Transcript
Jason Zednick (00:00) hello? Hi, good afternoon.
Jason Zednick (00:10) Hello. How are y’all, good. How are you? I’m doing good. I’m doing all right. Yeah, we’re at three 30. Let’s just jump into it. Illeen, I know you had a bunch of questions… what’s going on?
Janelle Carpenter (00:33) Well, I do have some questions. I sent 27 nurse practitioner emails yesterday out of 27, 10 had 100 percent and that’s only because we recredentialed or credentialed five of those. So our stats aren’t too good at this point. I haven’t had a good response. I did send everybody that video, all the doctors and the nurse practitioners, pas. I sent everybody that video and the PDF and asked them to please get this done before the ninth, the end of day on the ninth and I’ve had like three responses this morning, but everybody else has kind of been quiet. So I figured that we couldn’t be the only one that’s had some difficulty with the beginnings and endings here. So, I was hoping that maybe you could tell us maybe some things that other agencies might have tried or that worked for them that may have had the same similar situations with some providers that maybe didn’t want to do it or didn’t have the wherewithal that understand what they were doing. Oh.
Jason Zednick (01:58) It’s such a good question. I mean, you’re definitely not the only organization that struggles with… this. It’s a very common thing. I mean, you all know much better than I do. Getting providers to do anything is difficult. You know, I wish I had a.
Jason Zednick (02:23) A magic bullet for you or a, you… know, a card to pull out of my back pocket here. It really is just, you know, using whatever internal mechanisms you have to like stress the importance and get them to actually go in and do it. I mean, was the video at least helpful for those that were willing to, but.
Janelle Carpenter (02:52) Once they watched it, I do believe they liked it better than the PDF because I had a couple of comments. I’ll just be honest, I met with dr Jamal about an hour ago and she asked me. She said you sent me an email and medallion sent me an email saying they needed me to go in and sign in a test and she said I need you to do that for me because that’s why I have you to do that. And I said, well, I did ask last week if I could print it off and maybe just get you to sign it and then upload it. But that wasn’t allowable because of the software. So she said, well, maybe you could find out what can be done. And I said, well, we’re meeting in just a little while. So I will definitely ask. I did have a couple of providers that have been here a very long time and you are asking for peer references for them. And I went out to their caqh and they don’t even have peer references on their caqh. There’s nothing in their files. And they kind of just giggled at me when I said, well, do you have any now that you can have? And they didn’t understand why that’s necessary. So I said I would find out what it does for medallion because these people are already credentialed, they’re already privileged. So I just wondered if there was any way for you to take our swope practice and maybe turn off some things or make some exceptions for things so that we can get this finished quicker or because I couldn’t tell them why you need peer references if they’ve been working all this time and they’ve got caqh. Why would they need peer references?
Jason Zednick (05:00) Well, that is something that is, you know, I’ll say flexible. So the peer references piece is a requirement for the… privileging work. That is, you know, that we’re doing on your behalf and Janelle, you know, and I had the conversation last week where maybe that’s not even needed… at all. And now that’s something I haven’t had time to dig in and assess or not. But if that’s… something that’s not needed then as a requirement, yeah, that can be turned off.
Janelle Carpenter (05:52) Now, if that’s going to take away a whole lot of these little things because fqhc, I pulled the docs this morning and fqhc Jayco says that credentialing is the part that gets them the job, make sure they’re okay. And privileging tells what they can do with that credentialing. So, all of these people have been here for so long that privileging would not be something that we would expect you to do. And the new people that I have, they sign privileging, we delineate delineation of privileges when I do nurse practitioners or a new provider. We do that with our own documents and it has to go through committee. So I’m just wondering if maybe that would be something that you could look into. And if that takes away some of these little things that they don’t want to do, that would sure help me get this accomplished faster.
