Transcript
Kyle Rice (00:00) hey, Dreama. How are you? Hey?
Dreama Hembree (00:01) I’m good, Kyle. How are you?
Kyle Rice (00:03) Living the dream today?
Dreama Hembree (00:05) Nice. Hey, I have a quick question on the platform when they task out things to the provider or to the group, if they go back in there and put a note, the client, are we notified of that or do they have to close it out for us to be notified? I.
Kyle Rice (00:25) Believe we’re notified either way, if they respond to an open task or closed tasks, I believe the team gets notification either way, if there’s a response.
Dreama Hembree (00:31) If there’s a comment, okay? Because I was telling them to make sure they close it out because somebody, I think somebody told me that they needed to close it so they would get updated. But anyway, yeah… there’s a ton of tasks for synapticure and they’re just like writing back and forth. So, I wanted to make sure our team was seeing them.
Kyle Rice (00:57) Oh, yeah. They have quite a few tasks in here.
Dreama Hembree (00:59) Yeah. There’s a ton of them. So that’s why I was like, you know, I can see her writing back and forth. I just wanted to make sure that our team was getting notified when they update it without closing it out that.
Kyle Rice (01:17) Makes sense. Yeah, they should be able to close the gap either way even if they reply on that and whatnot.
Dreama Hembree (01:23) okay. Thank you for joining today and helping with the license part.
Kyle Rice (01:29) No worries.
Dreama Hembree (01:34) I cannot see if Sonya’s… joining until Jack gets here.
Dreama Hembree (01:45) There he is.
Jack Schell (01:46) Hey, guys.
Kyle Rice (01:47) Hey, Jack.
Jack Schell (01:52) Can you hear me? Yeah, I’ve been in escalation after escalation.
Kyle Rice (02:01) That’s no fun.
Jack Schell (02:03) Yeah, I was supposed to. I was trying to eat like two hours ago because I haven’t eaten yet today and it just hasn’t happened. All right. I’m going to let Sonya in. Okay. Sounds good. I’ll kick things off and just like kind of summarize where we’re at. I think that maybe we… start with the licensing stuff.
Kyle Rice (02:25) Yeah, that’s fine. Did I need to prep anything for this? Because I’m just kind of coming in a little bit blind. So I know that.
Jack Schell (02:31) Well… my hope was to prep y’all, more, but I have just been absolutely destroyed. The list. Is it in our DMS? Let me see Kyle. Yeah, in our direct messages with the three of us there’s the four examples. Her big thing is like she just wants to understand where in the process, like what we won’t handle. So, when we were talking, Kyle about the Texas part where like we are not going to register the license with the Texas board that is on them. And so just getting clarity on that. And then with the PE stuff… I’m trying to pull up my notes.
Dreama Hembree (03:34) I’m sorry. Yeah, it was just rumba on the notes. I’m.
Jack Schell (03:37) not, I’m not on.
Dreama Hembree (03:38) The PE stuff. What’s that it was just Elizabeth rumba’s, medicare on the PE stuff. And I, that’s already been approved. So that one’s done.
Jack Schell (03:48) Yeah. I think we just need to recap like, where the like missteps quote, unquote missteps from her perspective were. And just like reiterate to her what we will do, what we won’t do, I’ll probably just open it up to questions from her and we can speak to the processes. Ultimately… I… think that what Dreama and I were discussing is like she’s just really hands on and she’s ahead of things and she’s catching things before our team will. And so, like if we can just speak to like frequency with which our team follows up et cetera. Then we should be good. Dreama. Did you ever find out what happened with the enrollment back in the fall?
Dreama Hembree (04:39) The, with rumba. Yeah. I got a good look at it again. I did, I spoke to it with them, and she’s approved, but I’ll look at the notes really quick just to refresh my memory.
Jack Schell (04:52) Okay. I’m going to admit her and I’ll just talk for a bit at the beginning. You guys have a second. I’m sorry, I’m usually much more organized than this, no.
Dreama Hembree (05:02) You’re good.
