Transcript
Amy Barfield (00:00) how’s it going? How are you?
Addie Oh (00:03) Doing good, crazy that it’s already April, but I.
Amy Barfield (00:08) feel.
Addie Oh (00:09) like the year is already flying by. I know I,
Svetlana Vinokur (00:13) know. I.
Linh Nguyen (00:14) Can’t believe it’s mid April. I,
Addie Oh (00:16) know, right?
Linh Nguyen (00:17) Like when did that happen?
Svetlana Vinokur (00:19) Alright. Do.
Amy Barfield (00:21) you want to discuss anything before I let Svetlana in,
Addie Oh (00:26) The, just to recap, the only thing on our end that we wanted to like bring up was her feedback on the like practice location, like check or like, that drop down, she thought it was confusing. So, I have there’s like a really quick video demo that I wanted to get her feedback on. But outside of that, we had no other topics. So, I guess we’ll just let her talk. I’m.
Amy Barfield (00:46) sure. She’ll have something. Okay, cool. Alright. I’m adding her now.
Amy Barfield (01:03) Hello? Oh, you’re muted?
Svetlana Vinokur (01:09) Okay. One more time?
Amy Barfield (01:12) Okay. I can hear you. How are you today?
Svetlana Vinokur (01:17) I’m good. I’m heading back to Chicago later today. So, a little bit sad, but.
Amy Barfield (01:24) Oh, yeah. Traveling for work is never fun. Alright. Well, I think Addie and Lynn have some things to share with you today, so.
Svetlana Vinokur (01:35) I guess, Amy, I’m warning you, I’ll have four hours on the plane today.
Amy Barfield (01:39) Okay. With.
Svetlana Vinokur (01:40) The internet, you know, what I will be doing?
Amy Barfield (01:43) I know I fully expect it…
Addie Oh (01:48) Amazing. I just had one quick thing and I think it was based off of feedback you had last time, Svetlana around, like being able to select all of the practice locations on a dropdown more easily. This is just a design mock. So this is not live yet, but I just wanted to check that, this is like what you were talking about. And so sorry, this was my recording of it. Let me move to the actual section. Okay? So, when you go to practice locations, if we just add a select all, so you can like pick all the options normally. But if we added a select all to the top here, does that help you? Is that what you’re looking for or was there some other place that you were trying to do a select all that?
Svetlana Vinokur (02:30) Yeah, yeah. Yeah. So the only question I have kind of so on, if, when I click select all, will it only select the active ones? Because remember, we talked about that, we’re going to have active inactive, archive now, right? So,
Addie Oh (02:47) Right now, this is all of them, but we have a upcoming feature that I don’t know Lynn, if that’s what you were coming off mute to talk about where we will be indicating the like terminated versus the active.
Svetlana Vinokur (03:00) One, right? Right, right, right. That’s what you, Lynn previewed that it was awesome. Yeah. So I think select all will be great when we can, select just active ones, right? Because, because that’s the feature where we’re going to use for people that we want going forward kind of, right? So, so, that would be kind of because I’m afraid right now, if we’re going to say select all and it’s going to select duplicates or deactivated, that just might be more noise.
Addie Oh (03:34) Got it. So, you think it’d be most helpful to wait till we have the terminated ones indicated, then you have to select all just for the active.
Svetlana Vinokur (03:43) How long… do we need to wait? I,
Addie Oh (03:48) think we’re tracking for that terminated practice locations to be released by the end of this month, so.
Svetlana Vinokur (03:54) Okay. Then, yeah, I think we can wait. Yeah, I think we can wait and then have this as part of that as well. Then that would be, that would be, that would be great. Cool. And maybe when you can say like select all active, right? All locations kind of or.
Addie Oh (04:11) Give you options for select all with everything versus active. Okay. Exactly. Yeah, let me note that down, but that totally makes.
Linh Nguyen (04:18) sense. Yeah, the way that it’s going to work when we release the closed practice location will be any location that is marked closed, won’t be won’t.
Svetlana Vinokur (04:27) Even appear on the.
