Transcript
Melanie Cannon (00:00) hello? How’s it going?
Naomi Denson (00:03) Good. How are you? Good. Glad it’s Friday. Yes. All right. Here’s, Melanie. Cool.
Naomi Denson (00:20) Hello?
Melanie Cannon (00:21) Hello? Happy Friday.
Naomi Denson (00:24) Happy Friday. How are you?
Melanie Cannon (00:26) Good. How are you?
Naomi Denson (00:27) I am good. Glad it’s Friday.
Melanie Cannon (00:30) So happy. I’m so happy we got that caqh thing figured out finally.
Naomi Denson (00:34) Yeah, I’m just trying to, so we have like an inbox where they send our, the like keys and stuff typically, and I’m having trouble accessing it. So, I’m waiting for my manager to let me know that I have my access, so I can look to make sure that it’s there. And then I can get that set up… that’s awesome. But yeah, finally, yeah, they found it. She created the user. I just have to get the keys to finish the setup. I’ll let you know if there’s a reason I don’t have them.
Melanie Cannon (00:59) 17 times. The exact question I asked was the one you asked and I had her log in and show me and I was like that’s… what I asked you to find me. I just had name right there that’s the name of your account. She was like, yeah, that’s the name of the account and I was like,
Naomi Denson (01:13) and you just never told us?
Melanie Cannon (01:15) I was like, I’ve asked you 17 times about the name of the account. She was like, yeah, duh, Melanie, that’s the name of the account. And I was like, okay. Literally, two months later, I asked you this question, but sure.
Naomi Denson (01:31) Yeah… let’s see other data. Any progress on getting the other provider emails and all of that figured out yet.
Melanie Cannon (01:40) Personally, no, Noelle was on pto this week and the Michigan team was fighting us a bit on it last week. So Noelle was like, just give them the break. I’m already out of the office, let’s just like.
Naomi Denson (01:50) So, what is the on?
Melanie Cannon (01:53) Board to give me that information starting next week?
Naomi Denson (01:56) Do you know what their hesitancy is on giving the emails? Is that they don’t want the providers to be contacted? What is… that? Nick? Is that you might be… okay? I was like, who is that?
Melanie Cannon (02:14) It’s like my boyfriend’s in the other room? I was like that’s not me.
Naomi Denson (02:18) Is it that they don’t want the providers? They don’t want to give us the emails or they don’t have them or?
Melanie Cannon (02:24) Probably both. They’ve just been dragging their feet. They got a new leader of the market in January. And so she’s just been like we’ve just been having to like convince her. I was like we already put this in place and then they got a new market leader and she was just like, I don’t agree with this and we were like, well, we’re doing this anyway, it’s kind of just friction related. And I’m just not understanding no matter how many times we explain what this is. It’s a benefit for the provider. They were just biting us on it like made a ton of progress this week of like it’s a value add. As we’ve told you this is what’s going to happen like redoing all the faqs so they’ve just been dragging their feet, but it sounds like next week, hopefully we’re just going to be able to like finally push through that friction that I’ve been getting. They’ve just not been biting on it which has been frustrating, okay. But nothing you guys are doing and they’re just, it’s been taking so long.
Naomi Denson (03:20) Oh, yeah. Yeah. I just wanted to check in to see, you know, I have another customer that has like employed and contracted providers. So they’re having trouble getting the contracted providers emails, but they decided last week that they’re just going to go into caqh and pull them out of there. So I didn’t know that was an option. Yeah, I went back and I.
Melanie Cannon (03:39) might be able to do that, but I still have to get them to log into, their.
Naomi Denson (03:43) Portal. Yeah.
Melanie Cannon (03:44) Do that. So fingers crossed. Hopefully finally at the finish line of that and there’s been a lot of staffing changes and leadership changes and it’s just been a disaster but hopefully.
