Okay. Then you’re going to take off the Atlanta, the ivf consulting. You’re basically going to take off where’s Atlanta, row nine to row 13. Okay?
Connor Morley (17:17) So, you only have four?
Michele Izaguirre (17:18) Facilities facilities? Yeah, we only have four official ascs that do facility enrollment. Okay?
Connor Morley (17:24) And then the Seattle reproductive surgery center, the, it would be.
Michele Izaguirre (17:29) It’s listed there. So all of our yellow ones on this list are our surgery centers, got?
Connor Morley (17:35) It? Okay. So it’s.
Michele Izaguirre (17:37) got, they even have like different locations, okay?
Connor Morley (17:40) Perfect. Okay. That makes sense. And what’s it listed? Seattle reproductive surgery center? Okay. OK. All right. So that, so there are four facilities. And then in terms of the entities themselves that you do credentialing at… this is what I have listed. So it sounds like the only additional one it’s.
Michele Izaguirre (18:11) not, so for this one instead of ivf consulting, that would be the surgical center for human reproduction.
Michele Izaguirre (18:25) Okay. And instead of row 64, the Seattle reproductive, it would say Seattle reproductive surgery center… let’s see one, two three four. I think that’s everything we don’t have, we have Oregon? Are.
Janice Laran (18:43) we not going to add the Michigan clinics, Michelle, Michigan?
Michele Izaguirre (18:47) Doesn’t do credentialing? Yeah, neither does Oklahoma? Yeah.
Janice Laran (18:55) Still a csop.
Michele Izaguirre (18:57) Because this is just for internal, this is just for when we’re doing our privileging requests, right? Whether it’s internal or outside facilities, correct? One, two, three, four, five, six, seven, eight, nine. Oklahoma’s a, no, Michigan’s a, no, Virginia’s a. No. Yeah, that’s good. Okay?
Connor Morley (19:14) And then for the type ambulatory healthcare, I can show the options for… because I had them listed as I believe point surgery centers, but we have entity types.
Michele Izaguirre (19:32) Does it really matter if it’s just like internal credentialing and we’re not doing no.
Connor Morley (19:38) It doesn’t really matter that much. I.
Michele Izaguirre (19:41) Can put it, what about surgical service that looks like, are you in row af or AK, or is it both?
Connor Morley (19:47) AK, AK? AK?
Michele Izaguirre (19:50) Yeah. There is a well, there’s no like ambulatory surgery centers. They’re all just listed as surgery centers at the bottom. So we could just put that surgery center. Okay. Yeah, it’s fine because there’s we’re not doing enrollment, so that’s more like internal surgery center would make sense? Okay, that.
Connor Morley (20:11) Sounds good. And then, okay. So I think we’re all good here. It’ll all roll up into the pinnacle fertility parent org.
Michele Izaguirre (20:24) And.
Connor Morley (20:25) then we have your dops and your credentialing policies for… all of that. And I’ll fill out that parent entity information later, but we should be able to load all of these then as entities.
Michele Izaguirre (20:43) Okay. And do we want, do we need all of the, or want all of the privileging and entity information in the provider’s files before they attest, right? Is this something that… we need loaded in? Because we still haven’t invited providers?
Connor Morley (21:05) It’s better to have it in so that they can then see it attest once. Yeah, they can just attest once. Okay?
Michele Izaguirre (21:13) Cool. So, Janice has gone in and cleaned up almost all the provider profiles as much as she can. And we’re going through like practices and groups, all of the providers know that there’s going to be an invite. So as soon as we, I guess have this and the enrollment data in, then we would be good to do that. Yep. Okay. Yep.
Connor Morley (21:36) And then once all the enrollment data is in, so I have, where are my notes? The enrollment data? Is I have that scheduled for next Wednesday? We should be good to start making and placing payer requests… and you should be good to start doing facility enrollments as well. Wait, what do you?
Michele Izaguirre (22:06) Mean, so you’re going to have the enrollment data imported, but you’re saying we can actually use the system and have the team start working enrollment?
Connor Morley (22:14) Yeah. If you’d like if you’d like.
Michele Izaguirre (22:20) Yeah. I think she does like Chandra likes that Chandra likes that I wasn’t speaking about myself. Okay. Yeah, we’re just trying to do everything we can to get rid of our current situation, but providers have to have those profiles attested before. Like we can actually do anything with the enrollment once the enrollment data is in, though. Would we want like, would we set up some sort of enrollment meeting or something where she meets the team or they discuss workflows? Like is any of that stuff required?