Linh Nguyen (04:27) List, right? Yeah, it won’t even appear in the list. So the,
Svetlana Vinokur (04:30) select all will be, but, you know what, okay. So, but then how do you deal with the fact is, let’s say we still, it doesn’t happen often, but we might need to have a add closed location to the enrollment because we are so behind or we do retro or something like that.
Linh Nguyen (04:50) Yeah. Would that be, would a demographic update work in that case?
Svetlana Vinokur (04:56) Not necessarily. It can be a new enrollment as well. Okay. Yeah, it doesn’t it should not happen. But it might right people miss the location when they did the original enrollment or something kind of, and I’m, just thinking right now, I mean, we’re losing so many facilities right now like this, right? So, that I’m having a lot of enrollments, with the term facilities that is still pending, yeah.
Addie Oh (05:31) So, there’s some cases where you would want to be able to add a closed.
Svetlana Vinokur (05:37) Location to a new provider, not the probably not the archive ones but the term.
Linh Nguyen (05:43) Yeah. Okay.
Addie Oh (05:47) Yeah.
Linh Nguyen (05:48) Our team will need to take that back.
Svetlana Vinokur (05:51) But,
Linh Nguyen (05:52) yeah, it’s good to hear that you do have a use case for that. Yeah, I.
Amy Barfield (05:57) mean, I think it would kind of work the same like we do for providers where you turn the provider, but you still have open requests. You can still make requests or open requests, but I don’t know how you reflect that like can you put termed in the profile? And there’s some kind of indication that this is a term, but we still have open Ar, you know? And so we’re still?
Svetlana Vinokur (06:20) Submitting requests, well, technically, when there’s no Ar, right? Or anything, then it’s going to go to archive. It’s going to go to archive, right? And it’s kind of gone, it’s almost like in the enrollment, you need to have select all active locations. And then do you need term locations? And then if the question is, yes, then you, I guess from the list, maybe pick which term locations you need.
Linh Nguyen (06:45) Yeah. I hear you on that. Well, yeah, we’ll have to bring it back to the team because when we were testing with other customers too.
Svetlana Vinokur (06:54) Yeah. It’s not, it’s not like, you know, it’s not, it should not technically happen a lot, right? It will given kind of how long the… it might take sure.
Linh Nguyen (07:07) Yeah. All of the in progress enrollments though would still remain open, so.
Svetlana Vinokur (07:13) Yeah. Okay. Even if you, okay?
Linh Nguyen (07:15) Yeah. Right. Even if the location’s closed, yeah.
Svetlana Vinokur (07:19) Which is good because we ran into this issue. We deleted all the location. Now, we have a bunch of enrollments with zeros.
Linh Nguyen (07:25) Right. Yeah. We’re trying to, this is like specifically because that kept on happening with Theoria. So we want to make sure we address it.
Svetlana Vinokur (07:32) Yeah. Okay. Excellent. Well, making good progress on some of those things. So we appreciate that. Amy, I got a contact from blue cross blue coast Michigan as well. So I’m going to try to connect with them as well. So, I’ll.
Amy Barfield (07:56) come a few times. Good. All right. Did you have anything else that you wanted to discuss as far as medallion I?
Svetlana Vinokur (08:08) Mean, you know, I think in my case, kind of, and you may have seen it like people actually need to use the features that are there, right? Like, so we have seen quite a lot of not selecting partial enrollment and completing it in that way that you guys made yellow and greens kind of. So, yeah, and I don’t know if there’s a way to almost force them to do it so they can’t kind of go further until they actually like make it, they complete that information because I have, I see that a lot actually, right? That they say, oh, it’s partially completed, but it doesn’t really like indicate where partial completing unless it’s in the notes somewhere, right? So, yeah.
Amy Barfield (09:01) I wonder, so when someone is, it’s in a follow up status and they have to do a follow up right now. It’s just manual, like they put in a manual note if there’s a way to say, like when they’re doing the follow up, were any locations approved or were any, and they check a box. And so, it forces like a partial completion automatically versus like they have to answer a question before it, you know, goes into the next follow up status. And that happens prior than to putting a note. So, it knows like, okay, yes, you could put a note and then it, you,
Svetlana Vinokur (09:44) know, does that make?
