Transcript
Niccole Russell (00:00) hey, good morning. How are you? Good. How are you? I’m good.
Sandhya Kapila (00:04) Thank you.
Niccole Russell (00:05) Good. Amy asked me to join for the mapping. Oh.
Sandhya Kapila (00:11) Perfect. Cool. So, are you going to be doing the map? The, are you going to have the discussion with them?
Niccole Russell (00:16) Yeah, I think I need to train her. She’s not real sure to do it. Yeah. And I’ve done a few since then.
Sandhya Kapila (00:24) Perfect. Sounds great.
Niccole Russell (00:26) Cool. So, I’m actually, I don’t know, I just asked Brenda. I’m like, can you confirm there?
Sandhya Kapila (00:30) You go exactly. And I think for this one, she had actually popped in… that a couple of these were not. Oh, where did I put that mapping sheet? Oh, here it is. She had confirmed that a couple of these were not payers. So, if you looked on the auto mapping result section, she had like popped in like not a payer as the source. So.
Niccole Russell (00:55) Oh, I’ll take a look at those.
Sandhya Kapila (00:58) Okay. Because.
Niccole Russell (00:58) Mimi asked me to do it. And so, when I went, it was already done and I’m like this is already done. Is there something else you want me to do? So, maybe she just wanted me to confirm?
Sandhya Kapila (01:08) Maybe it was the one that was on the auto mapping result. Is that the one you were looking at? Because I mapped it? I used that auto mapping tool to map it. Yes. Oh, and then I did do like the manual, I saw the payer.
Niccole Russell (01:21) Scoping or the mapping was complete? So.
Sandhya Kapila (01:25) Oh, yeah. Yeah, because I did the manual match, so it was manual, but I think I just wanted, yeah, same thing like I was just like, could you guys verify it? Oh,
Niccole Russell (01:32) okay. Okay, first.
Sandhya Kapila (01:34) Time. Okay. So, what I’ll do is then I will pass it over to you and Amy first to go through and then you guys can drop off because, yeah. Okay. If you guys want to stay, you can stay but otherwise, yeah.
Niccole Russell (01:46) Amy.
Amy Frana (01:47) I called in a reinforcement because I was, finally this morning had more time to look and I was like, I might not be the right person to do this because I haven’t done one yet. So, of course.
Sandhya Kapila (01:59) Sorry, I was like, yeah, I’m confident. I’m.
Amy Frana (02:01) confident. And then I was reading what you wrote. I was like, I thought I was just going through side by side and confirming. So this is a little bit more.
Niccole Russell (02:09) Okay. Yeah. And that’s where I was confused because I thought you needed me to do it. So, I was like, it’s already been done. So I’m gonna look back over and confirm. Okay. And,
Amy Frana (02:19) well, because I did do, I did do some like, but I haven’t done any reviews with the customer or started to talk about processes. And I, so the process piece was the part that I was a little bit more like when I realized we might get to that today, I was like I could do the side by side of the customer or like the payers and ask questions. But if we start getting the process, I don’t want to mess things up.
Sandhya Kapila (02:48) That’s perfect. No, that.
Amy Frana (02:50) Sounds good. I appreciate it, Niccole. Yeah.
Niccole Russell (02:52) You’re welcome. Oops, you know?
Sandhya Kapila (02:55) When you’re starting to use a different computer, like in a different room, this is the room my husband usually uses and the keyboard’s all weird.
Niccole Russell (03:05) Hold.
Amy Frana (03:05) on, I like that room, it’s a very calm and serene background. It.
Niccole Russell (03:09) Is it’s very pretty? Thank.
Sandhya Kapila (03:11) You?
Niccole Russell (03:13) We’ll see. Yes. Okay. And,
Amy Frana (03:16) Niccole, I like your background. I just wish it were real. You could turn around and look out. That would.
Niccole Russell (03:20) Be amazing.
Sandhya Kapila (03:23) Hey, Connor. Hello? I.
Niccole Russell (03:27) Am in an office, but my husband’s desk is back there. So when he is home from, you know, he’s a teacher. So when he is home, he’s back there. So I’m like blurt out.
