Transcript
Naomi Denson (00:00) like to confirm that you submitted the application, update different statuses, put it in follow up. You can add notes to say the follow ups or keep track of the enrollments themselves. And then once you mark this as completed… it’s going to ask you for the details of the enrollment to fill in the effective date, confirmed line to business, all of the required elements of verifying that the enrollment is completed. And then once you mark it as completed, it rolls over into an existing enrollment.
Lia Hood (00:35) Perfect. Thank you.
Naomi Denson (00:37) Yes, absolutely. So.
Lia Hood (00:41) Shirley, this is like when we, if we send over these 10 new providers and you’ve already done medicare and medicaid? This is where you would log your medicare medicaid work. Yes, if it’s not yet complete, this… is where you would track. It is to do it like that.
Naomi Denson (01:02) Yes. And to do it that way. So from the payers tab, you have this request button up here, request new payer enrollment if it’s one of those that you are owning it’ll. So the first question is who should work on this request, either medallion or it’ll, say oneoncology. So you would select oneoncology. Now, you are not charged for client owned lines. So it doesn’t charge you to load them in here. This way, it only charges you for medallion owned lines once they reach intake completed. So you would just select oneoncology here. Yes, absolutely. So when you first submit a request, it goes into that requested status, it will live in this. It will be in this bucket as long as the provider’s profile is at least 85 percent complete and attested, it will move into our intake team usually within 24 hours. It will move to our intake team. They’ll do the review of the profile, make sure that, you know, the cois that we have aren’t expired, the licenses are up to date. Everything is there that we would need for that enrollment based off of those checklists that I had shared with you. So, and then they would move it to intake complete, at which point that is when the consumption is charged for that request line when it reaches intake complete and passed to our enrollment teams for processing. So from intake complete, you may see statuses like assigned or it may go from intake complete straight to application submitted, and then following up. So after an application is submitted to the payer, our standard process is to follow up every two weeks. There are some payers that say don’t follow up with us in two weeks. They give us specific timelines, you know, like don’t follow up in a week, don’t follow up in the short of time. They’ll say, you know, we need at least 20… days or whatever. So, there are specific payer nuances where they have indicated not to follow up that early… standard. Most of them are every two weeks, we will attempt to follow up how.
Lia Hood (03:01) Do we know which ones are outside of that standard two weeks? So that we’re not asking you because I’m going to ask… because we get asked. And so I would need an answer to say, why have you not followed up yet? Does that make sense?
Naomi Denson (03:21) Yeah. So one, every time we, when we submit an application, there will be a note that says the date that it was submitted, how we submitted it, who we submitted it to, the copies of the applications and supporting documents that we sent in. And then for every follow up, you will see an additional note that says we followed up on this date, we called this phone number, we emailed this email, checked this portal. So it will be here in the reporting and you can pull reports that show the last note date, so you can see when the last follow up happened. So.
Lia Hood (03:55) Let me, let me ask my question a different way. How do I know which payers have a non standard two week follow up time? I.
Naomi Denson (04:06) will have to check that. It’s not very common and most of them do abide by the two weeks. There’s a very small amount. I think, I believe that don’t want us following up every two weeks, but, I can confirm with the team to see if they have a list or.
Lia Hood (04:22) If they do, that would be helpful just for us to have on hand. When we get asked why something’s outside that standard, we can provide them with that reason.
