Transcript
Lewis Elder (00:00) hey, this is Lewis from medallion.
Bridget Wolfe (00:03) Hi. How are you?
Lewis Elder (00:04) I’m doing all right. How about you?
Bridget Wolfe (00:06) I’m doing good. Awesome.
Lewis Elder (00:07) Good to meet you. Do you go by B Bridget?
Bridget Wolfe (00:11) Either one, we have two bridgets. So I adopted the nickname gotcha.
Lewis Elder (00:16) Okay. I used to work at a company where we had like only like 100 team members, but we had like six Lukes. So all of them had different. We had to figure out some way to differentiate. Yeah, anybody else we’re waiting on from your side? I’ll have I see Sam? My only other colleague joining is on anybody else?
Bridget Wolfe (00:33) No, just going to be me today, perfect.
Lewis Elder (00:36) Awesome. Well, I will introduce myself and Sam.
Lewis Elder (00:39) I listened to the call you had with Anika. So I have some context there and I’ve like, I know you guys used to work with us for licensing. So I’ve also, you know, done some like homework on the website and all that stuff. So, yeah, we’re excited to kind of run through your use cases today. Of course, Sam and I will tell you about medallion, you know, what we do and would love to hear more from you of like, you know, deeper dive into, you know, why it’s more interesting. Now, I’m guessing it’s because of the recent like multi state expansion and all the provider hiring, but you can kind of tell us and then we can answer any questions you have talk about, you know, how medallion handles those parts of the process. And then if it’s still interesting to you at the end, then we can always look at next steps which like typically would be like a full demo if you have like other team members you want to bring in, we can kind of like go through the platform and all that stuff. But I’ll pause there before we do intros. Does that sound like an appropriate agenda? Anything else you want to make sure we hit on?
Bridget Wolfe (01:31) Yeah, no, I think that sounds great. It’s a great starting point. Thank you. Oh yeah.
Lewis Elder (01:35) Absolutely. But yeah, my name is Lewis elder. I am on our partnerships team here at medallion. And then Sam, I will let you introduce yourself.
Samantha Bouchard (01:44) Yeah. Hi, Bea, Sam Bouchard. I’m located south of Boston, Massachusetts. It was like 30 degrees this morning. I’m ready for spring… and I am Lewis’s I’m like I’m spacing out, I’m Lewis’s product and technical counterpart. So, if we proceed to a demo, I would be the one giving you that and then really just kind of like scoping making sure that you all are like a good fit for medallion and supporting those conversations. So, it’s nice to meet you.
Bridget Wolfe (02:14) Awesome. Yeah, I can give you some warmer weather if just send it your way because I’m in Oklahoma. So we’ve been in like the eighties and nineties, what? Yeah, that’s.
Samantha Bouchard (02:24) like warm for Oklahoma right now, right?
Bridget Wolfe (02:27) It varies. It’s we don’t really have a spring, or a fall much anymore. It’s like a couple of weeks and then it’s just either hot or maybe kind of cold. So, yeah.
Lewis Elder (02:39) I used to take that. I used to live in Texas and it would be like in a really good year, we would get a couple of weeks of a spring, but a lot of years, it would basically be like, you know, fifties or whatever their winter is. And then all of a sudden, like 100 degrees.
Bridget Wolfe (02:51) Yep. Yeah, just sneaks up out of nowhere. I was recently in, Scottsdale outside of Phoenix and the week we were there, it was in the nineties when we left, it was like 105 the week after and I was like, oh, no, I’m not ready for this a.
Lewis Elder (03:04) 105. Yeah, that’s 105 is tough.
Bridget Wolfe (03:07) Yeah, too much. We don’t.
Samantha Bouchard (03:08) have a spring anymore either, but it just feels like we don’t get warm weather till like the end of June. Now, it’s like absolutely soul crushing. It’s awful.
Bridget Wolfe (03:19) Yeah. Well, I, I relate a little bit and the like, cause it’s kind of cold here in the mornings, but it quickly goes away. So, again, I’ll just send you all the warm weather.
