Transcript
Debbie Argentine (00:00) hey, James. Hey, Becky.
James Donachie (00:05) Hey, Debbie. How are you? Good? How are you? You guys made it through the last day of the month? I felt like March had a hangover bleeding into this week somehow.
Debbie Argentine (00:15) Yeah. I did send you an email. It’s one of my agenda items. I’ll go a little bit out of order, but we still are seeing providers that are pushed into an archive status even though we’ve credentialed them in time. We need them out of that archive status. Yeah, I know there’s a hard whatever fix, you know, issue on your side, but for these that aren’t our fault, we need them fixed. We don’t need them showing in the platform as archive,
James Donachie (00:45) I wonder what this is because I saw the one that Liz sent yesterday. I.
Debbie Argentine (00:51) Sent you two examples today. I just looked them up. They were both credentialed but they’re still flipped to archive. We have a lot more out there that are archived, but they’re credentialed and I get that we can put the date in the platform and they’re not really archived. But bottom line is they show archived when you pull any report and they show archived when you look at them in the system and it just shouldn’t be that way.
James Donachie (01:15) Yeah. This is, I’m surprised because I was kind of tracking it yesterday and I didn’t I don’t know what’s going on.
Debbie Argentine (01:23) Yeah. Look at the two I sent and I say this because my team actually, they work on the weekend if they have to, when they get providers, that come right down to the end. I tell Liz all the time if you’re not the hold up and medallion’s not the hold up. The provider’s the hold up. I’m not overly worried about it, but she’s a perfectionist and so she will chase these guys down like a dog with a bone, get what they need to get and they do the work and they credential the provider, but the provider still shows archived and it’s just very, you know, kick in the pants.
James Donachie (01:55) Yeah, yeah, I want because, these were all done because, I know, that your guys’ five o’clock isn’t even the cutoff is what I learned.
Debbie Argentine (02:09) It shouldn’t be five o’clock anyway. It should be 1,159.
James Donachie (02:12) Yeah. Well, that’s exactly like, so that’s why I’m shocked like, all… right. Well, I, I’ll follow up on these, take.
Debbie Argentine (02:23) A look at those. I have, I can get together a list. I can go through all the providers that show expired and then that have an actual credentialing date and it was credentialed in time and don’t I mean, we just need a way to fix those. The ones I’ll eat the ones that are our fault that we didn’t do it in time, but these are not, and I really need them, to reflect correctly in the platform.
James Donachie (02:45) Well, if we’re just going to fix some, I mean, you can just send the, I mean, we can like, I’m personally not concerned about fault, whether it’s the platform or you guys, if we’re going to fix them, we might as well fix them all. So, I’m more than I’m more than I’m going to, I’m going to open up at this goes like beyond like our operations team, which like because their process went through this, I think this is an epd like our engineering team. So, I’ll get working on a ticket, this afternoon on these. I don’t I.
Debbie Argentine (03:24) mean, I’ve been told from Janine that it’s hard coded in the platform and for compliance reasons and things like that. But at the end of the day, we have dates in there to reflect. So, even if it was approved flipped the archive, then back to approved. Again, we’re not looking at that.
Debbie Argentine (03:38) We’re looking at credentialing dates. That should be the driver for triggering re, credentialing for really anything, right? So, if we can put in an add back date, a credentialing date, we should be able to update a status somehow.
James Donachie (03:51) Okay. Yeah. That one’s just, it’s throwing me off because I, it’s well, I think it’s well within the like this isn’t like it was one, you know, it was Wednesday… in New York, but in la, it was, it’s still Tuesday like this isn’t one of those situations which like that. I would be like, okay, there’s probably like some sort of like magic. This is like all like, well, this all happened like during the business day. So I, I’ll have to, I don’t have, I don’t have a reason, for it. I gotta figure it out all.
Debbie Argentine (04:27) Right. Let me know because I think the last thing we talked about, your compliance team said it had to go into some archived state but we need a fix here. We need a fix. It can’t stay archived. There’s. Gotta be something that we can do. Then we have providers that are living in the platform as approved and archived. And so it’s just, it’s chaotic. It just, I don’t know we need to, we need to fix it.
James Donachie (04:47) Okay.
Debbie Argentine (04:49) I have an agenda if it’s okay if I go through it yep.
James Donachie (04:51) Yeah. All right.