Naomi Denson (04:32) Okay. Yeah. Let me, let me ask the team if they have any details on that. Okay. Thank you. No problem. All right. So once it leaves requested, it goes to intake. It’s going to go into this processing bucket. It will stay in processing through intake through app, submission, through follow up all the way until it hits completed. This needs attention. This means that the request has made it to our operations team. Either the payer has requested additional information. There’s a task on the line for a signature, like maybe the payer requires a physical wet signature, or something along those lines. So we would task out for you to complete to you to have the provider complete those. Just keep in mind with this needs attention bucket say you submit five requests for the same provider, and our intake team… sees that the malpractice is expiring, which we need for all five requests. So you may see there’s five requests in here that need attention. But when you go to your tasks, you’re only going to see one one task and you’re going to say, well, I only have one task. Why are there five lines on hold? It’s because they’re bundled because they all are requiring the same information. So we’re not going to create five separate tasks for the same thing for the same provider or even if it’s five different providers for the same payer, that we need the same thing back for. They’ll all be bundled together in one task. That makes sense. Okay. Thank you. Absolutely. All requests. When they are completed, they will still live in this enrollment request tab as a completed request. But they also roll over into an existing enrollment for the existing enrollment, reporting… anything that’s on hold. So you may time to time see things that are on hold. This is typically for things that are pending dependencies. Meaning there’s a prerequisite enrollment like medicare or medicaid that has to be completed first. So when you see those you’ll see on hold pending dependencies. And then we connect it to the request that’s blocking it. So we’ll say this request has to be completed first before we can work this one because we have to have the medicare number, we have to have the medicaid number. We have to confirm that they’re linked to the group with medicaid first, whatever, or the group contract has to be done something like that. So once it’s linked to another request as a dependency, once this request is marked completed in the system, this status automatically flips to a dependency’s met status, putting it back in queue to be worked. Does that make sense? Yes? Perfect. All right. You do have the ability to see any tasks that might be on a request line. So you can see here there’s this is all fake, but there’s 19 tasks for this request. So if you click on this, it’ll collapse this down and show you any of the open. I don’t know why it says 19 but it’ll show the request the task here and you can open it directly from there. You can see all any and all provider tasks from the provider’s profile as well. Let me just get one.
Naomi Denson (07:50) I like grey’s anatomy. So I’ve created the cast that’s awesome. I went to grey Sloan university for my medical degree. So in the provider’s profile, you can see all tasks related to any of their enrollment requests here. This is also within their profile is where you will see intake tasks. So enrollment team tasks are tied directly to the line, but the intake tasks are tied to the profile. So make sure you’re watching this overview tab for anything that has… a task on it. For example, if you see needs… client attention, if it says intake, it’s not going to show outstanding tasks here because they’re on the provider’s profile. So they don’t tie them directly to the enrollment line because it’s not directly related to this. It’s tied to their profile. In the task overview, you’ll see the task types. So provider profile, those are typically intake tasks. And then payor, enrollment is from our actual operations team submitting the applications.
Naomi Denson (09:01) So let’s see submitting requests. I showed you this briefly for a second. But so submitting a new request, you’ll select the owner, you’ll select the enrollment type. So group or provider say we’re doing a provider, you can do this a couple of ways. So say you have multiple providers, you’re onboarding with one new payer, you can select multiple providers and submit a request for a single payer under a single group. If the providers that you select are not yet associated to the group profile. In medallion, this is showing that once you submit this request, the providers will be added to that group in their profile. And then you can select one payer, it’ll flag you if there is no state license for those providers… and those providers’ profiles. So it just says that they’re missing this here… or if you have one brand new provider that you’re onboarding and you need the multiple… payers. So you need to enroll them with all of your payers. When you select the provider, the group they’re under, and then the state it’s going to show you. So if there were existing group enrollments here, it would allow you to just check a box to select all of the payers that are currently active with oneoncology for that group… and also any that are in process. So you have group enrollments in process that you want them tied to. They’re not done yet, but you can select both so that you cover all of the payers, or you can select one off payers, but you can select multiple payers for requests on a single provider. So you can see here. If I select these payers, it’s going to create three separate requests for this provider for each payer. Naomi? Yes.
ShirleyHooker (10:55) I have a question. Please. Okay. Can on this one here, can you select it by payers that are associated with the location? So there are, we have payers that are only applicable to counties. So they’re only at certain locations. So like some of our payers are not across the board for all of our practices, they’re only at certain locations. So in this instance, here, we have the new provider. Is there a way in here that I can select that we can select the payer based off of the location of the provider… if that makes sense. And if not, we can, it’s we can go a different way to it. My different question?
Niccole Russell (11:52) Yeah, the locations are on the next page.
