Transcript
Kyle Rice (00:00) how are you doing? Happy Friday?
Lorraine (00:29) I’m here. Hey.
Kyle Rice (00:30) Lorraine, how are you?
Lorraine (00:31) I’m good. How are you?
Kyle Rice (00:33) Happy Friday. Happy.
Lorraine (00:35) Friday. How’s the baby? He’s good. He’s not a baby anymore.
Kyle Rice (00:39) He’s actually a large almost two year old. He is very tall and hurt my shoulder big enough. He’s good though. We took him to the pediatrician yesterday, had a little bit of an ear infection hit him with some tylenol and some antibiotics and seems to be feeling better today.
Lorraine (00:57) Does he, do they give him the antibiotics by mouth? Yeah.
Kyle Rice (01:01) It’s like a little like syringe thing and it’s the same thing with like the tylenol he’s kind of like shoot it into the back of their throat.
Lorraine (01:08) Yeah, Danny would not let me do that.
Kyle Rice (01:10) Yeah, Ellie would not let us do that at all. She used to fight us like tooth and nail. He’s just kind of like, okay, like I’m good to go, like give me what I need. So.
Lorraine (01:18) I was so embarrassed. I took him in and he had burst every blood vessel in his cheeks from screaming because he wouldn’t take it. So, he took shots. Really. The doctor said five days. You’re going to have to come five days. Okay? He said he was three at the time. Okay, gave him the first day, went back the second day. Okay? Now, do you want to take the syrup or do I have to give you, give me the shot? The third day? He was like, okay, I’ll take it by my mouth. The third day. He changed his mind. Oh,
Kyle Rice (02:00) I know, Ellie still is five and she hates the shots. I just took her like three weeks ago. I think it was like for like whatever, like the five year old shots are, I think it’s like polio and like whatever like standard vaccines and she was not a happy camper and she just keeps asking me. She’s like dad, do I have to get shots every year? I’m like, yes, just for the flu shot, you know? And then we’ll kind of go from there, but yes, it’s a yearly thing unfortunately, yep.
Lorraine (02:28) I feel it. I don’t like them either. I gotta agree.
Kyle Rice (02:32) Listen, I can’t hear you for whatever reason.
Lorraine (02:36) Are you on mute? Can you? Oh, now we can hear you now. We can hear you. I.
Larissa Brefka (02:44) Took a look yesterday. So, Emma is done because she’s four. Now, the next shot is when she’s 11. So, I think it’s the same for you too. I looked at the other thing yesterday.
Larissa Brefka (02:58) So, Charlie has one more on six months. He has like three or four and then he doesn’t have anything for nine months. And then it’s 12 and 15, one, two, three four. And then it’s done until 11.
Kyle Rice (03:12) Yes, I know. I feel like the babies like the younger ones, it’s a little bit easier because they kind of like don’t totally know what’s going on. So, you kind of just like stick them and get out of there, you know, with like the infection as hard as that sounds. And then just, you know, and then they move on with it. And then they just throw the band aid on in there. They’re you know, good to go and a little bit tired for the rest of the day.
Larissa Brefka (03:29) I took him in yesterday and I told the doctor, like I brought him in because I’m giving him medication and the fever is not going down and she was like, how much are you giving? And I was like, well, like 125 because they do 375 for Emma and she was like, of course, the fever is not going away. We’re doing it wrong for both.
Kyle Rice (03:52) Kids. Oh, were you under the milliliters? Did they grow older?
Larissa Brefka (03:57) Two and a half for Charlie and five for Emma. Yeah.
Kyle Rice (04:01) I was going to say five and then motrin works really well too for like fever as well.
Larissa Brefka (04:05) I can’t do motrin yet. I think they said motrin is not under 90 months.
Kyle Rice (04:12) Yeah, tylenol for the young ones, and then motrin for Emma.
Lorraine (04:16) Oh, wow.
Kyle Rice (04:18) Gotta love it.
Lorraine (04:20) Things to remember.
Kyle Rice (04:22) Always something with these kids. You know what I mean?
Lorraine (04:26) Yes, awesome. I’ll be passing on that knowledge to my stepdaughter when the baby’s born.
Kyle Rice (04:35) Yeah. Tell them to sleep as much as they can now because you don’t.
