2025-10-09_hyp_access_brainforge_weekly_sync_14dd0196

Meeting Title: Hyp Access | Brainforge Weekly Sync Date: 2025-10-09 Meeting participants: Uttam Kumaran, Justin Breshears, Andrea DiStefano, Awaish Kumar, Audre Wirtanen, Grey Louisos, they/them

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WEBVTT

1 00:00:33.920 ⇒ 00:00:35.650 Andrea DiStefano: Hi, good morning.

2 00:00:35.650 ⇒ 00:00:36.630 Uttam Kumaran: Hey, good morning.

3 00:00:37.520 ⇒ 00:00:38.869 Justin Breshears: Good morning, Andrea.

4 00:00:39.260 ⇒ 00:00:39.900 Andrea DiStefano: Yeah.

5 00:00:53.260 ⇒ 00:00:54.040 Awaish Kumar: Hello?

6 00:00:54.450 ⇒ 00:00:55.260 Uttam Kumaran: Anyways, shh.

7 00:01:12.050 ⇒ 00:01:20.309 Uttam Kumaran: Awish, I threw the, updated fig… the updated, the marked-up Figma di… diagram into Figma, just needed.

8 00:01:24.370 ⇒ 00:01:26.290 Awaish Kumar: Okay, yeah, I’ll move it.

9 00:01:29.110 ⇒ 00:01:30.480 Awaish Kumar: Actually, I’ll do it.

10 00:01:40.040 ⇒ 00:01:41.270 Audre Wirtanen: Sorry.

11 00:01:44.560 ⇒ 00:01:45.560 Uttam Kumaran: No worries.

12 00:01:49.030 ⇒ 00:01:50.060 Uttam Kumaran: Good morning.

13 00:01:50.180 ⇒ 00:01:51.240 Uttam Kumaran: How’s everybody.

14 00:01:53.510 ⇒ 00:01:54.749 Audre Wirtanen: Doing alright. Living?

15 00:01:56.680 ⇒ 00:02:09.820 Uttam Kumaran: Cool. So I think agenda for today is mainly to go through some diagrams, right? So, maybe that’s the primary. I know we got some feedback,

16 00:02:10.060 ⇒ 00:02:15.719 Uttam Kumaran: from Gray, but maybe we can kind of, like, center the discussion

17 00:02:16.090 ⇒ 00:02:20.109 Uttam Kumaran: around that. I know we got some API stuff.

18 00:02:21.170 ⇒ 00:02:30.749 Uttam Kumaran: yesterday, so we haven’t had a chance to go through, you know, all of Healthy API yet, but that can probably be a follow-up for us, probably to get by early next week.

19 00:02:30.870 ⇒ 00:02:33.239 Uttam Kumaran: Does that sound like a good plan?

20 00:02:35.000 ⇒ 00:02:40.520 Audre Wirtanen: Yes, so we’re… First… sorry, what was the first thing you… that you said?

21 00:02:40.520 ⇒ 00:02:50.800 Uttam Kumaran: The diagrams, I think we basically got feedback… oh, from, not from Ray, from, from the trail, we got feedback from you on the diagrams, so we could go through that.

22 00:02:51.930 ⇒ 00:02:53.799 Audre Wirtanen: Okay, that sounds good, yeah.

23 00:02:55.080 ⇒ 00:02:59.649 Audre Wirtanen: Perfect! Has everyone met each other in the room here?

24 00:03:00.480 ⇒ 00:03:07.369 Uttam Kumaran: I think… I think maybe Gray, I don’t think I’ve met you. My name is Utom, I’m on the Brainforge team here.

25 00:03:07.590 ⇒ 00:03:17.379 Uttam Kumaran: And yeah, I’ll actually be taking over for… for Justin here, this week, so we’ll kind of be transitioning some stuff over to my side. But yeah, we’re all…

26 00:03:17.390 ⇒ 00:03:30.060 Uttam Kumaran: one team, so we were kind of familiar. I’ve watched the demo from Healthy, and sort of familiar with the demo we got the other day, familiar with sort of all their architecture. It’s actually interesting, it’s…

27 00:03:30.230 ⇒ 00:03:43.070 Uttam Kumaran: it’s sort of like a lot of the similar stuff we see on just broader data ecosystem, but everything is health-related, like, we have a health-specific orchestration tool, health-specific ETL tool, but I don’t know, it all kind of rhymes, so no, like.

