Transcript
Tlfol (00:00) hi, Tom. How are we doing?
Naomi Denson (00:02) Good. How are you? Awesome. Is Nicole joining us today?
Tlfol (00:07) She should be, yes, it’s her birthday. By the way.
Naomi Denson (00:10) Okay. Thanks for the heads up. I think it’s just me on my end today. Everybody else had conflicts. Okay?
Tlfol (00:18) I hear they’re changing our account exec.
Naomi Denson (00:22) Yeah. So they’re switching it to the account management team and I see Molly is joining. I don’t know if you’ve met Molly yet. Hi, Molly. Hi, I’m just here to support. Nice to meet you. Hang on. Molly. Your account manager will be Christy. She had a meeting conflict, but Molly’s here to support her as well as we get the transition ramped up.
Tlfol (00:48) No worries. And.
Naomi Denson (00:50) There’s Nicole coming.
Tlfol (00:55) Happy birthday to you.
Naomi Denson (00:57) Happy birthday. Nicole. Thank you. Tom told me before you joined. He’s like just so you know… doing anything fun for your birthday? Yeah.
Tlfol (01:11) She’s working. I’m.
Naomi Denson (01:12) working. We all want to be doing on our birthday. I did take half a day, so probably do dinner tonight, but that’s about it.
Naomi Denson (01:23) Maybe clean my house. Hey, I spent my Saturday organizing. I bought one of those over the door pantry organizers to get all of my cleaning products and stuff organized. And I mean, that’s a mom’s dream. On a Saturday. I organized my pantry and my spice cabinet. Now, I don’t have to scream every time I want to cook and try to find something.
Tlfol (01:49) That’s funny. All right. What’s hot on the medallion list? So.
Naomi Denson (01:55) I want to just check in. Are we still working towards setting up npdb for the ongoing monitoring? Is that something that you guys need to move forward with and get set up? Are you already? I can’t remember, are you already registered with npdb?
Tlfol (02:11) Talk to me about what that is again.
Naomi Denson (02:13) The national provider data bank.
Tlfol (02:17) That is something that we should national provider data bank. I remember previous conversations on this. What do we need to do?
Naomi Denson (02:29) What’s.
Tlfol (02:29) the value of it, so.
Naomi Denson (02:31) The value of it is that it monitors the npdb on a continuous query so that if anything like a malpractice occurs, if you, it’s flagged to the npdb or a licensing sanction or anything like that? It will update and notify you when a new sanction is found on one of your providers. Okay. So, and,
Tlfol (02:55) that’s just a plug in to medallion?
Naomi Denson (02:57) Or just, something. Yeah. So there’s a, let me find the.
Naomi Denson (03:07) To bring it to school.
Naomi Denson (03:18) Let’s see I had sent over… this email after the first time we met that has the npdb setup instructions on it and how to design. So you’ll set up your npdb register for that if you’re not already, and then you’ll designate medallion as an authorized agent to run the continuous queries so that it pulls into your ongoing monitoring reports in the medallion platform in your analytics. Can we?
Tlfol (03:44) Just forward that email back over and put it at the top of our email. Yeah. And we’ll work on that. Thank you.
Naomi Denson (03:52) Yes. And then, do we have any interest in setting up the single sign on for your providers and users or just going to continue moving forward with using username and password?
Tlfol (04:04) Username and password is?
Naomi Denson (04:05) Fine for now. Okay. And then it looks like all of your providers have already been invited. But going forward, if you add any new providers, did you guys want to customize the provider invitation that comes from medallion? That was also linked in the email that I’m forwarding you right now?
Tlfol (04:21) Yeah. We’ll probably do that. That’s a good thing. Okay? As much as we can brand it doctronic, the better… that’s what you’re getting at, correct? Yes.
Naomi Denson (04:34) Yeah. So you can in the invite or in the email I just forwarded you also is the customizable provider invite samples and template just to kind of guide you in drafting that up. So once you have the draft ready, send it to me, I’ll get a TSM to build it, embed your logo on it. So also send me a PNG of your logo so that it’s included on that email to future new providers. Okay? So we’re not going to do single sign on. I see that 24 out of 28 of your providers have accepted their invites. Only 10 of them have no profile action required. I’ve pulled a report from the provider summary analytics for you, narrowed it down to just one row for each provider. And this kind of shows, you know, the last provider’s latest activation, their last login, what’s still missing from their profile and their profile percentage completion. So you can see here, the ones that are like this are the ones that don’t have any missing information in their profile, have 100 percent complete, and we can work for them, any that are still missing like malpractice, insurance disclosure, question answers or are under 85 percent complete? Can you?
Tlfol (05:49) Send this to me. The reason being is we just assigned someone to dive deep on closing all these out. So, yeah.
Naomi Denson (05:59) I will send this version over to you. You also have access to it in the analytics dashboard under your provider summary.
Tlfol (06:08) Okay. I.