Sandhya Kapila (03:40) I’m going to highlight a couple that are on the payr, scoping tab. These are the ones Niccole that where Brenda had indicated that it’s not a mapper, okay? Or sorry, not a payr?
Niccole Russell (03:52) Not a payr. I got you. Yeah, I’ll review those. It may be listed as something different in the system because I really did not even, I saw they were done and I thought she needed me to do them. So.
Amy Frana (04:06) Sorry?
Niccole Russell (04:07) That’s okay. I.
Amy Frana (04:09) did review and all the ones that I reviewed, I felt good about, but there were questions of like is this accurate?
Niccole Russell (04:16) Let’s verify and that’s what I do, Amy, I was telling Sonia what I normally do is I go through and I try to pair what I can, but I will highlight them and ask Brenda to review to confirm.
Amy Frana (04:29) Oh, yeah. I didn’t do that part. Yeah, so.
Niccole Russell (04:31) I do that just to be sure because, and then, you know, if they’re not in the system, I’ll jump on in research if it’s not on the non payer list which we have that I can go over that with you too. You’re not aware of that, but, and then I’ll get on and research online and either say it’s not a payer. And if I say it’s not a payer, I still have Brenda review those just to make sure I’m accurate.
Amy Frana (04:55) Okay. Yeah, thanks, you’re welcome. I was like, I sat through all the training. I read all the training too, but I haven’t actually done a full one and we do Sandhya and Connor, like, I know, I’ve been talking with Sandy like we need to figure out for these tier threes, how we get them done and I have some thoughts but it kind of just depends on now that Nate’s here, what we change up and whatnot so, yeah.
Niccole Russell (05:27) And I will say the payr mapping is to me is quicker than the roster mapping.
Sandhya Kapila (05:34) So, yes.
Niccole Russell (05:36) If that could go somewhere else, that would be nice. I can do the payr mapping but it’s very time consuming, yeah.
Amy Frana (05:46) Sandhya and I have a way to start tracking the time for all these. I just haven’t gotten it out to you all, but we’ll.
Connor Morley (05:56) we’ll.
Amy Frana (05:56) definitely be trying to track that time because either bring in somebody else or we’ll figure it out. Yeah.
Niccole Russell (06:04) Now, the ones that I did map before for another client. I had quite a few. I have 10 or so ended up being 10 or so. I did send that time over to Sammy.
Connor Morley (06:17) Yep.
Amy Frana (06:18) And I appreciate that. So we’re going to, we’re going to start capturing everybody. So we can better have that captured. Perfect.
Niccole Russell (06:28) Is.
Amy Frana (06:28) neurocare in a waiting room waiting.
Sandhya Kapila (06:31) Rooms don’t work for me for a lot of my customers. So, no, I’m just emailing them right now to see. Okay, yeah… no worries. I just.
Amy Frana (06:43) Felt bad if they were sitting there, no?
Niccole Russell (06:53) And then, Sonia for the slea, are you going to be on that call? Yes. Okay. I’ll be on that one for payer mapping as well. Perfect. Thank.
Amy Frana (07:02) You.
Niccole Russell (07:03) you’re welcome?
Sandhya Kapila (07:10) Yeah, they’re usually like early to our calls. So then they might be caught up in something else.
Sandhya Kapila (07:52) Maybe we can give them a few more minutes and then I’ll email them a treasury schedule.
Sandhya Kapila (08:39) How do I run the caqh bulk import for these guys? And I think there’s still there’s nine in progress. This is my first time running it?
Connor Morley (08:47) It usually takes like, I mean, we say it takes at least a day, but depending on the amount of providers, it could take longer.
Sandhya Kapila (08:59) I think it’s done. It says no nine are in progress action required for 15, and then one failed and there are 25 that were imported, but they have 51 providers. Oh, maybe.
Connor Morley (09:19) I don’t know. I mean, it’s all based on caqh eligibility. So, if there are any that did not have a caqh id or social security number, we wouldn’t the bulking board can’t run it. Cool. But.