Naomi Denson (11:55) Yeah. Okay. So you’ll select it’s not by payer though. So you would select the payers. So like this group is enrolled with these payers. So we’re selecting these, you’re going to choose the lines of business. Now, the system will only allow you to select the lines of business that are confirmed offered by that payer. So everything else will be grayed out. Okay? So you can select the lines of business that you want. And then on the next screen, you choose the practice location. So enroll each provider with their associated locations and their profile, that would just default to all of that provider’s associated location. Do you want to use the same locations for all payers? Yes or no. So if no, you would select which practice location you want for each payer?
ShirleyHooker (12:43) Okay.
Naomi Denson (12:47) So you can choose different ones for each one if it’s only applicable to a certain region. Does that make sense?
ShirleyHooker (12:53) It does. Thank you. That answers the question on that end. Yes.
Naomi Denson (12:58) And then on the next screen, you’ll choose application details, show in payor directory. So you can check this box for same for all enrollments or you can uncheck this and indicate by specific payor. So yes, no, it varies by line of business. So then it would just ask you to put in additional details if you chose that, and then desired effective date. So again, same answer for all enrollments or uncheck this and it’ll ask you individually for each enrollment. So the effective date that you want us to request is either application submission, date, provider start date and their profile at your organization or other.
Naomi Denson (13:35) You can provide a specific date. It does have a note down here that says the final enrollment decision and effective dates are controlled by the payors. So we will request the date that you ask for, but we can’t guarantee that’s what the payer is going to give us. And then on the next screen, you can add any additional notes or anything relevant that you might want to share on the request. Totally optional. But if you have anything to add, you can put notes in there as well. And then you just click submit and that’s when it goes into that requested status for our intake team to pick up and review the profile.
Lia Hood (14:12) So what is the expected turnaround for your intake team to review it?
Naomi Denson (14:20) I believe it’s average 24 hours. Let me see. I have it.
Niccole Russell (14:31) I believe Courtney told me the other day, five business days.
Naomi Denson (14:36) I’ve never heard that. Okay. Maybe that’s average if they have to task out for something. Okay? I thought it was 24, it might be 24 to 48 hours, but I was just looking at something for somebody else.
Naomi Denson (15:03) Yeah, it’s not outlined in that you do we do, but we can definitely double check with Courtney on that because I’ve never heard five business days. I’ve always heard one to two.
Niccole Russell (15:12) My request was for license, so that could be different.
Naomi Denson (15:17) Yeah. And she could be including time for response for tasks for them to get their intake. Yeah. Okay. One thing I want to show you here is in your support center, you have the help center here with a section on payer enrollment resources. So there’s lots of helpful articles, tutorials refreshers in here that could be helpful to you to reference. And then you also have all of the statuses and definitions. So all of our statuses are outlined in here with an explanation of what they mean. So if you ever see something and you’re not exactly sure what it could mean, you can reference this additionally on an enrollment request. If you submit a request and have a question, have an update you want to provide, maybe the payer mailed the welcome letter to you and you want to share that with us in the notes section, you can click find the line, the request line for that enrollment that you want an update on or provide an update on. And then you click get support. This automatically creates a ticket connected to that specific request. And then our team will… look into it for you. So you can request a hold request, a cancellation request, an update, provide an update or other, ask a general question about the request. This is the best way to get attention on our request line. Timely. There is an option to add notes to the request line additionally after you’ve submitted, but keep in mind our team, unlike with the tasks, our teams are not notified when a note is left on the line. So if you submit it, we submit it to the payer, and the next day you have something that I forgot to add this or I need this updated or… if you have anything to share with us about the request and you add a note, chances are our team’s not going to see it until they follow up in two weeks. So always utilize the support feature. If you have something that you need to provide or clarify or anything like that after the fact?
Naomi Denson (17:25) Just one second. Guys. I think I don’t know. Hold on.
