Transcript
Fatima Nunes (00:00) hello? Good morning.
Bethany Todd (00:08) Hi.
Fatima Nunes (00:11) Hi. How are you feeling?
Mallory Smith (00:14) Sorry, I’m trying to come off camera, failed to start the video camera. Please select another. What, I’m good. Can you see me?
Fatima Nunes (00:23) I can see you. Don’t lie. I know you’re in bed.
Mallory Smith (00:27) No, can you really not see me?
Fatima Nunes (00:30) No, no, no, I can’t see you. I’m just seeing your picture,
Mallory Smith (00:34) Let me hold on. Let me log back in really quick. Okay?
Mallory Smith (01:13) It says, I have to restart my entire computer to get the camera on.
Fatima Nunes (01:18) That’s okay. Just do it with your camera.
Mallory Smith (01:21) Off. Okay. Please select another video camera in settings. Yeah, I don’t really have another video camera,
Fatima Nunes (01:32) All right. Should I let him in? You? Good? Oh.
Mallory Smith (01:34) Yeah, sorry, we’re good. All right. Let me, let him in.
Fatima Nunes (01:44) We have Melissa, josh, Dana.
Joshua (01:59) Hello?
Fatima Nunes (02:01) Hi. Good morning, josh Karis. How are you feeling, josh? I’m.
Joshua (02:07) feeling a lot better. I appreciate you… postponing the meeting because I really wanted to see this demo. I’m still a little congested. I still don’t know what it was. It was just like fever chills. I slept most of Monday, so, it’s good to be back playing catch up. Good.
Fatima Nunes (02:28) Yeah, I bet. Well, good to hear, that you’re doing better. Hi, Jen. Hi, Bethany, Melissa, hello?
Bethany Todd (02:38) Hello?
Fatima Nunes (02:42) And Bethany, I don’t believe we met last week. Is that correct? Or maybe the week before?
Bethany Todd (02:47) I don’t think so.
Fatima Nunes (02:49) Okay. Well, it’s great to meet you. Where are you based out of I?
Bethany Todd (02:52) Am in the business office. I’m the PFS manager right under Jenny. Got.
Fatima Nunes (02:59) It. Okay. Perfect. Awesome. Well, let me see. It looks like we have, I think, are we missing Dana?
Joshua (03:09) Yes. Is Dana?
Fatima Nunes (03:12) She’s supposed to be. Yeah, let me check with her. So it actually, it shows that she’s waiting to join. It says joining. So, I don’t know maybe she’s having internet issues. Oh, let me, looks like she’s just dialed back in. Hi, Dana. Good morning. Can you hear us?
Fatima Nunes (03:36) Not sure if you’re saying anything, Dana, but there we go. I’m here. Sorry, I had to log out and log back in. No worries at all. Appreciate you joining us and it looks like we’re ready to get started. Are we missing anybody else or are we good to go? We’re good to go. Go. All right. Perfect. Well, great to reconnect with all of you. Appreciate you blocking off an hour of your time.
Fatima Nunes (04:00) I know how busy credentialing and pair enrollment is. So, I know an hour is super valuable. The goal really for today is to sort of build on the conversations that we had last week around getting a better understanding of your current state. And then really Mallory is going to be running point on a demo. She’s going to be taking you into the medallion platform and showing you our credentialing as well as our pair enrollment workflows in real time. As well as highlighting some of like the automation, how we’ve streamlined a lot of these processes through some of our integrations, like with caqh, and really just helping you determine, right? Is medallion the right fit for your organization? And, and does it make sense to continue moving in these discussions moving forward with these discussions? And I think that that’s pretty much it on the agenda? Does that sound in line with what you were expecting? Yes, ma’am… beautiful. Okay. So let me go ahead. I’ll start sharing my screen. I promise, I think some of these slides you already saw last week, but if you’re anything like me, I forget things as soon as I see them. So just want to level set just a quick refresh on medallion. And then Mallory will take the lead here. Let me see. Where are we? All right? Can everybody see the first slide we got? You? Okay, perfect. So really just want to reconfirm sort of our understanding. We tweak this a little bit based off what we heard last week, right? You’re currently managing credentialing and peer enrollment through a mix of spreadsheets, some shared folders. And of course, that’s been especially challenging as you continue to grow and the provider volume continues to expand. You’re onboarding new providers pretty consistently at the same time. You’re supporting hospital privileging with a separate team. You’re managing hospital credentialing and then handling peer enrollment across multiple locations in Kentucky. It all sounds like, you know, there’s been some turnover in the role which has made it hard to maintain consistency and just keep everything organized and kind of from like a data integrity perspective, especially when multiple people are working across the same files. And then on top of the right, the team is feeling the impact operationally. There are some downstream effects like delays in getting providers fully credentialed and active and just getting those applications out the door as quickly as possible. And then I know the one big thing it sounds like the executive sponsor on this is dr skiba, and… there is a big focus on identifying the right partner that can help you scale more efficiently moving forward so that you know, 12 months from now, 24 months from now, you’re not here again trying to reevaluate a vendor that can keep up with things. I’ll pause there. Does that align with sort of your current state? Is there anything, that I should add here?
Jdaugherty (07:06) Nope, that’s right.
Fatima Nunes (07:08) Okay. Beautiful. So I’ll move ahead here, right? This is just a couple of slides, on medallion so that we can level set really quick at a high level. We’re the leading ncqa certified cvo and we’re focused on making credentialing licensing, payer, enrollment faster and a lot less manual for folks like yourselves. What we hear from teams like yours is that a lot of the work is still very spreadsheet driven. It’s very repetitive. It’s time consuming. It involves a lot of chasing documents, re entering data tracking statuses across different systems. And so that’s really what medallion has been built to solve for, we combine software and some level of service to automate a lot of that work today. So things like data collection, form, populations, status tracking follow ups are going to be managed within the platform so that your team doesn’t have to do everything manually one by one which is super time consuming. And so ultimately, the goal is pretty simple here, it’s get providers through credentialing and enrollment faster, reduce the amount of back and forth and manual tracking, and then help your teams handle more volume without needing to add headcount to keep up with that growth, right? I’ll move along here. I guess any questions on anything you’re seeing on this slide or anything that I just mentioned? Okay. And just kind of, and I know we’ll talk a little bit more in depth about this, but just to put things into context, some of the groups that we work with similar size as you. All right, we’re typically able to cut turnaround times especially on the pair enrollment side in half from something we’re seeing like 90 to 120 days down to closer to 45 60 days while also taking a lot of the administrative burden off those teams, right? So, instead of spending time chasing paperwork or updating spreadsheets, your teams can focus on other higher value work and exceptions and things like that. And then moving along here right there’s really three areas where medallion makes a significant impact first is around accelerating revenue. So by reducing errors and speeding up onboarding, we’re helping organizations eliminate a lot of the avoidable denials and prevent write offs and just getting providers billing sooner. I know I’m not sure how closely you all work with revenue cycle, but do you have any insight into how sort of credentialing and enrollment currently are impacting the revenue cycle team? Are you running into any claims getting denied as a result of credentialing? Yep?
