Transcript
SB (00:00) hey, shay, hey, how are you?
Leigh Howle (00:03) I’m doing good. How are you?
SB (00:05) I’m good. I feel like it’s been a while.
Leigh Howle (00:07) I know, right?
SB (00:10) Yeah, I needed a little vacation… really in reality, actually, it wasn’t a vacation. I just did not want to work while my children were home for a week of spring break. That’s the honest truth.
Leigh Howle (00:23) I don’t blame you at all. I keep telling my husband. I was like, when are we going to go on vacation? Need to start making some pto planning. I.
SB (00:32) know, I need to, I really need to plan a pto with my husband, that would be really convenient, but I need a few more years. Brenda is three small kids. I don’t know if Brenda will be here. She had something else maybe going on and I don’t know that anything on the agenda is super relevant to her. So.
Leigh Howle (00:54) I’m on. Oh.
SB (00:56) Hi, Brenda.
Leigh Howle (00:57) Hi, Brenda.
SB (00:58) I didn’t see your face. I see a black screen that way. I didn’t know if you were still at your last.
Brenda Kelly (01:05) Oh, it’s been meeting after meeting and then they’ve been running us over.
SB (01:09) Yeah, that’s why I didn’t know if you were in the last one or if you were going to this one, so.
Brenda Kelly (01:17) And then I got bit on the back of my arm by my elbow and it is a gnarly welt… that is getting worse and it’s oozing and it’s just, I probably got to go to the urgent care.
Brenda Kelly (01:29) I don’t know what’s going on here.
Leigh Howle (01:30) What bit you?
Brenda Kelly (01:31) I don’t know. I have no idea. Yeah, I do not. I got stung or bit by something and,
Leigh Howle (01:39) yeah, definitely get going. You don’t have to hang around. I mean, oh, no.
Brenda Kelly (01:43) I got it on ice right now. We’re good.
Leigh Howle (01:45) Yeah, I don’t.
Brenda Kelly (01:46) need to go unless I really need to go, you know, I’m, just, it’s traveling. So, I feel like if it doesn’t go down in swelling, I may have to, you know, go in?
SB (01:56) Yeah. Have you been in the water lately?
Brenda Kelly (01:59) Yesterday, not in, I wasn’t in the water. No, we were not allowed to swim here.
SB (02:04) What’s that could like something be bit from like something in the water?
Brenda Kelly (02:08) I got, I think I got bit in the trailer in the RV. I got stung or bit by either a baby horsefly, oh, or some weird tiny bee looking thing that was in the trailer, but I think it was a, I truly think it was a baby horsefly bit. Oh, my Lanta.
SB (02:30) Oh, ouch. Ouch.
Brenda Kelly (02:32) I mean, I felt myself get bit or stung yesterday, swiped at it, saw it fly away, killed it later. But today, I woke up and it was like, meh, you know?
Leigh Howle (02:45) So, yeah, I’ve heard sometimes like charcoal or some kind of, you know, extraction agent can pull that poison out.
Brenda Kelly (02:54) I wonder if charcoal toothpaste will do it.
SB (02:58) Oh, yeah. Yeah.
Leigh Howle (03:00) Yeah. I got stung by a wasp and did charcoal like the kind you know, you try to whiten your teeth with. So, yeah.
SB (03:09) The other thing is just try like a baking soda paste like that’s. I use that all the time. I’m like kids, they think it’s like natural paste and I’m like it’s baking soda water.
Brenda Kelly (03:20) Yeah, I use that for when we get mosquito bites. Yeah, but this is oozing something kind of clear. It’s clear, yellowish. So, yeah, I.
SB (03:30) don’t know. I don’t know either using anything is like diversion to my husband. You take care of that. It’s oozing something.
Brenda Kelly (03:38) Right, right.
SB (03:40) I’ll be honest, he’s the ick man at our house.
