Cortica

Overview

Multi-specialty healthcare group (per Deanna Purchiaroni). Providers include BCBAs, SLPs, NPs, and MDs. Email domain: corticacare.com.

Sarah Aloisi — Head of Payer Contracting & Analytics (saloisi@corticacare.com)
Deanna Purchiaroni — Credentialing Coordinator (dpurchiaroni@corticacare.com)
Brianna — has access to the PAVE portal and CBHI/CHI sign-offs (last name not given)
Paige — previously handled New Jersey enrollments (role not given)

Vanessa Persha — Senior Engagement Manager (vanessa.persha@medallion.co)
Derek — took the exec touch-base follow-up after 2026-04-16 weekly (last name not given)
Cecile — licensing (currently out; Deanna is covering some of her work)

Weekly Q/A + Feedback Session — recurring cadence with Vanessa.
Quality program expansion — Medallion is moving to daily QA sampling across all lines; high-risk payers flagged for 100% QC before submission. Currently flagged: North Carolina Medicaid, PCCN.
Capacity ramp on Cortica account — Medallion onboarding additional agents; possible short-term dip in movement while ramping (per Vanessa, 2026-04-16).
AI calling activity stopped — Medallion had AI calling activity on Cortica’s account; Sarah raised this in an email dated April 2; Vanessa confirmed it was removed immediately.
Specialty-tracking enhancement requested — Vanessa opened an EPD (engineering/product) request to add specialty designation (primary / secondary / alternate) to the provider request modal. Motivated by dual-role providers: Laura Burek (BCBA + SLP), Dr Suzanne Goh (BCBA + MD). Broader than Cortica but expedited.
Email preferences — TSM team confirmed no selective bulk update: email alerts are all-or-nothing at the provider level. Enhancement request submitted to EPD.
Support email cleanup — support@medallion.co is no longer in use; all support should go through help@medallion.co.

Application accuracy errors — Sarah reviewed Cortica’s apps and found both “group” and “individual” sections filled out on a single Cigna/Independence Blue Cross application; providers listed as PCPs incorrectly; inconsistent entity classification (LLC vs corp vs person on the same payer). Sarah’s summary: “if the process is good but the applications are incorrect, then it doesn’t really matter.”
Offshore staff concern — Sarah asked whether Medallion staff are offshore (potential source of confusion). Vanessa confirmed QC and QA teams are 100% onshore. Broader staffing question was not fully answered.
Medallion not pushing back on payers — pattern across payers: when reps misroute (e.g. Cigna → ASH) or respond with “wrong contact” (e.g. PCCN), Medallion historically complied or continued follow-ups without reading replies. Being addressed by new QC/QA mailbox-review step.
Cigna national contract stalled — 1 of 19 NC providers enrolled since Nov 2025; Cortica wants these pulled off Medallion’s queue if they can’t move them.
PCCN enrollment stuck since Aug 2025.

2026-04-16 — Vanessa: will revise the Cigna project plan to (a) remove ASH routing instructions, (b) add Cigna-specific rules (roster for 5+ provider groups, intake_pdm link letter for already-credentialed providers joining a group).
2026-04-16 — Vanessa: will call Cigna to try to obtain a full roster for NC; if unsuccessful, will flip those enrollments to client-owned at Cortica’s option.
2026-04-16 — Vanessa: flipping the PCCN “Deborah” provider enrollment to client-owned so Cortica can drive it directly.
2026-04-16 — Cortica: Deanna will send a proactive heads-up email to 11 NC Medicaid providers that a training task is coming.