Jason Zednick (07:03) Yeah. And it would like if we… make the determination that the privileging part of the contract is not something that swope actually needs us to do on your behalf. And we sort of wind that back then, that does change the requirements around what we need to do our work because that peer references specifically, and some other things that I’m not, I couldn’t enumerate here, but those are for that purpose. Like that is why we’re asking for those things. We wouldn’t necessarily need it for enrollment or the ncqa credentialing piece. So it would change the scope of what’s being asked for.
Janelle Carpenter (07:49) Okay. Who will be the person to that you will need to be notified by if the decision is made at swope to turn privileging off?
Jason Zednick (08:01) Yeah, that’s a really great question. Let me talk to my internal team and sort of figure out how we can best… work with y’all to make that assessment, make that determination, you know, that it was included in the contract and private agreement. You know, I have to believe that choice was made for a reason. I wasn’t here for those conversations. I don’t know. So I just want to make sure I have the facts before I just turn it off. But yeah, I can work with my team internally and we can bring it to y’all and have a sort of fair discussion.
Janelle Carpenter (08:43) Okay. Well, if that will take off some of these issues that seem a little silly on their part like peer references, and I forget some of the other ones we’ve had birth city, we have some people who are from other countries and they did not elaborate on their caqh and they do not want to elaborate with medallion, but I didn’t see a place to leave it. It’s always going to be there asking for it. How do we turn that off?
Jason Zednick (09:21) So, some of those questions are… how… do I say this? And it’s case by case, question by question, may or may not be required. So, if it’s not required and it’s there, then they don’t have to answer if it is required. The reason it’s required is because we need it for typically for enrollment purposes like that’s the most common reason.
Janelle Carpenter (09:52) For enrollment? Yeah.
Jason Zednick (09:55) On applications to payers? To?
Janelle Carpenter (09:58) Payers?
Jason Zednick (10:00) Do.
Janelle Carpenter (10:01) the payers use caqh. Yes, they do.
Jason Zednick (10:07) Okay. Yes, yeah, they do, but, you know, we also have to fill out applications on their behalf. I don’t know if birth city is one of those. I just know that’s sort of the reason around what’s required versus not is typically because, you know, we need it to complete applications that’s.
Janelle Carpenter (10:25) well, I had three yesterday between the nurse practitioner and physician. So I, and all three of them declined. They don’t want it on their caqh, and they don’t want it on medallion. So, is that something that I just give to you? And you make that exception or because it keeps saying that it’s you know, I just don’t want you to be sending out notices saying we need this or we need that, or if they go in, it gives them a notice. It seemed a little sensitive to me when I spoke to them?
Jason Zednick (11:02) Yeah. If you could do me a favor and just shoot me an email and tell me who those providers are, and you know, that they don’t want to complete the birth city question, I can sort of look at it, see if it’s required or not. And then see.
Janelle Carpenter (11:19) If.
Jason Zednick (11:20) for your… yeah, just broad situation, if we need it or not, I can sort of start assessing, yeah, I.
Janelle Carpenter (11:28) figured it would probably be something that had come up at different clinics because it seems, you know, not just ours, how you get around that. Okay? I can get that to you. And I looked through when I first started… I got a whole bunch of information from Thelma and it had all the logins and things like that where I could find things if you could give me the short version on how to take people out. I have people now that Ashley brinker has been on our list for a while and I found out yesterday, she’s been gone since January. So I need to clean that part up. Is there a short version on, how to do that?
Jason Zednick (12:17) When you, when you say like take them out like?
Janelle Carpenter (12:20) Like maybe just deactivate them or however archive them in sure.
Jason Zednick (12:24) Okay. Yeah. And.
Janelle Carpenter (12:25) Take them off. So they’re not on rosters anymore. Yeah.
Jason Zednick (12:29) Yeah, super simple. And I can definitely walk you through it. We can do it right now. Okay. Let me just pull you up here real quick.
Janelle Carpenter (12:37) Okay.
Janelle Carpenter (12:38) I’d like to answer your other question while Jason’s looking at that, Deborah in essence made, the package for medallion. So if you want them to like remove something, you will probably have to email them and let them know that you want it removed from medallion. Okay? Because I know we have a bundled deal with them and I don’t know if it will affect the cost if we eliminate stuff now or not. I.