Jdaugherty (09:46) Every day we do.
Fatima Nunes (09:48) Okay. That’s helpful Jen. And so, and I’m sorry, I want to say you mentioned last week that we could call you Jen, do you go by Jen or Jennifer?
Jdaugherty (09:57) It’s Jenny or Jan either one.
Fatima Nunes (09:59) Jenny. Okay, great. So you said every day? Yeah, of course.
Mallory Smith (10:06) Hey, sorry. I just want to jump in there really quick with a question first. Let me apologize. I cannot turn my computer camera on. It keeps saying I have to restart my entire system and we don’t have time for that honestly this morning. So I apologize for that. But quick question on that, Jenny, you’re experiencing claims denials. There’s a lot of different areas that it could be coming from when we think of enrollment denials.
Mallory Smith (10:26) Is it based on the data itself? Is it based on taxonomies? Can you kind of go into a little bit more detail there on why they’re.
Jdaugherty (10:33) all different ones? So like our medicaid’s a lot of times we’ll come back and say not registered with state medicaid. So our managed cares have to have a matching taxonomy with what is at the state level. Sometimes that’s just an error in billing and we can fix it. Sometimes it’s just a delay in we’ve billed before they were fully credentialed, you know, in that time that we’re supposed to wait. Other times the group, they’re moving providers around all the time, we try to credential our providers into all of our locations, all of our group mpis, and sometimes… we don’t have a completed credentialing in a certain group, but the provider’s already seeing patients at that location. So we’re getting a denial provider’s not under that group at the payer level. So we have to go back and make sure that we’re updating our providers. And there’s, it’s basically all of the, all of the different scenarios we’ve had them.
Mallory Smith (11:44) Okay. Thank you. No, that definitely helps. Yeah.
Jdaugherty (11:47) And a lot of it is due to timing. A lot of it is due to timing, you know, we’re growing so much and we have such a demand for our patients to see these different providers and to bring these specialties into our organization that we’re having to schedule and start providers before they are fully credentialed. And unfortunately, as you all know, some of our payers will not backdate effective dates, some of them will, which is very courteous of them. I wish they all would. But for the most part, it’s your effective date is when they finish at the payer level. So that’s one of our bigger challenges right now.
Mallory Smith (12:28) Yeah, no, it absolutely is. And I’m just curious when you get those denied claims. Do they let you resubmit within a certain timeframe or is it pretty much just a wash at that point?
Jdaugherty (12:37) Well, if it’s yes, they will let us resubmit. If it is a scenario where they won’t backdate an effective date, then it’s an adjustment. It’s a write off for us. Okay? Because it’s solely based on the date of service the patient was seeing.
Mallory Smith (12:54) Absolutely. And when we think of write offs, are you able to see, just like from an overall percentage standpoint, how many write offs come from enrollment denials? That you just, you’re not able to resubmit?
Jdaugherty (13:05) I could probably get that information based off our denial code for credentialing. I know there’s a couple of them. I mean, for the most part, we try to resubmit them once they’re effective, but no.
Mallory Smith (13:23) Absolutely. And, you know, every payer has their own song and dance, and they say you can resubmit and backdate when it’s a full moon on the third month and all of that. So we hear you loud and clear, thanks, Jenny, you’re.
Fatima Nunes (13:34) welcome. Yeah, thanks Mallory. So I’ll just speed on ahead here, really, right? So that’s the first value driver. The second two is reducing operational costs. There’s different ways to look at this. We have a lot of AI and automation built into these workflows which you’ll see in the demo. And that just helps us remove the significance of the manual work up front. And it’s going to allow you guys to do more with less. So not having to open new headcount on your teams to keep up with this growth. And then really the third is removing provider abrasion. We give providers an overall smoother onboarding experience with far less manual lift, a lot less back and forth via email phone calls. So overall providers feel much happier because once we get the data in the system and I think we’re able to get about.
Fatima Nunes (14:31) Going with your team and the provider via email or anything like that. So just saving them a lot of time and headache there. And just out of curiosity, I know we didn’t talk too much on like the provider abrasion front, but are you running into any issues where providers are just expressing their dissatisfaction or complaining that the process is taking too long or anything like that?
Jdaugherty (14:49) Yes. And yes.
Fatima Nunes (14:52) Okay. Well, good. That’s certainly something an area where we will plug in and help solve for Jenny. All right. And then this is really just a helpful slide, right? Just zooming out when we say we are full end to end support. These are all the areas where we can plug in and support right right now. The conversation is going to be really focused around the payer enrollment and then the medstaff credentialing piece. But right, we also support with licensing and anything else you see here on the screen. And then I want to say this is the last slide I have before I turn it over to Mallory and it’s really around when we think about how medallion differentiates in space. I know you all are evaluating a multitude of different vendors and so a lot of them maybe start sounding very similar. I think the one thing that I’d like for you to take away from this call is our slas that we commit to, right? And then because this is ultimately what gives our 400 plus customers predictability and confidence in everything that we’re saying that we’re going to do for you all.
Fatima Nunes (15:56) And so these slas that you see on the screen, they’re baked into all of our contracts for all of our 400 plus customers today. And so if you look right, if we start at the top with like the credentialing, and this would be josh, you and Karis, right? We average one day to complete a credentialing file that you can send to your committee for review. And we have a three day SLA on that. All right. And then on the payor enrollment front, we’re averaging a four day turnaround from when we receive a complete application… to submitting those applications to payors. And our SLA, there is 10 days. And I know the slide says five, but we’re averaging closer to four today. So we have to update that. And I think what’s the beauty of this is and going back to what Jenny was just saying, 96 percent of those submissions are accepted on the first attempt, right?
Fatima Nunes (16:51) Which is going to have a direct impact on bottom line on your revenue cycle team, fewer delays, resubmissions and less work for you all to have to do? I’ll pause there when you’re thinking about turnaround times, right? Would this be useful for you all as you’re looking at different vendors evaluating the pros and cons there? Would you think that having slas baked into an agreement would allow you to feel more confident moving forward with a partner like medallion?
Jdaugherty (17:19) I believe so, yes. Okay. And.