Samantha Bouchard (03:32) Yeah, I saw some seventies starting to creep in Lewis and I are actually going to be in Austin with our team next week and I did look at that weather and it’s going to be like eighties. Oh.
Bridget Wolfe (03:42) Nice. Austin’s really fun except.
Samantha Bouchard (03:44) We’ll be like, you know, inside from nine to five. Yeah.
Bridget Wolfe (03:50) Yeah. Isn’t that the worst when you travel for work, you’re like, oh, this is great. And I don’t get to enjoy any bit of it the.
Samantha Bouchard (03:56) Inside of a new hotel, lovely?
Bridget Wolfe (03:59) Yeah, Austin’s really cool. Though, if you do get to break away a little bit the,
Samantha Bouchard (04:03) Yeah, we have some cool like dinners planned and stuff like that. So, we’ll get some like good barbecue and Mexican and all that. Yeah.
Bridget Wolfe (04:13) Awesome. Well, I hope you guys have fun, thanks,
Lewis Elder (04:17) Do you want to, just kind of, I’d love to hear a little bit more about kind of your role at journey and just any, you know, high level context to get us started that you feel like would be relevant?
Bridget Wolfe (04:26) Yeah. I started with journey, I guess it’s been, it’ll be two years in the fall. And when I started, they were just working on accepting insurance. And so if you looked at the website, you saw primarily, our bread and butter was, focused around ketamine assisted psychotherapy, yep. We have found that there is some, coverage there for, some bits and pieces of that psychotherapy, and then the prescription, kind of medication management visits with prescribers. And so, I stepped in to really help like bring the insurance to life. And we have since done that. We’ve now expanded. I think we have insurance, live in something like 16 or 17 states now. Wow, processing claims regularly. We still, of course, have a lot of like cash pay patients. But the other thing that, we provide is we have kind of two customer bases. We have patients, of course, but then we also have therapists, and therapists are members essentially, that will join journey clinical to learn how to provide ketamine assisted psychotherapy. And in that, we have found that there is, also, some need to help provide those therapists with, a way or operational workflow to accept insurance to help make this more affordable and accessible for patients. And so, we’re now in the process of, I think we’re sitting around 50 providers, but we have interest from 100 plus therapists in this small control group that we’ve reached out to, okay, to join us and utilize us, for therapy, claims. And we have a network of like 2,500 therapists. So, the potential for that to grow, is pretty large. So this kind of led us to the point where like right now, we have one credentialing person. I am basically managing anything insurance, revenue, cycle, contracts, credentialing fees, all the things, claims processing, everything. I have a credentialing, team member who’s a 10 99 for us, who is, has been kind of handling everything, but we’re bottlenecking at her. Yeah, yeah, because we have a load of therapists who are interested and she’s doing all of, the work to validate. Yep. Primarily, we’re looking right now for help with just the payor credentialing piece of it. Okay. We are interested at some point in pursuing like delegated credentialing so that we can get national contracts because we are in so many states. Yep, we know that will be necessary. I think we have two payors that we’re with right now that require delegated. Credentialing for the national contracts and so that I think is probably down the road, which of course, will lead to primary source verification, and all of those things. But right now, we’re looking for one kind of a way to, do more and quickly, and we’re using a combination of spreadsheets and then slack channels to kind of communicate all of this craziness. Yeah. And so being able to give the providers a really easy way to just give us their information. And then a really easy way for us to track and say, like, okay, it’s been 30 days we need to follow up with this payer, and, or a team to help us or AI to help us follow up with the payers on those. So that’s primarily what we’re kind of looking at right now.
Lewis Elder (07:54) Are those 100 therapists? Are they spread across? Like how many states are they spread across? Roughly of the, you operate in forget?
Bridget Wolfe (08:03) What states we did in the pilot? It’s probably somewhere… from five to 10 if not more. We have, we have about 50 therapists right now, and those are spread primarily across like California, Texas, New York, got it. And a couple other places. So… got it.