Janelle Carpenter (13:05) Kind of wondered that myself because usually there’s a price they shoot you for what you want them to do for you. And if you come back later and say, well now we don’t want it. What do you do with that? Okay? That makes perfect sense. I will, I’m meeting with Deborah in essence. So I will make sure that I figure out if you could tell me a little bit more, maybe in an email, turning that off, what kind of things it’ll take care of. That might be the deciding factor, Jason, because if we don’t need peer references, and the only reason it’s on there is because of privileging, then maybe it wouldn’t be a hard decision to say, well, we do it in house. So there’s no point in that we thought maybe you’d do it, but maybe it’s something we continue to do in house.
Jason Zednick (13:54) Yeah, definitely. And I can loop in the account manager as well and we can sort of okay that higher level business conversation. I think that’s a really good idea. Okay? So, yeah, we’ll look at it with you and if you can bring it up to your team, I’ll bring it up to my team and we’ll.
Janelle Carpenter (14:15) okay. That sounds perfect. Thank you of.
Jason Zednick (14:18) Course. Okay. What is the name of the provider?
Janelle Carpenter (14:25) Brinker? BRINKER and I’m writing this down as you’re doing it.
Jason Zednick (14:30) Brinker? Okay?
Janelle Carpenter (14:35) Ashley, yes.
Jason Zednick (14:37) Yeah. So if she’s left and we’re no longer worried about her pretty simple, you can just pull her up in the directory here. Okay? And then on the right, you can just deactivate… her.
Janelle Carpenter (14:54) Oh, I don’t need a date or anything.
Jason Zednick (14:57) Let’s see. Yeah, I think you just put it through.
Janelle Carpenter (15:04) Okay. Well, that’s way too easy. Yeah, I was expecting it to be a process, no.
Jason Zednick (15:09) No, it’s really simple. And what that’s going to do is if there’s any active work being done for her, which there’s probably not let’s take a look. Yeah, we don’t have anything happening, but if there was, it would just stop it, cancel it. It’s going to hide the enrollment records from your enrollment. They just won’t show up anymore. All of the data still exists that we have on Ashley, but you just won’t see it because it’s for a deactivated provider. So it’s hidden away. We can go get it if you need it, but.
Janelle Carpenter (15:54) Now, will this take off all of these blue cross cygnus, will it notify them that she’s no longer associated?
Jason Zednick (16:03) No, no.
Janelle Carpenter (16:04) No, that’s something swope has to do. So, we have to term the providers with each insurance carrier ourselves. Okay? So for the delegated insurance carriers, you will have to do a roster and do terms on there. And on that roster, it will ask you for the data service that the provider was termed.
Janelle Carpenter (16:23) Okay. I can do that. Okay? Thank you. I think… that’s all my questions at this point until we get back about the privileging thing. All right?
Jason Zednick (16:35) Okay, great. Okay. Thelma, did you have anything? I know you’re meeting with blue cross on Friday? Is that still on?
Janelle Carpenter (16:47) Yes, that’s still on. So we’re still meeting with them Friday, and then I will put together a work document for you. Okay to share with your staff?
Jason Zednick (16:58) Yeah, I love that. I love work documents. Yeah.
Janelle Carpenter (17:02) So, once I have the meeting with them and then I meet with you to go over the document, then you all can start proceeding… to do blue cross and blue shield erodements again.
Jason Zednick (17:16) Okay. That’s great. Do you? Well, let’s… just touch base early next week and you can sort of let me know when you’d like to go over that with me. I’m pretty flexible. So, just whenever you feel you’re at a place to talk through it, let me know and we can find a time.
Janelle Carpenter (17:41) Okay. Well, we can schedule some time next Wednesday after our meeting.
Jason Zednick (17:45) Oh, you want to do that? I just didn’t want to rush you on. So.
