Transcript
Naomi Denson (00:00) hello morning.
Gregory Campbell (00:04) Morning. Good.
Naomi Denson (00:06) Morning. Let me let people in.
Naomi Denson (00:19) Hi, everyone. Hey, Naomi. How’s it going?
BarretPickering (00:27) Wonderful. How are you?
Naomi Denson (00:29) Good. Just bouncing from back to back… today’s. My Monday. So, why not? Well?
BarretPickering (00:38) What good would we be if we didn’t put you to work?
Naomi Denson (00:42) Well, none. I’m just kidding.
BarretPickering (00:46) All.
Naomi Denson (00:47) right. Okay. I am here. I am here. Okay. All right. We got a big group here today. Let’s jump in… first. And most importantly, we want to touch on data imports. Greg. I think you met with the team or were going to meet with the team. I know you’ve been going back and forth with gabby. I just want to make sure that… are we in a good place with the group and practice corrections?
Gregory Campbell (01:16) I’m still seeing errors in the sheet. I have been in touch with gab and I updated the sheet to throw specific error messages showing what each line requires in terms of updates. So once those are all green and passing all validations across all the sheets, we can go ahead and move forward with the import. Okay?
Naomi Denson (01:35) Yeah. I just want to… relay that in order to meet our target, go live date of may second. We really need to have all of the data back to us by April tenth. I know we’re still focused on group and practice profiles. And then there’s still some outstanding providers that we’re waiting on. Do we have an eta on the next round of the provider imports… Barrett?
BarretPickering (02:07) Maybe… that’s a great question. I have not been in touch with gab. I was out last week, but from, I know that’s in her court, I’ve been updating the practices. I started doing that yesterday. So I should have that done by the end of today or the beginning of tomorrow?
Naomi Denson (02:30) In the template in?
BarretPickering (02:32) The template, I’m updating them. So I’m on like row 700 something. Okay?
Naomi Denson (02:42) Okay. So you’re working on that and then additionally other data, I don’t know if you guys have started on existing group and provider enrollments for the revere side on the import template? Have you guys started adding those in yet? Or we’re just primarily focusing on groups and practices until that’s resolved or do we have a plan?
BarretPickering (03:02) You’re saying the in flight providers, is that what you’re talking about? No?
Naomi Denson (03:06) Anything that’s already existing? Like which existing group contract do you already have for each of the groups and the providers are already in network?
BarretPickering (03:21) Will you pull that tab up on the import template?
Naomi Denson (03:25) Yeah, it’s the… so this is, I don’t think this is the template that you guys are working on. This is just your blank template, but it’s the group enrollments would be any existing group. So group revere, one, two three is enrolled with Aetna for Arizona… Florida. And then the contract information to show in the system. So before we can go live with new provider enrollments for revere, for any new onboarded providers or new enrollment needs, typically, we like to have at least the group existing enrollments loaded first so that our team can go in and say, hey, we’re tying them to this group contract that already exists where a group contract is required to add new providers.
BarretPickering (04:12) Got it. Okay. And then.
Naomi Denson (04:15) Additionally, the provider enrollment. So John smith is enrolled with Aetna in Florida. They’re participating already. So having the existing enrollments loaded to the platform is what unblocks dependencies for managed medicaid, medicare advantage plans, things like that. So having their medicaid and medicare enrollments loaded that they’re already participating with, you have to have existing enrollments for providers in the platform in order to request revalidations or demographic updates. So for your already existing legacy providers, their… existing enrollments, but for any net new providers, I would prioritize the group enrollment information first. Okay? So after we get the groups and practices, we can load this, but I just wanted to make sure that was on your radar as well as data to.
BarretPickering (05:09) Load. Do we have?
Andrew Herman (05:10) Anything loaded right now or is this just?
Gregory Campbell (05:13) Some we?
Naomi Denson (05:15) Had I think one round of providers and then the village information that we transferred over… Greg, do you have the current template?
Gregory Campbell (05:26) Yes. So that’s the template that I put in the chat a few minutes ago.