Naomi Denson (17:42) All right. There was a sound outside. It sounded like my dog was crying. He was not, he was digging. Yes. Okay. So always use the support feature in here. You can set your settings here to pick and choose which fields you see in this report screen here. So if there’s you want to narrow it down, make it not so big. Only the things that you need, you can do that. Just like with any of the like the provider screen, any of our screens here, if you set any filters here that you are going to be looking at regularly, going to be checking in on regularly for a certain payer, certain state provider type, et cetera, you can create the bookmarks. So if you create a bookmark, and for a certain filter or, you know, you want these organized alphabetically and you sort them, you can save it in a bookmark. And then when you click into that bookmark, it automatically takes you back to those filters. And then I don’t know if I’ve mentioned this before Marissa or Robin, if you are looking at something, you have all of these filters narrowed down to specific lines and you want to have somebody else put eyes on it or want to have someone take a look, you can just copy the URL, paste it into a teams message. As long as that other person is logged into medallion. When they click that URL, they’ll go to the exact screen filters and everything that you’re looking at.
Lia Hood (19:04) That’s pretty nifty. Yes.
Naomi Denson (19:07) It’s very handy because you have no idea how many times when I was on our payr enrollment team, I’d have a 1,000,000 filters set and finally get it narrowed down to something and ask somebody else to look at it. And they’re like, I don’t know how you got there. How did you narrow that down? But you can, now you can share a URL and they can open up to exactly where you are, as long as they’re logged in. Other request types that you have are single demographic updates. If you need to change something with just one enrollment for a provider, in order to submit demographic updates or revalidations. There has to be an existing enrollment already in the platform for that provider payer group state combination.
Lia Hood (19:49) Say that again.
Naomi Denson (19:50) So the way our system’s set up is, you know, the existing enrollments are based off of provider, state payer and group combination. So they’re enrolled with this payer, it’s linked to this group. So say we have this existing enrollment here and we can request, I don’t know why that one always does that. We can request demographic update. So on the specific line, but you cannot request demographic update. If the existing enrollment is not in here. If you have a demographic update, the existing enrollment is not in here, you can add it. So from the enrollments tab add enrollment, and you would just put in the details for that enrollment for the provider, which group they’re linked to, et cetera. The practice locations that are confirmed associated to that. So if you have an existing enrollment in here and it says they’re linked to these four practice locations, but you determined that one of those practice locations is not actually confirmed and you need to add it, you would have to come into the existing enrollment, edit it and remove that practice association. So it’s got these four practices. You would have to remove the one that you need to now add because it turns out it was never added. So remove that, save it. And then you can request a demographic update. So.
Lia Hood (21:16) This happens a lot. So, if I have a provider that’s already, that’s in one of our existing providers and already enrolled with all the payers and stuff. If he is adding another location, how do I make that request to enroll him to a new address with payers?
Naomi Denson (21:40) Right. So if he’s already existing under the group with the payer with multiple practice locations, you need to add a new practice location under the same group. You would, you can do request. So I would suggest doing a bulk demographic update. So on the bulk demographic updates, you can choose the provider. So we’ll choose this one. We want to add a practice location. You choose which practice location you want to add. And then you can say if you want to remove any, if they’ve closed or whatever additional notes, you know, they’re going to start working here on this date, whatever information you need to share there. And then on the, I don’t want to remove any. Why does it always do that to me? Okay. On the next screen, it’s going to show you all of their existing enrollments for that group. So you can say I need to update this with all of their payers. So it’s only going to allow you to select payers that. So it says update not applicable. Probably means that practice location is already associated to this request or you already have a request in process to add that location. So it won’t let you submit the same thing twice and it will flag you if there’s another request pending. So this selecting all the enrollments that do not have that practice location already attached to it or do not already have a request in process?
Lia Hood (23:05) So hang on real quick. So Shirley was saying how certain payers are for only at certain locations. So I’m adding a new location and this provider’s never been, I’m just going to make it up. He was never enrolled with Aetna because it wasn’t pertinent to where he was already practicing. So, is Aetna going to show up in this list based on the address?
Niccole Russell (23:36) Or am I going to have?
Lia Hood (23:37) To go in? So this provider’s never been enrolled with Aetna because Aetna was never applicable to his original location. Where he was at now that he’s moving to, he’s adding another location, Aetna is a payer for this new location. So is Aetna going to show on this list that we’re looking at because or am I going to have to go somewhere else to add the Aetna? Yeah.