Janelle Carpenter (17:49) Can we do it before our meeting? Because every Wednesday after our meeting, I have another meeting so we could do it before our meeting.
Jason Zednick (17:56) Yeah. Do you want to do three PM, my time? Two P. M your time? Huh? That’s perfect. Yeah. And then we can just lead into.
Jason Zednick (18:17) All right. I’m gonna send you an invitation, okay? And,
Janelle Carpenter (18:21) illeen, and you can join if you want, I mean, but you all don’t handle the enrollment for blue cross and blue shield, but you’re welcome to join if you wanted to.
Janelle Carpenter (18:29) Okay. Thanks.
Jason Zednick (18:46) Okay. All right. Great. It’s also tax day, so make sure you do your taxes before.
Janelle Carpenter (18:53) Oh, I’m sorry, that is the fifteenth, right? The fifteenth.
Jason Zednick (18:56) Yeah.
Janelle Carpenter (18:57) Okay. So, I’ll be here on the fifteenth.
Jason Zednick (19:00) I’m sorry, I,
Janelle Carpenter (19:01) won’t, be at swope at all that day. I’m actually off that day, do.
Jason Zednick (19:05) You want to move to the sixteenth? Yes. Does… two P. M your time still work? Yes?
Janelle Carpenter (19:15) Two P. M. Still works. Okay. So, on the fifteenth for the two 30 meeting, Jessica will be on, but if you have any issues prior to then just email me and I can give her all the information to present in the meeting, if needed.
Jason Zednick (19:33) Okay. Great. Yeah, that sounds good. And then my team… the audit of the previous… submissions that we’ve made to the payers, I believe they are done… and have identified when they used the incorrect mpi, the group mpi, instead of the location mpi. And… I, sorry, this was told to me yesterday. I’m having a hard time remembering it in the moment. I believe they said they would have all resubmissions necessary done on Friday this week. So I’ll sort of just confirm with them that they’re on track for that and if there’s any questions or issues, I’ll let you know, but they are working on that and they are resubmitting, correcting, canceling anything that they have to make sure, is fixed.
Janelle Carpenter (20:38) Okay. Is there any way that you could send me a list of everyone that they’re reworking in the insurance carriers? Yeah?
Jason Zednick (20:45) Yeah, I can have, ask them to provide that and I can share it. Yeah, perfect. Thank you. Yeah, of course. All… right. One other update I wanted to share. You may have seen it already, but we have a new support email address. So if you need to email the support team, that address is now help at medallion co, help HELP at medallion co. Everything else is the same. It’s just a different email address. The old one that address is now active. You can use it today. The old one will be retired on the fifteenth, I believe. So I just wanted to make sure you knew about that. And Thelma, I wanted to ask… did we ever get a?
Jason Zednick (21:52) Blue… cross, blue shield, Kansas City login set up for my team or were we waiting until you talked spoke with them to set that up? We?
Janelle Carpenter (22:05) Were waiting until the meeting on Friday, and after I have the meeting and the training and everything, then I will also present you the username and password for a universal username and password.
Jason Zednick (22:16) Yeah, that’s what I thought I just wanted to make sure. So that makes perfect sense. Okay. I think that, is it any other questions or concerns that we have not spoken about yet? Yeah.
Janelle Carpenter (22:35) I just remembered one. If you don’t mind, while I’m sending out emails with your information and that video and that information. I noticed that most of our licensed social workers and that type of provider here, they’re probably the ones who haven’t done the most. Do you have statistics or anything at all that says last week, we sent out 40 notifications and we got four back or anything at all that says how this is going? It’s been six months. So, I figured you probably have statistics of some kind that we could present to our supervisors. What I found was when I went into members, some of them, one of them emailed me and said she don’t ever remember getting an email invite. So I found under members where it says invite accepted, September 20 fourth, 20 25. She didn’t find it in her emails. So I invited her again. So I’m hoping is that the only other way to get this accomplished faster?
