Transcript
Lori Durkin (00:05) morning. Good.
La Toya Pough (00:07) Morning.
Lori Durkin (00:20) Let me check with Brittany Carey. I don’t think Svetlana’s coming, but I’m not sure.
La Toya Pough (00:31) I doubtfully, she’s going to be here sometime.
Lori Durkin (00:35) Okay.
Lori Durkin (00:46) I guess while we’re waiting for them though, Amy, Latoya and I can talk to you about something that came up. It’s with Georgia medicaid, our favorite place in the world. So we got a payment. I don’t know if we even sent this to you. This is kind of like fyi, it’s coming. We got some payments sent to us. They look like secondary claims if I remember correctly, and the check is made payable to Miles Greenberg. I know, so I worry about like… it’s one half 12 of the other sometimes when he’s the owner and there’s you know, blah, blah, but what I don’t want is a 10 99 or something getting issued to him at the end of the year or something stupid where he has to claim that, you know, whatever. So, I guess the address and everything is correct. And if I could read, I might be able to get this up, but here we go. If we send a W.
Amy Barfield (01:49) One legal business name, they should be issuing it to that.
Lori Durkin (01:54) Right. You hear me? Okay. I’m going to.
Amy Barfield (02:03) Yell and I don’t know why my speakers doing what it needs to do today.
La Toya Pough (02:09) Can you bring your speaker closer maybe?
Amy Barfield (02:11) It is right here.
Lori Durkin (02:13) Oh, what? Yeah, it’s right here… but yeah, I mean, strangest thing. We’ll email this over to you. It, it… is secondary claims. From what I can tell, yeah.
Amy Barfield (02:30) Like a coordination of benefits?
Lori Durkin (02:32) Yeah, they’re paying after medicare probably or is this hold up? This isn’t medicaid. This is anthem. Latoya. This is not medicaid.
La Toya Pough (02:47) It’s anthem, Georgia.
Amy Barfield (02:49) Wasn’t.
Lori Durkin (02:49) it, it’s anthem. It’s not at any rate, nope, nope, wrong screen. Whatever. I didn’t even mean to start sharing, but here is the check. So we need to clarify that with Svetlana, I don’t know how we derailed to medicaid. It’s not medicaid. It’s anthem. Okay?
Amy Barfield (03:07) And you would handle the, that’s where they do a cob that way?
Lori Durkin (03:14) Yeah, but here’s what worries me here’s. What worries me on those crossovers. I know sometimes they’re processing it, how medicare did?
Amy Barfield (03:25) Right?
Lori Durkin (03:27) So… you know what? Letoya, I’m probably just going to pull up these claims and try to backtrack honestly. Let me make the first phone call. It might have been me that actually said medicaid in error on that email. Okay? My apologies. Let me just make the initial here and find out if we can backtrack a little bit here. I’ll look at the medicare remit too. Okay?
Amy Barfield (03:51) So, let me know if we need to do anything.
Lori Durkin (03:53) Yeah, yeah, yeah. Sometimes I just need to talk it out and then I ask people to help me and then I gotta do it. It’s just better if I would have just like not made their lives so complicated and confusing and just like did the daggone thing. So, yeah, let’s just do that.
Amy Barfield (04:07) It’s okay. We’re here for you.
Lori Durkin (04:10) Sometimes just, you know, some support, right? Just moral support if anything else. Okay. Thanks. I’ll do that. Okay?
Amy Barfield (04:18) What else do we have? I know we’ve got some, I have some emails I need to work through today that I’ve gotten from you.
La Toya Pough (04:26) Amy, quick question. I did see your email in regards to the 855? I, is there any way that because I’ve never known this process other than knowing to contact the provider and them actually… either they input the application or I go in as them. And then I do the application for them. So, would you be able to either have the steps emailed over to me so I can actually see their process? Because for me, this is like, I don’t know. Yeah.
Amy Barfield (05:02) I mean, we basically do what you just said if we request surrogacy with the provider and the group.