Naomi Denson (05:29) Okay. Sorry, I was looking at my screen, no worries. Yes. So the providers, these are all providers that we’re still missing information on to load? Yeah. And then we’ve got the practices. These are looking a lot better. There’s still some that need to be addressed here.
BarretPickering (05:53) Yeah. I’m fixing those on the practices. So it’s the group profiles we need to update. Yeah, so.
Naomi Denson (06:08) The group profiles and the practices, those need to be completed first and imported. And then on the other template because.
Gregory Campbell (06:18) Greg.
Naomi Denson (06:20) Only pulled over the data that we’d received to that template. It looks like. But on the original template that I sent, you have the existing enrollment information that we can load?
Gregory Campbell (06:31) Yeah. And I can copy those tabs over Naomi.
Naomi Denson (06:34) Thanks, Greg. And.
Gregory Campbell (06:36) someone had asked earlier about what has already been imported, those tabs that are in the blue. There are all of the data that has been loaded into revere’s instance. So those are the enrollments from village, the provider practice group associations from village. And then the village providers, and the one round of providers we did get that was ready to go.
Andrew Herman (07:01) All right. What non village providers did we load already?
Naomi Denson (07:09) I think these were employed providers that we had email addresses for, okay?
BarretPickering (07:16) Looking like this… is it’s looking like a combination of desert grove and, oh… it’s the employed providers that’s what it is, the ones that’s just all the employed yep. I had given that. Okay?
MatthewSpurling (07:39) Okay. And Naomi and Greg for the loading or adding in the payers that are contracted for each of the practices, are you looking for those to all be listed on one row or is it a payer per row? So.
Gregory Campbell (07:55) Good question. That combination is one row per payer per. So for the group contracts, for example, it would be one for the payer group and practice combination. So, if there are multiple practice locations that bill under that group tin, they’ll need to be listed on separate lines.
MatthewSpurling (08:18) Different practices, separate lines, different payers separate lines as well.
Naomi Denson (08:22) Yeah, yeah. Yeah. Okay. And state, so payer per state as well. Sure. So if you.
MatthewSpurling (08:29) have a group that has four practice locations, you’re going to have four lines times the 10 different payers that we have in Massachusetts. Hypothetically, speaking, we’ll have 40 rows. Yes. Okay. So for that one for revere folks on the call, is there any reason we couldn’t pull the health plan report that was sent on Monday that goes out on Mondays and just filter out or remove the duplicates for each of the practices and put in the payers that are contracted.
BarretPickering (09:09) Sounds good to me. I.
MatthewSpurling (09:13) Just want to pull in practice locations too, but at least that’ll inform us by practice, which payers are loaded, yeah.
Naomi Denson (09:23) And just keep in mind that the group information here, group 10, npi name and practice npi practice name that all needs to match the group and practice name profile information here. So that it maps to the correct profile. Once we import this. Yep. Makes sense. I’ll just.
Gregory Campbell (09:44) Add once we have that data, we’ll run through a similar validation process for all of your enrollments. So it will also show highlights for what needs to be corrected if you’ve found this helpful so far?
Nicole Hillis (10:01) Awesome. And then jumping?
Naomi Denson (10:03) Down to village providers, Nicole… Dalton, we still have the nine providers for 17 payers per provider. You guys had started inviting them Barrett. Did you have a chance to go through the village group and practice profiles to make sure all of the information in those that’s in medallion is relevant to revere, and shouldn’t be changed or updated for like contact information? I.
BarretPickering (10:32) Don’t know if I really… have the right information to validate that Dalton. Could, you would be more familiar with those things than I would. Is that something you could take in your court to validate as far as I know, it should be accurate, right?
Dalton (10:53) Yeah. I actually had already done a report for missing payers. We were missing a couple that didn’t get put.
BarretPickering (11:04) In and then.