Naomi Denson (24:01) So because he’s never been enrolled with Aetna. It’s not going to show on this list because it’s not an existing enrollment in the platform for him. So that would be a new enrollment request for Aetna.
Lia Hood (24:10) That is so convoluted to have to do it two ways.
Niccole Russell (24:18) What do you mean?
Lia Hood (24:19) Because what’s going to happen then is, if you’re saying Aetna… is… not on this list, so I can’t do a bulk demographic update. I’ve got to do one bulk demographic update for nine out of 10 payers. I’ve got to know that Aetna is not on this list, right? I’ve got to know, that Aetna is not on this list. And then I’ve got to go back into the main page and add a new enrollment for Aetna for this provider, for this location, I can’t rely on this list to say here’s everything for this location.
Naomi Denson (25:02) Right? Because this is only based off of the provider’s current existing enrollment.
Lia Hood (25:07) So, then.
Lia Hood (25:16) Okay. Would you suggest not doing a bulk update then and going to the main page where it lists all the payers, so that no, no payer get doing it this way, I risk missing locations that’s my issue. And then if I remember and I have a checklist, then now, I’ve got to do two steps instead of one step… to make the request.
Naomi Denson (25:49) You’ve seen that before… or have any insight there?
Niccole Russell (25:55) Well, it’s two different requests. So one you’re asking for us to start enrollment on payers. The other one is just a demographic update. So, if you need any changes to an existing record.
Lia Hood (26:10) And I, and I understand that, but if I were to do this work on my own, it’s one process. Now, I’ve got a net. My, my concern is that I don’t even have Aetna listed as an option to say, hey, this payers not covered because he’s never been here. You need to go put a new request in. I run the risk of the team missing that Aetna enrollment. They’ve got to look at it. They’ve got to know that it’s not there. And then they’ve got to make a list of all the ones that are not there and go make a separate request. They’ve got to make two different requests now for… the one location to get the work done. Does that make sense?
Niccole Russell (26:55) I think you lost me with two separate requests to get the work done.
Lia Hood (26:59) For one, because Aetna is not on that one list, Aetna is not on that bulk demographic update list. So my team has to recognize that Aetna is not there and then go over. Aetna is not on that. And… sesame street’s not on there because they are not, he was never enrolled with them. So they’ve got to identify that those two payers are not on that demographic update. And then they’ve got to go back and make a second request that’s an initial request in a different place to add those two new initial enrollments with that payer. So.
Niccole Russell (27:31) What they would do is look at the provider and the payers and see what is currently there and what needs to be added. But there’s no way to like bulk that because it’s two separate requests in our system. So they would have to go here, see what’s listed there and know if they need a demographic update because it does have practices too. There. You see the one listed?
Lia Hood (27:58) But do you, but do you, but do you see where I’m going with that? That it is now adding extra work and scrutiny by the team?
Niccole Russell (28:05) Yeah, I get what you’re saying. If you used to do it in one place, our system doesn’t unfortunately doesn’t work that way.
Lia Hood (28:13) My, there should be a way that your system can say here’s all of here’s, his payers, where he’s at here’s, all the ones for this location. I mean, I don’t know, I guess I just… had different expectations. It’s okay. We can move on. Sorry, I, I’m just, I know these are questions that are going to come up from the team as they’re working. So, I’m trying to ask them.
Niccole Russell (28:43) Yeah, yeah. I get that. And you have the option to do a one one demographic update as opposed to bulk. So you can kind of manage it better based on provider, if that’s the route you wanted to take as well. But yes, I get what you’re saying.
Naomi Denson (29:08) Yeah, but definitely a feedback request, that we can, we could take back for future updates. You can. So you can request the bulk demographic updates through this or like Niccole was saying from a provider specific profile and their payers, their existing enrollments. You could find that location. You can request the demographic update for just the one enrollment request. You could also request the revalidation from here. So when you request the revalidation from an existing enrollment record, it’s going to pre populate everything for you. All you need to do is choose the owner and then it’s going to show you which practice locations we have affiliated with that in our system. And then it’s going to just ask you, have you received a notice about your revalidation? Did you receive an email or a letter stating that it was due or with any special instructions that you can provide to us? So you can upload that here or you can check. No, and our teams will do their due diligence to follow the payer’s standard revalidation process or reach out to the payer to find out next steps and what’s needed.