Samantha Bouchard (08:26) Okay. What’s, what’s like the staffing model be like, are they directly you directly hire these therapists or are they kind of like join you to gain access to these contracts? Yeah?
Bridget Wolfe (08:35) So they would be, they’re 10 90 nines, so they’re just contracted with us to see our patients.
Bridget Wolfe (08:43) And yes, in most cases, that looks like, you know, okay, we’re joining to be able to be part of the group practice, to then submit claims.
Lewis Elder (08:53) Got it. Okay. That’s interesting. So right now, your credentialing person is basically handling minimum of like 100 concurrent, you know, payer enrollments. Yeah.
Bridget Wolfe (09:06) Yes, all the things. So we have, we, you know, we’re primarily in telehealth. Our therapists are, both telehealth and in person. Sure. And so, with a therapist, it’s a little bit simplified in that, like the state that they’re in is usually where they’re practicing, but we do have some in like the northeast region where, there’s the states are pretty close together and so they have licensure in multiple states, right? And so, it’s not as simple as like you’re in New York and I’m going to get you contracted with Aetna cigna and united here. It’s like, you know, we may need to do multiple states for one provider as well. And so, yes, sometimes that one person equals, you know, not just four applications but maybe double that depending on where their license state lies. Okay? Yeah.
Samantha Bouchard (09:53) That makes sense. And I can like, you know, the complexity there. Obviously, you understand very well when it comes to like when you add in that, like that telehealth component, right? And then the licensing monitoring, things like that. So.
Bridget Wolfe (10:10) Just out.
Samantha Bouchard (10:10) of the gate, when you’re contracting with a new, therapist, are you running any primary source verifications on them? Like just to make sure you want them to be part of your network, are you guys running anything like that? Just like license checks, things?
Bridget Wolfe (10:24) There is some stuff that happens there’s not a formal workflow today. And that kind of occurs before, it gets to me. We have like a, yeah, we have like a background like verification process. I don’t know what all is detailed in that. I think that it’s a, it’s an area that I have flagged that we need to be more diligent myself and our compliance person have flagged that we need to be more diligent about and stand up a true formalized process to say like we verified their license and we know that it’s active and all of the things. But right now, it’s happening outside of us. And then of course, we’re just doing that as it kind of comes up in the credentialing. So they may already have a foot in the door. We haven’t at this point in time, ran into any situations where we get to credentialing and we’re like, oh, you’re not licensed, you know, and have an,
Samantha Bouchard (11:13) issue. Yeah, no, I mean, yeah, typically, obviously, that belongs to HR, but I always like to ask because like if it can be pulled into this flow, we are able to like customize like we are an ncqa accredited cvo, so we can support that path that you’re thinking around like the delegated credit in the future when you get to like the number of providers per contract and all of that. But we can also use like those integrations that we have for that file to kind of customize a list of primary source verifications. So we can definitely like just touch on that in the demo. I don’t think it would be like your primary use case, but if everything can be in one place from, like you said, a compliance standpoint, I think that might streamline things for you.
Samantha Bouchard (11:59) And then we have ongoing monitoring packages as well. So like you can put ongoing monitoring for license checks, and things like that, which some of our, customers that I’ve worked with similar to a model like you with the telehealth, and like the 10 99 providers, like they just like to be flagged for those things. Because obviously, if you’re directing your patients to those clinicians, like you want to make sure they’re in like good standing, so we can definitely talk about that. And then for the payer enrollment piece, like how many people like therapists are you bringing on at a time? And like when do you feel like your cred, specialist? Like really like gets bogged down like if like five new come on at the same time, 10, like and kind of, what does that hiring and growth plan look like for journey? Yeah.
Bridget Wolfe (12:57) I think it’s TBD, we have kind of two things running simultaneously. We’re trying to figure out one, how do we get the credentialing in a place where we’re not bottlenecking there.