Fatima Nunes (17:23) Of the other vendors that you’re seeing today, are they contractually committing to turnaround times on their credentialing files or their peer enrollment?
Jdaugherty (17:33) They’ve mentioned, yeah, I mean, they mentioned it, but they haven’t had an average or a guarantee. It was more informational.
Fatima Nunes (17:43) yeah. Jenny, that’s interesting. You say that Mallory and I had a conversation last week with two executives who are evaluating very similar services, both credentialing and direct enrollments. And they say that all the vendors actually spoke to it, but none of them contractually commit to it. And they followed up via email saying, you know, can you tell us a little bit about what you contractually commit to doing? And they said, well, this is what we can do, but we don’t commit to doing it. So I’ll leave that with you all there just as a takeaway as you’re having those conversations, something important to ask there. And any questions that I can help answer? Yeah, go ahead, josh. What happens if you don’t meet the guarantee? Yeah, great question. So, there are financial implications on medallion and it’s built out very detailed in our msa. What would happen? We would either Mallory, maybe you can chime in. Are you familiar at all with like the slas, the misses on us? Yeah.
Mallory Smith (18:43) Absolutely. So when we think of the slas that we miss, you do get a credit back. So there is a certain percentage that we have to hold ourselves to of course, with like 96 percent of those applications. If we were to ever go through and miss an SLA, you do get a credit back that you can then reuse with medallion. And because of skew, flexibility, you can also use that for other services. So it could go towards recredentialing… it could go towards license renewals, hospital apps. Really anything that you would need there.
Fatima Nunes (19:15) Yeah. So pretty much you would get your money back on that service that we submitted or did on your behalf? Yeah, very good question. Anything else? Dana, Bethany, Karis? I don’t know if you all have any questions?
Mallory Smith (19:33) I know, right?
Fatima Nunes (19:34) Now, I.
Mallory Smith (19:35) don’t okay.
Fatima Nunes (19:37) Perfect. So I’ll go ahead. I’ll stop sharing my screen here. And then I’ll let Mallory take us into the platform.
Mallory Smith (19:43) Okay. Let me get that pulled up. Yeah?
Mallory Smith (19:50) And you should be able to see it now. Let me go ahead and, okay, perfect. I’m getting nods across the board. Okay. So the order that I would like to take our demo today, of course, this is your time. So if you, it is conversational, it’s informal to a point. So if you have any questions, if you want me to go back and double touch on something, I’m more than happy to do. So, I would like to focus today’s efforts on the onboarding process. So just getting our new providers onboarded, how that experience looks for them, how your team would be interacting as a part of that process. We can then talk about credentialing whether it’s to ncqa standards for delegation or to joint commission especially for more of like your hospital side. And then from there hospital applications, payer, enrollment, caqh management. Is there anything additional you would like me to add to that list today? Good. Okay. Then we’ll go ahead and get started. So with the system that you see here, this of course is browser agnostic cloud based. It was a proprietary system built from the ground up in 20 20. And what we’ve been able to do with it is give you a one stop shop for all of your different departments. So whether it’s HR, billing scheduling teams, your enrollment, your credentialing, all of the services that are happening are all within the same platform and we do a role based access control. So if you have someone on the enrollment team that they would basically just need to be able to see the enrollments themselves. Then under our members, we have team assignments. So our customers will go through and kind of track these in a variety of different ways. Sometimes they’ll have it broken down by here’s, our west region, east region. Maybe it’s by provider type or the specialty. So other customers will use it for billing purposes. So the billing team will have access to view all of the current participating effective statuses. The other great thing about role based access control is you can control if they can edit the information or if you just grant read only. So that’s another great case for like the billing and scheduling teams, they don’t need to necessarily alter information, but they can still see it. So different ways to set up different teams in the platform to kind of go through and break that up. When we think of the provider directory. This will also be your single repository for all provider data. So you will see your full roster of providers. You do have the ability to filter based on the certain groups or locations or mpis that you’re looking. For that day by profession, type the state if they’re caqh eligible. And this will just give you the full purview of what you’re currently managing. When it comes to inviting providers to the platform, we of course have two different ways to invite them. We have caqh bulk import. So what this basically does is we have a spreadsheet, you put the provider’s first and last name, caqh id, npi, and email. What that’s going to do is it automatically imports into the profile that you see here. It’s going to create a shell record for that provider, link their provider, caqh bring over the data and the documents and send a welcome email to that provider. So if you have more than one provider joining that week or if it’s just a single cohort, in that case, one and done the other option, inviting provider one by one to the system. So indicating if they’re just an individual provider, they only need to see their information. No one else’s is relevant to them. If they are an admin on your team, if they’re a team manager, or maybe they’re a provider and a team manager. So there’s sometimes clinics or locations that you wear, a couple of different hats. So different access controls can be given. The big picture here is when you’re inviting providers to the platform, all we’ll need from you is their email name, start date and provider type. So someone from your team would log in the platform and either do a bulk enrollment or they would come through and individually invite the provider. Once this information has been completed, a welcome email will go to the provider. What that email will look like. It’s going to have white labeling ability. So you can have your logo right up here at the top. You can control the messaging of the body itself. We want your providers to recognize it to see it and to act upon it. So that’s always our first rule when we think of customer success. So we would let you control exactly what’s being said here. Two different ways. This can be handled if you want the providers to connect their own caqh and fill it out. I’m going to take you through that process. You also have the ability to complete the profile on behalf of your providers. So I’ll pause there compared to how things are currently run within your organization, how active are the providers when it comes to the initial onboarding process?
Joshua (24:36) Active, as in how much are they, how responsive are they? Or how much they’re in our systems? Yeah?
Mallory Smith (24:47) That’s a great question. So when you are going through and onboarding them for the first time, are they responsive? Do they send you the information they need? Do they take a look?
Joshua (24:56) I mean it’s 50 50. Some are really responsive and some it’s just like pulling hair, pulling teeth. We have some that like don’t know anything about technology either. So I’m hesitant… that, you know, some might I’m fearful that some might like decline this option so, but we can still do it for them. You absolutely can no problem. Yeah.