La Toya Pough (05:11) And.
Amy Barfield (05:12) then we verify if the provider has an eight five five I, in paycos. If we see that they don’t have an individual enrollment, then we initiate it just like you used to?
La Toya Pough (05:23) Okay. So the steps that I’m taking you contact the provider?
Amy Barfield (05:27) Okay. Yeah. But the way that we contact the provider is just requesting surrogacy, so we don’t log into their paycos account. And under their information, we request surrogacy, they give us staff and user access so that we can submit on their behalf under our own personal paycos accounts. Because paycos CMS doesn’t want you sharing username and password information they want. And as soon as they get wind that you went into the provider’s profile, they’ll go in and immediately reject the application if they think that you went into their profile and didn’t submit it through a surrogacy. So we have a surrogacy request so that the provider has the ability to add and remove people whenever they want.
La Toya Pough (06:19) Okay. I understand part of what you’re stating. But then I’m a little confused in regards to the other steps. So again, if you’re able to like probably send an instruction because I’ve tried to look on… CMS to see if I can find it if there’s a way around it. And I’m not able to see that. And I’ve also chat GP.
Amy Barfield (06:45) Yeah, it’s in chapter two, chapter 10 of the CMS guidelines, has the whole enrollment process laid out?
La Toya Pough (06:54) Yes, I do have that.
Amy Barfield (06:56) Okay. Yeah. And that’s what we follow. Yeah.
Carrie Reding (07:02) I was explaining, I said we’ve never logged into or you guys have never requested to log in to their to?
Amy Barfield (07:09) Their actual it’s kind of like how you have agent access to medicaid. It’s basically the same thing.
Carrie Reding (07:15) Yeah, we.
Amy Barfield (07:17) just have access to submit on their behalf… but we wouldn’t have like access to any groups that they might be affiliated with or anything like that, unless we had surrogacy with those groups as well. So it’s just their personal information in Pecos yep.
Amy Barfield (07:44) Okay. Anything.
Carrie Reding (07:47) Else, I have a couple of things this morning. One of them was here. Let me share my screen. It’s a task and it’s interesting. And, I did call the payer but I don’t know if you guys can get somebody in here faster. But this provider showing up on a, an exclusion list, Raman, popli, but I went and pulled this but this is for MHS health Wisconsin, but I went and pulled because… they’re saying it’s medicare that he’s excluded from. So, I went and pulled the CMS opt out. And then I also pulled oig, and this provider’s not on any list. So I can either close this out. I did call MHS too, but, I just want to make sure we’re staying on top of this. I’m not seeing anything saying that they’re on a list. So if we can just Raman popli, yeah… I think we just need to go back and ask the questions of what are y’all, seeing? Because I, I’ve attached two screenshots showing that he’s not on any list.
Amy Barfield (08:58) Yeah. I’ll have the team look at deeper into that?
Carrie Reding (09:03) But I’m going to leave it open for now. And then there was another one.
Carrie Reding (09:13) Do you know on these medicaid, louisianas, have the other ones I sent in? Have they been returned or are they accepting what I sent in? These are for the signatures they want them in blue ink? Are you kidding me? Well, it’s okay. I sent two off and what I did is I put them in Adobe and you can change the ink color to blue, but I just want to see if they’re actually going through or if they’re.
Amy Barfield (09:42) yeah. I mean, usually… they want a wet signature, which is why we have to mail.
Carrie Reding (09:48) It, yep. But it’s just, it’s not even it’s just a linkage form. It’s kind of dumb, but yeah.
Amy Barfield (09:55) Oh, I agree.
Carrie Reding (09:57) So, I’m just curious if the two that I did with Adobe and a blue ink, if they’ve questioned it or if they went.
Amy Barfield (10:06) Through.
Carrie Reding (10:09) No, no, I signed them here. Okay?
Amy Barfield (10:14) Which providers are they? And I’ll take a look at them?