Naomi Denson (06:09) just, I exported it to a CSV file because it shows each provider multiple times be based on the practice locations that they’re linked to. So one row per practice location, but you can see all of that in here. It’s a much larger report than what I just showed you because I trimmed it down a lot, but I’ll send this version over to you and you have this piece in here as well. Okay. Hey.
Tlfol (06:30) I have a, I have a question. Okay? So as you know, we’re scaling to be a 50 state organization, right? So we doctronic physicians group PC is a California entity that is foreign registered in many states, right? But we have doctronic physicians group, NJ, New Jersey as a separate org and that is foreign registered in the other states that the California and the reason being is in California. Our founder, dr Adam oskowitz is the provider of record, right?
Naomi Denson (07:15) And,
Tlfol (07:16) obviously, many states allow that entity to be foreign registered without having a license in that state, right? So dr oskowitz doesn’t have a 50 state license. So we have dr Jensen, who is actually a provider, one of our providers, and he actually is the provider of record for doctronic. Bless you doctronic physicians group in New Jersey. And that is being foreign registered in all the other states. Okay? So.
Naomi Denson (07:52) There’s separate tax ids. They.
Tlfol (07:54) Have separate tax ids, separate npis. And then we have Wyoming, Texas… Kansas and… New York, all separate npis and tax ids. Okay. So, does that change how we, how do we, how do we have that inclusive?
Naomi Denson (08:17) Yeah. So you’re going to start by adding the group profile. So under groups, add a group profile, you need these four keys to build the shelf, and then you just work through and complete the profile. You can also, I can send you the data import template. We can upload the groups if you have multiple, as much information as you want to provide there. So you’re not manually entering all that information. Do they all operate out of the same? Okay. So there’s only one practice location. So, are there multiple practice locations as well in each state?
Tlfol (08:52) Let’s see here. No, California is the primary practice location?
Naomi Denson (08:59) And that’s what we’re.
Tlfol (09:01) trying to get to as well. Legally, we’re trying to get to a Mega PC. What’s the number? What’s the PC at the top of the pyramid? And all these other PCS are dependents… if you will or child relationship to the parent?
Naomi Denson (09:19) Right. Are you doing direct enrollments under or want to or plan to do direct enrollments under each tax id?
Tlfol (09:26) No, I actually, that’s actually what I’m getting to is that we want doctrine physicians group, that one there, the California entity to be because they’re the one that’s already contracted with, medicare, united, Edna humana. All of our payers are credentialed and contracted with the California physicians group.
Naomi Denson (09:50) In California or all states?
Tlfol (09:52) In California… all claims technically because that’s our location, all claims flow through California.
Naomi Denson (10:03) Okay. So what is it that you need to do with the other tax ids? Well, we.
Tlfol (10:11) technically are not legally allowed to operate in a state without it being either foreign registered or a corp, a separate corp being formed. So, I don’t know if these separate corps ultimately have a contract or with like let’s just say doctronic physicians group, New Jersey has a contract with doctronic physicians group that says, hey, we’re going to ride your coattails. Hypothetically, I don’t know the legal structure, but I’m trying to get to a place of one.
Naomi Denson (10:53) Right. Yeah. Let me what I’ll need to do is take that back to Shannon. Okay? And see what she advises there. If everything is being enrolled, no matter what state under the California tax id and no enrollments are needed under the other tax id, then I don’t think we need to add new groups or practice locations.
Naomi Denson (11:13) Just obviously, some states like you couldn’t enroll in a blue cross plan in another state. Are the providers all going to be licensed in California?
Tlfol (11:23) Yes. Okay. And,
Naomi Denson (11:25) physically located in California or they’re all over?
Tlfol (11:28) Telehealth, not physically located there?
Naomi Denson (11:32) OK. Yeah. Let me take that back to Shannon and see what she thinks, so.
Tlfol (11:38) This is an interesting sheet here. So, I’m trying to get an idea… now, I know generally the idea, right? We’re contracted with medicare, united… Aetna, humana, cigna, blue cross of California. Are we contracted with anthem? So.
Naomi Denson (12:06) Anthem, blue cross is blue cross of California. And then blue shield of California, blue cross and blue shield are separate in California.
Tlfol (12:15) So on.
Naomi Denson (12:18) Your enrollment, so… it doesn’t look like it, let’s see. So it looks like you have requests for a group enrollment.
Tlfol (12:31) Well, California, that blue cross of California, we should be… okay. I was under the impression I’ll have to look at the contracts. I thought we were contracted with blue cross of California. Yeah.
Naomi Denson (12:53) So there was no, so there was a request made for us to enroll you with blue cross of California.
Tlfol (13:00) Okay. But as you said, anthem, blue cross and… California… let me send you a, I think we’re contracted medallion may not be in sync with what we’re contracted for because I think.
Naomi Denson (13:18) we originally.
Tlfol (13:19) Contracted outside of medallion.
Naomi Denson (13:22) Yeah, they have tasks in here for the like the anthem, blue cross back in December. They made a task to get access to availity to your availity portal. Okay. That’s one of those tasks that’s sitting out there where we can verify.