Mallory Smith (25:24) So, josh, I’m glad you actually brought that up. So I’m going to show you both ways in the platform today. What we’ll start with is if the provider is pretty self, you know, they’re self capable, they can complete the profile themselves. This is even mobile friendly, so they can do this from their cell phone or their tablet if they want to while they’re on the go. So I’ll show you that option. And then I’ll show you as an admin how much you can complete the profile for them as well. But I think it is a great call out. I think you’ll always run into providers in this industry that aren’t necessarily the most tech savvy and they don’t like new tricks. So we try to keep that in mind when we’re going through and designing the system. All right. Well, with that in mind, then when the provider receives the email, let’s show you the first option. So they’re going to go ahead and click get started. It’s going to take them through this next welcome onboarding flow. So Ohio county healthcare, they partnered with medallion, let’s get started. If the provider is doing their profile generation, they’ll have a few different options. The first one caqh like Fatima said, it gathers at least 70 percent of your provider’s onboarding information, pulls over all the data, all the documents there’s, also a resume scanner. So if they just maybe they’re a new grad, maybe they haven’t had a caqh profile. They’ve been a doctor for 40 years, anything of that nature, then they can also upload their resume or CV to have it populate the onboarding profile. And then of course, manual and API integrations. So with your current HRIS platform or any of your billing and scheduling systems, would there be an appetite to have any integrations? So that the systems speak to each other seamlessly.
Jdaugherty (27:05) I’m going to say yes for payr credential and caqh’s information is crucial.
Mallory Smith (27:11) Okay, perfect. Thanks, Jenny. So in that case, we do have an open ended bidirectional API. The great news with that is caqh is already standard. So we have that API already built in. We would basically just link your providers and it’d be good to go from there. For any other systems such as your HR platform. We can do upstream or downstream effects. If we were to go ahead and click into caqh for instance, caqh id, social and last name. If you’re connecting the provider caqh, it’s their caqh id, npi and then last name. So the provider completes these three fields. They do not have to remember their username and password. We don’t have to go through that every single time we’re going to confirm and link. And this is that bi directional API to caqh. So it’s now linking their profile, it’s going to pull over all that information. And just because caqh can sometimes have expired information that’s not relevant to the provider anymore, we also have additional integrations within the platform. Such as Jenny, you had mentioned taxonomies earlier. We have a direct bi directional connection with the npi registry and npes system. So that if it’s at the npi registry, it’s going to pull over those taxonomies, those primary details for the provider, and that’s what we’ll go through and populate the enrollment applications. So we do have several different safeguards. I like to say in the system that we are gathering a large amount of this from caqh. But we’re also validating that data is correct?
Fatima Nunes (28:43) Right. And I’ll jump in here Mallory, you know, what Mallory just went through we are, I guess thinking back, I’m trying to put myself in your shoes, right? You’re trying to find differentiators. How does each vendor compare to each other? What Mallory just walked you through? Where we don’t need a username or password to access, gather the provider’s information from caqh into our system. We’re the only vendor in the space that can do that. Because of our participating status with caqh, other vendors might have apis they might, but they still need username and passwords. And I’m sure you all are very familiar with how difficult it is to get a provider’s.
Jdaugherty (29:20) caqh password, that’s what I was going to ask. So, if their account username and password is expired and they enter their account id in here to link, it, is it going to like prompt them to reset their password or is it still just going to go in and link their profile regardless?
Mallory Smith (29:38) I think that’s a great question and I’ll answer that for you. So it’s going to link their profile regardless. But we do have a SKU or a service offering here that we call caqh management. So this is the bi directional aspect. We are the only vendor in the space that we’re recognized as a participating organization status with caqh. And what that means is that we’re the only vendor in this space that can actually push information back into caqh. So the answer is twofold for you, Jenny, what that’s going to look like? We can import the provider’s profile. They don’t have to reset their password. But if you want them to go through and reset their password and have any information from medallion fed back into caqh that’s where they’ll get the prompt and that’s where they’ll be able to go through and update that for you, they can store that information and the login information in the platform. I’ll show you what that looks like. So your team can access it too. That’s super cool.
Jdaugherty (30:36) Dana, what do you think about that?
Mallory Smith (30:38) That’s.
Dana Landrum (30:39) awesome.
Mallory Smith (30:40) That’s.
Jdaugherty (30:41) one of her biggest struggles is trying to get caqh login.
Dana Landrum (30:46) Caqh is maybe not as bad as Pecos? Okay?
Jdaugherty (30:52) Pecos, login? Anything good for that? Mallory?
Mallory Smith (30:56) Right. Oh, I’ll tell you what I struggled with Pecos too when I was back in my enrollment days, what we’ll do is we’ll use the surrogacy system. The identity and access system. We’ll do surrogacy access for your providers. They, we will usually like call the provider’s directory to get that access code. As we’re going through that?
Jdaugherty (31:17) So, we,
Mallory Smith (31:18) hear you loud and clear on the caqh fees and having them reset it. And with Pecos, we’ll use the Ina system. Is that pretty much what your team does today?
Jdaugherty (31:27) It is, it is, but getting them to track tracking them down to get them to check the email, or is it even the right email that the access request was sent to? We don’t know.
Mallory Smith (31:37) Exactly. And I think that’s exactly why we need team members on both sides. That’s why we would of course, need people from your side to help manage. And if you see them in the hallway, you’re going to be more successful in getting a response from them than we would be. Obviously. So that’s why it’s always a dual team effort when it comes to tracking down provider information.
Fatima Nunes (31:57) Yeah. And I just have a question and I’m sorry if you all have already shared this, but I know josh and Karis are because they’re gathering the information to complete those credentialing files. They’re working directly with the providers. Jenny, is your team also collaborating with the providers reaching out to providers or are you just leaning on josh and karis’ work to gather everything. So.
Jdaugherty (32:18) Yeah, josh and Karis did a good job trying to get it during the onboarding process in the beginning. A lot of times, the information isn’t given in the beginning. So by the time it gets to pay your credentialing and pay your enrollment, we’re having to track it down, you know, for medicare and things like that. So.
Dana Landrum (32:36) Okay. You have a handful of them that are very good… about communicating with me. A lot of them like text… is better for them, I guess because of their day or what they’re doing. So, yeah, I do a lot of communication on my end as well. I’ve.
Melissa Miller (32:57) got one. I haven’t been able to get a hold of for months.
Mallory Smith (33:01) For months.
Melissa Miller (33:03) Yeah, for a caqh.
Mallory Smith (33:06) Well, why are y’all, still paying him what’s going on? Well?
Fatima Nunes (33:10) I was going to ask that actually, Melissa, how does it work? I know sometimes we speak to organizations that say we don’t allow our providers to start seeing patients until they’re fully enrolled with payers, or credentialed, how does that work internally at Ohio county?
Melissa Miller (33:24) Update it where you have to redo it every 120 days?
Mallory Smith (33:28) And I.
Melissa Miller (33:29) need to update it. And his password is expired and he’s changed it or something, and I can’t get him to do it. Got it. He’s a nurse. I can’t say that word?
