Transcript
Sandhya Kapila (00:00) hey, Ashley. Hey.
Ashley Johnson (00:01) How are you? I’m.
Sandhya Kapila (00:02) good. Thanks. How are you? I’m good. How was your weekend?
Ashley Johnson (00:08) It was really nice. I had alone time.
Sandhya Kapila (00:12) Oh, good. Alone time is nice. That’s always great. Do you have kids yet?
Ashley Johnson (00:20) I’m sorry, do.
Sandhya Kapila (00:21) You have kids?
Ashley Johnson (00:22) I’m just very involved in my niece’s and nephew’s.
Sandhya Kapila (00:24) Life? Oh, yes. Okay. So, you’ve got, yeah, that’s nice alone time is great.
Ashley Johnson (00:30) Yeah. My sister’s an RN at the local hospital out here. So, she needs a lot of help. Sometimes alone time is great.
Sandhya Kapila (00:40) That’s fantastic. I love it. I hear you. Well, good. I’m glad it was a nice weekend. Hey, Lauren. Hey, Niccole. Hey, Naomi. Hello. How are you guys?
Lauren Henderson (00:53) Good. How are you? Good.
Sandhya Kapila (00:55) Thank you… all. Thank you guys so much for being able to shift for today. And next week, my manager’s out of town. So, I’m just covering for one of his meetings, which just happens to be at the same time as ours. All right. I will go ahead and start sharing my screen and I invited Niccole here in case you guys had some payr specific questions that she could help answer.
Sandhya Kapila (01:29) All righty. Lauren, did you have any questions on the payrs?
Lauren Henderson (01:36) Don’t think so unless something was pending, I don’t remember.
Sandhya Kapila (01:41) Niccole. Was there anything additional that you needed?
Niccole Russell (01:45) There’s not, no. I responded back to your email on the two. What was it? Blue cross and medi? Cal? I had responded back via email. There. Does that make sense to you?
Lauren Henderson (02:01) Yeah, I think it, did. I remember looking around if I.
Ashley Johnson (02:03) had any other questions? Okay. Yeah.
Sandhya Kapila (02:05) That’s.
Ashley Johnson (02:05) all that we.
Sandhya Kapila (02:06) had, okay. Perfect. Great. I just wanted to make sure because I knew questions were coming back. So I wanted to make sure that if there was something she was here, yeah.
Niccole Russell (02:17) Well, let me know if you need me, Sonia you all have a great day.
Sandhya Kapila (02:20) All right. Thanks, Niccole. See you. Thanks. Bye. All righty. Okay. So, a couple of things as we’re well, actually let’s just chat through the data first on the caqh bulk import side of things. How are you doing, Ashley?
Ashley Johnson (02:38) I met with our generalist and I think almost all of them were resolved. So if we could run them again just to see if anything’s still popping up, there was a couple of them that might still pop up. Marlee, David and Luis, I don’t think actually, I’m not sure Luis Alman was even on the error list, but Marlee refuerzo, and David tichualli, were on there.
Ashley Johnson (03:07) We’re still trying to get in touch with them, but everybody else seems to have had their error fixed when I logged in. Okay, cool. So, if anybody else pops up, let me know and I’ll get on that today.
Sandhya Kapila (03:21) Perfect. I’ll rerun it right after this call. Cool. And Naomi, I think you were looking at something last week too. Do you recall?
Ashley Johnson (03:37) I think one of them was for fontas, and ioco, and we had no, I think she actually went in. It was somebody who had an error. And when we went into their caqh, it looks like we did what we needed to, but they were still not pulling over properly.
Naomi Denson (03:57) Yeah, Toya.
Ashley Johnson (03:59) Toya. Okay. Thanks, Lauren.
Naomi Denson (04:02) Yeah. Try. Can you try to re sync that one now? I think that one we were, it looked like everything was needed and we just said we needed to give it some more time and try to re sync it and see if it’s like a.
Lauren Henderson (04:17) Delay or?
Sandhya Kapila (04:19) Sure. Could you remind me what the, who it was again, please?
Ashley Johnson (04:23) Send Toya Joyner S a NT. Yeah.
Sandhya Kapila (04:27) Oh, it re synced go.
Naomi Denson (04:30) Back up to the completed one and see it. Yep.