Lorraine (04:38) know. I told her I told her that, you know, what’s really? I can’t believe this. They give her, she worked for a catholic school. They give her 12 weeks of.
Kyle Rice (04:50) Leave of maternity leave.
Lorraine (04:51) They’re only paying her for six.
Larissa Brefka (04:54) Oh, that’s not good because it forces you to go back earlier if you can’t live on one income. So.
Lorraine (05:00) She’s going to take all of her sick, all of her vacation, all of her, whatever to try to cover for the rest. And she didn’t I guess she didn’t think about it because she didn’t apply before for that short term disability that was short sighted on her part. But she didn’t think about what that really meant. And now, obviously, it’s too late. It’s can’t like, they don’t go retroactive. She’s pregnant now, so.
Kyle Rice (05:24) Yeah, they live as a pre existing condition.
Lorraine (05:27) Yeah, pre existing condition?
Kyle Rice (05:30) Yeah, I love the politics behind that, but hopefully she can get like maybe like the state will pick up her benefits for like the rest of her leave. Like sometimes the state will pay out for like really, yeah, it just depends. I don’t know if Florida specific, but New Jersey, they do that.
Lorraine (05:43) Huh. I’m going to look into that.
Larissa Brefka (05:44) You should look into it to make sure.
Lorraine (05:48) very good idea, just.
Larissa Brefka (05:50) Look Lorraine, you know, like she’s got you and your husband and the other side that’s her mom, right? Yeah, that’s very lucky. Like for me, for example, it’s just me and Paul. Whatever happens, it’s just me and Paul, you know?
Kyle Rice (06:04) Yep. Yes, us too. We don’t get a lot of help from our in laws either. So it takes a village though, as they say.
Lorraine (06:12) Yeah. I mean, yeah, in that instance, they are going to be lucky because they’ve got us. They’ve got her mom. They’ve got his parents and his mom is retired. I’ll be retired. Her mom still works, but they’re going to have a lot more help, than a lot of people and.
Larissa Brefka (06:33) A lot more bucks in their bank accounts, Kyle.
Kyle Rice (06:37) Yeah, that’s right? That’s right? And let’s talk up on the diapers right now. Oh, I.
Lorraine (06:43) signed up for every coupon for diapers and I sent that to his, to her mom and to his mom, sign up for all these coupons for the diapers.
Kyle Rice (06:53) I know I was just in costco Monday and we’re fine. We’re off formula and I just can’t believe how expensive it is. Still it’s like close to like 80 bucks for like a container just about like this big and it only lasts about like maybe a week and a half. So it’s just crazy to me wow.
Larissa Brefka (07:10) His two takes at formula.
Kyle Rice (07:13) No, he’s on, no, no, no, I was just, I was just being nosy in the baby section. Oh, yeah, it is.
Larissa Brefka (07:21) I’ve heard what?
Lorraine (07:22) You’re saving? Are you like looking at like what? I’m saving this, I,
Kyle Rice (07:26) know, but he crushes, Luke, crushes two percent milk. Like, it’s like he’s a gas station, like we go through about two gallons a week. So, oh,
Lorraine (07:34) my God, that’s a lot.
Kyle Rice (07:37) I know, he loves his milk. He calls it his baba, he gets a full bottle. Sometimes he does two bottles at night.
Lorraine (07:44) Night before bed. So, oh, my God, that’s how he’s.
Larissa Brefka (07:48) thought.
Lorraine (07:48) he’s gonna be a football player. I,
Kyle Rice (07:50) don’t know. We’ll see. He’s big. He’s been hurting my shoulder whenever we have to, whenever I have to carry him. We’re we’re taking them, Ellie and Luke to their first phillies game. I took off next Wednesday, can.
Lorraine (08:00) She, and.
Kyle Rice (08:02) they are beyond excited. So, it’s gonna be interesting taking a little one to a baseball game in the middle of the day because usually it starts late and we were like, no, like he’s never gonna make it through because like the games typically start at like seven o’clock and that’s late. He’s he’s well in bed by that point. So, oh, wow, it’ll be interesting, but they have like your first baseball game thing. So, like they get a little hat and a little baseball. So, they’re both really excited.
Lorraine (08:25) Oh, how cute. That’s gonna be cute.
Larissa Brefka (08:27) That’s very nice.
Kyle Rice (08:28) It is, yeah, we’re excited.