Naomi Denson (30:18) So you can see on the payer’s requests, how our team indicates. So you can see the request type here, new provider enrollment, new group, enrollment, demographic update, et cetera. So all of the request types are shown here so that our team knows, hey, we’re following the process for a new enrollment or hey, we’re submitting an application for a demographic update, which is a completely different application process. So this is what tells them which process to follow for… the different types.
Naomi Denson (30:56) You also have the ability for any of these tabs, you can export them to a CSV file. So you can filter down and export certain filters or just… export the whole sheet. If you want to look at all of the existing enrollments or all of the enrollment requests, you have. Also in this tab is your caqh management. So this is where any providers that are enabled for caqh management will display their status. So it will pull in their last attestation date. And then when the next reattestation is due by it’ll go into acute status while it’s waiting for that initial review and then assigned processing completed or input requested. So we will request information via task either if the login that was provided is not working, they’ve changed their password. There is something blocking us from attesting, maybe it’s for another employer that doesn’t have any relevant information in the medallion. The provider’s medallion profile that the provider needs to update, that’s blocking us. They haven’t signed their caqh agreement, or if there are any other, you know, questions that are preventing us from completing that attestation, and then 60 days prior to the next reattestation, these would get pulled back into a queue for our team to assign out to have reattested by the due date.
Naomi Denson (32:31) Also on the providers tab, if the provider does want to participate in caqh management, I think I’ve covered this briefly before, but from the provider directory, when you scroll all the way to the right, there’s a check box here. So you would check that box if you want them to have their caqh profiles managed by medallion. This is not automated when you add a new provider and that’s because not all providers are going to share their logins. They don’t want us touching their caqh. So we don’t want to charge you for that by assuming. And then later on we aren’t able to update it because the provider doesn’t want us touching it or whatever the case may be. Once you check the box, you cannot uncheck the box. So you’d have to reach out to support or Niccole to have her disable that and stop the request. Any questions there?
Naomi Denson (33:26) You do have the, why?
Lia Hood (33:27) Does not, do you know why it doesn’t allow you to uncheck it out of curiosity? I.
Naomi Denson (33:34) Believe it has to do with the consumption tracking. So we don’t I’m honestly not exactly sure that.
Lia Hood (33:43) That’s okay.
Naomi Denson (33:44) The reason is just a blocker to prevent, you know, enabling it, having us working it, disabling it and interrupting the consumption tracking, I think. But the analytics tabs, you all have the pay enrollment standard analytics tabs, it’s going to show new enrollments request status. Yours looks a little bit different because we’ve updated our analytics reporting program… but it’s generally the same here. You’ll see all of the requests by status, what number they’re in any completed enrollments will have a report status, transition times has a report. So you can see how long it took to get from one step to the other. And then total requested time to enrollment completed. You also on the new reporting at the very bottom, you have turnaround time. So it’ll have average turnaround times that have been tracked by payor by state in total. So you’ll have all of that tracking there to see how long the turnaround times are by state or specific payor in calendar days, each of these chicklets will be exportable. So you can export it from each of the little, I call them chicklets little sections here. But we also added that other reporting for you guys as well. The payer. I think it’s payer summary report that shows all of the requests in progress and includes the existing enrollments that were loaded ahead of time. So you’ll have all of your reporting in one place.
Naomi Denson (35:30) You can see all of the enrollment requests by group. So if you want to look at a certain group, you can break it down by that, each group profile and each provider profile has their own payers tab here. So you can see any requests in process for that, under that group, for the providers and the group itself and the existing enrollments that fall under or are tied to that group in any of its practice locations. I… think that’s it that I have. Are there, what other questions do you guys have?
ShirleyHooker (36:08) I had another question. Let me go back into it real quick here. Great.
ShirleyHooker (36:24) Hold just one moment here. Okay. So I wanted to go to.