Sandhya Kapila (04:35) Sweet. That worked. Awesome. Okay. I will run all the other ones. Again. There was this one unresponsive provider sulangi, blunt.
Naomi Denson (04:51) Her error also.
Ashley Johnson (04:52) Showed that she had an outdated attestation, but we were able to fix that last week.
Sandhya Kapila (04:57) Oh, perfect. Okay. I’ll re run hers too. Great. Wonderful. And I’ll let you know as soon as I get a response for those, perfect. Yeah, fingers crossed, it’ll be successful. Okay, cool. Provider enrollment and group enrollment. Lauren. I know you’re working through all of these. How’s it going?
Ashley Johnson (05:22) Good.
Lauren Henderson (05:23) I made a good amount of progress last week… on both and I think I have everything that I need. The group enrollments. I have a ton of meetings today. I’m hopeful I can get it done today. I’m going to just work on that in my openings. I think I only have one more that I was waiting on and I heard back from the payr, but just to confirm like anything that I’m highlighting, we can end up going in later and updating. And if I don’t have that information, is that correct? Because this is really our source of truth based on what we know and understand. I just don’t want to hold anything up if I can’t find effective dates or revalidation dates or any of that stuff. Yeah.
Sandhya Kapila (06:12) That is fine. And we can mark it as na. Okay. We can leave it highlighted just so you keep record of it as well. Okay? But you can mark it as, na, here. Okay. Yeah, I’m.
Lauren Henderson (06:22) trying to keep notes too of things that like I need to go back and update and all that. I think the last one, I just was going to double check blueshield. Com based on what we talked about last week with Niccole. And then, yeah… I think most of the other ones are done. But la care baby is the last one and I think they emailed me back on Friday with everything… it’s just like they don’t have one central place unless you ask them what the addresses are and I didn’t have all the information.
Lauren Henderson (06:58) So luckily, they’ve been slowly getting back to me with what they have connected to us and a lot of them still have like closed locations, which is what prompted me to ask you about some of those other closed locations, just making sure they’re in there so that we can start removing them too. I did put, so I’ll let you know as soon as I’m done with that. And then I’ll keep working through the provider enrollments.
Sandhya Kapila (07:26) Okay. That sounds great. Cool. And I will add these ones into.
Lauren Henderson (07:31) Oh, I didn’t highlight that field practice one, but that was.
Sandhya Kapila (07:33) Yeah, that’s great. Perfect. I,
Lauren Henderson (07:40) don’t know, I don’t remember when we opened that po box for the field office, but, okay.
Sandhya Kapila (07:47) That sounds good. And the emails and stuff should be the same here too.
Lauren Henderson (07:52) Yeah, that’s fine.
Sandhya Kapila (07:53) Perfect. Okay, awesome. Great.
Lauren Henderson (07:58) So, group enrollment should be done for sure if not today tomorrow and provider enrollment.
Lauren Henderson (08:05) I’d love to say this week. I’m just not sure that I can get to it all this week, but hopefully by like end of day next Tuesday for sure.
Sandhya Kapila (08:16) Okay. Cool. I’ll just put down that you’ll let me know.
Sandhya Kapila (08:26) Cool. Sounds great. Okay. I’m going to just go back here on the custom provider invite. Do you have any customizations that you want included in that invite that goes out? We would recommend just putting in your logo. So, do you want me to send you that? I mean, I sent that notification like way at the beginning. I could pop it back over. So it’s at the top of your inbox.
Ashley Johnson (08:52) Yeah, I would appreciate that. Sorry, I think I dropped the ball on that one, no.
Sandhya Kapila (08:56) Not at all. I mean, we’re still working through this and so, yeah, I can totally send that over.
Sandhya Kapila (09:14) And on the caqh management side, just wanted confirmation. We, I know in our contract with you guys, we have 112 seats… for the caqh management and I believe we have… I’m just taking a look at the, we have 81 for our, so we’re good on that list. Just wanted to confirm who we can or rather if we go gonna go the opposite way, who we should not be enabling for caqh management.
Sandhya Kapila (09:55) It… doesn’t you don’t have to answer right now, but just something to think about.
Ashley Johnson (10:00) Yeah, I think if we don’t get an answer by today, then those three that we were talking about earlier, Luis, Marley and David would be three. Okay. But as of right now, that’s it. Okay?