Lorraine (08:31) So, how are we doing with renewals? Are we good? Are we done? What’s the deal? I didn’t see a note, on the thing for today.
Kyle Rice (08:39) Let me take a look real.
Larissa Brefka (08:42) Quick there was.
Lorraine (08:44) One that I hit yesterday. I think it was Lori. She said she uploaded Lori Rutledge or neighbors. Hold on. Let me see. I spoke to her yesterday… that it was on her task that she needed to update her certificate and she said she did it, Lori Rutledge for.
Lorraine (09:09) New Mexico… yep.
Kyle Rice (09:12) She submitted in process with the board. So we’re going to go there. Let me see if we have anything else pending. I flagged the team to close out Bethany markman. And then Daniel Clayson’s some of the other four in process, Lori Rutledge, New Mexico, the renewals in process of the board, Lori Rutledge, Texas, her prescriptive authority for her, NP, license renewals in process, Bethany markman, I have the team working on closing out. I think you sent me that yesterday that they issued. And then Daniel Clayson looks like the application is still in process with West Virginia. Okay?
Larissa Brefka (09:53) So, anything for us to follow up nothing?
Kyle Rice (09:56) For you guys to follow up with right now, everything is, I was.
Lorraine (09:58) Looking for April first.
Lorraine (10:00) I was looking for the first week of April or for what we may have coming up in April. Let’s take a look.
Kyle Rice (10:06) Good.
Larissa Brefka (10:07) I have a message here from Michelle Valentino. So I was going to ask you about it… after you’re done.
Kyle Rice (10:18) Yeah, no worries. Let me just pull up April, April first, April through April seventh. We only have one for Monica Talley. She is for Arizona for NP, she’s renewed and issued let.
Larissa Brefka (10:31) Me see because we’ve been on her neck for that. Think you, Lorraine, or me have already followed up with her. Let me see. Maybe I did it through email because it’s not on slack, but I’ll take a look later. Okay.
Kyle Rice (10:47) Cool. And then the team wanted me to flag for Carmen, Mejia?
Lorraine (10:53) Yeah.
Kyle Rice (10:54) She, the intake team let me know that she responded to the mba tasking that she relocated from New Jersey to Texas? Should we put a multi state license into process for her RN?
Lorraine (11:06) Hold on because, let me see something.
Lorraine (11:13) Hold on.
Lorraine (11:40) There’s something with her that we talked about already. So, hold on.
Lorraine (12:15) I saw the message that you sent on the seventeenth when I was out… I just want to make sure she hasn’t done anything. Okay? She hasn’t applied for it to be changed over.
Kyle Rice (12:31) She hasn’t applied yet? That she?
Lorraine (12:36) Hasn’t requested… that she hasn’t done anything on her part yet.
Lorraine (12:55) From New Jersey to Texas, right?
Kyle Rice (12:57) Yes.
Lorraine (13:05) Does she have an RN in Texas? No…
Kyle Rice (13:12) She does, but it looks like it’s inactive that’s a five 31 15.
Lorraine (13:20) Okay. Hold on. We kind of need to find out what… she may have done or not done before we do anything because a lot of these people do things and they don’t tell us until after the fact.
Larissa Brefka (13:48) Kyle. Seems like Monica Talley’s, Arizona has been renewed. I think we received it two days ago.
Kyle Rice (14:04) Yeah. I’m showing she’s renewed. It looks like the verification is in process for, her new state license or her renewed state license. Have you?
Lorraine (14:13) She’s on bereavement?
Lorraine (14:20) I was told that New Jersey RN would not be renewed as Texas is now my primary for the compact. Please advise… can’t ask her anything right now. She’s on bereavement. Okay?
Kyle Rice (14:33) All right. I’m just gonna make a note that you’re confirming after she gets off and then we can get that in the process for her.
Kyle Rice (14:43) Awesome. Wanna talk enrollments for a little bit.
Lorraine (14:46) Yes, I do. Let me just put this note to her. Okay? One second, no.
Kyle Rice (14:52) Worries, no worries.
Lorraine (15:35) I’m gonna tell her we can submit the request if she hasn’t done it.
Lorraine (15:43) And it’s not already showing up, right? It’s not in her nersi…
Kyle Rice (15:50) Let me take a look. I didn’t see, but we can verify real quick. Let me look.
