Transcript
James Donachie (00:00) hey, Debbie, can you hear me? Hey?
Debbie Argentine (00:01) James, yep. Took a minute to get connected.
James Donachie (00:05) Oh, yeah. It looks like you’re joining.
Debbie Argentine (00:08) recording in progress. There we… go. I think one is out. It looks like every time I click on join the meeting, it joins me twice.
James Donachie (00:23) Oh, no.
Debbie Argentine (00:24) Yeah. Becky and Adam are still on a call that I just dropped from. So they’ll likely join. Okay? Yeah.
James Donachie (00:37) How is the, how’s… the file cleanup with the addresses going?
Debbie Argentine (00:44) Long, it is long there was like, so I filtered it to just those certain payers that we talked about and I still had over?
James Donachie (00:58) What’s that? It’s one of those things that I’m like I was talking with Jim and I’m like what’s the best way to do this?
Debbie Argentine (01:11) Yeah. I mean, I don’t think there is a way I was able to use the provider summary report and I could do vlookup, but, you know, vlookup only pulls the first address that it comes to. So if a provider has 10, I’m still going into medallion and copying that address from medallion onto that file. So it’s an exact match, use that file to go back to the payers and have the payers correct it. But then we can also send that file to you. And then we’ll have an exact match. So I’m down to like 7,000 rows. I’m getting help from somebody on our team to go through it. So I’m hoping that like by next week, I should have that back to you.
James Donachie (01:49) Awesome. Yeah, I think hopefully that work, I mean, I feel like providers aren’t moving nearly as much as they were. So it should be good for a while.
Debbie Argentine (02:02) Yeah. Well… the way the process works. So as we give you a brand new file, a brand new flat file every month, right? Yep. Yeah. So I’m still going until the payor fixes it. I’m still going to have to go through and make sure on the brand new file that correct addresses are in place. So I’m hoping that I only have to do that for one month and then the payors will catch up to me those few payors and they’ll update their system, so it’ll pull out correctly on the file that I send to you.
James Donachie (02:40) Got it. I forgot about the payer aspect. Yeah, hopefully, once you give them the update, then they’ll update their system. Yep.
Debbie Argentine (02:55) Okay. I had a couple things on my agenda. Yes. All right. The group, okay? So we covered that. The next thing is the team manager access and I know we’re slotting to have that done and turned on by end of month. But we really also in parallel with that, we really need an update on the level of access that these team managers have. So we don’t want them to be able to invite providers, deactivate or reactivate providers because, you know, that will cause a disaster in the platform.
James Donachie (03:25) Okay. Let me talk to Steph. She’s the one who’s been working. I know she gave the last update and talked to the product team. I can just triple check with her, but I have a feeling that like that information like are having access that they’re not going to have, they will be revoked. Okay?
Debbie Argentine (03:52) The last note I have is from, I have a note that says you have an email out to your team and you’re looking to see how it’s configured. I.
James Donachie (04:03) think Steph wrote back to us, right? But on… it, but I know it wasn’t it was only like a short paragraph so I can try to get more information.
BeckyLewis (04:13) Yeah. Mike was saying, don’t even implement it if that’s not in place because of the disaster that is already caused with groups that do currently have team manager access and have deactivated and invited providers to the platform. The deactivating one is the worst because getting them reactivated. And if we catch it, you know, it is another problem.
James Donachie (04:39) Got it. Well. I will sync up with her and just triple check, but I feel like that was addressed but it’s worth just getting a definitive answer from her. I know she’s been closer to that one.
Debbie Argentine (04:56) Yeah, thank.
BeckyLewis (04:57) You.
Debbie Argentine (05:01) Next, the revoked providers, the ones that we were talking, you sent me an email about the ones that were credentialed… before the end of, the ones that need to be put back into an approved status and forgive me if you replied to an email that I sent, I don’t think you did, but you were requesting meeting notes. I think we have quite a few that are showing up as expired on the provider summary report, but they’re currently credentialed and you were requesting committee or meeting minute notes. I don’t know maybe to support, the fact that they were credentialed, but my question was, isn’t it isn’t the outcome date just happened, the outcome date in medallion indication enough that we’ve credentialed the provider.