Leigh Howle (03:46) Well, I hope everything gets on the up and up. And, yeah, all right. So I’ll just go ahead and, you know, start on the first item on the agenda. It doesn’t seem like we’ve got too much to cover. So, Brenda, if you, when we get through, if you do need to hop, definitely go get that checked. So, for Aetna, I, on this one, I dug into this one a little bit, shay, and this, I found this email from Aetna and it’s the west south central territory. And it does say that they decided not to pursue a participation agreement with.
SB (04:25) The right. But we don’t need a participation agreement. We just need the provider to be credentialed and linked to the current participation agreement, which is frontier. So I don’t this one seems like it’s going out as like a Allison worsher, contracting with Aetna directly, right? A participation agreement, right? I,
Leigh Howle (04:49) checked out the application that was submitted. I reviewed it and it did say enrolling… the provider under the tin that is already existing. Yeah, existing contracted tin.
SB (05:04) So, what’s throwing this, what’s off on this one than any of the other ones I guess would be my next question.
Leigh Howle (05:10) So, I, that’s a great question. Yes, I have.
SB (05:13) Never in my 10 years ever heard of a provide. I have heard them close the networks but never close a network on an agreement that’s already open, right? Like this just seems like contractual language and not credentialing language.
Brenda Kelly (05:31) Can I share something with you about Aetna direct? Sure. Yeah. So, Aetna direct processes our claims under the individual provider, but they pay under our tax id. So I know that sounds weird, but when we call in, if they process under our group npi, then they deny for enrollment. If they process under the provider npi, then they see the enrollment. So it’s weird, right? So.
SB (05:56) But that could be because of the way that they actually take our credentialing information, which should be from first choice health. Remember, we are actually contracted at this first choice health network and the credentialing goes up. So that could be the reason why, right? Because they don’t actually house the contractual information, they only house the provider information. So I could see that being that situation. But something for Allison, out of all 49 of our providers who are linked to Aetna Montana, something is something language wise is being different. Do you see what I mean? Because we also just enrolled Naomi Chris Beasley, and they didn’t get stopped for a closed network.
SB (06:47) Which I do see. I do agree with what you’re saying and that does make sense. But even in the case of Brenda, where you’re billing for it under the provider npi and they’re paying the group tax id. I’ve still never had them close the network because the provider is really linking to a group. I have had them say, hey, we aren’t accepting any more contractual agreements.
SB (07:19) Yeah. So I can’t figure out like what in the workflow? You know what I mean? Like I was thinking it was a contraction, a contractual request versus a credentialing, but I can’t figure it out. Yeah.
Leigh Howle (07:39) So, I filtered to Aetna Montana. And most of these effective dates go back pretty far. I don’t see any from, you know, the last here’s one. So, Christopher Beasley, right? What is the note… first choice?
SB (08:01) Right. That’s what I’m saying, like if that’s the case, then the payer enrollment is being submitted incorrectly, right? Like something here is not linking on Allison’s.
Leigh Howle (08:13) agreed. I think, let me look in our directory. There is a first choice health enrollment.
Leigh Howle (08:30) And it… is offered in Montana. So my question would be, do you think the request should be first choice health instead of Aetna?
SB (08:40) Well, no, because we actually how it works is first choice health is basically Aetna delegates their credentialing to first choice health. So it is two separate enrollments, which means it does need to flow over to Brenda separately. And we do need to verify that we are flowing up to the Aetna directory and our credentialing is living up with Aetna because we have had circumstances in which that pathway was not open and our providers were not making it to Aetna and we were then having all these denied claims. So, I like I said, I maybe I just kind of assumed it was the way the credentialing application was submitted, but… I think there’s just something different in the workflow on this one versus like I said, the most recent of like Chris Beasley’s, or Naomi would be another one that didn’t get like… the pair enrollment team. Does that make sense?
Leigh Howle (09:36) Yes, I will tell them to follow Chris Beasley.
SB (09:41) Yeah. Whatever that flow is on that backend. Yes.
Leigh Howle (09:44) Yep. And the follow up needs to go to first choice health. I noticed that they were calling Aetna and.
SB (09:50) Sure. And that could be the situation, yep.
Leigh Howle (09:53) Yep. And then I did notice on Aetna’s directory, I did a search for frontier and when I went to look for the plan and network information, it didn’t have anything listed here because.