Carrie Reding (10:17) I’m trying to remember what the other ones were, that we got, what was that Louisiana medicaid? Yeah, let me see. I don’t even know if they’ve been picked up or not yet.
Amy Barfield (10:33) I mean, we’re not sending those in the mail, so they would have to be sent. You would need a shipping label.
Carrie Reding (10:39) So, they haven’t picked them up yet, but this is, let’s see what it looks like.
Carrie Reding (10:49) Whoa.
Carrie Reding (10:55) Oh, this one’s different. Hang on that’s not. Oh, this is one I sent back because they sent it to us but it’s not even signed by the provider. So doesn’t it need to go to the provider first.
Amy Barfield (11:11) Yeah, it needs to go to the provider for signature, but I thought she already sent an initial application for her. Well.
Carrie Reding (11:21) And that’s what I’m wondering, but they sent this and said send it to this address, but this application has no signature, which is why that one’s in here. So, I’m not sure why… this is in here, which state?
Amy Barfield (11:36) Is that for?
Carrie Reding (11:37) Louisiana I.
Amy Barfield (11:39) mean, which group? Sorry?
Carrie Reding (11:44) Let’s see… it’s for midwestim.
Carrie Reding (11:55) Medicaid, please?
Amy Barfield (11:56) I’m sure. Svetlana already sent her initial application. So we should just be doing the link. Okay?
Carrie Reding (12:03) Well, anyways, they sent this, I did close it back because there was no signature on that. And then let me look and see if I did. Oh, I did, Willie Talbert here. You can look at it. That’s I mean.
Amy Barfield (12:18) That looks legit to me but I don’t know what it looks like after you print it and then send it. Yeah.
Carrie Reding (12:26) But anyways, if we can, I guess they haven’t picked them up yet. There’s a couple of them in there. I will, if they come.
Amy Barfield (12:32) Back, just let me know. They have to be sent and if he’s giving you like on that, Cynthia, Boswell, if he’s asking you to send it, they should have attached a shipping label so.
Carrie Reding (12:43) Yeah, they didn’t.
Amy Barfield (12:45) but there’s.
Carrie Reding (12:47) okay. And that needs to go to the provider?
Amy Barfield (12:52) Typically, it would go to the provider to sign. And then I don’t know Svetlana’s process. It sounds like she’s sending it for signature and they’re sending it back to her. And then she’s sending it so, and I don’t know if that’s just confirmation, so she knows it gets sent versus just relying on the word, you know, okay?
Carrie Reding (13:13) And then I think I had one more on here out of questions about.
Amy Barfield (13:21) I thought Willie Talbert was approved with Theoria when we got him?
Carrie Reding (13:27) Yeah, it’s a linkage form is all that was in there? Okay? See.
Carrie Reding (13:42) There was one, I thought it was on essence, but maybe they closed it. I guess they closed it. Yeah.
Amy Barfield (13:50) I thought we closed essence.
Carrie Reding (13:52) Okay. It was, there was another task for it, but it looks like it’s got closed.
Carrie Reding (14:02) That may be it from my end. Do we have another meeting coming up for the passwords?
Amy Barfield (14:12) Yes. And just so you know, Kelsey is no longer with median.
Carrie Reding (14:17) Oh, no, yeah.
Amy Barfield (14:18) She decided to pursue… other adventures. And so she will not be on this call. So, see our next meeting for that is… and… wait. So it’s tomorrow at 12 30 Central Time.
Carrie Reding (14:44) Okay. But yeah.
Amy Barfield (14:46) I do still have two other people who are working on those portals for you guys. And so I know at least one of them will be able to make it tomorrow. Her name’s Amanda. And then we’re not doing our late meeting tomorrow. It’s pushed till Thursday, the second… okay?
Carrie Reding (15:07) Cool. I got to run to the post office Amy.
Juvy Patal (15:11) I just have a quick one this morning. I sent an email about Cynthia Boswell medicaid of Louisiana. So, yeah, sub Atlanta confirmed that we should not stop the enrollment for Theoria. So keep both for Theoria and complex care.