Dalton (11:05) we had another like few where a few providers were missing their lines. And I’m not sure if it was because like they had demographic updates in process. And so maybe the reporting came back showing that they weren’t affected with that. I’m not entirely sure, but I did send that report to Clint.
Naomi Denson (11:28) Yeah. So what we were looking at Dalton was the actual like group profile?
Dalton (11:34) I didn’t actually see any in there when I did that. So I’ll go check now.
Naomi Denson (11:38) Yeah. So we’re checking the group profile, and then the practice profiles to make sure that the information that we brought over from village?
BarretPickering (11:45) Is.
Naomi Denson (11:46) correct, complete anything that was missing. We brought everything over from the village side that we could, but we just want to make sure that with the change, you know, practice admins contact emails and things like that are updated correctly. Like these still have village medical email addresses here. So we just want to make sure that all of that is accurate and up to date with the transition.
Dalton (12:14) Yeah. I can get an updated clinic contact and update all those. Okay?
BarretPickering (12:23) Perfect. I did update the banking and then the, whatever legal information that was in there for just the overall.
Naomi Denson (12:34) For the group profile? I.
BarretPickering (12:37) Believe. So, yeah. Okay.
Naomi Denson (12:41) Okay. Yeah. I just want to make sure all the legal documentation, W, nines, irs letters, bank letters. All of that is when.
BarretPickering (12:47) It says bank letter. What are they looking for in terms of the bank letter?
Naomi Denson (12:53) We actually.
Dalton (12:55) Didn’t have that in our last one. So that’s a yeah, bank.
Naomi Denson (13:00) Letter avoided check. I think that’s typically used for like group level medicare medicaid? Enrollments?
BarretPickering (13:08) Okay. I’ll deal with our finance and look into that unless somebody knows what that is.
Andrew Herman (13:19) Okay. I mean, Clinton finances, Clinton. Now, I.
ClintAnderson (13:25) Barrett’s spot on, I would just be emailing. I would just be emailing Griffin as.
Naomi Denson (13:30) Well, okay. Just, trying to.
Andrew Herman (13:34) You save us a second here, but.
ClintAnderson (13:36) Yeah, it would just, it would just come from Griffin.
Naomi Denson (13:39) Got it. Okay. All right. Yeah. So we’ve just once those reviews are done, is probably what, you know, that needs to happen first before we submit any net new enrollment requests. But Nicole, how is the provider engagement going with those nine new providers? Have they accepted invites completed everything that they need to complete?
Nicole Hillis (13:59) Not all nine, but a couple have already, you know, we’ve already submitted a few PE requests for the folks that are starting more so earlier on.
Naomi Denson (14:12) And so far they’re doing.
Nicole Hillis (14:14) Good. I was actually going to ask the question about the notifications that I did get regarding the, you know, summit medical group Arizona, please upload a W9. It came onto my notifications. And so that’s what I was going to ask. Yeah.
Naomi Denson (14:32) So, these are all passed to org admins. So all the admins on your side will see these perfect. So I’ve.
Nicole Hillis (14:41) made some notes and then also, I think Dalton, he’s submitting this service for the villagemd providers. And I think there was a note for one of the providers in here, but, yeah, so far so good.
Naomi Denson (14:56) Okay. Yeah. So it looks like W9 form needed. It, does, it did look like the group profile already had the W9. So you just make sure that that’s accurate and then mark that pass complete? Okay?
Nicole Hillis (15:12) Dalton, when you Dalton, can you just verify that one is complete, you would know over me.
Naomi Denson (15:29) Yeah, it looks like let’s see this was added. It was added March the 20 seventh.
Naomi Denson (15:44) Oh, make sure it’s signed within the year. This was signed in March. So I don’t know.
Naomi Denson (15:56) It’s to match the.
Naomi Denson (16:11) Yeah. So the irs letter and the W9 names don’t match?
BarretPickering (16:19) They should both be summit something summit.
Naomi Denson (16:22) Medical group, Arizona summit medical group, LLC, but I think it’s the dba that’s throwing the team off. Oh,
Naomi Denson (16:36) go back to.