Kyle Rice (15:58) I know she’s got 60. I know she’s got 60 days once she moves, yeah. The NLC so she’s got a little bit of leeway there. She’s Mejia.
Lorraine (16:16) I’m going to actually delay… this message until she comes back on Sunday.
Lorraine (16:30) On the morning of can’t be that day?
Kyle Rice (16:35) Her, Texas is not, so it’s still on expired. No multi state designation there.
Lorraine (16:44) Okay. So, I have sent her that it’s going to go to her Monday morning. She’s due back from bereavement Sunday night. So, Monday morning, her time, she’ll get that message.
Lorraine (16:57) Larissa you’re copied on that message. If you want to leave yourself a note because I’m off on Monday. Okay? Let’s let’s talk. Let’s talk enrollment. All right?
Kyle Rice (17:11) So, I have updated the practice address to the four, 4,020 bohannon drive, three, 280 manalo, park, the enrollment team, which I think you’re tracking too. I think we briefly touched on this when you guys flagged the address update. Medine will just need new copies of the W9 bank letter, business certificate, and articles of incorporation. If you guys are making any changes to that. And then we will just need you to submit demographic updates for the group, demographic updates for all existing enrollments as well, just so we can update the address on any completed active enrollments. And then I flagged the PE team to update the address and process. And I will get you a confirmation as soon as that’s been completed.
Lorraine (17:56) Okay. I need you to, as of 12 31 20 25. We’re out of blue cross blue shield, Michigan.
Kyle Rice (18:10) Exiting blue cross blue shield. Yeah.
Lorraine (18:12) They, they stopped working with us, so, you can halt anything that’s in process for blue cross, blue shield, Michigan. All right, perfect. And as of March 30 first, we’ll be out of California.
Kyle Rice (18:29) All California?
Lorraine (18:31) Blue cross blue shield, California.
Kyle Rice (18:35) And that’s current as of this?
Lorraine (18:37) Week for enrollment? Yes, current as of this week?
Kyle Rice (18:39) Examed BCBS in California?
Lorraine (18:43) Stop doing any enrollment.
Kyle Rice (18:46) With them. All right? Perfect. Awesome. All right. So, we just need to get you get those demographic updates submitted from you guys for the group and then the existing enrollments, we should be able to proceed with the address update. And I’ll summarize all this in the email for you. And then if anything else comes up with the team on the flag, I will keep you guys in the loop there as well.
Lorraine (19:06) I need to address one more thing on the credentialing. Sure with the ccok for Monica, Tilly… to go back to her, is.
Kyle Rice (19:18) She tally T a LLE y?
Lorraine (19:20) Tally. Sorry, no worries. I attested, her, this was bent, this had been done already and they said back in November. I did that back in November that attestation, can you have them follow up with ccok and find out what’s going on was.
Kyle Rice (19:42) that her chqh attestation?
Lorraine (19:44) Yeah. I had already done that.
Kyle Rice (20:03) Yep. I can follow up with that and.
Lorraine (20:05) We’re also, we also, as of December 30 first, we’re you’re not, we don’t have anything in process, but connect care is also, we’re done with them. Fall 31 20?
Kyle Rice (20:19) Five. Yeah. So exiting Connecticut. Yeah, I.
Lorraine (20:25) will be adding some new providers to emblem health.
Lorraine (20:34) And in New York, I should say.
Lorraine (20:42) And I’m still getting questioned about that Dea, what was the deal? I got question for the Dea. And then they came back again after we met with this lady that we met with and told me about having to be in the California medicare… that came back again, I told them to go to you and to this lady… that we met, I forgot what her name is. Sorry, my, whatever my brain is like trying to capture too many things that was.
Kyle Rice (21:12) With Lee, let me, yeah, let me follow up with that as well. Anything else related to enrollment? I know we are also meeting this afternoon to re, review like the credentialing process and workflow?
Lorraine (21:21) The credentialing? Yeah. And did Darlene get back to you yet on the mpdb because that’s going to hold us up right there? Not yet. She doesn’t well, that’s the, we need to talk to her about that. She’s in that meeting. We need to get that going to find out if I sent her the information you sent on how to log in to see if she could do whatever that is because she wrote to them and I’m saying, well, maybe this is just this, maybe you just need to do this and see if that works for you?