Juvy Patal (15:46) Yeah. You’re right? She sent the mail. Yeah, I think you have read the email, yes?
Amy Barfield (15:55) Our initial application was submitted?
Amy Barfield (16:03) Awesome. Okay. Anything else?
Lori Durkin (16:09) Do we have anything in credhold that we need to review? And I guess Amy, are you still getting those reports? I don’t know what?
Amy Barfield (16:17) The process is, yeah, I just got a new one recently. I’m going to look at it and try to filter through some things to get to the team, but our main focus has been complex care midwest for the last week or so so. I don’t know that there’s been a whole lot of movement on that. I mean, not that we’ve stopped working any of the enrollments but just the focus has shifted, I understand.
Lori Durkin (16:49) Well, before we move on to that juvie, anything we need to talk about on credhold on your side, I.
Juvy Patal (16:55) Think Svetlana mentioned about the appeal letters for medicare. One example here is Therese… west medicare of Michigan. This retro that we initially submitted was denied and she’s wanting to know if an appeal was escalated to, yeah… if we appeal it for which one.
Lori Durkin (17:23) Therese west?
Juvy Patal (17:24) Yeah. Therese west medicare of Michigan. It came.
Amy Barfield (17:27) Back either yesterday or late Friday that it was denied. So we escalated all the way to the director of provider enrollment with medicare. And she said that there was nothing we could do. Oh,
Juvy Patal (17:46) yeah. How much?
Lori Durkin (17:49) We got there. Sorry?
Lori Durkin (17:57) Estimated five K 10 K.
Juvy Patal (18:03) 20 K.
Amy Barfield (18:11) We’re still waiting on the ones for… Alexandria, right? And Willie adams. So those we’ve re, escalated those to, the director as well at medicare. So… probably we’ll hear something back on that soon. I do have good news though. I know she was waiting for Pecos to be corrected with Michigan and they confirmed yesterday that is no longer showing deactivated. So, it now reflects your approval letter.
Lori Durkin (18:48) Wonderful. That was age minimum stage. Yeah.
Amy Barfield (18:51) I think so. It was either, nice. Yeah.
Lori Durkin (18:54) Wonderful. Okay. Yeah, yeah, cool. Good deal. So, the other thing that she had was, I don’t know if you saw the email about this and maybe you’re going through it. I actually like attached my phone call to medicare about deal, Jessica deal, AKA Jessica rice.
Amy Barfield (19:13) Oh, yeah. Yeah. How did that go?
Lori Durkin (19:15) Yeah, not good. That was a hard no. And it was like, it was… a hard. No. So basically… like they’re like we got to do the timely filing thing, blah, blah, but Svetlana wanted to know if you could like loop us into the Guy that helped you get the retro and I’m like, okay, I don’t know if you saw that, but she was wondering if like we could reach out to the, I mean, he gave you like a one liner.
Amy Barfield (19:53) But.
Lori Durkin (19:55) she wants to know if he can maybe help us. Basically, my question to medicare was, can you do this as a special project? All these claims that you were attracted from us? Blah, blah, and I mean, she was just like, yeah, over and over, it was a very hard no. But Svetlana’s ask, is, can we attempt to contact your contact? And I don’t know if you want to make an intro to us or if you’re okay with us, just like directly reaching out to him the.
Amy Barfield (20:25) Guy that approved you, we have been asked not to share with customers. Yeah. Okay. Because they’ll just get bombarded, you know, and… I mean, they probably don’t even like us reaching out as much as we do. But I will say if you would like me to write an email if you want to write something and I can write it to her. Okay? And I can do that. Yeah.
Lori Durkin (20:51) Okay. Fair enough. And I’ll yeah, I’ll summarize it. Keep it short and sweet. Just like, hey, is this something you can help us with? If, you know, if not, we’re just going to do.
Amy Barfield (21:00) The, the deck, yeah, if you’re taking ownership of, the mishap, then why wouldn’t you pay it? Yeah.