Connor Morley (22:57) Yeah. So we do have like some payor mapping that we have to do and that process we’re working on.
Michele Izaguirre (23:07) We would just.
Connor Morley (23:09) Want confirmation that all of the payors that you have listed matches to something in medallion and then that you guys agree and log in. But I can send you, we would also need to know like what, who, which payors require direct enrollment, which ones are covered by group enrollments and which ones are.
Michele Izaguirre (23:29) there any?
Connor Morley (23:30) Roster templates?
Michele Izaguirre (23:32) No, we don’t do delegating. We don’t do delegating enrollment. So the roster templates that we have are more like those quarterly attestations, like those directory changes, and they usually get sent to us by the payors. Perfect. So we need to clarify contracts are group versus provider. Okay? But all of that stuff can be worked out while they’re doing requests, right? So, like if we load everything in and we just decide like, hey, we really need to get this provider enrolled in cigna. Your team would work that and kind of like prioritize the mapping. Okay? We’re doing cigna, let’s work on this mapping or whatever. Yeah.
Connor Morley (24:12) Okay. If, you know, we’re going through and then you guys tell us like if we’re not sure of a particular like workflow, if something requires direct enrollment or if you’re covered under the group enrollment, we do have like standard sops to follow for each payer, and we can follow those. Yeah, there are.
Michele Izaguirre (24:38) some situations where we’re not quite sure because these contracts were created many years ago before for us. But, okay, that’s good to know. And then I’ll just tell you that, yes, more than likely Chandra will want to start entering requests, I’ll say by the six to give us some time to like validate some info. Sure. Okay. And then in terms of,
Michele Izaguirre (25:12) yes, we also want to start doing that. So right now, we have a different vendor that’s doing our internal like TG tjc credentialing, and we’ve kind of internally instructed the team that they’ll be doing up to any may recredentials. So once we get the facility and privilege information loaded in, we’ll probably start to enter requests for like June recredentials. Okay. I.
Connor Morley (25:42) Do have a couple of questions on that for the tjc cred, because we’re still putting together the sop for that.
Michele Izaguirre (25:55) So, when.
Connor Morley (25:57) we have tasks where we need additional information from the provider for credentialing request… do you want those tasks to primarily be assigned directly to the provider or would you prefer them to be assigned to the admin?
Michele Izaguirre (26:20) Do they get email alerts of tasks?
Connor Morley (26:23) They do. Yes.
Michele Izaguirre (26:28) No, no. I’m afraid to overwhelm Janice and I don’t think the clinics are going to do anything about it. So, I’m going to say, let’s start with the providers yep.
Connor Morley (26:41) We can always change it. Yeah. And then we.
Michele Izaguirre (26:43) can always change it. Do you know if an administrator would get like copied or like she can still go into the dashboard and see the outstanding items or like how, yes, is there an escalation pathway that maybe after like three requests, then we can send it to the admin? Yeah?
Connor Morley (27:01) That’s our standard after three requests of reaching out to the provider. If we don’t hear back about it, we create a duplicate task that’s directly to the admin. And within the system, you can toggle by provider tasks versus admin tasks to view all the provider tasks that have been assigned. Okay? I.
Michele Izaguirre (27:24) love that. And let’s keep it that way. Let’s task the providers up to three. And then after three, we task the admin directly and we can just keep eyes on it from the dashboard. Okay?
Connor Morley (27:34) That sounds good for the education verification of your credentialing. Are you all right if we use Edu proxy? We.
Michele Izaguirre (27:45) I have no idea what that is honestly.
Connor Morley (27:46) It’s essentially like just another verification tool that we use to verify their education information. It is ncqa… and tjc accredited. I believe. Yeah, yeah.
Michele Izaguirre (28:02) I mean, I don’t see why not. I want to make this as easy as possible. Okay? Is it like an additional cost? Is there like a pass through or something? Nope?
Connor Morley (28:12) Nope. It’s just us.
Rae Tompkins (28:14) Checking the boards. Usually if a provider is like listen issued a board, we don’t verify the education just so that there’s not additional outreach taking place for things that don’t apply to the provider.
Michele Izaguirre (28:25) So, Edu proxy would also do the board certs. So.
Rae Tompkins (28:29) Education proxy. It checks the board certifications because usually a license or a board is not issued until they verified. I apologize. It’s in regards to the provider’s license. If a provider is licensed, they usually check the education. So we wouldn’t purchase the education because the license has already checked the provider’s education.