Debbie Argentine (04:52) Hi, Becky. How are you? Okay. So the group ingestion file that’s in progress, there were a lot of rows of data on that more than I thought they were a lot. So, what I, what I’m doing is looking at those, those payers that Mike talked about in our meeting last week, I’m focusing on those. My goal really outside of our conversation with Mike is to get them all corrected. But for this, I’m just focusing on those so we can push that through. I’m also going to remove any provider, after I review with Mike, remove any provider who doesn’t have a, an mpi in the medallion platform, it’s just, it’s even looking at those. So, I’m going to take those off the plate too. I’m I don’t know that I’m going to be able to finish it this week. I think I’m down to like 11,000 rows to look at, but what I am doing is going into medallion taking the address that’s in medallion, copying that into the file. So there will be an exact match. And then I’ll boot that back to you. I’m going to use that same file and boot that over to the payers so they can clean it up on their side. So, you know, little by little, we should be able to clean this up.
James Donachie (06:02) Okay, perfect. And that’s why, I grabbed like the 25 locations being like these affect the most because I figure you’re not going to be able to do every like you don’t want to do every location, no, but like fixing by fixing 25 locations that was like 10,000 rows, but I know that’s going to change, but that has, the most, providers. And then you multiply that by all the different payers and all of a sudden, you’re in the 1,000? Like, yeah. So there was,
Debbie Argentine (06:31) like 15,000 rows when I filtered it down to just those specific payers, there’s over 30,000 rows. So, yeah, when we get that back to you, what’s, the plan is just to ingest, we know we’re going to have fallout.
Debbie Argentine (06:44) So it’s going to, it’s going to ingest whatever or maybe you’ve already ingested the, I mean, has any of the file been ingested?
James Donachie (06:51) Yep. Yeah. So that those were just, so, the original one you guys sent to us had 50,000 rows and I think that one has like 42. So I think it like these are rough numbers but like basically, there were 10,000 rows that were ingested by. So these were just the problem rows that were rejected from the original file. So.
Debbie Argentine (07:13) Can you show me where in medallion? I, I’m going to look for those because I know where I thought they were supposed to be, but I just want to make sure that that’s where, they.
James Donachie (07:23) Will be.
Debbie Argentine (07:25) Yeah. Let me, let me this.
James Donachie (07:26) Might be a Jim question too because I.
Debbie Argentine (07:31) because I thought they were under the payers tab, but I know Becky and I looked at that a while ago and we weren’t really seeing anything there.
BeckyLewis (07:39) Yeah. Well.
James Donachie (07:40) You know what? Instead of me trying to like fumble around and figure out where it is because there’s… a good chance I get this wrong, but I just want to make sure it wasn’t in.
Debbie Argentine (07:56) Like if you have an example of one that you think was ingested and should show par dates I can pull, I can share my screen.
James Donachie (08:05) Well, I will. So the file that I had that I got from the team was just the original. So I don’t I’ll have to, I would have to go and just kind of look at, the… file that you guys sent to Janine, that wasn’t ingested, but I’m just kind of looking, I thought that is… it. And… it’s not underneath. Let me get an example from Jim and I’ll just, I’ll send you, I can send you it, and then maybe I’ll have I’ll get some screenshots of where it should live in the platform too. Okay? I,
Debbie Argentine (08:43) think, I know where it’s at, but I want to confirm, okay, team. So that’s in progress team manager access. Where are we with there? The last, I knew you had a ticket out to the team and that you were looking to see how to see how and if it was configurable. So the Stephanie.
James Donachie (09:02) Oh, yeah. So, I think Stephanie sent you guys an update, right? It’s probably just lost in the, I think she said it was going to be live. Well, it’s this month. I think she said the week of April and that they were able to accommodate the ask that you guys were… looking for. I’m trying to find that was.
Debbie Argentine (09:24) To remove the ability for team managers to invite, deactivate and reactivate?
James Donachie (09:29) Yeah. Let me just look at my email. I felt like because I remember her sending, she sent over an update and it was a good one. Yeah, it.
BeckyLewis (09:39) was on the last Thursday.
James Donachie (09:41) Yeah.
BeckyLewis (09:44) She just said that there’s no screenshots to share at this time. They’re introducing a new capability which enables vytalize to partition teams by groups today. Teams are configured at the individual provider level, limiting data visibility to providers assigned to each team. With this enhancement. Customers will be able to assign groups to teams. Access will automatically extend all providers within those groups. This ensures that team managers, team viewers and providers only see data relevant to their assigned groups including all associated provider data. We are targeting completion in late April.
Debbie Argentine (10:23) Totally missed that email.