Amy Barfield (09:45) Sense? Like then it asks like what are the effective dates and blah blah, blah, yeah.
Svetlana Vinokur (09:53) Because, right, because right now, they, it’s inconsistent, right? How people use, the system and you have this great feature, that you can have a partially complete to show which locations and which, which lobs, but very often it’s not done. So, are.
Linh Nguyen (10:13) you seeing that, like there will be a note attached that says like some locations are effective, but it doesn’t appear in like the,
Svetlana Vinokur (10:20) exactly. Exactly.
Amy Barfield (10:22) Or even lines of business? Yeah.
Svetlana Vinokur (10:25) Lines of business. Yeah. So.
Amy Barfield (10:27) I mean, I understand why you wouldn’t want to do a partial completion on lines of business, for other clients. I think it’s a little bit different for Theoria, but,
Svetlana Vinokur (10:38) I, there.
Amy Barfield (10:39) Is a, and you may get with Emily or Pete, you know, Nicole, there is a structure that they require for leaving a follow up note. Sometimes it’s consistent and sometimes it’s not. And so if there is like a stagnant note that happens every time, can that not be in the follow up where they have to fill in this blank? You know, like of effective date revalidate? I mean, we have some of that, that’s already there. Sure that won’t let you move forward. But if there are approved locations or you’re saying no, there aren’t any or.
Svetlana Vinokur (11:12) You know, yeah, got it. And I would say that, you know, like, so I really like kind of how in the top you have like the locations and I open and I see some green, some yellows, right? But we don’t have the same for lobs, they’re all just in line one line, kind of, right? Yeah. And it would be great if we have the same for lobs, because that way, I know right away, okay, my medicaid green, my medicare yellow kind of, right? Because that’s where we need to, then if they do it correctly. Okay, then I need to scroll down and look at the location and look kind of which lobs is there? Sure. But it doesn’t say easily what’s missing on lobs. And so, I don’t even know how medallion people kind of know quickly what needs to be done on the follow up because to me, like I read some notes and I was like I need to decode them. Like how do they know what they need to follow up on? Yeah.
Linh Nguyen (12:13) I’m curious for the lobs piece like how do you see that working with the locations? I think one of the challenges that I encountered like while thinking about this, like access is like some lobs can be processing. Does that mean that all the locations are also processing? Because it’s like one lob could be done, but that means that the other lobs are not done for all the locations. So like, how do you? Well?
Svetlana Vinokur (12:36) And that’s where you have it all at the bottom, right? You basically have that here’s, the location here’s, all the kind of right for that location, right? But at least in top because typically, so at the top lob, that will show that it’s for the group or for whatever it is, right? Because if it says that it’s done, then at least I know I’m done with the lob, yeah, then I need to see for which location they’re done, right? And that’s where it’s below. You can see that. But at least I know that lob is done for the provider or for the group. And then the only thing I need to do is then either at a location if it’s not done for a location or I need to rebuild. But now I don’t even have that indication kind of overall kind of right? No matter for which location do I have the lob or not? Yeah.
Linh Nguyen (13:31) So, are you, would you expect to see like let’s say that managed medicaid is done, but the other commercial and medicare advantage are processing still, if managed medicaid reflected as done? Would you still expect all the locations to be like processing? Like still in progress? It would just be like that one lob for all of the locations is done?
Svetlana Vinokur (13:53) Well, so like let me just see if I can. So like for instance, this one is, well, this is medicaid. So it’s not going to have different lobs, right? But when I come here, right? I look here and I see the locations are being processed, right? And I see that I have this three locations is still processing. But if I would have here under this lobs, traditional medicaid have a green, right? Then I would know kind of that. Okay. So for this person, I have that medicaid done, I can just now see which locations. And then when you come here, then you see all the kind of information, right? Like in here, this is kind of a comprehensive information. You will see by practice, which lobs are here, right? But at least right in here on top, it will indicate, oh, provider, I have this. So just to have the same green or yellows kind of right here, sure. So.