Sandhya Kapila (09:38) And I guess there’s others where they need to authorize us, right? It says caqh action required roster setting. I can share my screen.
Connor Morley (09:54) Yeah, but I only see 25 in the current bulk import requests.
Sandhya Kapila (09:59) Okay.
Connor Morley (10:03) Doesn’t look like any completed when’d you run it, I,
Sandhya Kapila (10:07) just ran it like 10 minutes ago, oh.
Connor Morley (10:10) You gotta give it. You gotta give it a couple hours at least.
Sandhya Kapila (10:14) Patience? Okay. Yeah.
Connor Morley (10:16) You gotta give it a couple hours at least and then go back to the providers page.
Sandhya Kapila (10:20) Okay.
Connor Morley (10:23) How’d you select all the providers? I?
Sandhya Kapila (10:26) Did this? And then this, and then I, did this start book?
Connor Morley (10:31) First, you gotta filter by caqh eligible. So, unselect, all of those, okay… filter go to caqh eligible filter? It’s right at the top right? Next to professions and date. Oh, jeez click eligible. Let’s see and scroll down. Let’s see how many are actually eligible. 24. I mean, okay. So that makes sense then? Okay. Why?
Jenny Laurie (10:59) Okay.
Connor Morley (11:01) Not all of them ran.
Sandhya Kapila (11:03) Okay. Cool. Good to know.
Jenny Laurie (11:05) So, sorry, hey.
Sandhya Kapila (11:07) Jenny, no worries at.
Jenny Laurie (11:08) All. Thank you for sending in that email.
Niccole Russell (11:09) No worries.
Sandhya Kapila (11:11) I was saying like they must have been caught up in something.
Jenny Laurie (11:14) So, Betsy is out of town in Georgia with neurocare. So I doubt that she’ll be joining today. Okay? And honestly, I don’t know about James. Okay. No, that’s perfect.
Sandhya Kapila (11:28) No, no, no, that’s perfect. Thank you. We actually have two special guests here. We have Nicole and Amy. Okay. Amy heads our engagement management team, and then Niccole is an engagement manager on the team. I actually wanted them to. I’ll actually let them introduce themselves, but I wanted to invite them so that we can talk through peer enrollment.
Jenny Laurie (11:48) Okay. Good morning. Good.
Amy Frana (11:49) Morning. Great to meet you, Jenny. So as Sandhya mentioned, I’m Amy, frana, I lead our engagement management team which Niccole is a part of. And my team, I’ve been here for about eight months now. So we are, I’m getting much more up to speed with all things medallion, but here to support you through some of these pieces of implementation.
Amy Frana (12:12) But then also afterwards, we get involved if there’s escalations or things that come up, but hopefully you won’t see too much of us except through implementation and all things run smooth.
Jenny Laurie (12:25) Sounds good. Hey.
Niccole Russell (12:27) Jenny. I’m Niccole, as Amy said, the engagement manager that reports to Amy, I have been with medallion for about three months now learning all the things of the medallion way, I have a little over 10 years in healthcare experience, six years as a PE manager. So I think what I am here to do is focus on your process scoping and then the mapping in which what you call a payor and what medallion calls a payor and then you will review that and confirm and you can keep those notes on your side for any requests that you put in.
Jenny Laurie (13:05) Okay. Sounds good.
Sandhya Kapila (13:07) Wonderful. All right. So I will go ahead and share this… payor, the payor scoping, sheet. I mean, that you, Jenny, that you had filled out and then we had done some mapping on the medallion payor name. And so Niccole, I’ll let you take over just to talk through the payor mapping and then any processes.
Niccole Russell (13:34) I, to be honest, I have not seen this one for neurocare.
Jenny Laurie (13:39) Okay. So.
Niccole Russell (13:41) Let me take this off and review. I will say for any that are on here. Do any of them require rosters?