James Donachie (10:27) That’s okay. There’s a lot of email Fred. Do you guys, are you guys an outlook organization or a, yeah. Okay. Outlook is bad. We use, Google is fine for whatever… after you get like 10 emails, like the emails start to go out of order when they’re like showing them in the thread sometimes like it becomes like a nightmare of like, yeah, so I’m not surprised you missed it because some of our threads are like quite lengthy and I’m like it’s important to have the data, but I’m also like, I don’t know, I don’t know what happens. It just becomes a nightmare. Yeah.
BeckyLewis (11:05) We don’t have left with Google anything? No.
Debbie Argentine (11:08) I hate Google. Okay. Thanks for that. The scroll functionality. I know Becky, you said it wasn’t impacting you. It still impacts me. I got to go through and hit that tab key, but that is not high priority for me.
James Donachie (11:22) I, so I… can’t it’s also working for me. I can try to troubleshoot it, but I’m going to guess that if I, if… I go to put in a ticket, they’re going to say like on their end that it’s working. So, I,
Debbie Argentine (11:45) can I,
James Donachie (11:47) might, you know what? I can just try to connect with someone like maybe on our, on our support team to see if they, they’ve had anyone else like come in. This has been in the past because it’s weird that it’s working for us and not for you. Yeah.
Debbie Argentine (12:06) And it doesn’t work for Liz either, but, let me just, don’t worry about this right now. I’m just going to put this to the bottom. This is not, this is just, me not liking to do the tab. I.
James Donachie (12:17) I mean, yeah, I don’t blame you on that.
Debbie Argentine (12:22) The revoked archive provider we talked about?
Debbie Argentine (12:31) The needs attention, placeholder we talked about before. I think we were, I think you sent me an email back. I got to go back, let’s skip that one. I got to go back and look at that. Okay. We have a grid and I don’t know if it was shared with you before Janine left, but we had a slide deck that was created for our 20 26 partnership priorities. I’m not sure if you’ve received that from anybody on your team, but basically, it was a grid that showed what the priority or what the project was when it was slotted to be completed, the next steps. The description, things like that. Does that sound familiar to you at all?
James Donachie (13:10) I feel like Steph had some… like, was this like there were like a bunch of like, there were stuff that was like on the roadmap, right? Like, did she go over it during like a QBR with you guys maybe, so.
Debbie Argentine (13:31) It’s this grid. It’s this here, Tommy, I don’t know if you can see that. Oh,
James Donachie (13:36) it’s popping up right now. There. It is okay. So.
Debbie Argentine (13:40) It was, this priorities? Yes. And I just wanted to touch, I just wanted to review Q1 to see where we are for Q1. I don’t know if, this is, an us and you thing or is this an us and Stephanie thing?
James Donachie (13:57) Yeah. So, I think, I mean, we can, so I think, it’s technically a, you and Stephanie thing only because it gives her like a big update to, you know, go through strategic, but doesn’t mean, we can’t go over or I can let her know that you guys are ready, to discuss, this, I’m sure that she’ll be like reaching out now that we’re in like, the next month slash quarter, for these things. Okay? But yeah.
Debbie Argentine (14:29) And, and do we have the QBR set up yet? I know Saadia was pushing for that before she left on maternity leave. So that might be something to think through too. Okay?
James Donachie (14:38) There’s there could be a chance. I didn’t it might not be on my calendar. I can just ask Stephanie. Okay, if there is a QBR and then when I write you guys follow up, I’ll just let you, I’ll let you know. And if not, then I’m sure she’ll reach out, for dates, what day is Saadia back?
Debbie Argentine (14:53) She’s back this month, right? No, we don’t need to, we don’t need to wait for Saadia. We can have it. Okay. She’s not coming back now until may, she’s extended, her leave, okay?
James Donachie (15:01) Great. Well, hopefully, may, that will fly by. She’ll be back before you like I feel like we got to.
Debbie Argentine (15:10) Yeah.
James Donachie (15:14) Okay. Well, I’ll let, I will let Steph know one, if there’s one on the calendar, one, when is it? And are we invited? And if not, then, can we put one on?
James Donachie (15:29) And then also let her know that Saadia is going to be out for just a little bit longer, a couple more weeks? Yep… I’m going to, so that’s all good stuff. And, and then I’ll see if we have an update on that, like the team viewer, I know like it’s like one of those things like it shouldn’t look that different to you but like the functionality, should be better. So, hopefully, like, I know that’s the functionality that you guys, I don’t I know it was like right before my time where they came up with something, then it was like they made something, and didn’t listen to, the request. So, I’m glad, that was able. I know Steph was pushing really hard for that… all right. And.