Jack Schell (05:12) Hi, Sonya. Apologies for the wait. That’s all right. I, I’m going to take, I will take all the blame for that. I’m just been back to back today. I understand. No problem at all. Yeah, totally. Yeah. So just to kind of recap for the group, obviously, Sonya, you and I met for our monthly touch base to talk about this partnership and how things are going. And you raised a couple of examples of requests that were either in flight or had been completed but had been completed with a little bit of friction. And so I did just want to bring us all together just to like talk through where those examples landed. And then also allow you the opportunity to ask any of the clarifying questions about our process that you had. I want to start first with the examples that you provided from the licensing process perspective since we know that you primarily are doing a lot of licensing, with medallion. So the two examples that you provided were Jennifer green and Jennifer tate. And… one of the examples of the issue that you had cited was specific to Texas. And this was a question of, you know, one is our team staying up to date with new board requirements, how are we doing that? And then two, essentially that new board requirement of needing to register the license with the Texas board once it’s been issued. And so I’ll speak high level real quick on that piece. But then let Kyle jump in too. So with the Texas state license, when it comes to this new requirement of having to register the license once it’s issued with the board, that is something that will be required on the provider end to register with the board. Kyle, can you correct me if I’m wrong?
Kyle Rice (07:09) Yeah, exactly right. Jack.
Jack Schell (07:11) Yes. Okay. As far as staying up to date on board requirements and how things change, our licensing specialist team does stay up to date with board requirements. An update that Kyle actually shared with me because Kyle is very close with our licensing expert team, is that we actually have even reorganized our licensing specialist team to have more of a regional focus. So our licensing specialist team actually regionally will now have even more and greater subject matter expertise to give you some insight a look behind the curtain, if you will. Our licensing specialist used to just pick up lines as they came through and work any lines. Now they’ll be dedicated to a specific region. So the states within their region they’ll be subject matter experts in. And that is something that will help improve with us staying on top of any board changes and board requirements. So hopefully that’s a nice update that was something that Kyle went into effect of a couple of weeks ago.
Kyle Rice (08:12) Yeah, I believe it was in the last month or so and it should definitely help pertaining to any board updates, any new requirements, any, because we know these boards are ever changing and, you know, pass along some new verification requirements. So that should help ease your guys’ burden with any requirements and to help kind of task these out up front ahead of time and to give you guys like some additional insight into requirements. And then along with what Jack said, we also have an internal notification system Sonia for where our team is monitoring daily to check for any changes with the boards, any changes with the applications, with the verifications. So we are pretty up to date with almost everything across the board pertaining to licensing and new application and renewal requirements as well.
Sonia Bajwa (08:57) I appreciate that. That’s really helpful. And I think from our end, like more than happy to own, right the updates to the board, the registration, like we are 100 percent good to do that. We just need to know, right to do it, right? And so to my point, right of like bringing up that escalation is like we didn’t find out, right? That that was a new requirement until well after the license was issued, and we didn’t get that information. So I think moving forward if there is, hey, Texas now or maybe a new state in the future comes up and says, hey, just an fyi, you have been issued a New Mexico license, New Mexico board requires your provider to now register on their website. Great. Not a problem. We can take that. We’ll make sure we just want to know, right? And so relying on you all for the license and supporting the end to end experience that notification of yep, this is required is totally fine. And we would take that action item and then work on that on our end.
Jack Schell (10:03) So, Kyle, is that something that’s provided as a task once the license is issued?
Kyle Rice (10:09) Provided as a task, exactly, right? Once the license is issued, I was going to say additional, Sonia, I’m happy to join, you know, some of your Dreama syncs to help, you know, support some of the license updates moving forward. If you find that helpful, I know I’ve been working pretty closely with, I believe Kathleen who I’ve come to know via email quite well. So if there’s anything we can do to help support you on the back end, you know, in terms of license updates, changing requirements, I would love to, you know, step in there and, you know, add some additional visibility and that extra layer of support as well.
Sonia Bajwa (10:38) Sure. Yeah. Anytime, you know, you’re welcome. We’re happy to have you as always. You’ve been really helpful with Kathleen and just providing us a lot of great insight. So totally good there. Yeah, awesome.
Jack Schell (10:51) The other piece on the licensing side of the house was questions around collaborative agreements. And so our team, you know, with collaborative agreements should be flagging that a collaborative agreement is required. There’s a lot of nuance with collaborative agreements from state to state and what’s required, and what’s not some require wet signature, for example. So those details do vary by state and by license type, but our team will task out for that. Did you have specific questions to follow up on with regard to collaborative agreements? I?