Jenny Laurie (13:51) So we have a current credentialing company that handles all of that. So I honestly would not know. I assume that most of them are going to require rosters because I know anytime we have like billing issues, bhbs, which is our current credentialing company, they would reach out and like get a roster from them so they could verify the information. I feel like most of the medicaid plans are going to require that. I’m not 100 percent sure about the commercial plan. Okay? I.
Niccole Russell (14:25) will say, so what I will do is I will review these, make sure that the medallion name is correct with the name that you’ve matched. I’ll confirm that. And then to the left, there is an overall sign off once and I can let Sonia know she can reach back out to make sure that you confirm that once I have confirmed column B and D… beyond that, if there are rosters, I guess we’re taking over for that team, is that correct? Correct? Okay. So if there are rosters, what I would need is in the new… roster, let’s see. Yeah. So in column I, our request, let’s say our request roster eligible. Actually, I think it’s H, sorry, this is a new form. So if it does require a roster, then you would mark yes under that column, and then you would link it in column I.
Jenny Laurie (15:23) So I’m not going to have rosters. Is that something that… you guys are able to pull from the payer or how are we going to handle that?
Niccole Russell (15:35) So we have a standard process within medallion for specific payers, if it’s a standard process, we would just follow what we currently have in our payer directory for that. If it’s special to you as the client, then you would have to provide that roster to us, which would be where the yes and link come into. And then in the client notes, you would state if there was a prerequisite for that payer, and where we would submit that roster to and follow up as well. So we would need submission information, follow up information, prerequisite information, and then the roster itself. So I can add, I can add another column in M for medallion notes. And as I go through the two columns at the beginning to verify the payer names, what I can do is.
Niccole Russell (16:40) I can look in the payer directory and see if there is currently a roster there and let you know that’s about as far as I could go with it. So.
Jenny Laurie (16:50) I guess I’ll probably just have to reach out to James and see how he wants to handle this because like I said, we have a current company that’s handling this. They’re not aware that we’re switching. I don’t know if this is something he’s going to want them to go through this and say, yes or no rosters are required. We have, you know, because they’re the ones that pull the rosters and house all that information. So I’ll have to reach out to James and see how he wants to handle that well.
Niccole Russell (17:19) And you can always tell them if they’re not aware, you can always tell them that for auditing purposes, you’re just wondering which payers require a roster and ask for a copy of a blank template. I think that’s what I would do. Yeah, but yes, definitely connect with whomever… you need. But I think that would probably be the best way is to say, hey, we’re doing an internal audit trying to see which payers require rosters. And if I could get a template for that for housing purposes, okay? Internal housing purposes.
Jenny Laurie (17:55) And are you just meaning a template? Because obviously, each payer has kind of their own roster. So you’re just meaning what like a template? Just a blank?
Niccole Russell (18:03) Template. Okay. Yeah.
Niccole Russell (18:12) Because if they’re using, if they’re using rosters, they have to have a blank one somewhere. Okay. Populate new information from the system. I.
Jenny Laurie (18:22) Mean, because I know I have like old ones from several years ago from some of the medicaid managed cares… but I’ll get with them and see what we can do. Yeah.
Niccole Russell (18:34) The only thing with the old ones, I would worry about is a lot of payers update their rosters. Yeah. So I would hate to populate a bunch of information and then it’d be sent back that it’s the incorrect roster.
Jenny Laurie (18:45) Okay. Yeah.
Niccole Russell (18:52) No… and I see Poe letter will be needed for this. I guess that is in the documents in medallion.
Sandhya Kapila (19:03) Yeah. I have that. I have it, it’s in our Google drive, but I can put it in the documents. Yeah.
Niccole Russell (19:12) Yeah, because I would imagine the PE team looks there for that information.
Sandhya Kapila (19:19) Okay. I will add it to documents in medallion.
Sandhya Kapila (19:37) Anything else?
Niccole Russell (19:38) Understand that we are?
Niccole Russell (19:58) Sorry, I had internet issues. Did you hear me on that one?
Jenny Laurie (20:02) No, I did not.
Sandhya Kapila (20:04) Yeah.