James Donachie (05:52) So I’m.
Debbie Argentine (05:53) trying not to go back and look through, I mean we could have 25 or 30. I prefer to just give a list and here’s the date that’s in medallion and then have those using that date, have those flipped back to approved.
James Donachie (06:06) So, I think what, our compliance team and I think this is probably where you ran into it with Janine before. And for whatever reason, I’m having a little bit more luck going through, they get really nervous changing these type of dates. And so they want, they don’t want you to leave Debbie and then someone else to come in. And then you’re like CMO’s just like why did this happen? You know? So they want to make sure that there’s some sort of supporting evidence. What I think we could do is if you guys do the complete list and I think you just write like write in an email that you have meeting notes and committee documentation for supporting all of these. And that’s how you got to the list. I think that will be fine. Okay.
Debbie Argentine (07:00) So there’s two things here. There’s. The there’s those that we needed to actually change the date for. So those happen far… less frequently. My God. Let me kick my dog out of here. Hold on. He’s a great Dane and he wants to play with his bone whenever I’m on the phone. And playing with his bone means dropping it on the hardwood floor. So those providers that we do need to change the date for. So those happen far less frequently. But the other ones you’re not changing the date on, we just need to get them out of the archive status. So there’s an actual outcome date in the platform. We’re using that same date, but they’re just, they’re showing as archive, but I’ll do that. I will give you the list and then I’ll give you my sworn statement that we have documentation to back this up.
James Donachie (07:51) Perfect that I think will do the trick.
Debbie Argentine (07:53) Alright, perfect. That’s great news. Now I have two things I wanted to add. So the first one, I’m going to revisit this. We talked about this with Janine. Is there a way for medallion to more easily provide us or give us access to some sort of audit?
James Donachie (08:13) Log?
Debbie Argentine (08:13) Or like a system control log. So we can see when an update is made in the platform and it’s an incorrect update. We don’t have to jump through hoops to get, you know, open up a ticket with support, get to get the name of the person that, made the update like have it right there, so we can have access to it like.
James Donachie (08:32) An audit log. I can ask, I’m not aware of one, but we can, I can take a peek to see if there’s something we can get you. Okay, thank you. Yeah, I.
BeckyLewis (08:49) Think what’s helpful is like a historical log of, you know, any action that was taken on any record in medallion so that we can see if something was done incorrectly and we can appropriately reach out to that person and give.
Debbie Argentine (09:03) them.
BeckyLewis (09:04) A proof of training?
James Donachie (09:08) Okay. Yeah. Let me, let me see what’s available… and… get back to you guys on that one. Okay? And then,
Debbie Argentine (09:19) let me see what else? I have. The other new one. I have it, not new one, but I wanted to quickly touch base on, the email that you sent with the, where we would see the provider payer effective dates. Okay?
James Donachie (09:35) It looked.
Debbie Argentine (09:35) Like, I don’t know if you saw my screenshot but it looked like where you were pointing me to was in the main payer module versus going to the provider’s profile and clicking on the payer tab in the profile so that provider could then see in one fell swoop all of the plans that they’re par within the date.
James Donachie (09:55) Oh, okay. Let me, I don’t when I was talking to Jim, I didn’t even know about…
Debbie Argentine (10:10) Do you want me to share my screen with you? Oh,
James Donachie (10:12) I was gonna pull up. So, oh, okay. Perfect. Yeah. When I was talking to him, it was what I was really looking at was… and let me share this here we are.
James Donachie (10:32) So, you would see the par status and link to group right here… on this… yeah.
Debbie Argentine (10:42) But that, so that’s not at the provider level though, right? That’s not the payer level.
James Donachie (10:50) Well, this is each one of the, this is the, this is the provider. I.
Debbie Argentine (10:57) Can’t see that? Let me go. Let me move it to my music hang.
James Donachie (11:00) On one second, let me, how do, I think control 100 percent 120? Does that do anything? No, it’s in there? I,
Debbie Argentine (11:09) see. So show enrollments for provider, yep.
James Donachie (11:12) Exactly.