Debbie Argentine (16:20) Then, I have, one more thing. I, we touched on this when Janine was still here. It’s the opt out form the opt out file. I’m sorry that we send over to medallion to process each month. Okay. That, that file that we send is actually an aggregation of all of the individual opt out forms that our providers fill out. So, we, we give you one file and then that file gets ingested into the platform and that’s what drives, which providers drop to, which payers?
James Donachie (16:51) Okay. So, at the,
Debbie Argentine (16:53) time, when we discussed this with Janine some time ago, medallion could only handle this at the provider level. So we had to have an opt out on file for a provider under a certain tin in order for that provider to drop to a roster, whether it was a net new provider or it was an update that we were making. So everything came from that file. We at the time requested the ability to be able to process that at the tin level. So at the tax identification level, okay? So every provider under that tin would just drop to that payer, that corresponding payer that’s opted in at the time Janine said that was a no go. We couldn’t do it now. I don’t know if that was because the data that we have, we still have that we’re cleaning up. Right now. We have providers under tins that have data that are that’s all over the place. So some are in, some are out for the under the same. So blue cross and blue shield, we could have 10 in 15 out. Okay? So we’re actually going through on our side to consolidate all of that, clean all of that up. So every provider under a tin has the exact same opt out selections. So wanted to know if it’s possible if we can somehow do this at the tin level. So it’s just a file that we send that’s got tins and payers. Yeah. And it gets processed that way instead of a 1,000. You get 10.
James Donachie (18:21) I, that… I’m gonna, I can ask, I don’t know how that, I don’t know how the reporting logic. It makes sense to me. I don’t know how they, you know, how they, when they went around building medallion? I don’t know what they did, but we can ask and then do you have like a subset of that data that’s like cleaned up like that? I could show us an example like one one tin like, yeah.
Debbie Argentine (18:54) I can send it to you. Okay?
James Donachie (18:55) Yeah, cause then I’ll I like, I feel like if I, if it’s visual then like maybe I can be like this is what you’ll receive like, you know, and then I could just pose the question. I’ll probably like collaborate with Jim on it, cause he understands the system, but… I’m sure. There was, I don’t know, I’m going to find out if it was like a, if the data was messy, which was the reason for the no, or if it’s, the system. So it’s.
Adam Pollick (19:26) always interesting.
James Donachie (19:28) No harm in asking.
Debbie Argentine (19:29) Oh, yeah. I agree. I appreciate that. It’s better than just saying, you know, no flat out of the gate. Now, to that point, I made hundreds of changes. So I did not send you a file for March because I knew I was going through this process. I have made hundreds of literally hundreds of changes to a file that I’m going to be sending to you. So providers that were opted in that I’m now opting out and then vice versa. How would I expect that to look on the may roster? So, if a provider was out and now they’re in, it would be an update. I’m sure. But what would I be looking for? Like, is it, I just, I need to know what to look for. So, I know if the update is a true like a true update.
Adam Pollick (20:12) Let me see.
James Donachie (20:13) If I can, I’m going to ask Jim because he does this for other people. You guys are my only client, that I’m working on like, but.
Adam Pollick (20:23) Let me let.
James Donachie (20:24) Me ask Jim to see if I can get like a, just an example, on what to expect. Okay? And then like a legend.
Debbie Argentine (20:32) Would be like a legend would be good. So, I know if we deactivate a provider, it’ll come across as employment terminated. Yeah, if a provider gets moved to archive status, it comes across as uncredentialed. So, what are those changes in opt out status? How do those come across?
James Donachie (20:47) Yeah. Let me, let me follow up with them. Another place where we could use a legend. I’m noticing medallion is missing a lot of legend like that. We, yeah. Okay. I’ll follow up with that, that’s okay?
Debbie Argentine (21:02) And, those will likely hit may, I have probably hundreds of more that I’m going to be correcting too. But then like I said, going forward, it should be a lot cleaner. So hopefully we can just leverage tin level that would be, great for us and great for you.
Adam Pollick (21:19) Yeah, last,
James Donachie (21:22) Work.
Debbie Argentine (21:23) Less work.
James Donachie (21:26) Less row less manual.
Debbie Argentine (21:28) Work? Yeah.
Adam Pollick (21:32) Well, I started.