Dana Landrum (33:43) Crna, crna, yeah. Yeah… a lot of those are contracted out. So, you know, you’ve got two or three different pay companies using them. So it’s hard sometimes and the providers won’t respond.
Mallory Smith (34:02) And, and what I would say to that, I hear you loud and clear on it. The really good news is that if you’re having to reattest or do updates, if you go with caqh management, the platform, the system does it for you. So there’s no more you having to reattest and log into every profile. This is something that’s just completely auto generated because the bi directional API.
Melissa Miller (34:23) Are you serious?
Mallory Smith (34:24) I’m very serious. Yes, it’s a huge burden off your team. I remember having to go through, and take 15, 20 30 minutes to update every single profile, but you have a lot of providers to manage.
Melissa Miller (34:37) Oh, yeah, that would be awesome.
Mallory Smith (34:39) No, I’m glad to see that there’s definitely some value to be seen there now. I’ll be honest, you’re always going to have providers that refuse to get you the password information. You have to track them down. We, we do our best with conversational AI. I’ll show you the mobile friendly option actually. So if I pull up the profile, this is still the provider’s view. So they’re able to see what information they have currently, what information they need to provide. We even have additional features such as like a QR Code scanner. So if I were to go into their documents, if it has an expiration date, we can track it, they’ll get auto notifications letting them know that their Coi is expiring their license is expiring, anything that has a date. But we also have this QR Code scanner that if they’re on their phone or mobile, they can scan this and then they can hold it up to the wall and take a picture of their diploma. They can hold it up to their Coi face sheet and take a picture of that. AI technology will scan it, save it as a PDF, even help name the documents. So we have this feature. And then we also can do all of this from their phone or from their tablet. So it sounds like they’re all pretty responsive when you’re thinking of like text messages. So this might be another option for those providers that are a bit more adverse to the technology piece of it. This could be their phone view and they could open up their profile and see, okay with agreements. I need to sign these electronic signature integration. Of course. So you have the signature or the page that they would review, they could sign from their phone just using their finger if they wanted to save it caqh profile authorization so that we can update it automatically using the caqh integration and then finally save and finish. So we truly do try to make it as easy as possible for that provider. There’s always going to be providers that you have to track down. They’re going to have their issues and things like that. But ultimately, I would say our current customer base, 80 percent of them use the caqh, their providers are pretty responsive with the system… we.
Dana Landrum (36:44) Usually when it comes to once a year for licenses and cois and stuff like that, we always update those on behalf of the providers. So is there, I’m assuming in the management part, it will do that as well?
Mallory Smith (37:03) It will, yes… yes, it will, I’ll go ahead. No.
Fatima Nunes (37:09) Sorry. Go ahead. Mallory. Oh,
Mallory Smith (37:11) no, I was just going to say it was a really cool feature that’s it. Yeah.
Fatima Nunes (37:15) No, one thing I wanted to add here is anything that the provider scans on their phone, takes a picture of any document they put into the system. You’re going to have full visibility into that. So it’s really meant to be the system’s meant to be very transparent to you all. So it’s not like they upload something, it gets checked by medallion. And then your team has no visibility into that. You’re able to see all of the documents that a provider has updated in their profile as PDFS as attachments. And we also auto name them so that you know exactly what it is that they uploaded and can take a look at that yourself if you want to.
Joshua (37:51) Do the providers have full transparency to see everything in their file or do we have the ability to edit that? Like in case there’s some sort of, I don’t know, disciplinary action or nothing I see right there is really concerning, but.
Mallory Smith (38:08) Oh, perfect. Yeah.
Joshua (38:09) There’s I could see a maybe an instance where that would be we’d want to guard everything that’s on there. Can.
Fatima Nunes (38:19) You share a little bit more about, what that instance would be? Josh like what would we not want the provider to see?
Joshua (38:25) Just like disciplinary like board actions, which I guess they should already know about, correct or any, anything flagged or something. I can’t think of anything off the top of my head, but I don’t want to like… be missing something that we might not want them to see.
Mallory Smith (38:47) No, absolutely hear you loud and clear. We do have areas in the platform that you can still track it at the group level and at the facility level. So the providers aren’t able to see it. I think the other aspect too, especially when thinking of board actions, sanctions and things like that, we do have ongoing monitoring with the system. So because you’re currently performing credentialing, is this something you currently monitor for your providers as well?
Joshua (39:14) Somewhat.
Mallory Smith (39:15) somewhat. Okay. So we have various different package levels. We have something just with npdb oig, and Sam, just our very standard sanctions. And then it ranges all the way up to comprehensive monitoring. I’m thinking social security, death masters list, olfac, medicaid, exclusions, medicare preclusions, anything of that nature? So I can always show you at some point, the big thing with ongoing monitoring is it’s just set it and forget it mentality. So when the provider has a sanction or something, you’ll automatically get an alert. It’s going to pop up here. You’re going to be able to open it up. You’ll be able to see the explanation and so forth of the sanction. And then you’ll be able to see that if the provider did receive an adverse action, he’s probably receiving an email already letting them know like, hey here’s your board action. The important thing is that it’s not up to the provider to let you guys know now so that you know, from a compliance standpoint, exactly what’s going on, whether the provider tells you or not.
Joshua (40:18) I like that. That’s cool. So, would we still have to have like the individual logins like mpdb or just y’all’s, is it like automated through you all where you would just track that? Yeah.
Mallory Smith (40:37) No, I hear you. Do you do continuous query for your providers with mpdb?
Joshua (40:41) Yes, it would.
Mallory Smith (40:42) be the exact same process. So rather than you guys having to keep track of that, we would just link your account to our system with mpdb and then still perform the continuous query, we can treat it like a pass through fee. So if you’re paying 275 per provider per year or any action like, that would just now be a pass through fee from us and it’s all integrated in the system and you can still keep track of it. You’ll have your own account. Of course, we’ll basically be set up as a dbid agent. So you’ll share your 10 digit dbid, and then we’ll just access it. That way you can see all of your providers.
Joshua (41:17) Okay. That makes sense. Perfect. All.