Jason Zednick (23:51) Well, you know, there is some reporting available that can sort of give you current state of who, you know, of where people are, if you I,
Janelle Carpenter (24:07) think we found that one. I was just hoping that, you know, you as a medallion would say, you know, you’re sitting at, you don’t have you have a 40 percent rate we’d like you to be at 50 percent or whatever it is so that we can have something to tell them, you know, maybe they reach out at their level or something, you know, to the managers. I sent the like head of nursing. I sent her a notice saying here’s what I’m going to be doing so that in the event you get questions, those kind of things. But I was just kind of wondering if you had those stats on us?
Jason Zednick (24:48) I don’t really have like benchmarks in.
Janelle Carpenter (24:52) That.
Jason Zednick (24:54) way, but there is some reporting here that you could pull that would sort of tell you like, you know, who they are, what’s their current… completion percentage? Like… when were they invited? When did they join? When was their profile completed? How many days?
Janelle Carpenter (25:16) Okay. That’ll help me?
Jason Zednick (25:17) Yeah, yeah, that kind of stuff. And then if they’re looking for something specific that isn’t sort of covered here, we can talk about like maybe there’s some, okay, something I can go ask for and pull. Yeah, yeah.
Janelle Carpenter (25:34) Because I’m doing everything that I possibly know how to do at this point on trying to get things and if I can find it on their caqh, then I’m filling things in. I’m looking for diplomas. I mean, there’s just a lot of things. I really think that privileging is going to take care of a whole lot for me.
Jason Zednick (25:56) Yeah. You know, honestly, I do too because there’s a lot of there’s just a lot of typically, a lot more requirements of course, especially around documents that we collect for that. That if you make the determination that we don’t need it, then you just don’t have to go get that stuff anymore.
Janelle Carpenter (26:16) That’s going to help us all a lot because right now, I feel like I’m copying and pasting from caqh and going through my manual files, trying to find anything I can find on some of these people because they have let me know that they’re not interested in actually doing much with this. So, I’m thinking if I could get most of it and all I have to do then is get a driver’s license and a signature. I might be on track.
Jason Zednick (26:45) Yeah. I totally understand that. Okay.
Janelle Carpenter (26:50) Illeen, I have a question. Okay. So, are you saying that the providers don’t want to fill out the medallion information?
Janelle Carpenter (26:58) Yeah. So.
Janelle Carpenter (26:59) Have you talked to dr Jamal because medallion, does insurance enrollment as well? Well?
Janelle Carpenter (27:05) I just got out of a meeting with her Thelma.
Janelle Carpenter (27:07) their information would need to be in… medallion for medallion to enroll them in insurance carriers.
Janelle Carpenter (27:17) Well, I did, she said she specifically asked me. She said you sent me a text and medallion sent me an email and they’re saying that I need to go in and I need to fill out the signatures and do it at a station. And she said, I mean, after 10 years, I’m not interested in doing that. I have you to do that. And I said, well, I did ask last week if I could possibly do things for you or even print it and send it to you in a DocuSign because I seem to have good luck with that, but I was told no, that’s kind of a software thing probably and a lot of the doctors just aren’t interested in filling these out. So I have to make them that’s why I was hoping you had some good things that other people have tried that gets them to do that because I did let them know that we were wanting it done. I actually gave them very little time. I put stat on the email and said, you know, if medallion is requiring us to have this by the ninth, if there’s any way you could fill this out in the next couple of days because give them a week, they might as well just not even do it at all. So, I gave them a couple of days. And like I said, I just really haven’t had too good a luck with much coming back. I’m hoping by tomorrow I do, but we’ll see they’re just really not that interested. They are getting the notifications. Dr parsons says he got it but he just there’s so many. He said he’s getting them from us. He’s getting them from a, you know, other places and they just aren’t interested. They’re in the triage of things they want to do, patient care, and very little of this, which I get it, but I keep telling them it’s something that swope has decided to do. And if you could cooperate with me, it would be greatly help, but.