Niccole Russell (20:05) That’s okay. I actually had to disconnect and reconnect. I don’t know what’s going on with my internet today, Sonia. If you’ll scroll down just a little bit, sure. Be right there. I think it’s around row 19. So the nurses and qmhs staff get billed to this plan. Just wanted to make you aware that we are not doing the billing for that. No.
Jenny Laurie (20:30) I understand. I’m just like wanted me to put notes. This is a marketplace plan and they wanted to understand credentialing surrounding marketplace. Okay? So that means we have to make sure that they’re credentialed or, but they follow the PNM enrollment, which is the Ohio medicaid provider network management.
Niccole Russell (21:08) Yeah, so far, the notes look pretty clear on that. So I think we’re good on that portion. Okay?
Sandhya Kapila (21:16) Great. Thank you. And it looks like enrollment processes are all standard. Yep.
Sandhya Kapila (21:28) Okay, great. Thank you. Is there anything else Niccole or Amy that you need from Jenny at the moment?
Niccole Russell (21:34) I don’t but will you tag me in this so I can review this later?
Sandhya Kapila (21:38) Yeah, absolutely. Yeah, I’ll send you a link. I’ll actually put it in this zoom chat.
Niccole Russell (22:00) Great. Cool. Awesome. Thank you. Yeah. And again, like I said, Jenny, once I review on that column, a, you’ll just do an overall sign off, but we’ll do the work on our side to make sure that everything looks accurate before you do that sign off. And then that sign off is really just for you to agree. Hey, this may be what we call it, but this is what medallion calls it.
Jenny Laurie (22:19) Okay. And,
Niccole Russell (22:20) you’ll get to keep that spreadsheet. So when you put in requests, you’ll know exactly how to request that in the system.
Jenny Laurie (22:25) Okay.
Sandhya Kapila (22:39) That sounds good. Thank you guys. Amy, Niccole, you are free to stay or you guys can hop up.
Niccole Russell (22:44) Okay. I will drop. Thanks. Nice to meet you, Jenny. Nice.
Jenny Laurie (22:47) To meet you, Jenny. Thank you. Thanks guys. Cool. I wanted to ask you guys. Did Jonathan reach out to you? I hope you don’t mind, but I gave him your email because apparently, there was a change in… neurocare. And James kind of took on a different position. He may have explained that a little bit to you. I.
Sandhya Kapila (23:08) Was out on Friday when he reached out. Connor did speak with him though. I didn’t realize that James has switched roles.
Jenny Laurie (23:18) I’m not sure how that works with this moving forward. I’ve not spoken to James, but so anyway, I just wanted to let you know, I did give Jonathan your guys’ information because he was telling me that for the neurocare side, the clinics like they don’t have anybody right now doing that. And I had told him, I said based on our last meeting, it was told like kind of like end of may was kind of our timeline and he was like, you know, I don’t know that we can wait that long. So I just wanted to make sure that he reached out to you guys to see what can get started for neurocare. Yeah.
Sandhya Kapila (23:55) Yeah, he did, Connor spoke to him and we, I’m sorry, go ahead, Connor.
Connor Morley (23:58) Yeah, no, he did. And we talked last week. I sent a follow up email just to confirm a few things because it did sound like they wanted to get moving pretty quickly on a handful of providers in knoxville and Pittsburgh.
Sandhya Kapila (24:13) And.
Connor Morley (24:13) I don’t think we have, I think it’s certainly something that we can get started on with those other clinics. One of the key pieces of information is, how do you, what are your data segregation needs for these Ohio, for this Ohio group? And then for the other group? Do you like, do we truly need, is there a… kind of like data segregation policy or some legal requirement that we have to separate these environments completely? Or can we add them within the current Ohio organization and just assign what’s called team managers and teams to separate them so that the like let’s say the office administrators would only see the providers and their requests.
Jenny Laurie (25:04) Yeah.
Connor Morley (25:05) Yeah. They would only see the specific providers.