Sonia Bajwa (11:31) Did. Okay. And so the reason why I provided the Jennifer green example was for this reason, exactly, right? Jennifer green, we requested, I’m going to say a total of like almost 20 licenses. She’s a physician assistant. And so we know that physician assistants require some level of collaborative agreements. We have a physician that’s 50 state licensed. We provide that information. Now, the thing that did not happen with her licenses is the agreements that are required to notify the board, right? So I’ll give you an example of one, the state of Illinois requires a notice of written practice agreement. The state of North Carolina requires the intent to practice online form. The state of Virginia requires a practice agreement and a physician assistant agreement that needs to be sent to the board, the state of Washington, they all call it something different based on their terminology, right? But then a lot of these, right? Require not only getting a license issued, but then there’s an extra step, right? There’s, usually either a form that they ask us to fill out that has information on like restrictions of the practice, confirming that X y and Z is all set that they have to fill out, submit to the board. And then there’s a whole nother situation, right? That the board confirms even after. So we personally just given her profile as an example, did not receive all of those. So we didn’t get information when we were getting the license that was required. I know they’re required, right? My team knows like Jennifer green knows they’re required. We’ve listed every form. And so we did take some of those on the back end. But again, we are relying right on the expertise that you all are providing us when we’re getting these licenses for an app to say, is there one a form that gets triggered that we need to fill out to submit in order for the license to get issued. We’ve seen with Allison piatras, who’s another physician assistant, where there are examples of those forms being triggered with some of her licenses which we expect. And we did fill those out. We provided them back. Then those did get sent to the board for the right levels of notifications, but there’s just been inconsistencies right? With the two pas that we have not every license, a collaborative agreement or form was triggered or any information that it would be needed for the board. So there’s a level of uneasiness… from us, right? When we get the license. We say we’re good, but we’re not, right? The board has to be notified. So similar example to the Texas one, right? But these for apps will exist forever pretty. Much they’re always needed, right? And so if we need to be the ones to notify the board again, we are happy to do that. But if there is an additional form or something that state is requiring, like my expectation is that you all would be letting us know that.
Kyle Rice (14:45) Yeah, absolutely. Sonia. I totally hear where you’re coming from. I really appreciate you highlighting the examples for me for Jennifer green. I believe you said it was Illinois, North Carolina, Virginia and Washington. So I’d love to take this back with our licensing team to do a little bit more in depth review just with some of the inconsistencies you’re seeing kind of across the board here, totally understandable around Allison pietras, where she was getting the tasking downstream. But it sounds like there was some missteps here in regards to Jennifer green. And what we’re going to do is just take an in depth review on this and escalate this to our licensing team. And we do know that the kind of like Jack said, the girl collaborative agreements a little bit of a mixed bag by state where, you know, some states are offering full practice authority. Other states are, you know, requiring reduced practice authority, and then, you know, the states that are ironclad that do require, you know, those agreements post licensure regardless of, you know, status and with each provider being linked to a supervising physician there. So I’m definitely going to take that feedback very seriously and have our team take a look and investigate where these may have fallen through the cracks here. And then making sure we’re highlighting moving forward where these are required for full, excuse me for full visibility moving forward via tasking.
Sonia Bajwa (15:58) Okay. Yeah. And I think like, you know, for pas, they don’t really get full practice authority. Those are the NPS, right? So for the NPS, we know like, the full practice versus limited. And so also just trying to make the distinction right? Between the two degree types that we know, like physician assistants, right? They don’t have full practice authority for the most part across every state. So, I think the full versus limited and restrictive, is the differences on the NP side. And so similar kind of feedback on the NP side is just making sure that those that are restrictive or limited, right? If our, if an additional board notification is needed for a restrictive or a collaborative practice, like pratika Patel is a nurse practitioner. We got one for Alabama that we needed to fill out which was great. We were given two different forms that were required for Alabama. We filled out the forms we submit like great like that provides me the level of confidence, right? That, that Alabama license for pratika as a nurse practitioner in a restrictive state that we have our internal agreements that we always do. But that the board notification agreements then also got triggered. So that’s like a great example of one that we were like that reassured us, right? But I think the inconsistencies right now is that it’s just not happening across the board for our physician assistants and just wanted to make sure that the NP part as well was then like just, you know, aligned upon, yeah.