Debbie Argentine (21:33) At, there was 3,000 rows of data on this, this spreadsheet that I was working on, I’m down to 1,100 and I’ve got so many changes. I’ve lost count. Oh, man. But I’ll give you a file of just like one of our big groups integrated medical professionals. They’re opt in for blue cross blue shield health plus only. So you can see that every provider in these two tins would be opt in,
Adam Pollick (21:53) For, though,
Debbie Argentine (21:54) you know, it’ll be clear on the file. Everything’s opt out except these two and they’re opt in. Okay?
James Donachie (22:00) Perfect. Yeah. So, I’ll find out about that, the tin level, and then also the legend of like, what are the different statuses mean?
Adam Pollick (22:10) Cause.
James Donachie (22:11) I think, that would be helpful.
Adam Pollick (22:14) To just,
James Donachie (22:15) understand.
Debbie Argentine (22:18) And that was it for me, okay?
Adam Pollick (22:23) Well.
James Donachie (22:24) Those were,
Adam Pollick (22:27) those were a lot.
James Donachie (22:28) Of the items, I will look at the, those archive. I’m just gonna, I’m gonna submit a ticket after this because that, that’s really throwing me off because it.
Adam Pollick (22:40) Didn’t the logic.
James Donachie (22:42) In which it should have worked. We were, we were within it. So that doesn’t make sense. And then I think the next big,
Adam Pollick (22:51) The next big.
James Donachie (22:53) Thing too, is Debbie, as you continue, to work and clean up that, if that file, if you just want to keep me updated, on, where you’re at, I know that, it’s a lot of work. So, but then that way I can just let the team know if there’s anything, that.
Adam Pollick (23:16) You, you,
James Donachie (23:17) have like comes across for like questions I know I sent like when I looked at it, I was trying just to figure out what are the like least amount of changes that would make the biggest impact? But if there, if you want me to try to get pulled more from that data, or like other locations, I can go ahead and look at that as well. Yeah, it’s really?
Debbie Argentine (23:39) Just going into the platform and making sure that the address is the same, which is just a copy paste. I used vlookup the best I could, but, you know, it, it’s it doesn’t pull it up. It only pulls the first, when you do vlookup, it only pulls the first location, it comes to, and then it repeats it all the way down. So, yeah.
James Donachie (23:56) You need to start to get into like the like that’s a, what is it? Like vba, like writing? Oh, yeah. Yeah, or like merging the columns, then you gotta unmerge, and then you’re like at a certain amount, you spend more time engineering. Your, yeah.
Debbie Argentine (24:10) And.
Adam Pollick (24:11) I noticed.
James Donachie (24:12) That too, cause, I’m like how much time do I spend build? Trying to build my excel formula versus just like good old fashioned control C control. V. Yeah. But even if you,
Debbie Argentine (24:24) do like a concatenation, if the addresses don’t match, it’s not gonna pull it’s, not gonna pull anyway. So it’s not gonna match. So, I’m getting through it the best I can. I, I’m down 15 to I think 11 or something like that. So I’m slow but sure.
Adam Pollick (24:37) Okay. My.
Debbie Argentine (24:40) Eyes are bleeding at the end of every day, but it’s okay.
James Donachie (24:43) Oh, man. Well, I mean, this should, I know this is.
Adam Pollick (24:49) I wish we.
James Donachie (24:49) start, I wish we started here and then we could have just been, we.
Adam Pollick (24:56) Could have been.
James Donachie (24:56) Chipping away at this, but then I think you guys are gonna be, in a maintenance state and hopefully it’s just a few lines and then everyone, it should also look more across… your payers as well. All that should be more succinct. So, I think this is going to, it’s… gonna look better. Yeah, it’s just getting there. Yeah.
Debbie Argentine (25:16) It’s getting there, but we’ll get there. Well.
Adam Pollick (25:22) I will.
James Donachie (25:23) I’m more than happy to, I’m sure. If your guys’ Wednesdays are anything like mine, happy to give you guys 15 minutes back here.
James Donachie (25:31) And then I’ll keep you posted on stuff, as I find out. And then if anything pops up on your guys’ then just let me know and.
Debbie Argentine (25:42) Then Becky and Adam before we hang up. Did you guys have anything? No, I think I’m okay. But thank you.
James Donachie (25:51) All right. Well.
Adam Pollick (25:53) I will.
James Donachie (25:54) I’ll oh, the other major thing too is I’ll find out about stuff for that QBR and make sure the.
Debbie Argentine (26:00) QBR.
James Donachie (26:00) Yeah, yeah. Yeah. Okay.
Debbie Argentine (26:02) All right. I’ll talk.
James Donachie (26:03) To you guys soon. Thanks.
Debbie Argentine (26:04) Bye, bye bye.