SB (10:06) We don’t have a direct contract with Aetna because we have to contract through first choice health. But again, the Aetna information flow, the delegation, right? Aetna delegates down to first choice. So that’s why we pull in the directory, but we probably don’t have any network information because that’s probably dependent on that first choice health.
Leigh Howle (10:24) Right. Okay. Yeah, that.
SB (10:26) Would be, my guess, we had a whole debacle with Aetna first choice health. Yeah, recently, that was fake. That’s why we kind of know how there’s something a little different on Allison’s.
Leigh Howle (10:39) and I will update the sop for Aetna. And once I can get Chris’s enrollment figured out on how it was submitted, I’ll go over the application. Okay? I’ll be sure to include instructions so that this doesn’t come up again. Yeah.
SB (10:54) Sure. I appreciate it. Like I said, maybe it wasn’t a contractual thing, but I’m like some verbiage is here, it’s not going the same way. Okay? So then, yes, we corrected the licensing thing for the deas and csrs. My question is… was on those actually now I think we have everything in place because there isn’t a place in the system that like inactivates the practice location. Am I correct? Other than leaving a term at the end of it?
Leigh Howle (11:30) Yes. And it is coming, you know, when I had sent over the closed approved closed archive, that kind of thing. So, epd is working on having, a way that the practice location will show… closed. And then all providers affiliated will also have a closed status.
SB (11:52) Status. Yeah. Okay.
SB (11:54) Cool. Okay. Perfect. That was all on that one. And I think we had everybody kind of rerouted. So. Okay. So I have some aged licensing or some pay enrollments. We have actually done a really good job. There’s a couple of them that are still lingering on the tricare website, Tri west, but honestly, a lot of those. And when I share this report, a lot of those have actually been resolved. But I’ve noticed what Tri west is no longer doing. They’re no longer giving effective dates. So I don’t know how to resolve that being a requirement on the line to close. Does that make sense? And maybe we just need to have a little bit of a longer offhand looking at each one of those lines. But I understand why try why we need that information, right? That’s a piece of information that like doesn’t go past me without an effective date. But how do we do that? When the payers no longer giving it, they will say they’re credentialed and give you a reference number and all of those things. But I have reached out on several different situations in which they have agreed to the participation of the provider and asked for an effective date, and they just simply don’t respond or say that they can’t give the effective dates is.
Leigh Howle (13:15) That for, Tri west, Tri?
SB (13:18) West, but our vaccn program also runs through Tri west. So at the end of the day, both tricare and Tri west, we use the same administrator now.
Leigh Howle (13:29) Yeah. I totally thought that Tri west healthcare alliance could give effective dates over the phone for the Tri west and the vacn. Because, so then maybe that’s.
SB (13:40) the workflow that needs to be adjusted on the back end is like if you’re getting it because we are managed under the same administrator. Now that Tri west was bought out, right? And they did some kind of rejuggling, we went through that, right? We learned that all of our locations still live under the Tri west. So whether it’s our vaccn contract or the Tri west contract, maybe we just need it because that’s what I noticed. A lot of those aged enrollments are right? Like where one might have been approved. So then we just need to match those two things up. And when I show you the spreadsheet, I’ll send it over to you and let me know if you just want to do a quick chat on it. I think we just need to match up those effective dates then.
Leigh Howle (14:24) Do they assign the same effective date for both of those networks that’s.
SB (14:28) what I, that’s what I’m saying like one is lingering after the other and so I think we need to fix the workflow on the Tri west, Tri care approval process somewhere. I can’t quite put my finger on exactly how it is. I’m struggling to get effective dates. I noticed that they’ll give the credentialing dates. But in Tri west credentialing and contracting dates can be very different. And so I don’t know if that’s what’s holding up these things. But if you notice, like I said, I’ll show you it’s like Nicholas meinhardt, and we have his Tri care approval date. But then we don’t have his Tri west today, but the approval I do believe is like you’re saying probably the same now that they’re under the same administrator. And… just how do we clean up these enrollments? Because some of them are aged like over?