Kyle Rice (17:24) Absolutely. We’ll definitely take an in depth look at that and really appreciate you flagging those examples. And I think kind of what Jax had stated previously earlier in the call, the realignment of our licensing specialist by region is definitely going to help assist with that as well. So we have, you know, licensing specialists continually processing the same states over and over again. So you’re going to be seeing, you know, notifications from the same person for, you know, Illinois, North Carolina. I think it was Virginia and Washington for Jennifer green as well. So we should have the requirements nailed down. And then what we’re going to do is take a look at these, some of these examples that you’ve provided, take a in depth closer look where the mess was and then provide probably provide you guys with a corrective action plan here. It sounds like we probably need to file an internal incident here for the misses and just get some increased leadership eyes on this, Sonia. And that that’s going to help with our investigation and to hopefully not have these issues moving forward. Yeah.
Sonia Bajwa (18:20) In.
Jack Schell (18:20) summary, it sounds like the collaborative agreement, task follow up once the license is issued or during a license process has been inconsistent. Sometimes medallion’s executing as expected. Sometimes it seems like things, were missed from a task perspective and from a responsibility perspective. So, appreciate.
Kyle Rice (18:43) You Kyle no problem. Happy to help wherever I can.
Jack Schell (18:47) Cool. I believe that was every, those were the two primary issues with licensing. I don’t think that there’s anything remaining on that front, correct? Correct? Yeah. Then the other, the last example is Elizabeth rumbau, and with the payer enrollment process, excuse me, my allergy. And so as we discussed with Elizabeth rumbau, and really the emphasis here is like the importance of the medicare practice and your enrollments with medicare too. Sorry. I just lost my train of thought, okay?
Sonia Bajwa (19:32) I could summarize too a little bit. Yeah. Go ahead.
Jack Schell (19:34) And the back to backs are crushing me. I,
Sonia Bajwa (19:36) understand. I, trust me. I, you see my calendar too. I, you’re you’ll be, you’ll feel for me. So I feel for you Jack 100 percent. Yeah, feel.
Jack Schell (19:46) Free to speak to the example. Yeah.
Sonia Bajwa (19:47) Absolutely. I think, with our medicare traditional medicare applications, right? There’s a couple of things. So, I think Elizabeth rumbau was a, an example that I wanted to provide Jack when we talked previously, right? I think another one is Allison piatras, who similar experience that we had talked to Lee about previously. But with the two of them, essentially, right? What we had aligned on at that time was that for medicare applications, one, if there’s any corrections that are required, the person submitting the application needs to be following up on the corrections. Lee had let us know that if medallion is owning the traditional medicare enrollment, they are listed as a contact person for that application when medicare replies back and needs clarification or a correction that medallion would be replying to those in a timely fashion in order for those applications to not then be fall into the rejection pile. So, Elizabeth rumbau is a great example of that. Where we submitted that request in September of 20 25, her enrollment did not go live until February sixth of 20 26… that’s after now repeated, I think lack of follow up in the corrections that were triggered because of the application. Similar thing happened with Allison piatras. And I just got another one more recently as of last week that came through where it was an application submitted by medallion for medicare. They reached out for corrections. I purposely just waited to see if there was going to be a response from someone at medallion. And there wasn’t they then replied again asking for some information. I waited to see if anybody from medallion would reply and they didn’t and then they asked a third time which I think I just got an email about either this morning or yesterday. So my concern, right? With these applications now is that we had addressed early on, right? The Allison piatra’s example. We were reassured that when corrections are triggered from CMS in regards to these applications, that medallion would obviously own updating anything if they needed more information from us, then great, we’re happy to provide it. But yeah, those are some examples that I can provide in regards to medicare and just want to understand from you all who is responsible for the corrections, who is following up on these? Because previously we were told that was medallion’s responsibility if they’re submitting an application.
Dreama Hembree (22:32) Yeah, for the payr enrollment. Absolutely. If we’re submitting the application and medicare’s reaching out for updates, corrections, all of those things that would definitely fall on the responsibility of medallion. So with me being fairly new coming onto the account, I was involved in rumba, a little bit. I did see that there was a group of level demo update going on that potentially played a role in her delayed application. Again, I wasn’t involved in the details or the account at that time. I know that she’s since been approved, but it looked like that was the reason for the delay in there. And then there was a little bit of a delay in terms of signatures, getting those on the application in order for them to process. I’m not familiar with piatris, I will take a look at that one just so I can take it back to the team as an example. The third one you mentioned Sonia, you didn’t mention a name, but was that fergula, Elizabeth, fergula, for luga? Sorry, excuse?
Sonia Bajwa (23:35) Me, it was one, I can pull up the actual I’m.