ShirleyHooker (36:36) Hold on. I’m getting there. I promise. Okay. Where, let me, I had written down the question. So let me get back to where my question was that I had written it down. Okay. What is the best way for me to look at a practice location? Payer? I went to the groups then practice locations… and then selected my practice. So the.
Naomi Denson (37:12) payers aren’t loaded under the practice locations, but from the group profile under payers, you can look at existing enrollments and filter by the practice location specifically. Okay? So it’ll show all payers that are associated with that one practice location. Okay?
ShirleyHooker (37:32) Okay. All right. So, yes, that’s where I need to go to, because my note was, what is the best way for me to look at the practice location, payers. I went to the groups then practice locations, then I selected my practice and I’m not seeing where I can view that location’s.
Naomi Denson (37:50) payers. Right? Yeah, the practice, the payers are not associated under the separate practice profiles. You have to look at it under the existing enrollments, and you can do that from a group profile or you can do it from the payers tab as a whole. So enrollments and then you can just filter by that practice location and it’ll show you all of the payers that have that practice location associated to it. Okay?
ShirleyHooker (38:15) My note says if I go to payers, then enrollments, it brings up all the payers. I can filter out that practice location tab when I, it’s given me another location along with Broward urology center. Okay? Yeah.
Naomi Denson (38:31) So, it’ll show, even if it’s got multiple practice locations, it’ll only pull the practice location you’re looking for. So if it does show multiple practices, it’s because that practice location is one of them.
ShirleyHooker (38:42) When you select the filter under practice locations, that little the filter there. And when I, that’s okay. So that is an example there. So you only selected downtown clinic right there, and then selected. Okay. But in the drop downs there, there are other practices listed. If I just wanted to filter out by one practice location, it didn’t give me that option because it gave other practice locations.
Naomi Denson (39:15) Yeah, that’s because, so, like on these, this practice location is the only one that’s associated for this one. They have three practice locations, but it’s pulling out this payor because it does have that practice attached to it. Okay? So although it has other practices, it’s only looking for any payors that have this link to it, but it’s not going to remove or hide the other locations that might be associated to that enrollment.
ShirleyHooker (39:42) So, I should probably have a tracker on my end. When a new provider is going to work at these three locations. These are the payors that they need to be enrolled with. According to those three locations… I need. Okay? I’ll.
Naomi Denson (40:04) just I’ll.
ShirleyHooker (40:06) make a tracker on my end.
Naomi Denson (40:08) Yeah. Just to make sure everything’s being requested… that needs to, yeah.
Lia Hood (40:16) And I think that’s part of the frustration is that we… don’t we’re having to keep outside trackers instead of being able to utilize the system and… to effectively manage the.
ShirleyHooker (40:33) Work. Does that make sense? It does to me too. Just having a new provider, I select their locations that they need to be going to. And then I should be able to have a list of all the payers that are at that are affected with those three’s locations, correct? That’s.
Lia Hood (40:54) correct. That is where this is a challenge where we cannot manage it all on the system… but that’s okay.
ShirleyHooker (41:05) Yeah, we’ll get it figured out.
Lia Hood (41:10) Yeah. Is there, I don’t see it and I don’t think there is… what are we looking for? Is there a way? And I really don’t think there is, but I’m going to ask it anyway.
ShirleyHooker (41:30) That.
Lia Hood (41:30) there, is there a place in here where we can tie like where we can put in a… I’m just going to call it what we call it in our other system like a checklist on a payer to say, yep, we’ve asked for all of these payers for this provider. We made sure that we did a request for all of these payers and have that list where we can manually say, make sure we can let me figure out how to say this. We can have it as a check and balance for ourselves in your system to say these are the payers that this provider needs to go to and we made sure we submitted them.
Niccole Russell (42:17) You have a notes section for each provider, but not really at a payer level.
Lia Hood (42:24) So, yeah. So the notes section, I’d have to take… my list that I have on the side, drop it in there and then make notes to it.
Niccole Russell (42:39) Correct. I don’t okay. Yeah.
Naomi Denson (42:42) That’s.