Linh Nguyen (14:56) Would you expect, if one location is done, the traditional medicaid lob would be completed?
Svetlana Vinokur (15:02) Green, right? It would be green. So at least it tells me that this provider is already enrolled, right? With whatever they are, they’re already enrolled. And then I can scroll down and see like, okay, for which locations kind of right? But it’s because right now, if I look at maybe if I hold on, look at this provider… let’s look at the bluecord blueshield, maybe like this is a better example. Oh, why are we not even here? That’s interesting that we don’t even have the Massachusetts… like look at this kind of interesting, right? So, on four nine, there’s a welcome letter. So she is enrolled. Okay, like look at this. She’s enrolled with all of this and yet… this doesn’t reflect any of it.
Svetlana Vinokur (16:02) None of it is added in the notes that we actually received the latter… and we actually have Amy, we actually have hmos and medicare’s and all of this done. Look at this.
Svetlana Vinokur (16:21) So this is even more interesting that they don’t even update anything. So technically this is done and I don’t have that even reflected.
Svetlana Vinokur (16:42) Well, so why are they following up on lobs? If this letter says very quickly very clearly isn’t it very clearly with lobs, look at this, Amy, and they’re keeping it open because they’re following up which lobs are in that work… Svetlana. Do you mind going over?
Addie Oh (17:05) The logic for the lobs, again, sorry, this is not something I’m as familiar with like I definitely understand that, like you want to see the status or the progress of the lobs, yeah.
Svetlana Vinokur (17:14) So, lobs, right? Like a lot of insurance right now have commercial medicare medicaid that’s like the most, right? Like, so, yeah, and it’s very important to know that what we have, what we don’t like for instance, let’s look at blue cross, blue shield of Michigan because that’s my pain point of existence. So Michigan.
Addie Oh (17:49) Or maybe specifically, what I’m curious about is like, is it you would expect to see an lob marked as completed when all of the practice locations with that lob have been?
Svetlana Vinokur (18:00) Completed. No, no, because if location is not, if location is not complete, it will show like yellow, right? But once the lob, once the lob, completion means that something is done. So that provider is with that lob, under which location that locations will show, whether they’re green or yellow, right? So, let me see like this one… let’s see if it’s let me see, okay, partially completed. Look at this. Okay. So, I have this Guy, right? And I have 90 locations right now. It says that managed medicaid is only done, right? So, ideally, in this lobs, I’ll have a drop down menu. And under traditional medicaid, I would have a green. And then, and then for locations, I can go down and see which locations have my medicaid done. But all the others will show yellow if it’s right? Because I thought that didn’t we got the,
Svetlana Vinokur (19:21) I see the contract signed right? Effective to one under it was bluecare network of Michigan. So, see, but it’s not reflective any anywhere here again.
Svetlana Vinokur (19:38) So, then bluecare, that’s medicare advantage, right? Plan Amy so that we should show green and then depends on which locations they will add that it’s medicare here. But when I come here, I would know kind of okay group is involved in medicaid and medicare because that’s what I care first. And then we care about locations. But first, we care about this whether we are actually enrolled with lobs or not.
Svetlana Vinokur (20:11) So that’s the first kind of right? And then location secondary… because I can’t enroll with locations unless I’m enrolled with lobs, got it.
Addie Oh (20:22) Okay. I think that’s helpful. So you’d want to see like if the provider has been enrolled with or what the status? Yeah.
Svetlana Vinokur (20:28) It’s the same kind of, blue, yellow and green as you guys have like would be great on the lobs here as well.
Addie Oh (20:37) Maybe the case that’s still a little confusing to me is the yellow case like, so yellow then is just in progress. So that’s like.
Svetlana Vinokur (20:43) We haven’t gotten it. And then.
Addie Oh (20:44) Green is just, we got at least one. Okay?