Debbie Argentine (11:17) That’s interesting. So, so go into the payers tab versus, and,
Debbie Argentine (11:25) providers have access to the payers tab. I,
James Donachie (11:28) think they should let’s and,
Debbie Argentine (11:30) what do they see? Do they just see them or do they see every payer? Every tin that’s let’s.
James Donachie (11:37) go into? Okay. We’re at Michelle view as user?
James Donachie (11:49) Okay. Does she have existing… license and what enrollments? So this is what she would see.
BeckyLewis (12:01) Okay. Can you go?
Debbie Argentine (12:02) Back to like, the main provider screen?
James Donachie (12:08) So, like.
Debbie Argentine (12:10) Like the home, like the landing page when a provider logs in. So.
Debbie Argentine (12:22) Yeah, my profile, my.
James Donachie (12:24) Profile. Yeah. Okay. So.
Debbie Argentine (12:27) Theirs is different than what we see then that’s why I was confused. Okay. So that makes sense. So it is on, their pair, theirs runs down the side. Ours runs across the middle. So it was just confusing me yep.
James Donachie (12:41) Yeah. So they’ll go to, I should have, maybe I should have grabbed also the, this view. So I’m glad we’re doing this. So they’ll go to payers, and then they’ll be able to look at their enrollments, and then they’ll see each one of their enrollments. All.
Debbie Argentine (12:55) Right. Let me grab a screenshot of that real quick. Okay. There’s nothing there, right? That’s all fake data and… then the credentialing date’s going to populate in there too, correct? I.
James Donachie (13:07) believe. So, let’s see where it would, it’s right there. Yeah, right here all.
Debbie Argentine (13:13) Right. So there’s okay. That makes better sense. Thanks, no problem. So you, so we have some of those that are already ingested.
James Donachie (13:22) Yeah, there should be. I don’t I can get a name so we can look at it from Jim, because I think that first file you guys sent there was like 50,000 and, I think, I want to say, but that’s on actual providers but, you know, lines, but there were 7,000 that were accepted. And then the 43, that weren’t so we should have a few pay or a few examples, in the system.
Debbie Argentine (13:53) That might be helpful that we could start pointing providers to that. Let me, you… know what I mean? Becky. So if we have some that are already living there… I would like to get a name, so I can take a look at it. What, what they see. Okay. Let.
James Donachie (14:12) Me, let me work with the team, to get us a name. My guess is that we’re not going to have that many names just because of how many different… payers we have. So they were like out of the 7,000 rows, we might only have like a handful of names. So, let me grab one. But it sounds like after you guys are done and we upload this new file that you’ve been working on, we should have a bunch more names. Yeah. So, okay, I can go to the team and grab that?
Debbie Argentine (14:45) Okay. And then where would I see it? Because I don’t I’m not set up. Sorry, I feel like I’m stupid today, but I’m not set up the same way the provider’s set up. So my, can you hijack in as me? Let’s.
James Donachie (14:57) see if I can hijack in as you.
Debbie Argentine (15:06) Where did you go?
James Donachie (15:11) I’m sharing.
James Donachie (15:18) My screen here. We are, can’t.
Debbie Argentine (15:21) See you at all. Where, where are you at? There? You are?
James Donachie (15:29) So, let me go here. View as roll… admin, which should be what you have.
James Donachie (15:46) Oh, no, I’m hijacking this, Michelle. Again… of course, this is blocking release.
James Donachie (16:10) It looks like I’m locked in as it looks like it picked Katrina, Katarina, yeah, Katarina, yep.
Debbie Argentine (16:15) So, when you go to a provider?
Debbie Argentine (16:21) Like any provider? Okay? So.
James Donachie (16:24) We’ll look at, well… we’ll go to Michelle. We were just on Michelle, so it should look the same or?
Debbie Argentine (16:32) Like, yeah, so see where we, where I see payers says, overview profile verifications, license. I see payers there. Is that where we would see the same thing they would see. So.
James Donachie (16:43) Yep. Yeah. So payers and then enrollments, right? And then this gives you. Okay. So.
Debbie Argentine (16:49) It’s just a different. It’s just a different view lens into it. Okay? Thank you. That’s helpful. Okay?