Michele Izaguirre (28:50) What does Edu proxy do for you now? I’m confused it.
Rae Tompkins (28:56) Bypasses their requirement in order to have to go to like national student clearinghouse or purchase an education verification because the licensing board overrides the education. So you.
Michele Izaguirre (29:06) guys go into Edu proxy and say, hey, this provider’s license and it says great, then no education verification required.
Rae Tompkins (29:14) No. So the license would bypass the education requirements and I can provide more context via email if you’d like just so you have it on file for what exactly that means?
Connor Morley (29:26) Okay. So.
Michele Izaguirre (29:27) It’s not a website. No, it’s a, I get it. It’s an sop like a workaround. Exactly. Okay. I don’t think that will work. I’m trying to think of the credentialing sops… that have been created and they say they do check education, but it’s not very specific that like a license like an active license serves as a proxy to verify education. Is that something we would typically need to put in our sops… or like credentialing policies?
Rae Tompkins (30:04) It’s for my other.
Connor Morley (30:07) Customers. I’ve only gotten sign off that we can do Edu proxy. No one’s had to go in and revamp their policies?
Michele Izaguirre (30:16) Okay. Yes. Let’s do that. So if provider has active license then no Edu verification required, which would be everyone. I don’t know why I would be submitting a non licensed provider to you?
Rae Tompkins (30:33) Okay. That.
Michele Izaguirre (30:34) Works a question on that too separately is, do you guys do ama profiles, do you pull ama profiles for board certifications? Yes?
Connor Morley (30:46) We do. Okay. And it,
Rae Tompkins (30:48) is only if the state has an education proxy. So if a state that we are processing, and again, I can provide this via email so that you have it on file. But if a state doesn’t participate in education proxy, then we would still verify the education, but we have an internal list that we work off of.
Michele Izaguirre (31:06) Okay. Then, yes, let’s do it. Can you send me the states just so I’m kind of aware, yeah, I can see.
Rae Tompkins (31:11) If our team can pull that. And when you say ama, you mean using it to verify the boards directly? Yeah?
Connor Morley (31:17) Okay. Yeah. I’ll double.
Rae Tompkins (31:19) Check with the team. I think if there is directly a board that we can go out to and verify it that way, they may not directly utilize ama, but I can clarify, yeah, just clarify.
Michele Izaguirre (31:29) For me because I did notice that there are some of my clinics in their credentialing policies that specifically call out ama profiles that’s what they’re doing. Okay. I know that going directly to like acog or abog boards is sufficient, but I would just want to make sure that their policies are reworded in a way that’s more generalized if we’re not doing amas, okay?
Rae Tompkins (31:52) So it’s not a requirement. You just want to make sure if we’re utilizing it to kind of go backwards and update the outside sops?
Connor Morley (32:02) No, I don’t think.
Michele Izaguirre (32:03) It’s a requirement if you’re able to verify the boards through another thing. But like I said, then I have to go back and revise my internal sops for, I think there’s like three surgery centers. Yeah, of course.
Rae Tompkins (32:14) I’ll let you know for sure, great.
Connor Morley (32:17) Next question would be for insurance minimums or malpractice insurance for the providers for the single and aggregate.
Michele Izaguirre (32:25) I think we do one mil, three mil, yep.
Connor Morley (32:29) That’s pretty standard. So, no concerns there. I have your slas… second. Will I just review?
Rae Tompkins (32:44) For the Coi, is that all states?
Connor Morley (32:46) There are?
Rae Tompkins (32:47) Any state specific requirements regarding minimums?
Connor Morley (32:51) No. Okay. Perfect.
Connor Morley (33:04) Then I have the list of the verifications that you need. So they’re good there. One second… adb provider, outreach, eduproxy… check.
Connor Morley (33:34) That’s all I need right now for that tjc credentialing information. The dop mapping. I’ll… have a better time estimate later today on how quickly that’s going to get done.
Michele Izaguirre (33:50) I think it’ll.
Connor Morley (33:51) take about like two more weeks. It’s just right now. It is a very manual process while we put in all of the E signatures fields and everything. But I think we will be, we should be ready in time for those June re? Credentials.
Connor Morley (34:20) and then one other thing I wanted to look at was within your recred documents. Maybe I missed this, but I don’t I think I have listed here. If I share my screen.
Janice Laran (34:39) So,
Connor Morley (34:41) ivf, I refers to naperville, right? Would this be for… would this be for surgical center for?