Dreama Hembree (23:40) looking at the tasks and I see Kathleen’s been in there as of yesterday. We’re needing a signature for medicaid, for luga. So I didn’t know if that was the same case with her?
Sonia Bajwa (23:55) No, this one is for an Arizona for our Kansas group. This is for an Arizona enrollment. For our Kansas group, the follow up from medicare states. And this came in about four hours ago that the special… payments address was missing.
Dreama Hembree (24:17) Okay. So.
Sonia Bajwa (24:18) This was not a signature delay. This is a special payments address. And so, yeah… that’s part of this one and this has been escalated, I think.
Dreama Hembree (24:30) And that’s for the group, it’s not for an individual, correct? Correct? Okay. I got that noted and I will get in there and dig into the details. And if, like Kyle said, if I need to file an incident, so additional eyes are on that, I will certainly get that done and flagged back as a misstep at making sure number one that we’ve responded. So that doesn’t time out on medicare’s side and deny the application. So I will definitely research that and get you some additional information on that and get in front of that one.
Sonia Bajwa (25:05) Okay. I appreciate that. Thank you. So to.
Jack Schell (25:08) Summarize clarity is needed around when medicare is reaching out saying that there needs to be corrections. Are we seeing responses from the medallion team? Whether that is an internal note on the request saying we’ve seen the request from medicare, acknowledged it’s working or an actual response directly to medicare?
Sonia Bajwa (25:32) Right? Because medicare will reply to me and all of those that had submitted an application. And I don’t see any replies from the medallion team to those emails, but I do see them cc’d on those emails.
Jack Schell (25:45) Yeah. Do they, are you not seeing any updates in medallion? When those emails come through? You’re not seeing any notes that like, you know, maybe they haven’t responded to the message, but they have noted that they’ve received the message and are working on the correction. No. Okay.
Dreama Hembree (26:02) I’m wondering if they’re just going directly into Pecos and updating and then not updating the platform. So, regardless, I will make sure that that’s taken care of and that we’re not updating the line to say we’ve responded, yes, because you’re correct anybody that’s listed as a contact or has been listed as a contact in the past will get those notifications, right? And so, if we’re replying directly back to the rep or within the portal, then you obviously won’t see those. But to give you that level of reassurance, we need to be notating the line, that.
Jack Schell (26:37) has been updated.
Dreama Hembree (26:38) Exactly. So, yes, that is a takeaway that I have, and I will make sure I flag that with our medicare team.
Sonia Bajwa (26:44) Okay. I appreciate that. Yeah.
Jack Schell (26:46) I’m kind of, I would assume that if you’re not seeing replies directly within the messages that you’re receiving, I would like to assume that our team is doing the work and needs to put a note so that you have the visibility and awareness like that. It’s being addressed, yes?
Dreama Hembree (27:05) Right. Because we wouldn’t reply all to the email. We would reply back directly to the rep, if that was the route we were taking for the action. So, but nevertheless, you need to know that it’s been taken care of, yes.
Sonia Bajwa (27:19) Yeah, because I think like we have one of them that I checked on like it’s been like three or four prompts, right?
Sonia Bajwa (27:26) That keep coming through for the same application. And I’m just like a little worried right? That then nobody is handling it. And I’m like happy to, but like just to be very transparent, we’re paying a good hefty amount of money for each of these enrollments. And so if I’m going to then have to come in and do all the corrections, then like I want to talk about a reduced rate or something because I think that’s where I’m also just trying to manage, right?
Sonia Bajwa (27:55) Like what involvement then? Does my team need to take for these, right? If we’re paying for the service just to be very Frank?
Jack Schell (28:04) Sorry, my internet was cutting out was choppy at the beginning of that, no.
Dreama Hembree (28:11) If you are, we are to own the application process from start to finish. So if there was something Sonia that we needed from your team, you know, in terms of a signature or a form, an eft, something like that, we would of course, task that out. But in terms of corrections, things like that where medicare’s reaching out that’s on medallion, that should be a responsibility, you know, strictly on us. And again, if we have to pull you in for additional information, we would do that. But it’s not your responsibility or your team’s responsibility at all to manage those outreaches from medicare if that’s on medallion. So again, I have that noted and I will take that back to the team as well.
Sonia Bajwa (28:52) Okay. I appreciate it. Yeah, that’ll be helpful just for us. And as we, you know, manage the task, we are really trying to be on top of anything that you all send. I mean if you look at the administrative tasks in there, we really drive those down on a daily basis and keep everything on our end.