Bridget Wolfe (13:08) But then we also have some operational stuff on like just scaling volume of patients and providers that is underway as well. And so that will, determine how quickly we’re able to move. Again, we have a network of like 2,500 therapists, ideally, we would do, we would bring in as many interested therapists as possible as quickly as possible in a perfect world where we had all of the infrastructure to support it. So it’s a little bit hard, to say, but we are very much like foot on the gas with trying to get all of the things that stood up that need to be done, to support all of that. Okay?
Lewis Elder (13:49) So, getting those, yeah, being able to handle, you know, as many concurrent, credential, you know, credentialing enrollments as possible. So that sounds like it’s a, would be a big, win for you guys.
Bridget Wolfe (14:00) Yes, yeah, cause they kind of come in waves too, right? Like we have therapists who, I say they come in waves. They come in waves right now because we’re intentionally kind of, gatekeeping it because we can’t handle a huge volume. And so we started with like 30, we have 50, we’re now open it up to just a little over 100. Yeah. And so as, we do that, I think, and as, we market it as a service, it will probably grow pretty rapidly. And so, to go back to your other question, Samantha on like where our current person’s bottlenecking, it’s in these kind of moments where we’re like let’s see how far we can push it. Oh, let’s see if we have this interest here. But it’s tightly managed. And, the thing is with her as well is, she’s also helping me through all of the contracting, the attestations, that have to happen with the payers, the roster cleanups, like, her and I are doing pretty much all of that together. And, again, we’re using a spreadsheet. So, as you can imagine like we don’t have a quick system to pull a roster out of. We’ve been doing rate renegotiations with payers and they’re like we need a roster. Well then that takes time to pull together. Cause we’re doing it manually when we would love to just have a platform where we could just, you know, export the roster and be done. The other piece that we have heard from the therapists that I think kind of speaks a little bit, to the onboarding piece of the primary source verification is like, I gave you this information during HR. And now I have to give you this information in a Google form for credentialing now, I want to be a part of this program. So, I have to give you more information. Like there’s some fatigue there which I think is just natural. We’re not going to get away from. But if we could simplify it as.
Samantha Bouchard (15:46) You know, make.
Bridget Wolfe (15:47) it easy as possible for the providers that’s also just a big win. We would love to have something that they could interact with, where they just like, you know, here, fill out this form, they plug in their information, it goes into the platform, and then we go back to them. If like, you know, we’re something’s outdated or whatever. Yep. Nice.
Lewis Elder (16:08) Okay. We’re essentially describing, you know, the way, that we would handle it. And yeah, we should be, you know, one of the things medallion can do is essentially enable like one employee to handle, you know, as many. We call them, this kind of, we call it internally like payer enrollments and as many payer enrollments as possible. And also reducing like provider abrasion is a big like foundational and I’ll talk more about that in a bit. But one of the, we have a bi directional, like integration with caqh, we can automatically pull a lot of like provider data and populate it, for them so that they don’t have to kind of do that double entry work. One, one question I had, do you have a sense of what your typical like turnaround times are so like from, you know, provider onboarding to getting the, that provider par and billable?
Bridget Wolfe (16:58) Probably closer to like 60 to 90 days if not longer depending on who we’re working with. I think on average, we probably sit at and I could pull, we, in our nice little spreadsheet, we have a great formula that tells us how many days it’s been. So, I could definitely pull, but I want to say it’s probably between 60 and 90 to maybe that 120, Yeah.
Lewis Elder (17:20) Most of, most of the groups that we talk to especially if they’re doing everything in house, like you guys are, it’s between like 60 to 120, sometimes longer depending on the payer. Do you, what are some of, are, what are some of your, like, most important payers?
Bridget Wolfe (17:36) All of them at this point, but we’re so we don’t work with medicare medicaid yet. We’re kind of in process to hopefully get set up to do that. In the future, we’re working with Aetna cigna united, and then some of the blues, you pretty much have Aetna cigna and united in every state that we’re operating insurance in. And then the blues and the anthems vary on state. So those are going to be, the main ones. And I think that leads me to another question which is, you know, as, you know, each payer’s application is different. They require different things in different ways. Does medallion have the ability to be able to pull all of that and submit to? Okay, cool. Yeah.