Mallory Smith (41:22) Right so now I’ve jumped around a little bit. I’m just going to go back through and kind of like review what we’ve covered so far. I know we’ve got about 20 minutes left. So the provider onboarding experience, inviting them in bulk or individually. They’ll receive the welcome email. They’ll be able to go through that onboarding flow and then they can view their entire profile, their agreements, the disclosure questions. These are directly from caqh just because we already have that bidirectional. So they’ll be able to see and answer all of this electronically, which is the other aspect and how we’re able to proactively update and reattest for the providers because this application really does mimic caqh when you think about it. And then of course, they have the mobile view. So all of that is from the provider experience. I do want to go back into the environment and show you what you can do. So we talked about that first when the provider is pretty independent, they can connect it. This would now be your view as an admin. So if you wanted to invite the provider and go ahead and start completing the information on behalf, you can upload all of their existing licenses, you can track it by state, by provider, type expiration, the renewal information, you can track their continuing medical education credits, their malpractice, the documents, you can upload, you can see the agreements. So you as an admin have the ability to complete as much of this as possible for the provider. So when the first time they log in, they’re logging into a completed profile, they sign electronically and they’re done. So there’s two different ways we can think of the onboarding process here.
Joshua (43:02) Providers are pretty satisfied with this method you’ve seen overall.
Mallory Smith (43:06) Yes. So we have a voice of the customer. We’ll typically have a provider that uses the medallion platform, talk to us on a quarterly basis. The features that they talk the most about mobile friendly option, the document QR Code scanner, they rave about this. We don’t make it through one of these meetings without this feature being mentioned, especially if they’re on the go and then the other great feature the task management feature. So with the task, our team will send automatic tasks to the providers. They can also keep track of their own tasks. So, of course, if it was the provider logging in, they would only see everything assigned to them. You’re able to assign them different tasks as well. And you can track the expirables. So how you’re able to communicate in the system back and forth rather than josh, you send an email, you go out of office next week, and then Karis, you’re trying to follow up and you’re like I don’t have access to that email. You can now track it all within the task management in the system. You can see when the provider responded, you can even track the metrics of how long is it taking providers on average to complete these tasks? Is there an area that we’re able to identify on where we can speed this up and streamline this effect? So you’re going to have access to all of those different metric points? Perfect. Okay. So let’s go ahead and get into the credentialing? My question for you is when we think credentialing there’s ncqa or there’s joint commission that we currently offer, which one fits your case better?
Joshua (44:37) Joint commission joint?
Mallory Smith (44:39) Commission? All right. So then we call that privileging in the platform. When we think of the privileging, you’re going to see different areas along the top on where each file is processing. So for a joint commission file, we do have a five day SLA, which means from the time that you click request until you go and submit the request… we’re going to have that file back to you ready in about five days. Now, when you do joint commission credentialing, are you also doing the delineation of privileging forms for the providers? Or is it just strict joint commission level cred?
Joshua (45:16) We use all in house stuff for the privileges. It’s just every… provider is so different. It feels like privileging in different things. So we do that in house, yeah.
Mallory Smith (45:33) I hear you loud and clear. So are you managing since every provider is different? Like for instance, with the medallion platform, we could take any of those dop forms that you have. We can map them in the system. And if you were to come through and request a file for a provider, you could click request and actually let me do it from here. I can go into privileging request, a new initial appointment, you would identify the provider that you want to go through this process. Let’s see we have an existing request already. I’m gonna go ahead and select this one. Maybe the provider has multiple entities, additional nodes, you’ll select the privileges. So this is an example, if we know the provider type is a nurse practitioner or a pa, for instance, and we know that their specialty is internal medicine. This is where we can go through and map out your dop forms. So that way it’s at least all in one electronic package for you at the end of the day. So, is that similar to what you’re currently doing when you think of the specific nuances?
Joshua (46:42) Yeah, on a very, yeah, we just do it like on a word document. So this is a lot. So basically, can we send you all of our forms and you, I guess upload them on here and say we needed to edit a form? It’s pretty easy or how does that work? Yes?
Mallory Smith (47:05) That is part of the implementation process. So you would basically send us all your forms. We would electronically map them for you if you need edits in the future. We’ll of course handle that for you at any time. We know that bylaws and policies, they get updated pretty regularly. So however you needed them to appear in the platform. And then I’ll show you when the file is going to committee, what this would look like… okay. Perfect. So I know we got about 13 minutes left. I’m going to go ahead and get through the credentialing piece. And then I’ll give you a glimpse overview of the payr enrollment, but I’d be more than happy to show you a secondary demo to really focus on the automation and AI aspects of it. So when we think of privileging, once you go through and make that request to the team, you’ll now see it in the in progress tab. You’re going to have full transparency as our team is going through performing the credentialing to joint commission standards, you’ll be able to see what elements have already been verified, automatically, what needs to still be verified. You’ll be able to see the packet of information as it’s being collected. You’ll see our notes. You can store your own notes. If I were to open this up, for instance, you could keep your own notes on this file as well. So, even though you’re not having to perform the actual legwork and complete the cred file, you can still be as hands on as you want to be as part of the process. Once those files are ready, our team will go through and designate it to the correct committee platform. So if it’s a level one clean files, if it’s a level two flagged files, we have some customers that have eight different levels and three different committees. So we’ll configure it to fit your needs. And then once we send it to the committee based on if it’s a clean file versus flagged file, then you can see here, where would you like to send it? Which profile will do that for you? Now, your committee members are able to see all of this electronically. The biggest benefit you’ll see they are able to vote at whatever time works best for them. So they’re going to receive an email or a task to let them know, hey, you have some new files to go through and review. They can log in at seven a. M. They can log in at nine P. M, just whenever they have the time, they can see that they have a clean file here. They can scroll through. They can view the packet itself. This is going to show them the, what I call how, what, when, where and why? So what information has been verified, what documents are attached? They can download this file if they wanted to. And the committee members can also leave their notes to the right side of the panel here too. So if they have any notes for additional committee members, if they’re like, hey, saw this really quick? We should discuss this in the committee meeting. Those are typical examples that we’ll see. Once the committee member has reviewed it, they then have the ability to make a vote. They can see and your team can actually see who has yet to vote on this committee file. So if you want to send a gentle nudge for instance, and say, hey, all other committee members have voted, can you please review this file that way? If they’re committee meetings that are happening monthly, bi, monthly, however often they are, if they are three hours long, they can have you 45 minutes long because the committee member has reviewed the file, they’ve got the electronic packet. They voted in the platform, and then you can just review the results.
Joshua (50:29) That’s crazy. It’s.
Mallory Smith (50:31) a very cool feature. I nerd out about this a lot actually.
Joshua (50:35) Right now, we just email all the providers together and they get it two to four days before their meeting. So, who knows how well it’s reviewed? You know, I.
