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Cortica

· 1 Gong source · 1 SF source

Cortica

Snapshot

Multi-specialty healthcare group — providers include BCBAs, SLPs, NPs, and MDs (per Deanna Purchiaroni). Year 3 of 3 Medallion customer; Tier 1 ($388K ARR); 2027 renewal pending. Email domain: corticacare.com.

Commercial

  • Customer · Tier 1 · ARR $388K · renewal 2027-02 (Pending Renewal) — per SF diff, 2026-04-19.
  • Y1 of 3: Closed Won $392,992 — closed 2023-12-29 (0065Y00001ib0vcQAA)
  • Y2 of 3: Closed Won $370,000 — closed 2025-02-15 (006PO000005vP5GYAU)
  • Current: Y3 of 3 — Closed Won $388,000 — closes 2026-02-15 (006PO000005vadNYAQ)
  • Renewal: Cortica - Renewal - 2027 — Pending Renewal $388,000 — closes 2027-02-15 (006PO000005vbMXYAY)
  • Pipeline: Cortica 2025 Growth (PE, licensing) — Discovery $182,759 — closes 2026-07-31 (006PO00000OpaWfYAJ)

Profile

  • Annual revenue: ~$234.9M (SF 2026-04-19).
  • Employees: 79 (SF 2026-04-19).
  • Industry: Hospitals & Physicians Clinics (SF 2026-04-19).

Operations

  • Cigna: 74 lines processing, 7 needs-client-attention (as of 2026-04-16).
  • Cigna NC: 1 of 19 providers enrolled (contract signed Nov 2025).

Key Contacts

Cortica — Sarah Aloisi, Head of Payer Contracting & Analytics (saloisi@corticacare.com); Deanna Purchiaroni, Credentialing Coordinator (dpurchiaroni@corticacare.com); Brianna (last name TBD) — PAVE portal access, CBHI/CHI sign-offs.

Medallion — Vanessa Persha, Senior Engagement Manager (vanessa.persha@medallion.co); Cecile (last name TBD), licensing; Derek (last name TBD), exec touch-base follow-up after 2026-04-16 weekly.

Active Work

Recurring cadences

  • EBR: bi-monthly since 2025-07; next none scheduled (5 logged) (SF 2026-04-19)
  • Weekly Q/A + Feedback Session with Vanessa.

Open programs

  • Quality program expansion — Medallion 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 during ramp (per Vanessa, 2026-04-16).

Open Issues & Requests

Operational pain

  • 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.”
  • 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.
  • 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 not fully answered.

Feature requests

  • Specialty designation on provider request modal — primary/secondary/alternate. Motivated by dual-role providers: Laura Burek (BCBA + SLP), Dr Suzanne Goh (BCBA + MD). EPD request open; broader than Cortica but expedited.
  • Selective bulk email alerts — current is all-or-nothing at provider level. TSM team confirmed no selective bulk update; EPD request submitted.
  • PE requests before verified license (P2) — case 500PO00000SaswDYAR, “Committed - Future Quarter” — per SF diff, 2026-04-19.
  • Sort/filter for expiring revalidations (P2) — needs sort oldest→newest date and ability to filter NA lines. Case 500PO00000Q0zMHYAZ, “Needs More Info” (SF 2026-04-19).
  • Per-provider CAQH management toggle (P2) — Cortica wants to handle CAQH internally. Case 500PO00000OQUKnYAP, “Needs More Market Signal” (SF 2026-04-19).
  • Data dump from Medallion → Cortica’s Azure data lake (P2) — case 500PO00000Nj8gvYAB, “Submitted - Needs Review” (SF 2026-04-19).

Decisions & Commitments

  • 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.
  • 2026-04-16 — AI calling activity on Cortica account removed. Sarah raised via email April 2; Vanessa confirmed immediate removal.
  • 2026-04-16 — Support email transition: support@medallion.co retired; all support now goes through help@medallion.co.

Source History

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