Sandhya Kapila (10:16) Then everybody else would be good.
Lauren Henderson (10:17) Yeah. Okay. And,
Ashley Johnson (10:19) for, I don’t know if we’ll really need to do that for Marley and David. I think it’s more. So they just haven’t even seen what we’ve sent or have forgotten to follow up with us. Luis is the one who has more concerns or questions.
Lauren Henderson (10:35) So,
Ashley Johnson (10:36) we’ll figure that out.
Sandhya Kapila (10:37) Okay. That sounds great. Cool. Awesome. And then I did not, as I was going through my emails today, I’m like I did not send you guys a recording from our training session last week. Apologies, I will send it today with my follow up email.
Ashley Johnson (10:50) No worries.
Sandhya Kapila (10:54) Anything else that you’d like to chat through?
Lauren Henderson (10:58) One thing I came across and this might just have to be us doing this manually later because I’m waiting for confirmation. I was digging through some emails the previous person who oversaw this and there was, and maybe, you guys know, there was an email from la care two years ago. I want to say that they were changing their credentialing requirements and were going to start requiring that behavior therapists with a BA or a BS also had to be credentialed. Anybody under a BA or BS would be considered a paraprofessional. In which case, we would have to look at our, we’d obviously prioritize our vts that see la care clients. I think a handful of them have been credentialed but we would have to make sure anybody with a BA or BS is also credentialed and we did not include them on our initial provider list. Okay?
Sandhya Kapila (12:09) Naomi, are you aware of this requirement or update by la care?
Lauren Henderson (12:14) I am not. Okay. Again, I’m waiting on confirmation that it’s that is still the requirement. I, Ashley, I don’t know maybe you could touch base with Megan. I think she was on the emails with Norma and I don’t know that she’s been doing. I just don’t know, I don’t know.
Ashley Johnson (12:35) I’ll ask, I know that there’s been some la care. Do you remember, marigi? One of those factors was due to the credentialing process that she didn’t fully understand and that was for la care, but I didn’t associate it with that type of requirement. Okay? And I don’t think Megan would have that deeper understanding. I think she would just say I was following what was requested.
Lauren Henderson (13:02) Yeah, of course.
Ashley Johnson (13:04) So, yeah, yeah, I think, I don’t know, I don’t think she would have the answer for us, but it seems like that might be what’s been going on just because I know there’s been some of that in the past. Yeah. But it was very much, so, not consistent. Yeah, it was an outlier situation. Yeah.
Sandhya Kapila (13:28) Okay. We can check in with our payr enrollment team as well.
Lauren Henderson (13:34) Okay. Yeah, that would be great. That would be amazing if.
Sandhya Kapila (13:37) that’s something that they’ve run across for some other customers and just payr’s in general, okay? For la care. And is it just with a BA and BS or does it have to, is it also like they have to have X, number of years of experience?
Lauren Henderson (13:52) From what I understood, I wonder if it’s about.
Ashley Johnson (13:54) Rbt. Yeah.
Lauren Henderson (13:56) No, from what I understood, it was at the degree level, okay? Because the thing is we still send la care like we send them a quarterly roster and that has everybody on it, but for some reason, they were requiring… BTS with a BA or BS to be credentialed, but anybody under that degree level including associates degrees, they would be considered paraprofessionals and would not need to be credentialed. It really didn’t have anything to do with the rbt cert or anything that’s.
Ashley Johnson (14:37) so, interesting, because what if their bachelor’s in a highly irrelevant field, who knows, let us know. Yeah.
Lauren Henderson (14:46) Yeah. If you can look into it, and then I will also let you guys know if I receive a response back to my email.
Sandhya Kapila (14:54) Okay. That sounds good. I will do that. I’ll include that in my follow up. If I don’t get a response, I’ll just make a note of it and then follow back up. Okay?
Lauren Henderson (15:03) Okay. I had one other random question because we had an invoice come through, pass through fees. So, you know what that is? Yes.
Sandhya Kapila (15:15) Yeah. So pass through. And I mean, I’m going to get it wrong. But if pass through fees is basically what we are being charged by caqh. So as we’re running as we are running those data imports to pull in the data through caqh, we are getting billed and so we’re passing those fees over to you. So that conversation, you, I guess you’re a salesperson would have possibly talked to you about that. Do you remember that actually? Do you remember if they did and,
Naomi Denson (15:49) Naomi, do you?