SB (15:22) Let me see if I can quickly open this.
Leigh Howle (15:27) So, this one, he has two lines and one says Tri west hnfs. One says Tri care west or I’m sorry, Tri care west hnfs?
SB (15:40) Yep. So even things like that, right? Like how, like I, a lot of these aged enrollments are like kind of wonky like this.
SB (15:48) So I just didn’t know if we would have enough time. So I actually didn’t prepare to do this here. But this enrollment spreadsheet that I pulled out these aged ones, I think we just need to take a look at them a little bit more closely and probably close them out because I think that they’re well, first of all, they’re nagging at me and I cannot stand them. And secondly, there’s so many things that have happened on top of these that I don’t even know that this is that these are accurately being tracked if that makes sense? Right? After. Yeah. And like again, when they flip flopped from health net, federal services, did something else get put in its place and we just need to close out a line? Yeah.
Leigh Howle (16:30) I agree. I think that when hnfs was… transitioned out and try west healthcare alliance came in as the administrator. You know, I think that these, some clients have just stopped the hnfs lines. Some clients have just said, you know, you can just, you know, use this. Yeah, use the same effective date if you want to is as try west whatever. So that sounds good. I’ll look at you.
SB (17:04) Know what’s really funny is now that I’m looking at this age spreadsheet, there is health, there’s. Actually quite a few of them that are exactly that. So let me send you over the spreadsheet that I have, and I think that’s exactly it, right? I think something on the workflow on the back end of these just need to like clean them up because you can see when you pulled the, when I pulled the whole report for all of these government lines, how they laid out. I’m like there’s something kind of wonky here and I think it’s leaving our enrollment age really aged and they don’t necessarily all fit in that bucket anymore. Yeah.
Leigh Howle (17:41) They’re not.
SB (17:42) Okay. Do you want also this is over to you? Do you want to chat on it or do you just want to see if you can kind of figure out my monkey work on it?
Leigh Howle (17:53) Yeah, we could go over it if you want to right now if you want to share it.
SB (17:55) Okay. Let me show you. Okay?
SB (18:04) Okay. So I broke it out. I ran it on the 30 first. So it’s probably a little more aged now, but see how some of them now that you’re saying it, right? So this is our va, these are always triwest, but you are right. Like some of these do say healthnet federal services, right? Shelly wolf, that one can probably be closed out as well.
Leigh Howle (18:24) When you say closed out, do you mean like stopped or completed?
SB (18:28) Well, like obviously, if the line, if she’s not in network with triwest, tricare, triwest, then we obviously need to reopen that line in the correct line. But I would imagine she is right. She’s here. She’s in there somewhere else.
Leigh Howle (18:48) Yeah, it seems like a duplicate.
SB (18:50) Exactly. So that’s why I think that some of these. So the green ones also, I forwarded over tickets like this one was ticketed back over in December and these are the ticket numbers. So these, you have approvals for, they just need to be closed on your end.
Leigh Howle (19:05) Got it. Okay. Yeah. Okay.
SB (19:08) These ones were all approved and I opened tickets on these other ones here were a couple screenshots. So I got some screenshots on these two, but it looks like the line is still open.
Leigh Howle (19:23) Oh, that’s weird. That might be a bug. Yeah.
SB (19:26) So, see like Nadia morelli right? This is optum and then easyhands and selecthealth. Here are the, I mean, I got an approval from you guys, but the line is still open. Okay?
Leigh Howle (19:38) I’ll research those and find out what’s going on. Okay? So I.
SB (19:41) just left those ones here. These ones are within range. So we don’t obviously need to track these ones. These were obviously completed our buckets, and then this was our group. We don’t need to do that. So really just like I said, these ones, I have the little bugs on them, and then I think we can clean up like honestly a majority of these ones here. And then I mean, we have rosters open for some of these other things. I don’t know if those are now available how we want it. Like I said, I think these are the last of the aged. And I’m really proud of us guys in a year. We only have 25 aged enrollments and they’re all from the same payr bucket, which is obviously a payr issue and not an us and relationship. So really honestly, I think that that’s a huge kudos, we’re quarter one and that’s our worst of our enrollments.