Lori Durkin (21:08) It’s like a, they want a paper claim, they want all this, it’s just like stupid, what they’re asking for. But anyway.
Amy Barfield (21:15) Okay. Yeah, because they don’t want to pay it.
Lori Durkin (21:17) Exactly.
Amy Barfield (21:18) Exactly. Okay.
Lori Durkin (21:19) Okay. Oh, go ahead. Oh, you’re good? Oh, you’re good. Okay.
Carrie Reding (21:25) I do have a question.
Carrie Reding (21:26) So, Illinois medicaid, which Illinois is just an awful state is what I’m learning? Yeah. So blue cross blue shield, I have like three or four providers that we still have not been able to enroll with blue cross blue shield. And one of them is saiful Islam and it looks like they just closed his file. It says, they, there’s a note here that we medallion sent saying, hey, we noticed that the file associated has been marked as closed for Islam. So, I’m not sure what’s going on but this provider has been pending since may of 25.
Amy Barfield (22:06) Moment closed with.
Carrie Reding (22:09) Blue cross blue shield, blue cross.
Amy Barfield (22:10) On their side?
Carrie Reding (22:12) On blue cross side. Yeah. Okay.
Amy Barfield (22:15) So,
Carrie Reding (22:16) I’m a little concerned because I get asked every week about these on our pod calls. And unfortunately, the one group that we have in Illinois is stern facility. So they’re always on our butts about stuff. Yes. But neuron haji is another one. It looks like these are all still in process like all of these were requested last year and they’re still not done. This one has an effective date, but it looks like we’re missing lines of business. So, but it’s haji, it’s Islam, sarpong. They’re all kind of like the same. I kind of have like an ongoing list from my pod calls on onenote. But, can, we figure out what’s going on? And I, I’ve tried calling Illinois. They’re terrible. I’m not gonna lie, so, but I mean, it’s just in general.
Lori Durkin (23:19) Yeah, yeah.
Carrie Reding (23:20) But theirs is really bad, but haji Islam, Stanley, Matthew, Emmanuel sarpong, and now we have a new provider for ghani, I’m sure it’s gonna be the same issue. I just, I don’t know if there’s anything we can do. I just feel like the time framing is not acceptable.
Lori Durkin (23:39) So.
Carrie Reding (23:43) But like I said, I just don’t feel like we’re getting a whole lot of movement. I mean, I’ve been following up on these for months and it’s kind of like the same status or now it’s closed. And I’m like this isn’t gonna work. So, okay.
Amy Barfield (23:59) And is that for all groups or is this particular to one?
Carrie Reding (24:06) It’s Theoria and complexcare. We don’t we’re not enrolled with Theoria, okay? Which, you know, that’s we’re probably, I’m assuming we’re probably losing money on some of those. But if I can get an update for those providers, that would be great. Okay? I don’t think I have any other ones. Oh, Brian Cole, I think that one’s still in process. I’m sure you’ve seen his name?
Amy Barfield (24:33) Oh, yeah. He’s familiar. Yeah.
Carrie Reding (24:35) Let’s see. His is also medicaid… his is.
Amy Barfield (24:40) Holding for medicaid?
Carrie Reding (24:43) Yeah.
Carrie Reding (24:51) He had that’s.
Amy Barfield (24:54) Ohio.
Carrie Reding (24:55) yeah, this is different. Let me do one more. Yeah, he’s still not enrolled.
Carrie Reding (25:09) Thank you. Okay. Maybe he just needs a little more time to process on there, but his… is coming up on like six months also.
Amy Barfield (25:22) For medicaid?
Lori Durkin (25:24) Yeah… 12 one two.
Carrie Reding (25:28) Three? Well, I’m sorry, five months.
Amy Barfield (25:31) I mean, five six, I.
Carrie Reding (25:35) mean, you.
Amy Barfield (25:36) know, five… months can be nice.