James Donachie (16:56) That is a very medallion thing where there are lots of ways to get to the same information… because that is essentially too is like if you were on the payers tab and you went to enrollment. And then we can like look Michelle up… and find her and she’ll be on here somewhere. And then we can go and select when we’re on providers and like it goes and it’s like the never ending thing.
Debbie Argentine (17:31) All right. Looks like we can get to it both ways. So.
James Donachie (17:33) Yep. Okay. Perfect.
James Donachie (17:42) That’s.
Debbie Argentine (17:42) all I had that’s all I have on my list. Okay?
James Donachie (17:46) The one I was talking with the team about the rest of the stuff from our email or from my email last week.
James Donachie (17:53) I know the team’s looking at that tin. Thank you for sending me the example of the 1,100 yep that I know that’s going to take them a little bit of time to just to kind of go through and update. One of the things they did call out was as I was just talking to Jim and it wasn’t like, hey, we’re going to do it, not going to do it, but he was like one of the things that like doing.
Debbie Argentine (18:21) The tin.
James Donachie (18:21) Is great. But you got to make sure that you’re the files are good because if a provider’s missing and they’re not doing it on a provider, like the likelihood of like missing it is just increased. So he’s like that’s one of the disadvantages. But from a time perspective, it is much quicker what?
Debbie Argentine (18:41) Do you mean make sure the file is good? So if we’re only looking at it at the tin level, we’re giving you a file that’s got 10 providers in the tin, you would just process any provider and you would choose that opt out selection for any provider that’s in that tin, correct? Yep.
James Donachie (18:58) Yeah. But if there was a provider that was missed for whatever reason… like we wouldn’t like if they weren’t included on that… tin, like we just don’t have as much oversight into whether or not it’s being processed.
Debbie Argentine (19:25) Okay. I don’t think that should be a problem. Yeah.
James Donachie (19:27) Well, that’s exactly. That was just Jim’s like, you know, a.
Debbie Argentine (19:30) Risk.
James Donachie (19:32) not a reason not to do it. He doesn’t get to make those decisions, right? That’s our product and engineering team. But he was just like that. You know, he’s like upside was quicker. He’s like downside is like it does kind of open up the door to that. But yeah, so.
Debbie Argentine (19:50) Like if we have a provider linked to a wrong tin in a platform, they’re going to be, they’re going to be opt in for that pay or under that tin, I see what you’re saying. I don’t think that’s going to be a problem.
James Donachie (20:02) Okay, perfect. But I’ll keep getting an update on that. And then a couple of other things I will get with Steph. I have some time with her this afternoon. We do like a weekly connect just to get some more information on that, the team viewer stuff, see what additional information she can provide. I know she’s also working on that QBR date, which is going to have a lot of the product updates in it as well.
James Donachie (20:30) So, I’ll just let her know that you guys are eager and ready for more information. Yeah. All right. Well, that’s it on my end? Good, good.
Debbie Argentine (20:42) Adam, Becky, you guys have anything? No.
James Donachie (20:47) I.
Adam Pollick (20:47) think I’m all right. Thank you.
James Donachie (20:50) All right. Well, Adam, did you get snow yesterday? I saw it was snowing in like upstate Connecticut.
Adam Pollick (20:58) I didn’t but it’s been cold. Yeah, we were almost out of it the last couple of days. It’s like cold. It feels like it’s I think it’s 32 or 33, but it feels like it’s probably in the twenties. Oh, my gosh. Yeah, we’re not done yet. I guess we’re.
James Donachie (21:18) we’re in the seventies here in Colorado. It’s just, it’s never gotten cold.
Adam Pollick (21:23) All right. I’m still grilling it’s all right. Oh.
James Donachie (21:25) There you go.
Adam Pollick (21:27) No matter.
James Donachie (21:27) What?
Adam Pollick (21:31) That’s how you get summer going Becky.
James Donachie (21:34) All.
Adam Pollick (21:35) right.
James Donachie (21:40) Well, I will chat with you guys all soon, and I’m sure you’ll be getting an update from Steph coming up here too to schedule that QBR. Thank you. All right. Have a great one. You too.
Debbie Argentine (21:53) All right. Thanks, James.
James Donachie (21:54) Bye guys. Bye bye.
Debbie Argentine (21:55) Bye.