Tlfol (13:35) That, so who’s the user? Is there a user id password that we have to set up? Is there a specific or just generally something generic for medallion doctronic?
Naomi Denson (13:47) So,
Tlfol (13:50) normally, you have to identify a person when you add availity, add a person to availity. I.
Naomi Denson (13:55) will, let me see availity.
Naomi Denson (14:10) I don’t know why I’m trying to type on my laptop and making a card around myself.
Naomi Denson (14:20) So we have this, what is this doing?
Naomi Denson (14:29) Why is it opening up so many things? This user directions, so even it actually might be overview.
Naomi Denson (14:50) So, in the availity access, there’s instructions here in the task that give you the username to grant it to for medallion. It’s I think it’s medallionappsteam at medallion co. So it goes to Emily johnson at this email address. And then as specialists are assigned your availity enrollments, our team grants them individual access to their accounts as needed. So you grant admin access to medallion as a whole. And then we disperse access as needed for submissions. I.
Tlfol (15:28) generally don’t like to admit, give admin access to a third party because then we can’t control who they give access to and what they actually do. So, I’m generally skeptical about that, but that’s what we need to do. That’s what we need to do. But I, that is not good. That is not good practice frankly.
Naomi Denson (15:50) Yeah. So it’s certainly in there what options you’re giving us to. So it’s just the provider information for credentialing and enrollment. If you don’t want to give us access, we have had customers that don’t want to give third party admin access. It’s just that you would respond to the task and say, you know, or I can let the team know you’re not going to give the third party access. You want to grant it individually as needed. That would just create more tasks going down the road for each individual specialist to have to request access separately because, you know, with availity, we can’t share logins or anything like that. So each specialist has their own availity login. Okay? So that’s up to you.
Tlfol (16:32) I hear you.
Naomi Denson (16:36) Yes. So the availity, and then once we have that or if you want to confirm the anthem contract with doctronic, if you have that in place for the blue cross or the blue shield, and it turns out you do have that you would just add it as an existing enrollment and then request us to stop the group line. If there’s no group line needed, then we can just start linking the providers to it.
Tlfol (17:00) Okay.
Tlfol (17:06) Yeah.
Naomi Denson (17:07) So, you said you just brought somebody on to start digging through the tasks?
Tlfol (17:10) We didn’t bring. We just assigned someone to get involved, okay?
Naomi Denson (17:19) Yeah, because you see there’s some in here that are requiring signatures in Pecos and surrogacies, and different… things like that the provider needs to do or the authorized official needs to sign to get the medicare enrollments moving. Now, currently, you have in your payers, screen your enrollment requests. You have 47 that are sitting in requesting. So you’ve requested enrollments for these providers, but their profiles are still not complete. They either haven’t accepted their invite logged in or completed it enough for us to do any work on their behalf. So, I know we talked about last week trying to re, engage the providers that maybe accepted their invite and then just didn’t do anything.
Tlfol (18:05) Okay.
Naomi Denson (18:07) So that’s one thing to take a look at. And then those 67 tasks are blocking 119 enrollments from processing.
Tlfol (18:17) Okay. Got it. Any.
Naomi Denson (18:19) Other questions that you have about the payer list or other than what I’m going to take back to Shannon. No, we’re good. Okay. I see medicaid, Utah and medicare, California. Do you have, are you going to be submitting any medicaid of California? Is this Utah? Correct?
Tlfol (18:40) Apparently that was submitted and we do have a contract there, yes.
Naomi Denson (18:46) Okay. You, if you have a contract there because there’s a request in here for a new group enrollment as well. So we need to verify that and add it as an existing enrollment and cancel this request. Okay? If it’s already in place. So, I, what I would start with is going to your enrollment request tab, filtering by group. Well, all enrollment requests, filtering by group and see which ones you have new group enrollment requests for. If you already have contracts at the group level with these practice locations, and under the tax id, we need to get them added as existing enrollments and stop these enrollment requests.
Tlfol (19:25) Okay. So.
Naomi Denson (19:28) There’s two down here that are already stopped, signet and humana, but there’s still seven that are in process with us or waiting a task.
Tlfol (19:37) Okay. All.
Naomi Denson (19:39) Right. Yeah. That was all I had today. I sent over the training recording last week. Any other areas of training that you guys feel you need currently?
Tlfol (19:54) That’s a Nicole question?
Naomi Denson (19:56) Not as of now. No. Okay. All right. If there are just let me know. Let me take your question about the different entities and tax ids for New Jersey and everything back to Shannon and see what she says. You guys review your group enrollment requests and verify if you have existing group enrollments and then let me know how you want to handle availability. If you want to grant individually as our teams are no.
Tlfol (20:21) We’ll just do it. Okay?
Naomi Denson (20:24) Okay. If you have any other questions come up as you’re reviewing these or as your assignee is working through tasks as always reach out to me and Shannon. I’m happy to help, you know, answer any questions, clear anything up? Help move things along for you?
Tlfol (20:43) Alrighty. I appreciate it. Thank you.
Naomi Denson (20:46) Absolutely. You guys have a great week. You too. Bye bye.