Kyle Rice (21:53) I would follow up. It looks like there are some applications in process. We do have some. So it looks like Adora mabagorn, Randy. Yeah.
Lorraine (22:04) Yeah, I know I’m looking at it, a bunch of them were completed… good, a bunch of them completed, and there’s like one, two, three four, five six left. How do I see if there’s anything needed from our side on that particular or there isn’t anything unless it’s assigned in admin? They.
Kyle Rice (22:26) Should come through as admin tasks. I’m not showing any outstanding tasks right now. It looks like the team is working through the PSV… right now, but I don’t show any pending credentialing tasks though.
Lorraine (22:44) Okay. All right, perfect. Okay. Cool.
Kyle Rice (22:49) I will summarize all this for you guys via email as well. And then I think Molly had sent over the pricing for the caqh as well over to you Lorraine?
Lorraine (22:58) I just saw it. I just saw it and I just told Jacinda, you know, some of this. She wanted to know how long it took. I said it depends on if the person did work or not on it. I’m working on one right now and they didn’t do anything. It’s taking me forever because I have to add in their license, their work and then get information from them. I said, yeah, some of them can be 15 minutes in and out and some of them not so much, yeah.
Kyle Rice (23:21) Just depending on the completion and how the providers keep up with their caqh, some of them.
Lorraine (23:27) Don’t do anything.
Kyle Rice (23:28) Yeah. You’ll see some that keep it pretty up to date and you’ll see others that don’t really touch it except for the attestation portion. I was going to say in terms of the caqh, our team is typically able to process and update those same day their attestations are up or if there’s any need for caqh updates for any enrollments and process, like for Monica Talley, for example.
Lorraine (23:52) Yeah. By the way, Kimberly watson, is… she the one that complained? Yes. Okay. So, I’m going to try to help her. Now, her, Minnesota is going to expire that application is going to expire for the RN, nothing we can do. She didn’t get the prints. She has an appointment on April. I’m going to tell her if she does this appointment, she can’t submit because we’re going to need it for the next appointment. For the next application. It’s the papers, right? The hard cards for Minnesota. I.
Kyle Rice (24:27) think so. Okay?
Lorraine (24:29) It’s, field print, yes.
Kyle Rice (24:31) But.
Lorraine (24:32) then they send them. Yes, there’s no point in her doing them. They’re going to have to do them. Again. There’s no point in her sending them the application expires April the third?
Kyle Rice (24:45) Do you want me to ask the team to close that out for her and we can just kind of let it sit or what do you want?
Lorraine (24:48) Me to do. Yeah, but we need to let her know. Hey, you took so long this expired, don’t do the prints, April first, wait another two weeks because you can’t submit prints for Minnesota before they get an application. Okay? So I don’t know what to do. I think I’m going to ask her to reschedule that appointment till the end of April, so you can do a new application. Can you put a priority on that? But priority with her? I don’t even know. I’m going to try to meet with her today.
Lorraine (25:27) Won’t meet this expiration.
Kyle Rice (25:30) Perfect. I will do that.
Lorraine (25:32) Close out, close it out and add a new one. Add a new entry. I don’t know if you just have to wait till next week to add a new entry.
Kyle Rice (25:43) Yeah. I think I set a calendar alert for that to add a new entry because I think she’s on four three. Yeah.
Lorraine (25:50) There’s not much we can do about that and I’m going to send her an email. Actually, I’m just going to ask to meet with her. Okay? I’m going to set up a meeting with her. Okay? And I think that’s it all I have for you now and I will see you this afternoon. Perfect.
Kyle Rice (26:06) Sounds good. I will see you guys with this afternoon. I’m in April right now. My calendar. Yeah. Looks like we’re meeting at two P. M with Darlene. Desiree. And then Jen, is Desiree, is she illegal?
Lorraine (26:20) Yeah, she’s legal. Okay. Cool. Anything.
Kyle Rice (26:23) They want to see particular on the walkthrough. They just want to see like how the process works or do you?
Lorraine (26:27) I guess so we’ve got a bunch of stuff that we have to answer to your act. They gave us dings all over the place that we need to set up the monitoring system for monitoring how you do what you do. And then… I need to understand the process well, because I’m going to be putting in some extra time after I retire for the month of may to get them to the other side of the credentialing. We have a review on the 20 first of may. Okay?