Janelle Carpenter (29:19) You’re referring to the existing providers, not new providers? No?
Janelle Carpenter (29:23) That’s it. Yeah, the new ones seem to be doing well because they’re new and they want to give us everything they can, so they can start on the day they want to start. So, my initial credentialing and even my re, credentialing that medallion has done has been really well. It’s just getting these ones that were loaded in to finish their accounts, okay?
Janelle Carpenter (29:46) So the ones that were already existing should be already enrolled in insurance payers. Jason, I thought she was referring, I thought illeen was referring to the new providers that was coming on.
Janelle Carpenter (29:57) No, no. The only thing that we have left to go over is how I’m getting Aetna how I put Aetna provider numbers in without asking for an enrollment. We haven’t finished that yet because there’s people that are not on the roster. And the reason they aren’t because they’re not in medallion under a payor, Aetna. So they’re not coming up on the rosters. So somehow I need to do that from.
Janelle Carpenter (30:30) what, Jason, correct me if I’m wrong, you don’t pull the providers by the insurance carriers that they’re linked to, right? You just give us a list of providers that are active at swope for rosters that.
Jason Zednick (30:46) That is correct. Yeah.
Janelle Carpenter (30:48) So it’s not pulling from the list, illeen?
Janelle Carpenter (30:51) Well, Michael said it was or was his name, Michael Voss that sent me that I send it back to him saying there’s so many people that are missing and it’s because their payers haven’t been set up is what I was informed. So.
Jason Zednick (31:07) For the delegated for the rosters for delegated payers for Aetna, that we send to you monthly to share with Aetna. We don’t look at the enrollments. This does not drive. What we look for is that they are an active provider. So if they’re deactivated, of course, they’re going to fall off and that they are active… in the credentialing cycle, meaning that we have… an initial credential record on file or they have, you know, like a future recredential scheduled, we want to make sure they’ve been credentialed, and then whatever unique… payer logic was determined that was needed, which I’m not sure what that would be, but if that is the case, then that would also apply but it is based on the credentialing, if they are credentialed, not if they have an enrollment record on file.
Janelle Carpenter (32:18) Yeah, because that roster had so many missing that I couldn’t use it and some of them are at 100 percent. That’s why I asked about the Aetna payer because I have some that are 100 percent, they’re all in everything is finished, but they still weren’t on the list and that’s what I was told is because they’re not set up as a payer under Aetna but they were not on the list but they’re 100 percent.
Janelle Carpenter (32:48) I mean, I went through, it took me all afternoon to go through what he sent me, but I would never be able to just send that off at this point.
Jason Zednick (32:58) Yeah. Let me go see if I can pull sort… of the criteria that determines this goes on the roster? Okay?
Janelle Carpenter (33:10) That would help.
Jason Zednick (33:11) Yeah, that might help clear some of that.
Janelle Carpenter (33:14) Up. Yeah, that would help a lot.
Jason Zednick (33:16) My instinct without having looked at it is to say that if they are supposed to be there and they’re not, it likely means that we don’t have… the credentialing records. We just don’t have the dates in the system that let us know they actually are credentialed and they’re in.
Janelle Carpenter (33:34) Good state credentialed with Aetna.
Jason Zednick (33:37) Credentialed with credentialed by swope?
Janelle Carpenter (33:41) Well, everybody in there has been credentialed by swope.
Janelle Carpenter (33:44) Illeen. Did you have an example of a provider that wasn’t on the list?
Janelle Carpenter (33:48) Let me see if I can.
Janelle Carpenter (33:48) Pull it up real quick hold.
Janelle Carpenter (33:50) On one second, let me pull it up for you.
Janelle Carpenter (33:57) I was like, this isn’t doing too well here. Hold on because.
Janelle Carpenter (34:03) Jason, if what Mike is saying is true, then none of the delegated rosters should be right because none of the delegated information is in medallion.
Jason Zednick (34:15) Right. Exactly. Yeah. If a payer is delegated, like we don’t keep enrollments on for like we don’t right? Yeah, exactly. Yes. Well.