Leigh Howle (20:30) Yes, that is amazing work.
SB (20:32) Yes, that is truly staying on top of our job and knowing what we’re doing and keeping an eye on those. So yay to us.
Leigh Howle (20:41) Yes, yes, 100 percent. Yes. Okay. As soon as that comes over, shay, I’ll review it, and then I’ll just add a column with my notes and I’ll just let you know the action items that were taken, lines completed. If there’s any questions, I’ll just highlight those or?
SB (20:57) Even if you suggest to just resubmit them, right? Like do we have my other thing that I’ve been in this situation before? Like humana is one that we’ll do the death to me. It’s like they’ll be like, just resubmit. And then I have all of these notes and I’m like the application number isn’t even the same. The reference number isn’t even the same. Is it easier just to stop that enrollment and kind of make a clean slate with some newer information? So that way then we truly have a task that when we do call in, we’re not calling on seven different tracking numbers and two different applications. You know what I mean? And have we come to that process on some of those ones that truly might still be aged? I’m crossing my fingers, I don’t think most of them are, but just in case I’d like to see just a little more cleaned up.
Leigh Howle (21:40) Yes. And that is totally up to you. If you do, you know, it goes towards consumption. So always want to be mindful of that. But if you do prefer to stop those lines, just send a support ticket and they’ll stop it. And then you can just drop a new one and I’ll go through those and I’ll push any with the team, make sure that humana processes are being followed. We really need.
SB (22:01) To know. Oh, yeah. And it wasn’t really directly with humana right now. Obviously, our issue is the tricare process, right? Whatever that tricare request. I’ve just had it happen to me from humana where I’m like this is a nightmare. So, yes, just the tricare trywest process. And I truly think that, you know, at the end of the day, neither one of us are really, I think the whole system is, was just redone so heavily in 20 25. And so more of like just making sure our data is clean and reviewable, right? Sometimes it’s not, it’s great to have all the information, but if we can’t review it or make sense of it, can it just be even displayed a little bit better?
Leigh Howle (22:38) Yeah, absolutely. And it’ll clean up the reporting as well. So, yeah, yeah. Okay. And then next item, we had Nevada licenses. Yeah.
SB (22:48) So, Nevada licenses. So we are contracted with Nevada medicaid, now, the fee for service traditional Nevada medicaid. I loaded that into medallion. We are ready to move into a… contract with a group called silver summit and they are dependent on our Nevada licenses. So, could we by chance prioritize the current Nevada licenses in process? I have five of them. I do believe. Yes. So, Nicholas minor was one that we did. Okay?
Leigh Howle (23:27) Let me just pull these up and see if they are.
Leigh Howle (23:34) If they’re already marked as a priority. And then if not, I can send this to the licensing team and they can mark it… actually.
SB (23:43) And I don’t even hold on. Can you give me one second? Let me go grab a note because some of them haven’t been processed too long, and I don’t want to prioritize those ones for the team that really are in the, but let me go grab my note really quick. Okay?
SB (24:07) I lied, I just took my notes the other day on the computer and I know exactly where they are. Sometimes I like jot something down and then I’m like don’t forget to load that somewhere.
Leigh Howle (24:20) Yeah. There’s three processing three in needs attention. Three are already with the board.
SB (24:27) Yep. So it would be mindheart is really the one that we’re looking for mindheart. And then pretty closely behind it will be chupin and stainer… and I think you already have his going.
Leigh Howle (24:45) Okay. There’s mindheart. And then I can make sure that this gets and you want just the MD marked, not the Da or CSR. Okay. No.
SB (24:55) They’re just stuck at credentialing because they need a Nevada license.
Leigh Howle (24:59) Okay. And then you said it was?
SB (25:02) Yeah, Taylor, Shana chupin, and Taylor right there. Yep those two. Okay. And Taylor’s Shana’s is also at the board that’s nice to see.
