Transcript
Jason Zednick (00:00) good morning. How are y’all,
Jason Zednick (00:09) you’re on mute Don?
Jason Zednick (00:19) Hi, again. Hi. How’s it going? Did you get a haircut? Huh? Did you get a haircut?
Dawn Candia (00:29) No, I just kind of took a little extra care.
Jason Zednick (00:33) Wow. Looks great.
Dawn Candia (00:36) What? Oh, Jason, that wasn’t nice.
Jason Zednick (00:43) Like.
Dawn Candia (00:43) A dust muffin? Any other day? I stepped?
Jason Zednick (00:50) In it, how do I walk out of this?
Dawn Candia (00:57) Is it?
Dawn Candia (01:02) Just us today?
Jason Zednick (01:04) Is it just us?
Dawn Candia (01:05) As far as I know, I mean… Dwayne we know is not going to be, yeah.
Jason Zednick (01:12) Yeah, he let me know. I.
Dawn Candia (01:14) Didn’t know about Lisa or David?
Jason Zednick (01:18) Yeah.
Dawn Candia (01:19) Lisa’s out the office. Oh, is she… how about David? Is his light?
Dawn Candia (01:26) Even his light is red? Wow. He’s in a call. Yeah, he’s in a meeting to one 30. So maybe just us then to.
Jason Zednick (01:38) One 30 that’s a long meeting. Okay. Well, I don’t really have anything, you know, there’s a couple of stuff, you know, like my team’s following up on a lot of it’s just like, you… know, stuff y’all sent me that they’re correcting, and that stuff. I.
Jason Zednick (02:09) let me check my list.
Dawn Candia (02:17) Oh, you know what I wanted to ask Jason. So, and… I might have asked this already before, but the horizon, did… we, did you say that it was ever going to be broken out the commercial and the managed care or not the managed medicaid? Did you say no, that it’s not?
Jason Zednick (02:38) I don’t remember ever saying why would it, why?
Dawn Candia (02:44) Would it be broken for the horizon New Jersey? Because the horizon New Jersey health, we get a separate update on that, you know, it’s a separate approval. Basically, you know, the commercial might come in today, and then we might not get the horizon New Jersey health update approval for weeks later, because we got to get the medicaid approved first. So that sits out there, but.
Jason Zednick (03:07) But it’s still a side application.
Dawn Candia (03:09) Right. We put in the par information, the effective information for horizon commercial, you know, at a glance for the care centers, it looks like it just says horizon blue cross blue shield. So, they think.
Jason Zednick (03:23) So, so, yeah, so I did check on, so.
Jason Zednick (03:37) It could be separate, but I don’t think that’s going to get you the result you want because the end result would look the same in the system. Meanwhile we can do like partial completions. It would just mean that like you have to check, I don’t have a good example of one half done. Ah.
Dawn Candia (04:12) So, for instance, if I can figure out how to share my screen again, okay, here we go.
Dawn Candia (04:28) So, for instance, I just made an update to horizon managed care, so I, and I know you can go into the line and you can specify managed medicaid… like this is see how this is specified managed.
Jason Zednick (04:44) Medicaid. Oh, sorry, you’re not?
Dawn Candia (04:45) Sharing it’s the horizon, New Jersey health piece, but the blue?
Jason Zednick (04:47) You’re not sharing, Don, I’m sorry?
Dawn Candia (04:50) I’m not sharing you’re.
Jason Zednick (04:52) not sharing. No, that’s.
Dawn Candia (04:53) why I was, am… I not sharing anything?
Jason Zednick (05:01) No, nothing.
Dawn Candia (05:03) Get out of here. Okay. It looks, it says, I’m sharing. You gotta like hit something like, okay, or you got another button? Oh, there you go.
Jason Zednick (05:16) Yeah, yeah. There you.
Dawn Candia (05:17) Go. Okay. So, see right here… I specified managed medicaid, but I believe the commercial is still out there. So, I mean, I just wondered because so… now, when I, when… the commercial is approved?
Jason Zednick (05:39) What?
Dawn Candia (05:42) Am I going to do? I’m going to go back into?
Jason Zednick (05:46) So, yeah, show me the request, show me the original. Is this it I?
Dawn Candia (05:52) Guess this is it?