Carrie Reding (25:42) And I get asked about that one weekly too. So I just want to make sure and stay on top of that. I think the rest are okay.
Carrie Reding (25:59) Because that’s done. Okay. I think that’s it. Okay. We did get Sean mercer’s medicaid reval done, right? I’m not.
Amy Barfield (26:10) Sure.
Carrie Reding (26:11) Do you remember that name?
Amy Barfield (26:13) I remember the name… because.
Carrie Reding (26:17) There was something that came up. I thought that they didn’t have it done, and then now they did… but I think maybe it’s done. Thank you, Amy. Oh, yeah. He should be good. His revalidation is complete. So, I think we’re just waiting on his united now, so, which… I’ve been in touch with them on that. So I think I requested this, yeah.
Amy Barfield (26:46) Speaking on united, we… had sent out appeal letters on medicare and medicaid lines of business, and I haven’t had a response. So, our team lead is reaching out to see if we can get some kind of response. So I just wanted to fill you in on that.
Carrie Reding (27:07) Okay.
Amy Barfield (27:10) And he,
Carrie Reding (27:13) said Willie adams was still in process with medicaid?
Amy Barfield (27:18) With medicaid, I just know, well, I don’t which medicaid I know we have him added to Louisiana. I thought he was approved with Louisiana.
Carrie Reding (27:31) It’s, Georgia. Yeah, his is Georgia. Oh, is it? Oh, no, it says medicare. I was all excited. I saw three.
Lori Durkin (27:40) I.
Carrie Reding (27:41) was like dang.
Carrie Reding (27:46) Because there was an issue with his poa, and we redid it, sent that in, oh, it is, that is medicaid. Georgia. He’s effective 324 for Theoria. Oh.
Amy Barfield (27:59) Sweet. Okay. But are you needing retros?
Carrie Reding (28:05) Juvie? His effective date’s two, 126. So, yes, probably.
Amy Barfield (28:10) I think we may have that in here. Let me double check because I see a new assigned demographic. Oh.
Carrie Reding (28:15) It’s already in here. I think juvie’s got it. Yeah, I think this is a retro request. Oh, so that Lana put it in for 25. Okay, good. So that’s wonderful. I didn’t know he got enrolled. They’re going to be thrilled. So.
Lori Durkin (28:33) Sorry. You done? Kay. Yeah.
Carrie Reding (28:35) Go ahead.
Lori Durkin (28:36) Medicaid of Louisiana. I’m not in medallion. I need to get there but the… mco or managed care provider id. The one that starts with three is done that one’s done. And the approval letter came for the traditional fee for service that begins in two. Are we closed out and good on the group level in medallion? And is there provider individual enrollments that need to happen now?
Amy Barfield (29:05) And this is for the new.
Lori Durkin (29:08) Louisiana. Yeah. So both… is Louisiana medicaid. So we have two provider numbers all noted on there. The one that starts with three is the managed care plan that I went in and reactivated today. I just pulled that up. It says your enrollment with the state is complete. So we’re good on all the managed care plan side of things. As far as medicaid goes, I think there’s still individual. I’m sorry, enrollments needed with caresource or, you know, united or Molina or whoever they have over there for their medicaid hmo… plans, but both at the state level, group level, medicaid of Louisiana are done and approved. Are we closed out in medallion showing payor approved and individual enrollments going if they need to be?
Amy Barfield (30:00) Theoria shows, approved, complex care, southeast H is approved for those that are linked to it. We have all the… group enrollments like that were held up by medicaid Louisiana are… either in quality control. So they’re going through QC right now for accuracy, and then they’ll be submitted. And then I’ve got like amerihealth, well, care submitted, thanks.
Amy Barfield (30:40) Yeah, those are submitted. All the other ones are the individual enrollments for those providers are in QC. So once QC has approved like these are accurate, then they’ll send those off or they’ll at least get a shipping label to send those off.
Lori Durkin (30:58) Okay, wonderful. Okay.
Amy Barfield (30:59) Signature. Yeah. Okay.