Svetlana Vinokur (20:47) Cool. Yeah, it’s processing, right? Kind of so, and then see they’re all yellows, right? Because only medicaid is done. See all the locations are still yellows because only medicaid is done. All other lobs are not got.
Addie Oh (21:04) It. Okay. Yeah, I think that makes sense. We’ll take that.
Svetlana Vinokur (21:07) Back, that would be very valuable because that, and for, I think for medallion for Amy, for all of us just to see, oh, okay. So this enrollment, we’re already done with medicaid, what’s still outstanding because I actually saw Amy commercial was done too. But maybe I’m just, I don’t know like now it’s so confusing what we have, what we don’t have.
Svetlana Vinokur (21:36) So, like I don’t even know like right now, Amy, when medallion follows up with us, like how do they know what they need to ask or not?
Amy Barfield (21:49) Oh, that’s a great question. And I think that’s probably why some of the follow ups have been inconsistent. Yeah.
Svetlana Vinokur (21:57) So, but knowing, like I think if you have this, then, you know, exactly kind of what’s still outstanding. So, and it’s interesting. So like that they loaded the contract effective to one, but they didn’t mark it anywhere as, you know, they probably should have marked it here or if we would have ability to mark it under lobs, it would have been marked under medicare advantage.
Svetlana Vinokur (22:34) So, I would say this would be a really big improvement for everyone.
Addie Oh (22:51) Well, I wrote that down. We’ll chat with our team internally on, yeah, better understanding like how we can set up that logic. But I think what you’re asking for makes a ton of sense. So.
Svetlana Vinokur (23:02) I think it will help your own people to follow up quite honestly.
Svetlana Vinokur (23:13) So, Amy, can we look at, can someone look at this Michigan kind of and figure out what do we have? What do we don’t have?
Amy Barfield (23:22) And I think I have it lined out in my follow up that I’m going to send you today, but I’ll make sure that it’s on there for sure. Okay?
Svetlana Vinokur (23:30) And just in the system, yeah, I will not be able to join the call tomorrow because I’m double booked unfortunately, but we can catch up on Wednesday. Okay. Oh, look at this.
Amy Barfield (23:42) Your meeting’s tomorrow, right?
Svetlana Vinokur (23:45) Yeah, I will not be able to join that one, okay?
Amy Barfield (23:48) I just want to make sure that I get you your follow up to, oh, yeah.
Svetlana Vinokur (23:52) Yeah. Before your meeting, so this… is for complete Michigan. So here, yeah… isn’t it complete? Michigan is only medicaid. So I don’t know why all these lines were added. Yeah, and I think.
Amy Barfield (24:16) That creates confusion too for our team. Like if you’re requesting all lines of business, then they just continue in this follow up for like lines of business that don’t even exist here.
Svetlana Vinokur (24:24) But, this was requested by medallion, you know, in that auto, in that big, oh, bulk update. Yeah, see like it was requested by medallion, you see? Yeah. So, but yeah, because medicare complete is only… medicaid. And so… yeah. Okay. Yeah. All right. Figure out what the, yeah… we need to figure out what, what’s happening with my book. Okay?
Amy Barfield (25:05) Any other questions from our side to?
Svetlana Vinokur (25:07) Clarify anything?
Amy Barfield (25:10) No, I.
Addie Oh (25:11) don’t think so at the moment. But, so Alana, I know we’re chatting later this week too? Yeah. Again, so, I’ll see you in like a couple of days and then, yeah, we’ll.
Svetlana Vinokur (25:22) do a little bit.
Addie Oh (25:22) of discovery on the lob thing. Okay? I think, yeah, maybe we can chat even before our next call.
Svetlana Vinokur (25:29) About that. Yeah, whatever kind of, you know, I, I’ll always find time for you guys, amazing.
Addie Oh (25:35) We really appreciate that. Thank you so much.
Svetlana Vinokur (25:37) Okay. Thank.
Amy Barfield (25:39) You. All right. Thank you. Have a safe travel.
Svetlana Vinokur (25:42) Bye bye.