Jenny Laurie (25:08) We are all one, you know, when they, when we had like the transition, you know, now our name is mid, Ohio neuro or neurocare centers of America, mid, Ohio, behavioral health. The only thing is like our npi number and tax id number have not changed, but we are essentially one company. I wouldn’t see why we would have to have it different. But then I also feel like that’s something that a neurocare person would have to confirm. It does seem like if James is not going to be a part of these meetings, then maybe Jonathan needs to start being a part of these meetings. That’s kind of something I would suggest because I know from my conversation with John last week, it sounded like he was kind of trying to take over this role as James had moved to more of a sales role, I think is what Jonathan had told me. Okay. And.
Connor Morley (26:08) All of that’s fine.
Jenny Laurie (26:09) And I can certainly reach out to Jonathan too to see if you want to just sondha, like when you send like the meeting notes, if you just want to send like specific questions that you would like me to ask Jonathan in regards to how the setup could be? I would be glad to reach out to him and see.
Sandhya Kapila (26:28) Okay. Yeah, we can do that. Should we copy him on the follow? Should I copy him on the follow up email?
Jenny Laurie (26:34) Yeah, I think that would be good. And I know like they don’t have anywhere near the providers like we have. So I wouldn’t think it would take them as long to kind of gather all of the information and.
Connor Morley (26:48) It sounded like it was very minimal and honestly with something like with the quantity that he described in terms of like what they want to get started on working immediately, I think like we don’t even necessarily need to go the data import route just to get these providers enrolled with some of the payers and start those requests because the requests themselves like they can take two to four months depending on when we hear back from a payer, right? So… it just depends, can we invite those providers into the platform as soon as possible within the same organization that we’ve currently got set up? Can the providers be invited, can they fill out their information as quickly as possible? And then can we get that group and practice information as well once all that’s done? And once that payer process is done for some of those payers too that Niccole and Amy had just discussed, then we can start creating requests, putting together the application and then following up with the payer. Yeah.
Jenny Laurie (27:56) And like I said, I know as far as how many payers, like, I know, they don’t bill any medicaid at all. So there’s not gonna be like none of their clinics take medicaid other than Ohio. So, I know their payer list is gonna be a lot smaller than the one that I had to complete as well.
Connor Morley (28:15) Yeah. And it’s kind of this area where one thing that I did tell him is that if you wanna move fast, there are some downsides where you might not have all of the existing enrollments in, you might not have all of the information in it’s. Just a trade off in order to get those providers enrolled as quickly as possible, which it sounded like that was… a really high priority because they don’t have anything right now.
Jenny Laurie (28:50) And I think from what he was telling me the person that was doing it started some of the enrollments but they don’t know where they’re at in the process.
Connor Morley (29:01) Okay. So with some of those with those ones that they’ve started, medallion can take over the follow up and we can document that within the system. But that would require a data import template because we have to make sure that we notate… that it’s a number one, it’s a transfer or an adopted line.
Connor Morley (29:26) And number two that medallion is owning the follow up for that. So I… tried to follow, I followed up with him after the call but I haven’t heard back.
Jenny Laurie (29:38) Okay. I think what I can do is maybe I’ll give him a call after we finish this call today and just let him know that he’s going to get tagged, in the follow up notes and then added to the weekly meetings. And then I will ask him if he can reach out to you, Connor, as soon as he’s able to that way. I mean, it sounds like you’re able. We’re able to get this started with them, but we’re going to need to get some clarification on. Can they just be added into what we already have started?
Jenny Laurie (30:12) Which I honestly wouldn’t see. I mean, can you think of any reason why we couldn’t do that or shouldn’t do that?
Connor Morley (30:20) The only reason that I can think of is if there is some sort of legal reason or if there is some like very strict neurocare policy, okay?
Jenny Laurie (30:31) So, yeah, I mean, I guess Jonathan or James would have to answer that. Yeah, but from my perspective, I don’t see any reason why, but obviously, they would have to make that final decision. Yep. And I do know Sondra, Betsy is still working with the npabd. Okay, rusted, create a… my mind just went blank like the peer review he created that policy, sent that to us yesterday. So she should be getting that sent to npbd as soon as she’s able to. Like I said, I know she’s out of the state of Ohio right now on a work thing. So I’m sure she’ll get that as soon as she can.