Mallory Smith (50:47) think that’s a great call out. And then you always have to think of compliance with that too. Especially with, I mean, my favorite of course is always dr death. Like you can never talk about dr death enough. But when they’re in a time crunch, this is not their full time job, right? Like this is just one aspect of it. So, I hear you loud and clear on that. Once they have gone through and voted, though, you can also see the full repository and history. If they’ve been approved, rejected, archived files you’ll see. And of course, again, SLA, because we have the five day SLA for the packets… you can see why they were rejected, you can view the full details on why this person was not sent through the committee. And then with the existing, and then the privileging lookup we’ll go ahead and talk about that too. So with the existing privileges, you’re able to see which entities they’re a part of when it’s time to reappointment start. We’ll configure this question with… your joint commission, privileging reappointments is it every two years or three years?
Joshua (51:50) It’s currently two years, but I think we’re going to start doing three years, okay?
Mallory Smith (51:58) Oh, awesome. Yeah. I know they recently changed that like what a year and a half, two years ago?
Joshua (52:02) Yeah. It was news to us when we found out this time. So we’re.
Mallory Smith (52:07) excited about it. Awesome. So then we would set you up at the two year or three year cadence if you want to use this as like a go forward model, and then the last piece privileging lookup so if you want to know which providers in this area have these certain privileges or if you want to know just which provider has which privileges, you now have the ability to look up. So I could say ClearCare for this entity. And then it looks like Jennifer Larson is the only one show one result. You will now see you have one provider at this facility with these privileges granted. So scheduling surgeries, anything of that nature? Okay? Now, I’ll pause there. I know we’ve only got about seven or eight minutes left. I do still have PE to show you because I started my career in payr moment. I could talk a full hour on that so I can go through and give you a quick visual, or we can also plan a part two where we spend 30 minutes alone just talking about the payr moment, how to make the request, our internal payers, directory automation, anything of that nature? What is the team thinking on that? Can we?
Bethany Todd (53:15) Do a part two so that we can get a full look at it?
Mallory Smith (53:18) Absolutely.
Fatima Nunes (53:18) Yes. And I’m thinking Mallory, sorry to jump in here. What we can do, I’m thinking is let’s just jump into maybe the analytics report builder. And then part two, we can really focus on payr enrollment alone because it is, there is a lot to talk about there there’s.
Mallory Smith (53:34) So much it is our bread and butter. It is definitely like the majority of our business. So I would just never want to rush that. So, yeah, I’m in alignment there. Let’s wrap today with analytics and reporting then. So of course, because we are end to end, we have, we’re able to do anything from the medical licensure, payr enrollment, credentialing of the providers, task summary provider onboarding. So I’ll give you a look into what that looks like. If we think of payr enrollment, you’re going to have the visual charts and graphs to be able to see exactly where a provider is in the process. How many completed enrollments have come through? What’s status transition time? Where are we seeing the biggest delay? Is your team able to streamline that anymore? Are there anything that needs to be brought to our attention when we think of credentialing? Is it credentialing, or is it privileging? How many files have been generated? Are we meeting the SLA time performances? How long is it typically taking to credential a provider? And then the last piece that I just think is the coolest is the enrollments by market. So this is an enrollment report to show you exactly what is the open enrollment by state? Where do we see the biggest market share? When we think of our bucas, blue cross united, medicare medicaid, where do we see the most action? So all of this is just standard within the platform? Okay? So that is the analytics portion. You do have the ability to export any of this to a file, a CSV or excel spreadsheet. Let me show you the last piece with reporting. Oh, sorry. Let me go back to the environment with the reporting itself. Biggest benefit here. We’re going to show you how you can either use our standard can reports. You can schedule these to be sent at whatever cadence to whoever needs a copy of it. This is done automatically by the platform, but you can also create your own. Now. I’ve worked in a number of different credentialing softwares in my tenure. And this is by far the easiest reporting. So if I wanted to look at payr enrollment requests, for instance, every data point is trackable and a part of the report. So in the order that I select these data points that’s the order it’s going to build, we see a lot of this with payr rosters. We’ll see a lot of this with provider directories. So if I said state payr lines of business providers, npi, maybe their practice itself, the status effective date, reval, date. Transition that to the right. I now have a report in the order that I selected. I can export this. I can also save this report and I can have this sent to my billing team every single day. It’ll be in their email inbox. I can have it sent to my leadership team once a week, once a month before your staff leadership meetings, anything of that nature? Okay? So I’ll pause there. I want to make sure Fatima has time to talk next steps. Any questions with the analytics and reporting?
Mallory Smith (56:44) Okay. I’ll go ahead and stop sharing and we can definitely set up a part two to talk about payr in a moment.
Fatima Nunes (56:49) Yeah, thanks, Mallory. Jenny. I think for your team, Melissa Dana, the reporting is probably crucial. Are you all running similar reports today and having to report them up to leadership or anything like that?
Jdaugherty (57:03) It’s basically like a one on one, you know, one off, they’ll send an email and they’ll say, hey, so, and so isn’t in network with, you know, our beaverdam location, can you check with the payr and it’s just an email communication? It’s not really reporting.
Joshua (57:22) Okay. Would you?
Fatima Nunes (57:23) Say that’s like a significant like lift for you all? Like something that you wish was a little bit more streamlined that you could just pull that report, get or like pull that information, get it sent over?
Jdaugherty (57:32) Yeah. I would say, or the clinic managers or clinic directors actually, if they just had access to the payr to the dashboard just to see statuses, they wouldn’t have to keep asking what the status is.
Fatima Nunes (57:48) Absolutely. And that’s actually a great point because we did just get this question recently from another customer. They were asking if medallion would charge like a license fee for everybody who had to access the medallion platform to view all of this information. And the answer to that is no. So we are priced based off the scope of work that we’re going to be performing for your team, not based off who has access to the medallion platform. So you’re able to… provide access to all of those practice managers, the managers that you’re saying for them to have full visibility and log into the system and see the data themselves. That way they don’t have to email your team to get that.
Fatima Nunes (58:32) Okay. So I think in terms of just wrapping up, I did have a question before we schedule the part two demo for the payr enrollment and it’s specifically, we’ve talked briefly maybe or maybe Karis and josh, you guys talked briefly to Nicole about budget, but is budget something that’s already been defined for this initiative or is the team still figuring that out? I would.
Joshua (58:58) say it’s not defined, but I would say it would definitely play a factor.
Fatima Nunes (59:05) Okay. I guess, do you have, is there a ballpark? I know initially and I don’t want to guess here. I know initially this was like a credentialing initiative and then y’all found out also Jenny’s team was evaluating a payr enrollment system as well.
Fatima Nunes (59:25) And so now the two initiatives have merged, would this still both be rolling up into the same budget or is this allocated in like two different areas? How is that going to work internally? I’m not.
Joshua (59:37) Sure how it’s going to work internally and this isn’t budgeted in this fiscal year. At least in our department. I can’t speak for Jenny’s.