Janice Laran (34:55) Human?
Connor Morley (34:55) Production not.
Janice Laran (34:56) ivf. No.
Michele Izaguirre (34:57) It’s confusing. Sorry, go back. I’ll show you. Okay. So, ivf, I is going to refer to, sorry, this was like an internal column to sort. I didn’t realize I said that ivf, I, is going to be naperville fertility center.
Janice Laran (35:14) Okay.
Janice Laran (35:20) Is.
Michele Izaguirre (35:21) there an Illinois? No, we didn’t send you the Illinois stuff.
Connor Morley (35:26) I did not see Illinois on here.
Michele Izaguirre (35:29) Yeah, we have to send you because surgery center for human reproduction is a brand new surgery center. We did all of our credentialing after this was submitted. So we’ll have to send you a list of free credentials for them.
Connor Morley (35:43) Yes, please. So, I can, I… don’t know, I just want to make sure I load everything in correctly. But so, ivf, I refers to all of naperville. And then the surgical center will have its own.
Michele Izaguirre (36:00) That Washington refers to Seattle reproductive surgery center.
Janice Laran (36:06) Okay. Cool. Oh.
Michele Izaguirre (36:09) Surgery center. Yeah.
Connor Morley (36:13) And then I do have Oregon, it would be Oregon’s reproductive surgery center.
Michele Izaguirre (36:18) No, that’s correct? No. Okay. Yeah, there’s only three. All of that’s correct? There’s only three surgery centers on this one. The rest are like clinics. So all of these are correct. I just need to,
Janice Laran (36:28) send you.
Michele Izaguirre (36:29) The list for surgery center of human reproduction. We didn’t send that to you, okay?
Janice Laran (36:35) No problem.
Janice Laran (36:42) I think we are.
Connor Morley (36:44) Good there. Oh, one other thing I want to talk about is your committee structure?
Janice Laran (36:52) So, essentially… how it?
Connor Morley (36:55) Works, is it looks like you have multiple medical directors who are approving from multiple locations?
Janice Laran (37:03) We can include.
Connor Morley (37:04) Them on separate committees by location or we can include them on a single committee?
Michele Izaguirre (37:13) Whatever you have. Yeah, I think the single committee is fine. The only one that differs is Ohio.
Janice Laran (37:23) Actually, the.
Michele Izaguirre (37:24) medical director doesn’t differ. Yeah, just do it, do a single committee, okay?
Connor Morley (37:31) So, and.
Michele Izaguirre (37:33) then, for.
Connor Morley (37:33) the naming convention?
Michele Izaguirre (37:34) Looks good. Yeah, that’s fine. Okay?
Janice Laran (37:37) Sounds good. And it.
Connor Morley (37:39) Looked like for the coordinators, these would be the people who need admin access, right?
Michele Izaguirre (37:45) They do need admin access. Yeah, for privileging, okay? To the providers, they need admin access for the provider tab and… privileging or whatever they are.
Janice Laran (38:00) So, do the,
Connor Morley (38:01) provide, so, do these medical directors, do they need admin access to make credentialing requests or do they just need access to approve?
Michele Izaguirre (38:10) They just need to sign.
Janice Laran (38:11) Okay. They need access to,
Michele Izaguirre (38:12) their own provider profiles, right? Yep. Because they are also providers within our network and they just need access to sign and approve.
Connor Morley (38:19) Yep. They will not.
Michele Izaguirre (38:20) Be adding requests at all.
Janice Laran (38:22) Yep. Okay.
Connor Morley (38:23) So, that’s good. And that is just a different you?
Janice Laran (38:29) Know.
Connor Morley (38:29) User group permission that I can give them, okay?
Michele Izaguirre (38:32) But the coordinators do need admin access and to be able to task… request, I’m not sure how we,
Connor Morley (38:39) call it, yeah, to request. So they’ll just be given admin access. It just depends. Do you have any like data segregation where they would only need, where they would only be able to view providers at that location?
Janice Laran (38:56) Yes.
Connor Morley (38:56) Yes. Okay. So, we’ll set them up as what’s called team managers and we’ll have to create teams based on those.
Janice Laran (39:05) Facilities?
Connor Morley (39:07) Or… if we could potentially do it based off of the groups?
Janice Laran (39:15) I think we,
Connor Morley (39:16) can do it based off of the groups.
Janice Laran (39:18) Yeah. I would do it off.