Samantha Bouchard (18:21) So, one thing that we’ll definitely show you in the demo B, which I think is really hits on like the provider like abrasion piece, is that we store payer process guides for like 900 payers across the United States. And so we have like not only those guides but those requirements are actually like built into the request. So when you make a request for say 10 different payers for a single provider, we’re going to compare that in our technology with what we already have. And then we’re instantly going to be able to task out for like any additional requirements. So all of that’s kind of going to come at once rather than this like piecemeal kind of like pulled together kind of piece that you were like describing.
Bridget Wolfe (19:05) When you were.
Samantha Bouchard (19:07) Talking about the attestations, I’m assuming that was caqh attestations.
Bridget Wolfe (19:12) Both caqh attestations, and just the payer direct. We have some… providers… who they work with other practices because of the nature of us and being to 10 99 with them. And so they have other credentialing teams who will manage their caqh but the majority of them are like, yeah, here you do it. So it’s a combination.
Samantha Bouchard (19:45) And what about like cross state licenses like if you want to have more footprint or coverage in a certain state, are you supporting therapists getting licensed in those states or is that their responsibility? We’re not?
Bridget Wolfe (19:58) Today that’s their responsibility. So, basically the therapist comes to us and tells us I’m licensed in these states and then we provide.
Samantha Bouchard (20:05) Them to the contract?
Bridget Wolfe (20:07) I think it’s something… potentially that we would be interested in for the therapist and also maybe for our prescribers. We sometimes find that there are like gaps in care and we need to quickly fill them. And then we’re scrambling looking for, well, who has a license here like raise your hand kind of thing. Whereas if we could say like, hey, we’ll get you licensed here, you know, multi state really quickly. So we can just plug people in where we need to, then that would be great. And so I think that’s also probably like a future thing that we should probably talk about in the demo as well. Like I’d like to invite our chief of staff to the demo because I think she, I think there are some other things that come up in these types of products that would be good use cases for her when we talk about expansion. Yeah.
Lewis Elder (20:58) Oh, go ahead, Sam. Sorry, sorry.
Samantha Bouchard (21:00) Sorry. Yeah. I was going to say one of the challenges that we see with especially like the telehealth model is like that market coverage, right? So like a patient kind of comes in and then these companies are scrambling to be like, okay, who’s available? Who’s licensed, who’s in their insurance, right? And so, we have built out some programs and dashboards that I can show you that you can kind of customize in medallion to really like outline your market segment, and then really help with that scheduling piece. Like in addition to like the RCM component of like, okay, who’s active? Where are you using? Like what are you using for your RCM tool? We’re.
Bridget Wolfe (21:40) using appro, they’re a startup, fairly new. It’s a web based platform… web based like claim. We use them solely for the claims processing piece. And then we kind of use that in combination with, we have a homegrown like emr portal that we utilize to kind of piece together the rest of the process as far as patient billing and things like that.
Samantha Bouchard (22:06) Okay. Cool. Yeah, we do have a bi directional like open API. So what some of our clients will do, you know, this doesn’t have to be like at launch because you’re going to have visibility and access to everything, but they will like start to pull those par statuses like directly into their RCM like as soon as it’s available in medallion. So then you all know to like release those claims or kind of like begin scheduling things like that. So we can definitely talk about that. I just added licensing to the id items for the demo if that’s something that you want to touch on. And I think, you know, Louis can touch more to like our pricing model, but you are able to kind.
Bridget Wolfe (22:45) Of like purchase a.
Samantha Bouchard (22:46) Handful of licenses if you want to just like have those available. So.
Bridget Wolfe (22:52) You don’t have.
Samantha Bouchard (22:52) to like overcommit. And then you can always like kind of add or pull from other SKU areas too. So we do have like a flexible model that would kind of allow you to kind of like dip into some of the different offerings like as your business needs it, which I think would be great. But I think Louis, like I have everything I need to just like really customize a demo for the, in her team. Did you have any other questions? I think my.