Lauren Henderson (15:50) Remember that in the contract? No?
Naomi Denson (15:51) Yeah. I know there is a section in all of the contracts regarding the pass through fees.
Lauren Henderson (16:02) I mean, am I right to say that the bulk of them are happening now or is that going to be a consistent no? It’s a.
Naomi Denson (16:10) One it’s so, for like the caqh, it’s per provider per year. And then if you are setting up npdb or have npdb set up, it’ll be one per one, like I think it’s like 250 per provider per year for those pass through fees, let me make it bigger.
Lauren Henderson (16:29) Oops. Sorry.
Ashley Johnson (16:43) Okay. That’s interesting. Okay.
Lauren Henderson (16:48) We can follow up. Not like it’s going to break the bank, but it’s just,
Ashley Johnson (16:52) it feels a little bit like a bait and switch.
Lauren Henderson (16:55) Got it. Okay. Yeah.
Sandhya Kapila (16:59) The sales person should have had this conversation with you. We’ll just, we’ll double check on our end… but, we’ll also share what that specific number is. Do you know what you were charged?
Lauren Henderson (17:14) Yeah, we were charged. We haven’t paid yet. I just got asked if it’s approved, and I was going to ask you guys 411 dollars. So, it says there were 411 point six was the quantity. And then the unit price was one dollar. Okay? But is that every month? Is it going to be 411 every month?
Sandhya Kapila (17:35) No, does.
Naomi Denson (17:37) It say what the pastor fee is?
Lauren Henderson (17:39) Yeah. It says your pass through fee is for March 20 26.
Sandhya Kapila (17:48) Does it say for, what does it say for like caqh or it?
Naomi Denson (17:52) Just says one dollar.
Lauren Henderson (17:53) One dollar per month…
Naomi Denson (17:58) I don’t know what that one is because the caqh let me that’s not the caqh.
Lauren Henderson (18:03) There is, yeah, it’s… well, there is a CSV file that came with it and it says caqh third party data access fee, and then that said seven dollars and 35 cents.
Naomi Denson (18:20) Yeah, that’s the caqh pass through fee.
Naomi Denson (18:28) I don’t know what the one dollar is.
Lauren Henderson (18:39) So, technically we should be paying seven dollars and 35 cents per person.
Naomi Denson (18:47) I have to look back at the thing that, yeah.
Lauren Henderson (18:50) I was just looking… at previously with.
Naomi Denson (18:54) The pass through fee like grid, yeah.
Sandhya Kapila (19:00) Sorry, just give us one second as we do.
Lauren Henderson (19:02) You want me to forward this to you?
Sandhya Kapila (19:05) That would be helpful.
Naomi Denson (19:06) Yeah, it would be helpful for us. I was just looking in back end here to see if I could find a copy of it, but, yeah, that would be.
Sandhya Kapila (19:14) Yeah. So it’s caqh charges fees for accessing provider data depending on if you own a caqh account or not medallion passes through either seven dollars and 35 cents per provider per year, if you don’t have caqh or a dollar 80 per provider per year. If you do. So, it would be per provider per year. So, since we already pulled, that one time, that’s all you should be getting charged for that’s. Your pass through fee?
Naomi Denson (19:47) Yeah, the per month thing is what I’m confused about. Yeah, so.
Sandhya Kapila (19:51) If you could send that over so we can see what?
Lauren Henderson (19:54) Yeah, I just forwarded it. Oh, thank you. So I’ll hold off on that until you guys get back to us.
Sandhya Kapila (19:59) Okay. That sounds great. Thank you. And then we will also follow up with your sales crew just to confirm that conversation was had.
Lauren Henderson (20:09) Yeah, from what I remember, it was all kind of inclusive in those big items that were listed and so that I would have assumed that should have been under the caq management fee.
Sandhya Kapila (20:21) Sure. Okay. Yeah, we’ll follow up on that.
Ashley Johnson (20:24) Okay.
Lauren Henderson (20:28) That’s all I had for today. Okay?
Sandhya Kapila (20:31) Great. Well, thank you guys.
Lauren Henderson (20:34) Have a great week. Thanks, thank you. Yeah, bye.