Janelle Carpenter (34:25) Let me just give you one that this Guy lady has been here for a long time. Her name is Nalu Reddy, REDD y, she’s at 100 percent and she is not, she was not on your roster.
Jason Zednick (34:42) I mean, so she’s good in terms of credentialing. She has a reprint.
Janelle Carpenter (34:46) Yeah, that’s what I’m saying, she was not on your roster. I compared yours to mine. The active one that I keep that I add to and subtract from. And she was not on your roster?
Jason Zednick (34:57) When was the roster that roster?
Janelle Carpenter (35:01) March 26?
Jason Zednick (35:03) March 26,
Janelle Carpenter (35:05) Huh.
Janelle Carpenter (35:14) But I have a lot, Deborah, heigen, she’s been here a long time. Dr. Cossie is one that you all did.
Jason Zednick (35:26) She.
Janelle Carpenter (35:26) was, no, it’s heigen, HEIDGEN… she’s pediatric. Oh, actually, she wasn’t on the list. Either. She’s 100 percent.
Jason Zednick (35:47) So, for Deborah, I don’t have her as credentialed?
Janelle Carpenter (35:55) How is that possible?
Jason Zednick (35:57) We just never got the data like you can see here, initial credentialing date, latest credentialing date. These are blank. So.
Janelle Carpenter (36:05) That’s something that you want me to put in when she was credentialed here?
Jason Zednick (36:10) Yeah, we would need to know well.
Janelle Carpenter (36:12) I can do that. Yeah, that’s simply, I can do that. If that’s all it takes then I can do that because if you see her payers, she doesn’t have Aetna listed as a payer?
Jason Zednick (36:23) Yeah. So there’s two things that we need. One. We would need to know the credentialing dates. When was she last credentialed? And I recommend you schedule a, re, credentialing for her? So, when she is due, we can work that file because right now, today, we don’t know that she’s due for re, credentialing whenever that may be. Okay.
Janelle Carpenter (36:48) We went to, when we did the whole implement we started with medallion HR provided and I’m not saying that she was on the list or she wasn’t but I do know HR was supposed to provide the re, credentialing dates that swope had for providers. So in the load.
Janelle Carpenter (37:08) Are you talking about the loading?
Janelle Carpenter (37:11) Yes. Okay. So, you might want to go back and look to see if she was on the initial load and I know they were working with, it was Devon, Nate and Janelle C, and I believe they had to do it like two or three times. So, I’m not sure if all the providers were loaded or not with the credentialing dates?
Janelle Carpenter (37:33) I see. Okay.
Jason Zednick (37:36) Yeah, it looks to me that some were missed. So, I mean, that would explain Debra. It doesn’t explain the first provider who I’m sorry, I already forgot the name.
Janelle Carpenter (37:49) Reddy REDD y, yeah.
Jason Zednick (37:52) That’s the name she’s been.
Janelle Carpenter (37:53) Here a long time.
Jason Zednick (37:53) Because she was credentialed. I would expect her. Let me check. Yeah. Okay. She’s there 100 percent, you said?
Janelle Carpenter (38:00) I have never put any dates in there. I didn’t know that was something I should do, but now I do.
Jason Zednick (38:06) Well, well, you… know, the idea is that it would have been included in the import initially. Yeah. So it wasn’t necessarily an expectation that you do it. We’re just now sort of discovering it was missed and so we need to clean it up. Okay. Yeah, I don’t know why Nalu?
Janelle Carpenter (38:29) Is it a report that you could run with the missing credentialing dates for illeen or something? Yeah.
Jason Zednick (38:35) No, we can do that. I can run you a report. Oh, that’d help a lot. Hey, here’s, everybody here’s the initial, the latest and the future recredit, I can give you all that for.
Janelle Carpenter (38:45) Sure. Okay. That would be helpful. And then I can just fix the ones that I need to fix very quickly. Yeah, because I have the credentialing dates on my report. Yeah. Okay. Yeah.