Sandhya Kapila (31:20) Perfect. Okay. That sounds good. That’s fine. Yeah, I was just curious to see how that was going.
Jenny Laurie (31:25) And then, so Connor, is that something or I’m not sure which one would answer this. Is that something then that neurocare would need to do too since npbd is under our tax id number. Would they have to do that for their group for neurocare group and their tax id number? Or can we all use the same one?
Connor Morley (31:45) To set us up as a registered agent for?
Jenny Laurie (31:47) The npbd because we, you know, Betsy already created an account and everything under midohio and our tax id number, npi number, but I’m not sure if they would have to create a separate one for neurocare?
Connor Morley (32:01) I don’t know if you have to create a separate one or if you can just include the other group in tin in your current NPD account. Okay? Like.
Jenny Laurie (32:15) Maybe add their tax id number into that.
Connor Morley (32:18) Yeah, that would be helpful. And then for the, for payer enrollment, let me double check. I don’t necessarily think we need npdb for payer enrollment. So that shouldn’t stop us that.
Jenny Laurie (32:37) Shouldn’t be a blocker. And just because that’s not something we ever use, is that just for something like to track if there’s any type of like legal things or anything that gets flagged with a payer, is that what that’s used for?
Sandhya Kapila (32:49) It’s for the provider? Yes, it’s continuous monitoring. Okay. Gotcha.
Connor Morley (32:54) Yeah, we track any kind of sanctions or malpractice reports through npdb.
Jenny Laurie (33:03) Okay.
Sandhya Kapila (33:12) Okay. Thank you. I’m like trying to regroup here. Yeah. So we have that, I’m going to add you both as admin user roles, hopefully in the next day or two once the caqh data pool is completed. Okay?
Jenny Laurie (33:31) Do we get like an email like asking us to register? Yeah.
Sandhya Kapila (33:35) You’ll get an email once you’ve been added. So you’ll have to sign in to get logged into there. Okay? Yep… I did have one question on the group enrollments and we may have chatted about this previously. So, apologies my memory was fading and do you have an update or can you just add some light here on the effective and revalidation dates for the group enrollments? Do you have those right now? I?
Jenny Laurie (34:13) Don’t.
Sandhya Kapila (34:14) okay. That’s what I thought. So I’ll just mark them all as na.
Jenny Laurie (34:18) Okay. Cool. And.
Sandhya Kapila (34:21) I think that was no, there’s, this one’s highlighted too. Let me see why. So we were in the data validation tool. And the nice thing is it’s… it must be an a, I think that’s.
Sandhya Kapila (34:44) oh, this has a dash in it. So I think we just want to confirm the provider id here or the group id for which.
Jenny Laurie (34:53) Payer, is that?
Sandhya Kapila (34:54) It’s for bureau of workers’ comp. Yeah.
Jenny Laurie (34:59) So, bureau of workers’ comp they give like this that’s the number that they gave us as the provider id number. Okay.
Sandhya Kapila (35:08) I’ll check on that then with the team to see if there’s if there are others that are like that and what to do and how we should format it.
Jenny Laurie (35:18) Okay.
Sandhya Kapila (35:19) Cool. I.
Jenny Laurie (35:20) know when we have to put it like in our billing system, like when the claims go out like just for the clients that, because all of their workers’ comp numbers have a dash in it? We have to take the dash out. Yeah, yep.
Sandhya Kapila (35:34) That’s what I was thinking. So I’ll just check in with our team to see if that will work. Perfect. Okay. And provider… romans, I have to go through that list still, and then I’ll share any feedback or any questions I have there. Okay, perfect. And, yeah, that’s it. And then we already talked about the knoxville and Pittsburgh groups, and we’ll include that in our follow up to Jonathan and James. So should we still include James in our follow up email? I would.
Jenny Laurie (36:06) say yes because I’ve not been told anything other than that, sure. So I would say yes to include him since he’s kind of the one that started this whole thing. Yeah, I would say yes.