Leigh Howle (25:16) STINER. Okay. I will make sure these get marked as a priority and I’ll send these over to the licensing team. So they are aware.
SB (25:24) Awesome. Okay. So then my next question is also related to licensing and this is for our new provider, dr gossela. And so we had submitted her, I had submitted her licenses with the compact tag on them. I do believe.
Leigh Howle (25:43) Yes, you did. And.
SB (25:45) then they got some got submitted to the board directly without using her compact. And some, I don’t know if they are or how they got submitted. So how come they were not submitted to her loq through the compact and they were submitted directly to the board?
Leigh Howle (26:02) I will send this over to a licensing manager to get the root cause analysis on that.
SB (26:09) So, Alaska is a direct, it’s not in the compact. So that one is totally fine. So, Montana, I know was not submitted through the compact. It was submitted and I don’t know if it’s because her loq wasn’t right? Like I don’t know if it was the timing, but we provided, I do believe we provided the loq approval and then these were submitted like they were within a few days of each other. But like how do we stop that from happening? Because now, none of these licenses or at least the Montana one is not linked to that compact. And if we go back and pull this application, then we’re paying for the application process twice. So where in the process, can I better give that information? Or did I? And it wasn’t necessarily viewed in the same way I sent it. I don’t know how, you know what I mean? And this is also the first time we’ve had this compact loq situation. So it’s definitely, you know, something new for us.
Leigh Howle (27:12) Yeah. So there’s a couple of ways I’ve been making the request. So under the request, you can see the new loq, if you have a brand new provider, you’ve got to request, that will go in and it will mark that license request with the loq in it just like the compact is. And then once this is in process, you know, and that one’s good to go. When you go back in and you request new licenses, it’ll be the same way you’ve been doing it. And at the bottom, it will have the option to include the compact dates which is how you were doing it. It was just the loq was missing as far as like the team looking in the row, like right here, you can see that, wait a minute. Let me go back here. We go. Okay. So right here, you can see compact is showing in the row where the request, and there should be one in here that also says loq or it would have been added. So that, yeah. So.
SB (28:10) The loqs we are having our providers process on our end, we are not having.
SB (28:16) So that is why I didn’t use that because I do believe you guys have like a 2000 dollars. I do believe the loq fee is heavy compared to just processing the licensing. And so I did not do that. So my assumption was that since I didn’t put the loq in there because it wasn’t approved at the time I had requested those compacts, that they would wait to hold those licenses to go to the compact. When I provided that loq got.
Leigh Howle (28:45) It. Okay. A couple of different ways to work around this one is when you make the request in the note, just tell the team the provider is doing the loq and we’ll add that loq into the existing license section here. So once it’s approved, just add it and tell them to hold that or pinned it and don’t you know, don’t submit it and just have it ready and hold it until that loq gets approved. Okay? Did that make?
SB (29:15) Sense. Yep. Because that’s where I like, I was like, okay, they’re not going to see this loq. So they’re going to draw. I had assumed that, right? Like, and they’re pretty good at it because let me tell you what, every time they need a caqh login, they send me a task. Yeah, I had assumed that when they didn’t acknowledge that the loq was in there, that they would have reached out and said, hey, we see you suggested this as a compact where, you know what I mean? Like I thought, that was indicating that. And so, yeah. Well,
Leigh Howle (29:47) here isn’t it Pennsylvania. I mean, it has it listed, right?
SB (29:50) Yes. So this is why I’m like, I don’t know how to, I don’t know how I didn’t I think adding the note would have been 100 percent more clear. Okay. My next question is, can you ask the licensing team maybe when you follow up if you want to follow up with them on this to see if there’s a better workflow is, how do I get these licenses now linked to her compact once they’re approved in the traditional form or the ones that have? And can you let me know on the ones that haven’t, I believe Idaho and Montana were submitted directly but I can’t tell about Nevada. So those were kind of my questions. Okay. I left right there about those states and maybe that would be helpful.
Leigh Howle (30:35) Okay. Got it. Okay. And then my other question is because Pennsylvania does show the compact star with the principal. Yeah, it does show principal license. So that should that loq should have like that should have been a flag.