Jdaugherty (59:44) no, it’s not. But.
Joshua (59:47) we don’t really, I don’t really know roughly what it’s going to cost. So just among everybody that we’re looking at, I mean, price will definitely depend… and we’ll just compare it on the other people. Okay?
Fatima Nunes (60:07) So it sounds like it’s cost comparison to see what’s most cost effective for you all. Is there anything else like in terms of like your vendor criteria that would be important outside of cost? I know cost is always, you know, top of mind for everybody. But is there anything else in that criteria that’s important as well?
Jdaugherty (60:30) I think it’s just functionality. And I mean, you all’s product is pretty good.
Fatima Nunes (60:35) We’ve.
Jdaugherty (60:35) just had an introductory call, with the payer enrollment side for an, for another vendor and we haven’t even seen theirs. But the… as far as the cost goes, that’s probably going to be the main deciding factor and I don’t admin would have to decide where the budget for that would lie. I don’t know if they’re going to allocate it to the individual departments or if they would put it under like a provider budget. I don’t know. Okay.
Fatima Nunes (61:06) No, that all makes sense. And then two questions on that. Typically when you evaluate, I guess, let me take a step back. You mentioned that you’re looking at another payer enrollment vendor is the ultimate goal to get one vendor that can manage both like the credentialing as well as the enrollment? Okay?
Jdaugherty (61:24) So, yeah, we want it to flow better that way. So, yeah.
Joshua (61:26) Okay.
Fatima Nunes (61:27) So, it’s safe to say that all the vendors that you’re looking at outside of medallion, they’re one stop shop, they can handle both.
Jdaugherty (61:32) One or the other probably. Yeah. Okay.
Fatima Nunes (61:35) And how many vendors in total are you looking at today? I’ve.
Jdaugherty (61:38) only looked at one other one. We’ve.
Joshua (61:41) looked at two total. And we haven’t scheduled one with the other one. We might payr hasn’t seen one that we’ve seen. Okay?
Fatima Nunes (61:51) Okay. No, that’s all helpful. I appreciate the additional context there. And then the last question was more, you said that it’s not budgeted for this year. So, would the, in terms of understanding what that means, would the goal be to make a vendor selection? And between now, I know your year starts in October? Would it be vendor selection before October? And then you would kick off implementation post October? Or can you just walk me through a little bit of that? What that timeline would look like? Yeah.
Jdaugherty (62:19) We don’t know kind of.
Joshua (62:21) Just depends on what the CFO and upper management. I do think we are going to get a I’m pretty sure we want it. We just don’t know… when or which, you know, yes.
Jdaugherty (62:37) Is where we’re at? Yeah.
Fatima Nunes (62:40) No, I totally hear you. I think you’re doing your due diligence. And right now, what’s most important to your point? Jenny, making sure that the capability, the functionality is there before you all make a recommendation to dr skiba or your leadership team. I absolutely understand that. And then on that, I know dr skiba is going to be involved sort of like what would that internal process look like? Would you all reach back out to, once you look at these different vendors, do you create a short list and then present to dr skiba? Or what would that internal flow look like?
Jdaugherty (63:18) Yeah, basically depending on the cost, it would have to be board approved?
Jdaugherty (63:27) And did… you say that, dr, josh, did you say, dr skiba? Yeah.
Joshua (63:34) So, I brought him up in the original because, you know, I wanted to explain, I jump on demos all the time, with potential companies for marketing things and, you know, gift shop things, you know, everything, the vast amount of stuff we do and a lot of times, I don’t even know if I’m like we probably don’t even have the money or, yeah, the backing behind it. So, just hearing from our chief medical officer that this is one of his top priorities within the next year, I wanted to express that. I do think that’ll.
Jdaugherty (64:13) push it along. I.
Joshua (64:15) Do think it’ll help don’t you, Jenny? Yeah, it’s a very provider focused health care system. We have the provider. Okay? Then they try to, they try to make it happen, which? Okay?
Jdaugherty (64:32) Well, that’s.
Fatima Nunes (64:33) all helpful. And I just realized I stole four minute of four minutes of everybody’s time I have. I’m sure. I can, I’ll table the questions that I have around dr skiba, but this is all super helpful to understand. I think ultimately, the reason why I ask all these questions is you’d be surprised we get on these conversations and there’s an expectation around implementation and timeline and we just want to make sure we’re moving at your pace. And you’re not expecting implementation to kick off in like a month or two months. That way we’re able to align resources so that’s super helpful.
Jdaugherty (65:04) So,
Fatima Nunes (65:04) can we, I know Mallory is actually going to be out next week. She’s going to be in Hawaii… wow, very jealous first.
Mallory Smith (65:13) Time ever, we’re very excited. I’m very pale still. So, y’all, pray for me.
Fatima Nunes (65:21) SPF, 100 Mallory? Okay?
Mallory Smith (65:23) I was going at least 75, so.
Fatima Nunes (65:27) Let me look for the pay enrollment. Part two demo. Let’s see… boy, should we try to look maybe two weeks out?
Jdaugherty (65:38) Let me.
Fatima Nunes (65:41) see, I’m, looking at the week of April 20 seventh. Right now, would that week work for you all? Or would it be better, to push it to the first week of may I.
Jdaugherty (65:51) Think that would probably work for me as long as Diana and Melissa can get on. Yeah… I’m good. The 20 seventh, the 28 except at nine o’clock Central Time would?
Fatima Nunes (66:05) We just because I know Mallory gets back from Hawaii over the weekend, don’t want to put a demo on her calendar on a Monday you want?
Jdaugherty (66:12) To do the thirtieth, do you have anything for?
Fatima Nunes (66:14) Thirtieth, yeah, I think that would be perfect.
Jdaugherty (66:16) Okay. The.
Fatima Nunes (66:17) thirtieth, is there a time typically, is this time typically work best for you all? Yeah.
Jdaugherty (66:21) That’s good. All right. Great. Should.
Fatima Nunes (66:24) I include all folks or just Dana, Melissa, you, Jenny? No?
Joshua (66:27) We don’t need to be in there.
Jdaugherty (66:28) Josh says, nah, that’s all we need to see.
Fatima Nunes (66:32) Over.
Jdaugherty (66:35) my.
Joshua (66:40) head.
Fatima Nunes (66:43) okay, great. So, I will send it out for 11 a M Eastern Time on the thirtieth. And then if you need anything between now and then, please let us know. Happy to share any resources or the deck with you all after this call, okay?
Jdaugherty (66:58) Appreciate it, y’all, of.
Fatima Nunes (67:00) course. Take care. Good luck. Okay?
Joshua (67:02) Thank you.