Jason Zednick (05:59) Okay. So, is this the only horizon request this provider has? Can you see if there’s another one? What do you mean… in?
Dawn Candia (06:12) This list here? Yeah.
Jason Zednick (06:13) It would be in the list.
Dawn Candia (06:15) Yeah. It’s the only one.
Jason Zednick (06:17) Okay. So, yeah, what you can do is when you get the commercial notification, will you scroll up and go back to enrollments? And then on the horizon enrollment, you can edit it and you can just add the commercial line of business.
Dawn Candia (06:46) Okay. So that’s how okay. I mean, I figured that’s what it was going to be, but I just thought it’s just easier to, for the care center when they view it separately, but that’s fine.
Jason Zednick (06:57) Yeah. And then if you have different effective dates, we can break that out if you need to. But if not, then you can just, but, yeah, but that’s going to be the, that’s going to be how it shows up. That’s what they’ll have to look for. Yeah. Okay. Yeah. And then the other thing was the people getting the weird emails for people that don’t belong to them, right? Teams, looking into that I haven’t heard back yet. I just wanted to let you know that they are well.
Dawn Candia (07:30) I did get an email from one care center that said they haven’t gotten it anymore. So, I think whatever Tanisha did fixed it.
Jason Zednick (07:39) Yeah. Are.
Dawn Candia (07:42) you talking about the emails where they were getting emails that weren’t for people that weren’t a part of their care center?
Jason Zednick (07:49) Yeah, yeah.
Dawn Candia (07:50) Yeah. Tanisha did something and she fixed that. Oh.
Jason Zednick (07:54) What did it?
Tanisha Roebuck (07:55) Was because whoever set up the team didn’t put any attributes. So, it linked everybody to that care center who?
Jason Zednick (08:06) Was the managers on that care center? Do you remember?
Tanisha Roebuck (08:11) I don’t know. We didn’t even have managers. It just, oh.
Jason Zednick (08:16) You didn’t have managers, yes, I.
Tanisha Roebuck (08:19) think everybody that was a manager admin?
Jason Zednick (08:23) But that like on the medallion side, I would think that like just because there’s no managers assigned, why would it assume? Like, hey, all managers own? That seems wrong to me.
Dawn Candia (08:44) Like, but,
Jason Zednick (08:44) I mean, if they’re not getting them great, that’s what we want.
Jason Zednick (08:50) I’ll let my team just continue doing it and if they find something different, great. If they don’t then also great. At least now.
Dawn Candia (08:57) And I haven’t gotten any more complaints from any of the, and,
Jason Zednick (09:01) they would have got out today. They would have gotten out this morning. So, so… that’s good if you haven’t heard, because I’m sure. Somebody would have been like.
Dawn Candia (09:10) Yeah, it’s still happening. They would have been.
Jason Zednick (09:13) Yeah. Okay. Well, that’s good.
Dawn Candia (09:16) Is.
Tanisha Roebuck (09:16) your it team hiring? I would like this.
Dawn Candia (09:22) I.
Jason Zednick (09:23) mean, I can put you in, but then you’re just going to answer all of Don’s questions for me. I don’t know if that’s.
Dawn Candia (09:30) okay. You?
Jason Zednick (09:32) Want to be… no.
Dawn Candia (09:37) We’re serious, Jason, we’re not joking. She’s serious, is medallion, are we being recorded? We are, aren’t we.
Jason Zednick (09:49) okay. Well, yeah. But like that’s for the medallion team. That’s not for that’s, not for y’all’s team. You know, you say that, but… you may come to regret it. Okay? I don’t know, I don’t know, you never know… there’s a parable in there somewhere, I think.
Dawn Candia (10:18) It means, it means Jason regrets it.
Jason Zednick (10:22) Nah, I never said that. I never said that. I never said that at all.
Dawn Candia (10:27) No, you didn’t.
Jason Zednick (10:30) all right. Well, great. If you need anything else, let me know. I know David had some questions, if he, you know, wants to meet up later, I can do that.
Dawn Candia (10:51) Then, yeah. Oh, okay. He had questions. He.
Jason Zednick (10:54) Had emailed me like Wednesday, and I thought he was going to join Friday, and we just didn’t connect and I wasn’t here. So, all right. Well, all right. Thank you both. Thank you. Yeah. Have a good week.
Dawn Candia (11:10) Me too. Bye bye.