Sandhya Kapila (36:19) Okay. Wonderful. Well, thank you so much. We will send over follow up notes and I’ll let you know as soon as the bulk import’s completed. Okay?
Jenny Laurie (36:29) So, and is that just where you’re verifying information with caqh or?
Sandhya Kapila (36:35) Yeah. So it’s going to be pulling in any of the missing info. So, if I hover over Christopher McFadden’s profile, for example, okay. You’ll see a bunch of missing info. So the caqh poll should?
Jenny Laurie (36:48) Pull that in. Yeah.
Sandhya Kapila (36:49) Populate all that missing stuff. Awesome. Yep. Cool. All righty. Well, thank you, Jenny all.
Jenny Laurie (36:55) Right. Sounds good. And then next Thursday, is that when we’re meeting again?
Sandhya Kapila (37:00) Okay. Yep. Next Thursday, cool. Trying.
Jenny Laurie (37:03) To make sure I’m there, I need to set a reminder on my phone.
Sandhya Kapila (37:06) Oh, it’s all good. It happens to all of us. I totally get it.
Jenny Laurie (37:10) Thank you guys. Have a good day. You too. Bye, bye bye.
Sandhya Kapila (37:18) Thanks, Connor. Yep.
Connor Morley (37:20) No problem. Any other questions on that? Like the caqh poll does usually take like a couple hours, okay?
Sandhya Kapila (37:30) Good to know. I was like, it’s already running. No, it’s still going and then I did it wrong. So it’s all good.
Connor Morley (37:38) It’s honestly, not even that you did it wrong because you can just run the caqh bulk importer and everyone is just not going to run it because it looked like there are like 26 providers who don’t have an id or a social security number, right? So we’ll just like need that information from them in order to fill that out. Okay?
Sandhya Kapila (37:57) Yeah, that makes sense. Hopefully, hopefully… they’re able to pull some of these or complete. Some of these nine are still in progress. So maybe those nine are the ones that they’re actually able to pull data from. And the other ones that where action is required, they just need to give us access to there. What?
Connor Morley (38:17) Did it say for the issue? You can take a closer look in the thing… cqh bulk import action required?
Connor Morley (38:35) Caqh, setting caqh setting. Yeah, the provider needs to give us access. It looks like all these providers need to give us access to.
Connor Morley (38:51) All their information.
Sandhya Kapila (38:52) Okay. So hopefully they’ll be able to, hopefully, they’ll see the email and then give us access yep.
Connor Morley (38:59) Should be good. And then.
Sandhya Kapila (39:00) that failed one is just, I guess we don’t know for the.
Connor Morley (39:04) Failed one scroll… to the right. And then the action bar, click on that. Oh, no, there it is. Okay. So the import name download, just copy, paste that copy that, yeah, copy that import name. And then there is a import.
Connor Morley (39:33) There’s a failed cqh import report… under reports. So you can run, no, it’s I’m going to send it to you. Okay? One second, one second… it’s this metabase report and that’ll give us a little more information on what’s going on.
Connor Morley (40:10) Awesome. But you need to put in.
Sandhya Kapila (40:15) Your import name? Yeah.
Connor Morley (40:17) The import name?
Connor Morley (40:26) Oh boy. Yeah. So a lot of these are failed because we don’t have the cqh or?
Sandhya Kapila (40:35) Oh, got it. Okay. So, this, who was the lady that the provider who failed? Victoria, really? Can I do like a? Yes… here we go.
Connor Morley (40:54) Okay. Interesting. All right. At this point, if it’s not clear that’s when we send it to a TSM. Okay?
Sandhya Kapila (41:02) That sounds good. Okay. Cool. I will go through that. Maybe I’ll just wait a couple of hours until everything goes through and then send them a bunch at the same time. Hopefully not, hopefully it’s just one, but let’s see.
Connor Morley (41:17) That makes sense all.
Sandhya Kapila (41:19) Right. All right. Thank you.
Connor Morley (41:21) See ya. Bye.