Transcript
Daniel Barnes (00:00) hi, if you record your name and reason for calling, I’ll see if this person is available.
Seth Weidle (00:06) Seth calling from medallion calling about increasing… payer enrollment timelines.
Daniel Barnes (00:21) Thanks, Seth. Please stay online.
Daniel Barnes (00:32) Hello, it’s Dan.
Seth Weidle (00:33) Hi, Dan. This is Seth calling from medallion. I don’t think we’ve spoken before. How are you doing today?
Daniel Barnes (00:38) I’m okay. How about you?
Seth Weidle (00:39) I’m doing great. Thank you so much for asking. Hey, I know I’m calling you out of the blue. So I’ll keep it super brief. I’m calling because physician groups growing at your pace often find credentialing and enrollment become a constraint on provider productivity. And I was curious how that’s playing out for firsthealth in this expansion phase.
Daniel Barnes (00:57) Yeah, we’ve got a dedicated team that does our credentialing and they seem to be doing a good job keeping up at this point.
Seth Weidle (01:07) Gotcha. Yeah, a lot of times it can not, it doesn’t always show up until it’s a little bit too late, especially when you’re growing. Do you know how in terms of credentialing or pay enrollment, what those timelines look like? Our industry average usually sees 60 to 100, 20 days for providers to be billable. Does that sound accurate?
Daniel Barnes (01:31) Yes, of course, medicaid and medicare, you can retro bill and blue cross blue shield takes their own sweet time and you can, it could take up to six months.
Seth Weidle (01:34) Yeah.
Daniel Barnes (01:42) But for the majority of the others, we’re able to get folks credentialed within 60 days anyway.
Seth Weidle (01:47) Okay. That’s awesome. Yeah. Glad to hear it. I know, you know, every payer is different from a medallion standpoint. We are able to cut those enrollment times usually in most cases in half as well as credentialing like primary source, verification, all that other like licensing and Dea stuff. We can get those down to under a week. Would you be interested in checking out how medallion might compare to your current setup?
Daniel Barnes (02:17) You know, it’s not, it’s actually not my folks that do that. That’s part of strategy. If I mean, you could send me an email and I’d be happy to forward it to them.
Seth Weidle (02:23) Yeah.
Seth Weidle (02:29) Yeah, absolutely. Let me make sure I have the right email. I have dbarnes B a RNES at firsthealth. Org.
Daniel Barnes (02:36) That’s it.
Seth Weidle (02:37) Okay. I’ll send one over as soon as we hop off. I did send one earlier. Not sure if you saw it. The subject line was expanding.
Daniel Barnes (02:44) It’s like stabby metal in there.
Seth Weidle (02:44) In the physician group, additionally, is there anyone that you know of that I should reach out to? That might be more closely tied to the whole process?
Daniel Barnes (02:57) I don’t know the right person per SE, but I’ll get it to that group and then they can go ahead and.
Seth Weidle (03:00) Yeah.
Daniel Barnes (03:03) And make sure we got the right person to answer next time.
Seth Weidle (03:04) Okay.
Daniel Barnes (03:07) Somewhere that goes to a bin that I have, oh, wait, no, I found it. Never mind.
Seth Weidle (03:07) Yeah, absolutely. Sounds good. And the reason I called you is when you’re looking at that expansion phase, a lot of those things can roll up to multiple different groups. So, I appreciate you pointing me in the right direction. So, I’ll send a follow up email and I appreciate your help Dan.
Daniel Barnes (03:22) All right. Sure thing.
Seth Weidle (03:25) Take care bye.
Daniel Barnes (03:25) All right, you too, bye.