SB (30:54) Yeah. So, but see like, so her loq was issued on three eight and like the Montana license went out on four one.
Leigh Howle (31:05) When was this entered? Do we know when this was added?
SB (31:07) To the, so that’s the delay that’s what I’m saying, right? Like there was, I thought that they would have stopped needing this loq. So that is exactly what happened. Was there was a delay? I don’t know. Dr gazala said she had submitted it through the… tasks. And then I had sent it on each one of these lines when she had asked me about whether or not these licenses were going through the compact.
Leigh Howle (31:35) Okay. That makes sense. And I don’t know anything about like charges or consumption that’s mostly handled by Amy. But if there’s anything that medallion should have done differently, that would affect charges on this? Yeah.
SB (31:49) I just don’t know how else to do it because unfortunately, it’s because unfortunately… the licensing fee would still apply twice. So not only would it be a consumption fee twice, it would be a licensing fee twice. So I would have the direct licensing fee of 700 dollars, but I would also have the licensing fee to, if I stopped this one and added it to the compact, I would still have to pay the compact licensing fee.
Leigh Howle (32:16) Oh, wow. And.
SB (32:17) I don’t think that medallion would ever replace would reimburse something that is a cost to them too, right? Like they would have to pay both of those fees. Somebody’s gonna lose. Yeah.
Leigh Howle (32:30) I don’t know that would be, Amy would be the person to answer that question once we can get to the root cause of it and kind of identify where it should. Yeah. So.
SB (32:39) I haven’t stopped anything because at this point, I just need them to be a process and like the Montana license has been in there for 20 days now and Montana typically takes about 25 to 30 days. So if I stop that and go back to the other method, I’m gonna start my days over and I don’t I like at this point, I think I just have to keep moving forward.
Leigh Howle (33:00) Yeah, right. I agree.
SB (33:02) So, yeah. So a better workflow here or maybe again, maybe better is not the word to use. I apologize a workflow that is designed around the thought that the loqs will be done externally and given to medallion to process the compact, the additions of the licensures, I guess is maybe the grammatical way to say those.
Leigh Howle (33:43) Okay. And I think we covered everything we.
SB (33:48) Covered everything. Yeah, awesome. All.
Leigh Howle (33:51) Right. Awesome.
SB (33:52) Thank you so much. I really.
Leigh Howle (33:53) Appreciate it. Yeah, thank you. Yeah, Brenda.
SB (33:55) You’re over there? Let me know if you like.
Leigh Howle (33:58) I said, okay, Brenda. How’s your, how’s your breathing?
Brenda Kelly (34:01) My breathing’s fine. I’ve had it on ice most of the time. So it’s much better with ice on it.
SB (34:07) Your blood pressure’s still? Okay? You’re not seeing spots? Yeah. Should I call Dennis? No, it’s.
Brenda Kelly (34:12) starting to itch really bad now. So that’s good, right? It’s healing.
SB (34:15) Oh, Dennis.
Brenda Kelly (34:16) Is very aware of it.
SB (34:19) I know because isn’t he allergic to bees or are you allergic to bees this?
Brenda Kelly (34:23) Isn’t a bee though? No, I know. No, neither of us. Are you?
SB (34:26) Can see how it’s not a bee, right? Because you wouldn’t allow a bee in.
Brenda Kelly (34:29) Can you see it?
SB (34:32) No, I can’t it’s.
Brenda Kelly (34:35) red. This whole area has one big knot. Okay?
SB (34:38) Oh, Brenda, I, is it raining out there? Yeah, we want to go to bed, checked out, no.
Brenda Kelly (34:45) I mean, it’s better now that I put ice on it, like, it feels better because it’s not so swollen, you know… I’ll just see what it does.
SB (34:56) Well, yeah.
Leigh Howle (34:57) Sounds good. We’ll be thinking about you, yes.
SB (35:00) We will all.
Leigh Howle (35:02) Right. See you in the next video.
SB (35:03) Bye. Oh gosh.
Leigh Howle (35:05) Bye bye, guys.