ClintAnderson (16:37) That W9… and where’s the date on that one? Is there a date?
Naomi Denson (16:47) It was signed within the year, but I think they’re looking at this dba name. Let me see if there’s a, yeah… there’s no dba name. Oh, it’s up here, dba primary providers, central, Arizona, but it’s saying that the W9 needs to match the irs letter. There’s no dba listed here, but.
ClintAnderson (17:13) Couldn’t we just move the dba from that line to the second line. So.
Naomi Denson (17:19) This is the irs tax letter, and it’s saying that these two need to match. Let’s see… what if they don’t.
BarretPickering (17:28) I’m pretty sure this is the only irs letter we have. Yeah.
ClintAnderson (17:32) And I don’t know if you necessarily have to have a dba on an irs?
Naomi Denson (17:36) Letter, Dreama, do you know, can.
ClintAnderson (17:39) we not just move that? Sorry? Can you go back to the form that you had no, no, no in your system?
Dreama Hembree (17:47) What was that? Naomi? I’m sorry… the task, does the W9 need to have the dba?
Naomi Denson (17:56) Yeah, for individual provider requests, I feel like they’re digging… a little far there. We usually.
Dreama Hembree (18:04) Just attach that for the group level or the practice level enrollments, but.
Naomi Denson (18:10) In.
Dreama Hembree (18:11) general, the W9 should probably have the dba on there. Well.
Naomi Denson (18:16) The W9 does, but they’re saying it doesn’t match the irs letter… which I feel like that’s a bit of a stretch for an individual provider request. Yeah.
Dreama Hembree (18:29) At the individual provider, I haven’t seen them get that picky with it in the event that they did kick it back. We could always request an updated W9 at that point.
ClintAnderson (18:40) And who’s asking for this? Like?
Naomi Denson (18:42) Our intake team?
ClintAnderson (18:45) Yeah, I don’t… think… I don’t think we’ve had that challenge before just on our own.
Naomi Denson (19:01) Yeah. Let us, we freema, can we go to the intake team and get clarification on that? Yes. And then this one’s asking, okay, Naomi?
ClintAnderson (19:11) There was a form that you were showing earlier and it had, you… know, the number or like the W9 line in it. And I was just thinking you could just take out the dba part and move it to the next line down?
Naomi Denson (19:29) Oh, and that I don’t know what that is.
Naomi Denson (19:43) Yeah, right here. Yeah, I mean,
ClintAnderson (19:44) is it as simple as just taking out the dba? Anything from the after the LLC and just moving that to the dba line? Because that group name, submedical, Arizona, LLC matches the irs letter, and then just move the dba as well?
Naomi Denson (20:05) Definitely try it.
ClintAnderson (20:09) Yeah. So, okay. Thanks. Yeah. So.
Naomi Denson (20:13) Nicole, if you want to review these and just mark them as complete. And yep… all three of those ones updated, cois, yep, I.
Nicole Hillis (20:21) made my notes in each of those for the cois, they’re in process. And then I’ll upload.
Naomi Denson (20:26) it, once it’s issued, okay. Perfect. All right. Anything else from you, Nicole that you had questions on? Like… we have about like six to eight requests that were made. 59 of them are held up with tasks. Nine of them are sitting… in requested. Oh… you put these in as client owned? Is that because you’ve already submitted these and you’re owning them? Okay? Yep.
Nicole Hillis (21:02) These are the ones Dalton is helping?
Naomi Denson (21:05) With. Okay, perfect. All right. So village has gone live, that’s good. Yay. We just got to figure out those tasks, then we can hopefully move those forward. And then for the ncqa, credentialing, just wanted to re flag that we need to know the credentialing committee members that are going to be responsible for voting on files in the platform and what structure you want those committees built in. So I can make sure that either it’s like a medical director that has a provider profile right now, make sure their access is updated so that they can see those committee files to vote… Glenn.
BarretPickering (21:51) Will you send that information?