Lori Durkin (31:01) So, everything’s in motion. Yeah.
Amy Barfield (31:03) For Theoria, and then for complex care, southeast… amerihealth is in follow up and well, care is in follow up. So those have both been submitted and Carolyn ambern looks completed and linked to the group, wonderful.
Carrie Reding (31:23) Okay, fantastic.
Lori Durkin (31:25) And then, I don’t know what we have over there in credhold, Ar, juby, but we could touch base on that later, but we should be like moving. I don’t even know if it’s a whole bunch, but anyway, good. Okay. Fantastic. I’m so glad to get that off my.
Amy Barfield (31:36) Brain. I know I’m just glad Louisiana medicaid is like approving now. Yeah.
Lori Durkin (31:42) Yeah, it’s a good.
Amy Barfield (31:43) Thing. Yeah, because that was such a man, such a task. Yeah, all their paper apps. So moving forward there, we go on to the next one. Anything else for you?
Juvy Patal (31:58) Amy. Sorry, I have one more sure for medicare of Missouri for the two new locations. I think the effective, yeah, the effective date is September third, 25. Did smitlana request that we appeal that we already requested the retro, for the group level, but we only got nine 325. We still have… a lot of Ar, prior to that effective date. Okay. The group retro was completed, but we only got to nine three. I think before it was 913 or 15, then, we got approval for nine 325. Yeah.
Amy Barfield (32:54) I believe they’ll only go a maximum, of 60 days which they already gave us, but let me double check.
Amy Barfield (33:04) Let’s see the.
Juvy Patal (33:07) Chesterfield, the last two, the new two locations, right?
Juvy Patal (33:34) Yeah, that’s it. Thank you, Amy. Yeah.
Amy Barfield (33:38) I’m gonna, I’m looking it up right now for you. Sorry, my system’s being a little slow… and we want demographic… and this is for.
Juvy Patal (33:57) Yes.
Amy Barfield (34:13) Okay. Yeah. I don’t have anything open. Everything says completed.
Amy Barfield (34:25) My question I think is if we get a denial, are we wanting that line completed? Or we wanted it to say stopped because we weren’t able to get the approval on the denial?
Amy Barfield (34:42) Because it, when it says stopped, I think it confuses that we didn’t do anything. But when we say completed, it confuses on whether the retro was honored or not.
Lori Durkin (34:53) Yeah, yeah, for.
Amy Barfield (34:57) All of our other clients, if we don’t get the approval, we’ll put, we can make it as denied and stopped. And that way you can see that it was actually denied. I think that’s a status that we have request denied is a status we can make it request denied. So that instead of completing it because technically, when we complete, we would have a new record to put into existing enrollments and right now we’ve just been completing them. And I think that creates confusion. I.
Lori Durkin (35:29) Like it. What are your guys’s thoughts? I mean, I like it so that it’s pretty clear that we know, yeah.
Juvy Patal (35:36) Okay.
Amy Barfield (35:39) So, right now they’re putting like requests completed. But the decision to change the effective date, let’s see. So the decision was favorable. I think that’s the one that I submitted, it was favorable but only to September third and that was them pushing it back 60 days. So they would not honor like the January date. I think that we had originally requested.
Amy Barfield (36:07) So, that is the final decision on that Judy? Okay?
Amy Barfield (36:16) I’ll have them start putting requests denied on those that are denied though, you can have true visibility. Yeah.
Lori Durkin (36:24) That’ll help when you have all those like demographic up, you’re like.
Amy Barfield (36:27) Yeah, you’re like, I don’t know like,
Lori Durkin (36:30) on one of these, I saw. Yeah. Okay. All right. That’s all I have. Yeah.
Amy Barfield (36:38) I’m good this time for real awesome. All right. Okay. So I’ll review those emails today, try to get back to you on that. And then Thursday, we’ll talk about what has been approved for midwest and complex care. Sounds… good. We’ll see you then. All right. Thank you.