Lewis Elder (23:20) the only thing that’s additionally that’s top of mind for me is I’m curious as to like, is this in terms of the, you know, what the impetus for you guys reaching out was? Is this something that’s kind of like company wide? It’s aware, it’s like a problem that needs to be fixed? Or is it, you know, kind of the two of you feeling the pain? So you’re exploring solutions, just curious like the context there?
Bridget Wolfe (23:40) Definitely, it’s org wide. We have our CEO and then our director of the clinical operations team have both been kind of as well as chief of staff have been kind of pushing like how do we get something in here to do this quicker and support it? And so it has a lot of support operationally. And then I think the other person, so Rekha is our chief of staff. I want to invite her if she’s able to attend. But I think the other person that would probably be interested in sitting in is our senior manager on the clinical operations team who deals with a lot of the licensing things and some of that like the market gaps that you were just talking about of we need provider here. We don’t have them. And so it would probably be interesting for him to sit in as well during, the demo to see the licensing part to see how it could help. Because I, as we’re talking, I’m like again, there’s a little bit of things like, I know how all the ways that it will help me. But there’s also some business things, right? And some other operational bottlenecks that I could see this may be useful for. So all that to say, there’s a lot of support in us finding a tool we’re talking to and going through this kind of process with several different vendors. And so we have a lot, of backing on that. That makes.
Lewis Elder (24:58) sense. And that the last part kind of bridges in my last couple questions. And then that’s all I have. But do you guys have a budget set aside for this? Or idea of budget? I don’t.
Bridget Wolfe (25:07) know that we have an exact budget in mind, I think as we were talking through it and because there are other pieces of the business that it could touch, it’s hard to say. I also feel like maybe our, so our, I think our CEO and our chief of staff and their understanding of credentialing is a bit limited as it should be because they’re not in the.
Samantha Bouchard (25:32) Weeds. And so.
Bridget Wolfe (25:33) I think their thought is maybe we could find something to fully replace. And my thought is that we’re still going to need a person in between and it can’t just be me, right? Like they’re still going to need there’s. Still going to be a need to have a person in between to manage the comings and goings of all these things. And so there’s probably… a long winded way of saying that there’s probably a dispute on what the budget.
Samantha Bouchard (26:00) is and.
Bridget Wolfe (26:01) What’s needed there because I think we’ll still, we, it’s not as simple as like it’s not a replacement of the person we have. It’s an add on and making sure to build a team yep. And so, yeah, I think all that, it’s flexible. It’s open. I think it will depend on areas of the business that it impacts and, you know, other Roi.
Lewis Elder (26:20) Yeah, that makes sense. And we can certainly explore, you know, everything potentially that you guys are interested in, and, you know, if it comes to it, we’ll look at a proposal for, you know, whatever like Sam has said, medallion does a lot from like provider data management, monitoring, payer, enrollment, you know, delegated privileging licensing, the whole shebang. So, we can look at that when the time comes. Do you, do you guys have a timeline for this? And I’m also interested, my last question is, what other you mentioned? You’re looking at other solutions you’re able to share like what other companies you guys are looking at? Yeah.
Bridget Wolfe (26:50) Timeline is I think open like, you know, the sooner the better, but it’s not, this is not something that’s crushing us today. As I mentioned earlier, we have operational like product engineering stuff going on at the same time to support this. And so if that gets up and running really quickly and this isn’t ready, then we’ll be in trouble. But I think we’re probably in a good place where both can happen. So I would say, you know, over the course of the next few weeks, months, we’d like to figure out which way we’re going to go and then get something in place. And then, yeah, we’re looking at, let me see. I think assured with assured is another one that I’ve met with that sounds pretty similar and in the product and then… verifiable is another one that had recently reached out. And I think that would be a good, you know, like as we get through this, if you guys have any insight on, you know, when we’re doing the demos like where your product differs or what it could do better than some of these others because I’m sure you have way more insight into your competitors that would be helpful call outs as well because, you know, as you start to talk to you guys and the other, it all kind of sounds like we’re all doing the same thing. But obviously, there are pros and cons to each. So yeah, would love to be able to add that into, the demo if possible, absolutely.