Naomi Denson (21:52) Over? I’ll send it over to you right now, Naomi. Okay, perfect. Sounds good. Naomi. How?
ClintAnderson (22:03) Easy. Is it to change that in the future?
Naomi Denson (22:06) It is very easy. You just have to let us know. Yes, not a huge deal if you need to change it, update it. Yeah, not a huge deal. And then the only other thing I had was I had sent in my follow up email last week, we need to schedule a full payer, scoping review call for the reviewer payers and processes. So I did not see a response on availability for the team that works for you. So I’ll send new availability in my follow up email today. If you guys could just take a look at that and look at calendars so that we can get that on the books. Yeah, will you?
BarretPickering (22:43) Make sure Matthew sperling is on that. He’s in this call. Is that what you’ll be able to help out with?
MatthewSpurling (22:53) Yeah, I should be able to help with that.
BarretPickering (22:55) Okay, perfect. Thank you.
MatthewSpurling (22:56) And I don’t know that I was on the email. So send that over to me. Naomi and I can provide.
Naomi Denson (23:01) Dates I’m free. All right. Can you drop your email address in the chat? Just so I’m sure I have it. No problem. All right. Anything else for me today, guys? We’re working on data. We’re working on tasks for village. How can I send over credentialing structure? Biggest thing for.
MatthewSpurling (23:25) me is it sounds like based on the first thing on this list, we have three days to complete the correction of data. And I guess I want to know what happens if we don’t hit that date.
Naomi Denson (23:37) So we typically… it can take up to two weeks for data import, template review and loading. So that’s the target date needed to be set up, ready to go, have everything reviewed and go live by may. Second. Technically, you’re already live with the village side, but for the reviewer side, we do need to get all of that data in. So if we delay getting all of the data back to us pending any additional corrections on the existing enrollment data… we may have to push that, go live back at least for payer enrollment. But we do also need to discuss timeline for inviting the reviewer providers, communications to them from your end regarding medallion. So they have a heads up… that it’s coming and then how we want to move forward with, you know, caqh bulk imports for your providers to get their provider profiles populated before inviting them. But we’re waiting for the remainder of the providers to do that. I believe. Yeah.
MatthewSpurling (24:47) Just looked like there was a lot of corrections still left to make. So wanted to make sure.
Zoom User (24:50) We understand that.
Naomi Denson (24:53) Yes… I just want to touch really quick back on the additional providers that we’re still trying to get emails and corrections for. Do we have any progress updates there or an eta on when you guys should expect to load those?
BarretPickering (25:12) Which providers are you speaking of? So.
Naomi Denson (25:15) On, the original template. So these are all the providers that were not loaded that have corrections, either, there’s an email issue. It’s not unique. We’re waiting on unique emails, social security number, yeah.
BarretPickering (25:28) Gab, where are we at with this?
Zoom User (25:35) My focus, Greg had me focus on the practices and groups. So I haven’t looked at the providers. I can take a look at that to see what those corrections are.
Andrew Herman (25:44) This is no different from the issues you had in January. This is all social security numbers and email addresses for the affiliates.
Naomi Denson (25:57) Never the.
Andrew Herman (25:58) Plan was to go into caqh profiles and download the emails. And so security numbers, at least whittle down the list. I think there’s 700 here that’s outstanding and then take the balance and have the operations team outreach to the providers directly to get the remaining information, okay?
BarretPickering (26:20) Maybe let’s just catch up in a little bit here, Andrew? Yeah.
Andrew Herman (26:24) Yeah, sure.
BarretPickering (26:25) Perfect. Thank you. All right. If any.
Naomi Denson (26:27) Other questions come up regarding the data or the tasks or anything that’s in flight right now. Don’t hesitate to reach out to us and we’ll get that payor process, scoping call scheduled as well.
BarretPickering (26:42) Thank you, Naomi. Thanks everybody.
Naomi Denson (26:43) Thank you. We’ll talk soon. Take care. Bye, thanks.
BarretPickering (26:47) Y’all.