Naomi Denson (03:58) I get it. I get it. Well, the group enrollments, the group, existing enrollments are imported, Nick, do we have anything left out standing there? Not on the group enrollments? I think. Yeah. So now we’re just waiting on the providers which we’re waiting on emails for. So waiting on that there. And then I know we’re still kind of holding off on sending out communications to providers and invites and all that until we can run a cqh import. So we get a little bit closer to, yeah, we push that, go live date out to six one. I sent you the recommendation on splitting out the credentialing policies and procedures. Thank.
Melanie Cannon (04:35) you for that feedback. I’m going to work on.
Naomi Denson (04:37) That yeah, because I was looking at them at first when I flagged them to her and I was like it looks like there’s tjc privileging and in cqa here. So, I don’t like some of the stuff isn’t applicable in cqa compliant files. So she was like I would ask them to split those out so that they stay compliant with.
Melanie Cannon (04:52) Our, and.
Naomi Denson (04:55) then I still is Noelle, Noelle’s, been consistently out. She’s still out. I just haven’t seen the delegation agreement come back this way yet. I know you said it was signed last week, but I haven’t I asked her if she’s seen me on the DocuSign but I didn’t get it. So I didn’t know she only sent it to merit, so.
Melanie Cannon (05:12) She did say that DocuSign is funny sometimes, but she was under the impression that merit like got it from our legal department. It should have just gone straight to her. You might not have been cc’d on it.
Naomi Denson (05:22) Oh, okay. Okay. Let me check with merit.
Melanie Cannon (05:23) And see if she,
Melanie Cannon (05:28) I’ll ask her to get them to send it to your legal team again. Sorry, I meant to tell you that last week before Noelle went out, she told me that you likely weren’t going to get cc’d on it because docusigns are so weird sometimes when you send them back and forth that like people get left off of them.
Naomi Denson (05:44) Yeah. Let me, I’ll check with merit to see if she received it and if it’s signed. So I can just have the completed copy uploaded to your account. Yeah. Other than that, I don’t have anything else right now while we just wait for that other provider data. I’m going to get the caqh pdqs keys found. If I can’t find them, I’ll let you know.
Melanie Cannon (06:05) Okay, perfect. Yeah, thank you also for answering those questions I sent you the other day. Oh, yeah. I’m I don’t know. I’ve probably told you this before. We’re still trying to convince the other group at aledade to use medallion as well. That’s why we had to do the demo for Cindy and other folks. They’re between all of us not managing this process. They’re doing super well. They were like showing me some of the things they’re doing. And it’s like not even real credentialing.
Naomi Denson (06:30) And I was like, I used.
Melanie Cannon (06:31) to work like health plan credentialing, and I’m like what are you doing? Like why aren’t you just using medallion? And they’re like we just want to do it ourselves and they’re logging into like each individual payer portal and like submitting individual requests on every single health plan’s website for these providers. And I was like, you know, medallion just does that and they were like, wait what? And I was like, my God, yeah, we.
Naomi Denson (06:55) Do that for you?
Melanie Cannon (07:00) Which is a very challenging conversation.
Naomi Denson (07:02) They’re not understanding the purpose.
Melanie Cannon (07:04) Yeah. So it was a very, the set of questions I sent you was their questions about provider directories. Cause like the big thing that team dodged I think is silly. Their whole thing is that four times a year, they log into every single provider directory that they can, and manually check their provider information in those directories.
Naomi Denson (07:29) Four times a year. Why did, if the payer needs, they usually send out a quarterly directory, like review things. So they’re doing both. They’re doing it twice. Yes. Is that giving them any kind of benefit like other than something to do clearly?
Melanie Cannon (07:52) You just, you would have died as much as I did in this meeting with, I have yesterday. I was just like trying to fix my face so much that I was like, I called one of my friends from my old job and I was like, you’ll never believe what I just talked about with this person. It’s just insane because they’re manually requesting everything. They’re also not getting feedback from the health plans because they’re manually one off requesting, they’re not doing anything on rosters, they’re not signing into portals appropriately, like they’re not even getting the feedback from the payers. And so I was like, can you just please?