Lewis Elder (28:19) So assured and verifiable, yeah, we can, are there any others in the mix? Just those two?
Bridget Wolfe (28:23) I think it’s just those two right now. We tried to kind of start with like three or four. I think we dropped one. Let me see. Sure. Yeah… yeah, those are the main conversations right now where we’re actually doing like this. Yeah, it makes sense.
Lewis Elder (28:40) Yeah, we can, Sam and I can work on like we have, yeah, notes on kind of how we differ from those guys and, you know, good companies, of course, but, you know, things medallion might do that they don’t or ways we may differ. So we can put that together, and, you know, make sure you guys feel confident, in understanding the differences. I think that’s all the questions I have in terms of the demo. We probably want to book like an hour. I don’t know what your team’s like urgency. Your calendars look like.
Lewis Elder (29:05) I’m happy if you’re able to pull up calendars. I’m happy to book that. Yeah. Now, Sam and I will be traveling Monday through Thursday of next week, but we could do actually let me look at your calendar before I say anything we could… do potentially like.
Lewis Elder (29:33) Friday or next Friday or then the week after is wide open looks.
Bridget Wolfe (29:38) Like we have some time open Friday. Let me see.
Bridget Wolfe (29:49) Like two 30 to three 30 central if that.
Lewis Elder (29:52) Works. Sorry. Is that this Friday or next Friday?
Bridget Wolfe (29:55) This Friday, the tenth, two 30?
Lewis Elder (29:57) Three 30 central. So it’s three 30 eastern. Yeah, we can that.
Bridget Wolfe (30:02) Works for.
Lewis Elder (30:03) Me. Okay, cool. Yeah, I was looking, I couldn’t tell, yeah, we can do that. So, three 30 eastern, two 30 central. I will send that. Are, are you able to then like forward that along to?
Bridget Wolfe (30:14) The, yeah, I’ll give both Rika and Andy a heads up on kind of why they’re invited and forwarded along and I’ll have them be optional. So it may just end up being me depending but, and then we’ll see if there’s anybody else that I’m missing. Yeah.
Lewis Elder (30:31) Yeah. If they’re able to join, I think that would be also helpful for us because then we can understand like what all you guys are looking to potentially like offload to, for, to a software vendor. So, yeah, let me know if they’re not able to join, maybe we can look at like setting up. I don’t know. I just time where they are or an additional call with them or whatever. It would be good to just chat with them directly as well just to get a bigger sense of the, you know, all the stuff that’s going on behind the scenes. Okay. Perfect. Any other questions from you? I know we’re like a minute over, I think.
Bridget Wolfe (31:05) The only thing I wasn’t I may have asked this. I don’t all the calls are running together on, the back end of it, right? Like where we submit the payer enrollment from that point forward as medallion doing any of the work to do like the follow ups and, yeah.
Lewis Elder (31:22) Like we’re doing all of it, all of it. Okay?
Bridget Wolfe (31:25) And is that primarily a team of people or is there any like AI utilization in there?
Lewis Elder (31:30) Yeah, we can. And also Sam, if you have to jump, I’m can answers. I don’t know if you’re what your calendar is next. But so we have all of the parts that can be automated via like technology. So whether it’s like AI or just like proprietary tech that we built or automated. So that could be something like sending an automated email or like we have like RPA solutions for like filling out portals etc. But then we also have like humans, that handle any of like the nuances that come along with it. Because like I’m sure, as you guys know, being in the weeds, it’s like you can automate you actually can automate a good amount of it. But then you will always need somebody to have eyes on it. So or like if they need to intervene if the payer is just, you know, screwing around and not getting back to us, we have like people who can escalate directly. So it’s a combination of both. Yeah. And it works. Yeah. We’re that’s one of the things that we’re very good at. We actually have we’ve dedicated a team of people who like track it’s about like nine people who track any changes the payers make. And then we also have say I mentioned this kind of before we have like an internal kind of a guidebook in terms of, we literally track the percentages of like if a payer responds better to this type of follow up at this point in the process and stuff. So, we like have all this institutional knowledge that we can like utilize to get the payers to move as quickly as possible. Gotcha. Okay?