Kyle Rice (26:57) Yeah, I saw that. Yeah, Darlene flagged that to me as well.
Larissa Brefka (27:00) Kyle, I have just one more thing Michelle Valentino, she reached out and she wants to understand why there’s two tasks for CE for Pennsylvania and she was wondering if they… are the same thing and I’m pretty sure they are, but I was trying to try to answer her because it’s a duplicate, but is there a reason why would that be sent two tasks in like let’s see five days difference between them? One was no one is sorry on the 27. So today, the other one was sent four days ago. So, is that a reason… or that’s just a duplicate? It?
Kyle Rice (27:47) Looks like one CE attestation is for her nurse practitioner license for renewal and one CE attestation is for her prescriptive authority renewal. And then it looks like those went through for.
Larissa Brefka (27:58) CE, for.
Kyle Rice (27:59) CE, yes. Where?
Larissa Brefka (28:01) Does it say that? Oh, crnps non prescribing that’s what it is? Because, she was wondering that she was like, I don’t see anything referring that it’s for my, it’s the same wording for both. It’s the same thing. It looks.
Kyle Rice (28:17) like it’s the same for both. Yeah.
Larissa Brefka (28:19) So, it is one for our ex and one for her actual isis. Yes. Okay. Yeah.
Kyle Rice (28:26) But it looks like it’s the same requirements as well. Okay. How?
Larissa Brefka (28:30) About the Illinois? Because she said she already answered this one… and let’s see, but it’s like a month ago, when did she answer this?
Kyle Rice (28:43) Her Illinois? It looks like she answered both. Looks like she just approved the application for autonomous registration. Okay? So it looks like the,
Kyle Rice (28:59) and then her Illinois NP is in process of the board, but it looks like she’s completed both.
Larissa Brefka (29:04) Okay. So this one here, does she need it?
Larissa Brefka (29:06) I can just let it go like I can just approve. Yep. Okay. Perfect. I’ll figure it out for her. Thank you so much, no.
Kyle Rice (29:14) Worries, I will send you guys a follow up email here in just a couple minutes with all the information. And then I will plan to connect again this afternoon. Do you want me to add Larissa to this call too?
Lorraine (29:23) Yeah. Go ahead so that she can start listening to what’s going on?
Kyle Rice (29:27) All right. Larissa, adding you. Now, it’s my pleasure to get you guys twice to give some time with you guys twice on Friday. So I appreciate that and then happy Friday for a little bit until the next.
Larissa Brefka (29:38) One that’s what he says. I don’t know what he feels.
Lorraine (29:40) What does he say behind the door?
Kyle Rice (29:43) Who? Me, no, you guys are fabulous. So I.
Lorraine (29:47) couldn’t get rid of them. No, no, and I still couldn’t get rid of them.
Kyle Rice (29:52) No, I felt terrible yesterday when I had to text you because daycare called me at like, I think it was like 115 or whatever.
Lorraine (29:58) But see, she had already been having problems too. So it was like not a problem. Yeah.
Larissa Brefka (30:04) You both had the same time because, you know, I decided late to text them. So, I mean, I had an appointment at four and.
Lorraine (30:12) She said her doctor was mean to her. Yeah.
Larissa Brefka (30:16) Well, he said like, I don’t understand why he is five months. I don’t understand.
Lorraine (30:22) And.
Larissa Brefka (30:22) then I was like, well, what do you expect? Like should I move to an island with him? You know, I have Emma and it’s like what else? I’m not going to be locked up in home every day. So he doesn’t get sick. Doesn’t make sense?
Lorraine (30:35) Doesn’t make sense. Anyways. They get the immunities better to be sick now, a.
Kyle Rice (30:41) Little sickness is good for them. Keeps their immunity up, keeps them healthy.
Lorraine (30:46) Exactly.
Larissa Brefka (30:47) He got covid once. And now this time, so it’s two times.
Kyle Rice (30:52) It happens to the best of us. You know what I mean? We don’t live on an island and you can’t keep the kids in the house all day long, especially if they drive you up the wall. So, you know, stuff happens, people bring stuff home. It’s all good.
Lorraine (31:06) Yeah. All right, guys. You have a good weekend.
Kyle Rice (31:09) All right. See you guys. Bye bye.