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Frontier Psychiatry

· 2 Gong sources

Frontier Psychiatry

Snapshot

Standalone telehealth group psychiatry practice; non-delegated payer contracts (payers credential providers directly); multi-year Medallion customer with strong partnership sentiment.

Key Contacts

Customer — Shay Beccari, Credentialing Manager (s.beccari@frontier.care); Brenda Kelly, Director of Rev Cycle (b.kelly@frontier.care). Medallion — Amy Walsh, Senior Account Manager (amy.walsh@medallion.co); Leigh Howle, Engagement Manager (leigh.howle@medallion.co).

Active Work

Recurring cadences

  • Bi-weekly strategic sync with Leigh Howle + Amy Walsh (and Brenda Kelly, Director of Rev Cycle) (Gong 2026-04-20); confirmed previously as “monthly (or near-monthly)” in Gong 2026-04-20.

Open programs

  • CAQH management evaluation — SB currently managing all CAQH reattestations manually (malpractice, state licenses, DEA, CSR, demographics); interested in Medallion CAQH Management add-on. Amy to follow up with pricing and scope details (incl. malpractice upload coverage + demographic update timing) by end of week 2026-04-25 (Gong 2026-04-20).
  • Consumption tracking — at ~58% of 3-year contract spend as of call; projected 66% by end of July; over-consuming licensing (31 states vs. projected 1–2 per provider), under-consuming payer enrollment; SKU flexibility allows redistribution (Gong 2026-04-20).
  • TriCare/TriWest aged enrollment cleanup — SB to send Leigh a spreadsheet of ~25 aged TriCare/TriWest enrollments; Leigh to annotate with action items (close duplicates, research lines showing approved but still open as possible bug, match HNFS → TriWest Healthcare Alliance transitions) (Gong 2026-04-20).
  • Nevada license prioritization — Frontier contracted with Nevada Medicaid (fee-for-service); moving into Silver Summit contract (dependent on Nevada licenses). Five Nevada licenses in progress; Leigh to mark as priority and alert licensing team. Priority providers: Dr. Mindheart (most urgent), Shana Chupin / Taylor, Stiner (Gong 2026-04-20-253812143190235977).
  • Dr. Gossela compact licensing — Montana (and possibly Idaho) license submitted directly to board instead of through compact because LOQ was not yet approved at time of submission. Montana license ~20 days in (MT typically 25–30 days); SB not stopping it. Leigh to get root cause analysis from licensing manager; Amy Walsh to handle any consumption/fee question if Medallion error confirmed (Gong 2026-04-20-253812143190235977).

Open Issues & Requests

Operational pain

  • CAQH manual burden — SB manually uploading malpractice insurance, handling all reattestations, and updating demographics (e.g. Idaho location change) across all providers. Volume becomes untenable at scale (~150 malpractice uploads, 70 MT MD licenses at year-end). Exploring Medallion CAQH Management (Gong 2026-04-20).
  • Licensing over-consumption — consuming far more multi-state licenses than originally forecast; providers going to more states than planned. SB using Medallion consumption data to drive internal education with leadership on provider utilization planning (Gong 2026-04-20).
  • Aetna Montana enrollment “closed network” rejection — Frontier contracts through First Choice Health (Aetna delegates credentialing to First Choice Health in Montana); enrollment app was submitted under existing TIN but triggered a “closed network” response. Root cause: enrollment workflow needs to follow first-choice-health path (not direct Aetna); follow-up calls should go to First Choice Health, not Aetna. Leigh updating Aetna SOP (Gong 2026-04-20).
  • TriCare West / TriWest no longer issuing effective dates — aged enrollments stuck open because TriWest now provides only a reference number and confirmation of participation; will not give effective dates. HNFS → TriWest Healthcare Alliance transition also left duplicate lines (some labeled “Health Net Federal Services”). VACCN program also runs through TriWest (same administrator). Workflow fix needed: match TriCare and TriWest effective dates using same approval date from shared administrator (Gong 2026-04-20-253812143190235977).
  • Dr. Gossela compact LOQ workflow gap — LOQ was processed externally by the provider; when license requests were submitted in Medallion the LOQ was not yet approved, so licenses went to boards directly instead of through compact. Montana license submitted ~4/1; LOQ issued ~3/8. Future workflow: add a note on the request to hold submission until LOQ is provided externally (Gong 2026-04-20-253812143190235977).

Feature requests

  • Inactive location flagging — system should allow marking a practice location as inactive (not just adding new ones). SB flagged; Medallion building this (Gong 2026-04-20).

Decisions & Commitments

  • 2026-04-20 — Amy Walsh: will follow up by ~2026-04-25 with CAQH Management pricing, scope (malpractice coverage, demographic update timing, DEA/CSR/license expiry handling), and how it interacts with current $8.70 CAQH rostering fee (Gong 2026-04-20).
  • 2026-04-20 — Growth plans confirmed locked in from earlier-in-year conversation; no new growth scope added (Gong 2026-04-20).
  • 2026-04-20 — Credentialing / delegated cred expansion not on internal agenda; front-of-house onboarding overhaul in progress; SB/Brenda open to revisiting when timing is right (Gong 2026-04-20).
  • 2026-04-20 — Frontier participated in a Medallion prospect reference call (participant TBD); prospect is now a Medallion client (Gong 2026-04-20).
  • 2026-04-20 — Aged enrollments for 2025: down to 25 (was hundreds); SB credited this as a major win (Gong 2026-04-20).
  • 2026-04-20 — Partnership score: 4/5 from Shay Beccari; Brenda Kelly: “no news is good news — happy place for 8–10 months, really ~1.5 years” (Gong 2026-04-20).
  • 2026-04-20 — Leigh Howle: to update Aetna SOP for Montana / First Choice Health enrollment workflow once Chris Beasley’s enrollment flow is confirmed (Gong 2026-04-20).
  • 2026-04-20 — Leigh Howle: to review TriWest aged enrollment spreadsheet (sent by SB), annotate with action items; research lines that show approved but still open (possible bug) (Gong 2026-04-20-253812143190235977).
  • 2026-04-20 — Leigh Howle: to mark Nevada licenses for Mindheart, Chupin/Taylor, and Stiner as priority and alert licensing team (Gong 2026-04-20-253812143190235977).
  • 2026-04-20 — Leigh Howle: to send Dr. Gossela compact licensing issue to licensing manager for root cause analysis; determine if Idaho/Montana were submitted outside compact (Gong 2026-04-20-253812143190235977).
  • 2026-04-20 — SB: will not stop Dr. Gossela’s Montana license (~20 days in, typically 25–30 days); moving forward with direct submission to avoid resetting timeline (Gong 2026-04-20-253812143190235977).
  • 2026-04-20 — New workflow agreed: when provider is processing LOQ externally, add a note on Medallion license request to hold/not submit until LOQ approval is confirmed (Gong 2026-04-20-253812143190235977).

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