Sonia Bajwa (29:08) Try right to not be the blocker we really try. So like we’re always open to feedback for sure. So like keep us like in the loop too Dreama as you are reviewing some of these things. Like we are happy to step in and support as we can as well.
Dreama Hembree (29:23) Yeah. And please don’t feel like you can’t shoot me an email, CC me on an email just so I have visibility on it. And then I’m happy to get in there and, you know, run interference or research as needed. So please, you know, loop me in, as necessary.
Sonia Bajwa (29:39) For sure, I know we’re at time. I just like there, there’s like two things that like came up like as of yesterday that I wanted to just quickly address is like one, we got an anthem, blue cross blue shield of New York, successful enrollment notification. When we looked at the proof of the enrollment, the entire roster is and tax id information is not our practice. So we don’t know if that is our, if we actually are enrolled and who is, or if that was a mistake.
Dreama Hembree (30:14) We did Dreama. Okay. So blue cross blue shield was for the group, right? Or was it for an individual provider?
Sonia Bajwa (30:21) It was, we had requested a group and every provider that’s New York licensed enrolled. And so when we received the notification yesterday that we have a successful enrollment, we looked at the proof on the roster that is linked within that item and it shows an entirely different practice, not our name, not our tax id, none of our providers. So I don’t know if that is actually a successful enrollment for our group or not.
Dreama Hembree (30:52) Okay. And that was anthem. Sonia?
Sonia Bajwa (30:54) Yeah. We, Leah has already emailed you about that one. She forwarded it over to you so you could take a look and wrote that description yesterday.
Dreama Hembree (31:04) Okay. I will make sure that I have that one and I have that as listed to take away also.
Sonia Bajwa (31:11) And then the second one was the New York medicaid application for dr Elizabeth ferluga. We received a task I believe this week that now this is our third application that needs to be submitted. Net new and really just want to get some information on what has happened all three times for now us to repeat that application. Again, it’s a paper one. She has to do a wet signature, has to get it notarized and physically mail it. So now, this will be the third time we have to do it. And I just want to get a little bit information on what happened there.
Dreama Hembree (31:47) Got it. I got that one as a takeaway too. I will, I can see that test out in there. So I’ll dig in to see what’s going on there and what’s needed and see if we can’t run some interference to get those corrections submitted.
Sonia Bajwa (32:02) Okay. Appreciate it. Thank you.
Dreama Hembree (32:04) No, no, thank you for calling those out as examples. I got several takeaways that I owe you back. Let me do some additional research on my end. And then we’ll get you updated. I.
Sonia Bajwa (32:17) Appreciate it. Thank you. And I know Jack, like before I had mentioned, you know, any kind of opportunity for a credit for some of these delays. I mean, we’ve had some financial impacts to be honest with some of the things that we’ve had to do, repeat things on. And so as you’re reviewing, I just wanted to resurface that just in case.
Jack Schell (32:36) Sure. Yes, I hear you. I’m also looking at the one that you just mentioned, what state was it? You said New York?
Sonia Bajwa (32:46) Yeah, it’s anthem.
Dreama Hembree (32:49) Anthem was the group roster that was wrong for lugo was New York medicaid where it’s being rejected, but I’m not sure why yet. I haven’t looked at that one but anthem is what she was talking.
Sonia Bajwa (32:59) About and it’s New York. It’s anthem, blue cross blue shield of New York. We received the notification on Wednesday April the first.
Jack Schell (33:07) Yeah, I’m referring.
Sonia Bajwa (33:08) If you look at the proof of enrollment when you click on the full roster, commercial medicaid, medicare. And that notification, that information is no one in our practice?
Jack Schell (33:21) Yes, noted on that one, I was trying to look at the, for lugo one to look at the enrollment request history since you said this is the third request.
Jack Schell (33:35) So, that was for New York medicaid, correct? Yes. Okay. All right. I was just personally curious about why a new application was submitted for a third time. So anyway, okay, Sonia, I hope this has been helpful and, yeah, Kyle has his takeaways, Dreama, has hers. I have mine… and we appreciate your time, of course.
Sonia Bajwa (34:02) No, I appreciate yours too. I look forward to some follow ups, of course. All right?
Jack Schell (34:07) Enjoy the rest of your week and have a good weekend, you.
Sonia Bajwa (34:10) Too. Bye bye.