Naomi Denson (08:23) Do that? Are they tracking it anywhere? Are.
Melanie Cannon (08:26) they tracking it somewhere? They’re tracking like spreadsheets, but they’re convinced that the information they send the payers that the payers are totally miskeying everything in their systems. And I was like, I don’t think that’s happening.
Naomi Denson (08:39) Like what kind of issue, like what kind of things are they seeing that the?
Melanie Cannon (08:44) Payers. The example I got which I was like, I don’t think you’re correct about this. The example I got was provider… is not listed in the directory, but they’ve always been, I say this loosely always been credentialed with this payer. And all of a sudden, they’re not listed in that directory.
Melanie Cannon (09:00) And I was like, well, that to me says they lapsed on recredentialing and they didn’t do that and, or contracts change. And when you look at what, you know, when you work with the payers, if you’re a contract terms and a new contract is reinstated, you still have to flip them over. It’s like they’re on the old contract. And then they’re on the new contract. And she said, well, they’re submitting claims and I was like, are.
Naomi Denson (09:25) you getting paid for them?
Melanie Cannon (09:26) All they want? I don’t know if they’re getting paid, but I.
Naomi Denson (09:29) can submit a claim. I don’t mean they’re going to pay me… any.
Melanie Cannon (09:35) Claim with the correct codes on your date of service. If all that’s correct, it’ll go through. You might not get paid for it, but it will go through. So, it’s a little bit painful. I’m trying to slowly convince them to work with you guys too, because there’s a lot about that process that I don’t think is right that they’re doing and it’s not.
Naomi Denson (09:54) And it sounds like they’re creating a lot of extra work for themselves. Yeah, they could have so much more time for activities.
Melanie Cannon (10:03) They could have all the extra time to manually check provider data directory.
Naomi Denson (10:07) Yeah. Let them know that now when they make a request in platform, there’s a new feature that you can select if you want them listed in the directory or not.
Melanie Cannon (10:17) Oh, that was the other thing. It showed me like a template. I was like every payer asks if they go in the directory. I did it. That was an outfit. I was like that’s what they ask you specifically. It’s a question. Yeah, wants to be in the directory? Is it open or closed panel? And she’s like, no, they don’t not all payers ask that. And I was like, who are you working with which?
Naomi Denson (10:36) Applications, are you filling out? Are they filling applications out from? Like she showed?
Melanie Cannon (10:43) Me a portal user request form to access the portal. It wasn’t the credentialing form. I was just like… really hurt my brain. So she’s just.
Naomi Denson (10:53) registering for portals and not actually enrolling them.
Melanie Cannon (10:57) That’s not effective. I’m wondering why they don’t show up in the directory. Okay? That’s how I felt yesterday and I couldn’t say that to her because she didn’t want any of my feedback. But in my head, I was like, you didn’t even enroll them. That’s why they’re not there. You actually didn’t enroll?
Naomi Denson (11:12) Them, you registered them for a portal that doesn’t do like anything? Nothing at all. Well, thank you for. I.
Melanie Cannon (11:22) Just thought you could enjoy a little laugh on our party.
Naomi Denson (11:24) Yeah. Now, I have to go tell people.
Melanie Cannon (11:27) Yeah, just don’t tell you what don’t just don’t say came from us. Just be like, I’ve heard people are doing it this way. Yeah, I’ll.
Naomi Denson (11:35) tell them you have nothing to do with that process. I was.
Melanie Cannon (11:38) Like, please, not anything. I was sitting there like, good God, you need help, yes?
Naomi Denson (11:43) Please, let us help you because we can. So, yeah.
Melanie Cannon (11:46) When Noel gets back, I’m gonna have that conversation with Noel and that woman’s boss to say like I listened to what your process is. It’s not really what this should be and you guys could be using you?