Michele Izaguirre (39:19) The groups, not the specific locations. Okay? So, like Ohio is a good example. You have one admin for one location, one admin for the other, but it’s perfectly fine if they’re just both admins for all of Ohio.
Janice Laran (39:36) Okay. Yeah, we.
Connor Morley (39:37) it’s if I make them a team manager, it’s not limited to a single team. It can be limited to multiple.
Michele Izaguirre (39:45) Teams, okay? Perfect.
Janice Laran (39:48) Sure. Change the ivf, one, Michelle, I don’t know. Yes, if this will be up by June, dr Morris will be.
Michele Izaguirre (39:57) She doesn’t leave till November. Oh, wait.
Janice Laran (40:01) No, yeah.
Michele Izaguirre (40:01) He’s still signing them right now? Okay?
Connor Morley (40:09) This provider, Randy Morris is still good. He’s still good for now. Okay? And if any, if you need to change who approves these, it’s a really quick change.
Janice Laran (40:19) Okay. Just.
Connor Morley (40:20) Submit a support ticket and we can change those.
Michele Izaguirre (40:24) Okay.
Janice Laran (40:26) Okay.
Connor Morley (40:27) All right. This looks… to me, okay?
Janice Laran (40:36) So,
Connor Morley (40:36) I have approval on the committee structure. Looks good.
Connor Morley (40:46) Have all your dops?
Janice Laran (40:49) We’ll invite the,
Connor Morley (40:50) providers sometime late next week?
Janice Laran (40:55) Invite the providers?
Michele Izaguirre (40:56) Oh, yeah, because we want to get all that other stuff loaded in first.
Janice Laran (41:01) Yep.
Connor Morley (41:10) So, with that with inviting the providers, I can do a bulk invite… just depends on Fridays are usually not a good day.
Michele Izaguirre (41:22) I would say to six to give us an opportunity to scrub some of the data.
Connor Morley (41:27) Yep. That sounds.
Janice Laran (41:28) Good.
Michele Izaguirre (41:42) Okay. So, I think I.
Janice Laran (41:44) have everything.
Connor Morley (41:45) That I need for.
Janice Laran (41:48) Today… will you let.
Michele Izaguirre (41:52) Us, will you get back to us about the gap?
Janice Laran (41:56) Yes. So.
Michele Izaguirre (41:56) Right now, Janice just noticed like Janice noticed when they were like I ended in March, started in April or?
Janice Laran (42:06) It’s.
Michele Izaguirre (42:06) like you’ve got a one month gap and we don’t do medicaid and medicare. So we only care about three months or more.
Janice Laran (42:13) Yeah, it’s not a,
Connor Morley (42:14) medicare or medicaid requirements, it’s actually a state board’s requirement that anything over 30 days there needs to be an explanation.
Michele Izaguirre (42:27) Over 30 days, okay?
Connor Morley (42:30) Yeah.
Michele Izaguirre (42:31) Okay.
Janice Laran (42:32) Then it is what it is, yeah.
Michele Izaguirre (42:37) Caqh.
Janice Laran (42:38) Does six months, six months?
Michele Izaguirre (42:43) Caqh, does six months, and then credentialing, does three months? Yeah. Okay.
Connor Morley (42:51) I could, yeah, that’s I’m following up for like why we need why?
Janice Laran (42:56) We care about state.
Connor Morley (42:57) Boards and a little more context behind that, but, right.
Janice Laran (43:01) Now, it’s just state.
Connor Morley (43:04) Boards require a gap of more than 30 days to be explained.
Michele Izaguirre (43:07) State boards, meaning for like state licensure, yeah.
Janice Laran (43:13) Yes.
Michele Izaguirre (43:17) State providers already have licenses. So, I’m like wondering if we can modify if not, it is what it is. I just can’t imagine there’s going to be a lot of gaps needed to be explained. Yeah, especially, you know, you have new grads graduate in August. They don’t start until October.
Connor Morley (43:37) Yeah. Okay.
Janice Laran (43:40) Yeah.
Michele Izaguirre (43:40) Cool. All right. I will get back to you on some days that work for Chandra and.
Janice Laran (43:46) will.
Michele Izaguirre (43:46) you just let me know if we don’t meet before the first, will you just let me know once everything’s loaded in so we can go in and start looking.
Connor Morley (43:56) Yep. No.
Michele Izaguirre (43:57) Problem. Okay. Cool. All right. Thank.
Connor Morley (43:59) You so much. Thanks everybody.
Michele Izaguirre (44:01) Bye.