Jason Zednick (38:57) I’ll pull that and.
Janelle Carpenter (38:58) Then that would be extremely helpful. Thanks Thelma for thinking of that.
Jason Zednick (39:01) Yeah, no, of course.
Janelle Carpenter (39:02) You’re welcome.
Jason Zednick (39:03) It was a good idea. Thelma thank you.
Janelle Carpenter (39:09) I need to pay on medallion’s payroll, Jason?
Jason Zednick (39:13) Hey, I’ll see what I can do. No arguments from me.
Janelle Carpenter (39:25) For some reason, she’s not on. So the Aetna payr really doesn’t matter if it’s there or not is what I’m hearing, correct?
Janelle Carpenter (39:33) Because a lot of our payers aren’t there.
Janelle Carpenter (39:35) That’s correct? Okay. Because, yeah, I’ve noticed that on some other things, and I thought, well, it’s not even listed at all. Yeah.
Janelle Carpenter (39:43) So, the only payer numbers that you will probably find on or in medallion will be medicare and medicaid that’s because the billing department have overseen those two insurance carriers for years, so we have some of their medicaid numbers. Yeah.
Janelle Carpenter (40:01) Blue cross, I see a lot of blue cross in there.
Janelle Carpenter (40:05) Well, the blue cross and blue shield is not really there. Well, let me take that back because we get a roster from blue cross and blue shield. So it does have their information on there. So we gave medallion that roster I see, and they uploaded the information, but you won’t find a lot of insurance carriers on here. Especially your delegated ones because delegated was always handled by HR. So someone from HR will have to find all those numbers and input that information in medallion. Okay.
Janelle Carpenter (40:39) After I get everybody signed up 100 percent, then I will get on that, but I’m going to do that credentialing thing right away so that the next month’s roster looks a little better. Yeah.
Jason Zednick (40:49) I’ll run that report for you. I’ll do that right after this call. That’s easy enough. Okay? And then I’ll try to talk. I’m going to ask internally if we can sort of understand wanavu, wasn’t on it because I’m not sure right now today why that would be, and maybe that can also unlock some of the others for us. Okay?
Janelle Carpenter (41:10) That’d be great because she just seemed like she should have been one that was like all done everything’s good. Okay. Yeah, yeah, all.
Jason Zednick (41:20) Right. All right. Great. Well, thank you. Thank you all for your time. Anything else? We’re a little bit over nope?
Janelle Carpenter (41:29) That’s it for me?
Janelle Carpenter (41:31) No, I don’t have anything. I think you ought to implement a button where I could cancel a request, a payr, enrollment request instead of emailing everyone to stop it to stop it for me.
Jason Zednick (41:46) Can you not, I mean, at least check?
Janelle Carpenter (41:53) For example, ismark, I put in a note on three eight, I believe. And then again, yesterday for them to cancel the request and they didn’t do it until yesterday.
Jason Zednick (42:07) You put in a note like on the line?
Janelle Carpenter (42:11) Yeah.
Jason Zednick (42:12) I agree. It would be helpful if you could just cancel it outright… if you email help at, and let them know that’s probably going to be action quicker than when they get to the notes.
Janelle Carpenter (42:30) Oh, okay. Yeah.
Jason Zednick (42:31) So that will at least be a little bit faster.
Janelle Carpenter (42:34) Okay, perfect. Yeah.
Jason Zednick (42:38) All right. Great. Well, thank you all. Let me go run a report for you, illeen, and then I will also talk to my team about the privileging piece and then sort of the two teams can, okay, same page, and then we can talk together and figure it out. Yeah, I.
Janelle Carpenter (42:54) think that’s fabulous. Thank you because that’s going to take care of so much.
Jason Zednick (42:58) Yeah, yeah, for sure.
Janelle Carpenter (42:59) Oh, my God. Okay. Thank you very kindly for your time.
Jason Zednick (43:03) Thank you all take care.