Naomi Denson (11:57) Guys are probably losing a lot of money thinking that you’ve enrolled. Like are they getting confirmations from payers at all? Or tracking enrollments that they think they’ve submitted to follow up and confirm? And yeah.
Melanie Cannon (12:10) They’re just,
Naomi Denson (12:10) registering them for portals and be like, all right, we’re done. Yeah… yeah. Okay. I.
Melanie Cannon (12:18) was like that’s why I asked you those questions with medallion. Everything you key into medallion goes right to the payer. That’s what’s uploaded to the payer. You can look at it. You can make sure it’s right when it goes into medallion. And then it can go right to the payer and you’re like, but does the payer confirm it’s in there? Does the payer confirm it’s in the provider directory? And I was like payer software goes directly to the provider directory. It’s just what it is. You put it in one place and the system flows into the next one?
Naomi Denson (12:48) Yeah. And then we have our follow up where we’re contacting the payers and checking the portals to make sure the applications have been approved, verifying the effective dates id numbers that they’re linked to the tax id.
Melanie Cannon (13:01) There’s a whole process.
Naomi Denson (13:03) After you submit, that has to be done to make sure because I mean, you said they’re not getting any communications from payers, so they’re not getting any requests for additional information or next steps or?
Melanie Cannon (13:15) Yeah, they’ve set up this process that gives them more work. It’s basically the impression that I got from that… process. Yeah, let me know how your.
Naomi Denson (13:27) conversations go and if they’re going to come over.
Melanie Cannon (13:32) That’s the hope they really should because it’s aledade gets paid by these providers to do this process, it’s like we’re making the money. It would just be a pass. You’re.
Naomi Denson (13:42) paying for us to do it, but you won’t let us do it. Yeah, because you want to do it your way, which is wrong. Basically, yeah, and costing you more money. Because you’re doing okay, I’m tracking with you.
Melanie Cannon (13:56) Happy Friday. Everybody. Yay.
Naomi Denson (13:59) I’m glad I’m not you right now and having to figure out how to.
Melanie Cannon (14:03) Yeah, it’s just going to be a little bit of a political nightmare. But so I have to ask Laura when she gets back next week.
Naomi Denson (14:08) Yay. Yeah. Let me know how that goes. I’m curious. All right. Anything else that I can help with that?
Melanie Cannon (14:15) What was that?
Naomi Denson (14:16) Anything else that I can help with that? Like any other questions that they have or I don’t think.
Melanie Cannon (14:22) So, I’m probably just going to push her.
Melanie Cannon (14:24) I’m going to push the email you sent me back. I’m going to forward that to her and say like this, you know, we talked yesterday, but here is, you know, what medallion wrote back to me and just say, like if there’s any other questions you have or like do you want a demo or like talk at all about it more and kind of start there.
Naomi Denson (14:40) Okay. Didn’t we do a,
Melanie Cannon (14:41) demo for Cindy, her boss.
Naomi Denson (14:45) Okay.
Melanie Cannon (14:45) Actually, we didn’t have to do the demo that’s right? It’s recorded. I can just send her that, yeah.
Naomi Denson (14:49) If you need the recording again, let me know.
Melanie Cannon (14:51) Probably, if you don’t mind sending, that would be easier then I can just send that over with the questions that you guys answered. Yeah, just reconfirm that I talked to you guys today and like you follow up with the payr about everything and like everything.
Naomi Denson (15:03) In their system? Yeah, we follow up from submission every two weeks until they confirm that it’s completed. And then you receive a notification that they’re enrolled and networked. And, yeah… yeah, I’ll resend you that demo recording so you can try to get a leg up there.
Melanie Cannon (15:19) We’ll get there slowly but surely, yes.
Naomi Denson (15:22) All right. Well, I hope you have a wonderful weekend, yes?
Melanie Cannon (15:24) You too. Enjoy?
Naomi Denson (15:26) Yes, ma’am thank you. Bye guys.
Melanie Cannon (15:27) Bye, talk to you next week.