Lia Hood (42:45) at least something, it’s not ideal. Yeah.
Naomi Denson (42:49) Because you have their payer list in the provider profile, so you can do a quick look and see, you know, but,
ShirleyHooker (42:55) if.
Lia Hood (42:55) it’s a brand new provider. What I’m looking for is a place to check off that the team is required to check off to say, or have a place to say, these are all the payers that I submitted to and I’m noting that I did all these payers or?
ShirleyHooker (43:17) There’s still four to submit? And we’ve submitted six, correct?
Niccole Russell (43:22) Yeah. If it’s location specific, then you can add that in your notes as well. Yeah.
Lia Hood (43:29) So, I think Shirley, we’re going to have to explore our options here, but it looks like in the provider, it’s going to be that notes section.
Niccole Russell (43:36) And let me ask Naomi on the notes section. Are you able to edit a note or just add notes because that, I’m not.
Lia Hood (43:44) Oh, that’s it. Yeah, thank you. I’m.
Niccole Russell (43:46) not familiar with.
ShirleyHooker (43:53) And can a report be ran just off of notes for all providers?
Naomi Denson (43:59) Looks like, yeah, so you can, oh.
Niccole Russell (44:01) Perfect. Okay. Yeah. So you can edit a note instead of creating duplicate ones? Okay?
Lia Hood (44:09) Yeah, that was a great question. Thank you, Niccole.
Niccole Russell (44:11) You’re welcome.
Naomi Denson (44:13) You can, you can put in the list like this. And then, because when you put in a note, it’s going to show everything here. So you’ll see the full list and then you can just edit it.
Niccole Russell (44:25) And then, will you go to report builder and… pull provider report? Will you see if there’s a notes section in there? No? Okay. Yeah.
Naomi Denson (44:49) I don’t know of a way to report out notes.
Niccole Russell (44:53) Yeah, I don’t think there’s a report that will… Will?
ShirleyHooker (45:00) The report, the report will build a report for what has, for what payers have been submitted?
Naomi Denson (45:11) If you do the payer enrollment request report, yes, or you have again in the provider’s profile itself. Oh, that’s not a provider.
ShirleyHooker (45:21) You can export.
Naomi Denson (45:23) All of their payers in here… by provider, you need to see it specifically by provider. Okay?
ShirleyHooker (45:33) So, would all of the payers be added… and then make requests off of that.
Naomi Denson (45:45) No. So, the payers are added here as requests are made.
ShirleyHooker (45:50) Okay. So, it’s only as requests are made. Okay?
Naomi Denson (45:54) So, you’ll see which payers have been requested and,
ShirleyHooker (45:58) be able to compare that to your list. So it’s not going to show ones that, okay? So it’s not going to show. Like if I add all the payers to a, you know, a provider, it’s not going to show me which ones haven’t been requested yet. It’ll right? Okay. The payer only appears when the request has been made for the enrollment.
Niccole Russell (46:25) For the provider? Yes.
ShirleyHooker (46:28) For the provider? Yeah. So you,
Niccole Russell (46:30) can see a list of your payer names under payers, but the request itself, it’s only when you submit it. Okay?
Naomi Denson (46:44) I do need to hop to another call. Okay? If we need to set up some additional time for additional questions? Let me know.
ShirleyHooker (46:51) Okay. I sure will, I’ll get with the team and go from there. We added all of our cois to the provider’s caqh, we just need to go back in and add them in. Medallion. Okay. We wanted to get them into the provider’s caqh ASAP because we were getting hit with, you know, from payers and everything too. So, Marissa and Robin myself, we got them all done for the providers themselves. But now we just need to go in I guess and add them into here. Yes. So, all right. All right. Thank you very much. Let.
Naomi Denson (47:37) Me know if you have any other questions and we’ll talk soon, okay?
ShirleyHooker (47:40) And you’ll send the record, a link to the recording or the recording?
Naomi Denson (47:43) Yes, I will, it’ll take a little bit for it to generate. No worries. Okay. No worries. Have a good day. Thank you.
ShirleyHooker (47:49) Bye.
Niccole Russell (47:50) Bye.