Bridget Wolfe (32:46) That’s really helpful. And then I just thought of another question. When I left, yeah, please brain it left. I was trying to think through. Okay. So if you’re you guys are doing the follow up piece. So scenario that we are running into is like united healthcare will not give us a group contract. We typically have to do individual contracts with the like between the therapist or the provider, whoever for whatever reason. And how have you guys ran into that? And is that something that you would be able to still assist with? Or would we? Yes. Okay. We.
Lewis Elder (33:25) Can help with actually with your group contract expansion, we’re like getting group contact in place. I don’t know, I only know that we can help with it. I don’t know. I’m not close enough to the metal to know like how we do that. I can tell Sam to make sure that, we cover that on the demo, but yeah, that’s something, we could, yeah, yeah.
Bridget Wolfe (33:42) I think if we could find that out that’d be important because we have a lot of patients and providers with united healthcare. Obviously, united healthcare kind of does this fun thing where they say when you get 10 providers, we’ll give you a group contract and then you get 10 and they go well when you get 15. And yeah, yeah, yeah. And so we have these individual contracts that we have avoided because it obviously is a lot more management work and all the things. But we will, as the therapists come in, you know, to work with us, we will need to get them set up with united. And that process is not like let me go out and just add like you have to apply for the contract and follow through and do the fee schedule and all the things. So, yeah, it would be interesting to know if and how you guys could handle that process and then to how you kind of communicate back to us because obviously in that, there’s a lot of touch points of, we need a review of this. We need a signature.
Lewis Elder (34:35) And if.
Bridget Wolfe (34:37) that’s not something you can help with that’s not like a deal breaker because obviously, the bulk of the work is in the ongoing credentialing, but I would be interested to know how we could potentially pull that in.
Lewis Elder (34:49) Definitely. Yeah, I believe because I know I’ve had other groups we’ve worked with. We’ve we’ve worked, we’ve supported their like their group contract expansion. So I believe that we can, but I’ll make sure that, we hit on that and on the next call as well. Good questions. Any other questions? I don’t think so. I think.
Bridget Wolfe (35:07) That covers it. This has been really helpful. I’m really excited. I’m a visual person. So I’m really excited to just like see the product.
Lewis Elder (35:12) Yeah, I did. I had a deck for today but we didn’t end up pulling it up because we said I’m chatting but I’ll send you that over as well. It just has some like kind of high level info, on medallion and, you know, you can feel free to like circulate it internally before the call as well. If people want to give it a one one over, it has, some details for journey as well that I collected from the website and stuff and ways. I think we may be a, good fit for you all. But yeah, we can, Sam will walk you through like, what it actually looks like, how the provider, you know, management portal looks. And we have all these like pretty slickly like UI features for like, this is where this provider stands in the process. And that way both you and the providers have visibility into their, you know, their credentialing onboarding process. So nobody’s like in the dark and you’re not having to constantly like update the providers or they’re not having to constantly reach back out to you. And we’ll make sure to cover all of that. Okay?
Bridget Wolfe (36:03) Awesome. Sounds great. I will get with my team then and let them know that the invite’s coming, send that over to them once I receive it from you. And then I’ll let you know if we have any questions between now and the demo? Perfect. Awesome.
Lewis Elder (36:16) Yeah, please let me know if you have any questions I’ll send over this deck that I prepped. I’ll also send over a recording of this call once it finishes processing. So you have that as well. And then we’ll send the invite out for Friday. Awesome. Sounds great. All right. Thanks so much, Bridget. Good to meet. You. Take care.
Bridget Wolfe (36:30) You too. Bye bye.