28 00:03:43.360 ⇒ 00:03:49.960 Uttam Kumaran: crazy surprises, I feel like. I know we have this, like, pretty, we have this pretty…

29 00:03:50.130 ⇒ 00:03:57.980 Uttam Kumaran: deep diagram that I want to sort of continue to iterate on, and we can lock that down, and then we’ll go through and start to map towards

30 00:03:58.380 ⇒ 00:04:09.399 Uttam Kumaran: like, healthy functionality and things like that. And we’re also hearing about other tools, like Caragon, a few others that we’ll start to do some, like, discovery around and produce some information about, so…

31 00:04:09.770 ⇒ 00:04:18.720 Audre Wirtanen: Okay, cool. What is your… like, high-level opinion of Healthy after the demo yesterday. I’m just curious.

32 00:04:19.380 ⇒ 00:04:36.899 Uttam Kumaran: I… I feel like it’s… like, I… I think looking through all of what they said, they feel like they’re pretty… they have a lot of functionality, especially on the data side. Like, hearing about, sort of, some of the stuff they had for, like, Data Lake, like, being able to push stuff into S3, like, usually a lot of

33 00:04:37.930 ⇒ 00:04:57.759 Uttam Kumaran: tools like that don’t have that type of functionality. Interesting. I feel like what they’re all… it seems like they’re leveraging external tools, though, for some of that. Like, Bridge is, like, usually… basically, there’s a lot of companies that are, like, integrations as a service, or orchestration as a service for B2B SaaS tools. Basically.

34 00:04:57.920 ⇒ 00:05:04.940 Uttam Kumaran: companies that don’t want to build it themselves, they’ll go, like, use Bridge, and now they can offer it as, like, we offer S3, and…

35 00:05:05.100 ⇒ 00:05:12.789 Uttam Kumaran: they just, like, bought it from somebody else. So, like, that… that… we’ll have to go evaluate Caragon, Bridge, and a couple of these to make sure, like.

36 00:05:13.510 ⇒ 00:05:18.159 Uttam Kumaran: Like, that’s… that’s fine, but I feel like they have a lot of things in there.

37 00:05:18.280 ⇒ 00:05:22.260 Uttam Kumaran: So we’ll still have to go through the API docs and things like that. I don’t know, Awash…

38 00:05:22.700 ⇒ 00:05:25.880 Uttam Kumaran: Is that generally your… Vibe, too.

39 00:05:26.730 ⇒ 00:05:37.480 Awaish Kumar: Yeah, I’ve already started looking into the healthy and explored the platform, but it doesn’t… it… like, I had to create my own account, basically.

40 00:05:37.640 ⇒ 00:05:42.159 Awaish Kumar: on the Hindi to explore it. So if we can get a, like, a user…

41 00:05:42.300 ⇒ 00:05:51.040 Awaish Kumar: in the installs you are using, we might have access to the already built demo, where you can just see how

42 00:05:51.510 ⇒ 00:05:52.339 Awaish Kumar: It’s my, like…

43 00:05:52.600 ⇒ 00:05:53.210 Audre Wirtanen: Okay.

44 00:05:54.590 ⇒ 00:05:55.630 Audre Wirtanen: So…

45 00:05:56.310 ⇒ 00:06:02.460 Audre Wirtanen: maybe then it’s time for, and I think I might have even said this another day in another meeting, but we should get

46 00:06:02.830 ⇒ 00:06:08.350 Audre Wirtanen: We should sign up, do the basic contract with Healthy, so that we can get some seats, so that you all can start.

47 00:06:08.830 ⇒ 00:06:12.450 Audre Wirtanen: Trialing some stuff, and then it’ll be saved, and we don’t need to…

48 00:06:12.820 ⇒ 00:06:15.489 Audre Wirtanen: start from scratch every time.

49 00:06:15.850 ⇒ 00:06:20.480 Uttam Kumaran: Yeah, what’s the, like, damage for, like, for their basic contract?

50 00:06:20.960 ⇒ 00:06:21.830 Audre Wirtanen: It’s like…

51 00:06:22.160 ⇒ 00:06:34.179 Audre Wirtanen: Go gray, do you remember 100-something per month, or… it’s pretty low, it’s, like, based on number, so if we just get… and each… each clinician seat comes with a support seat, which I think is all we would need, like, we would just…

52 00:06:34.180 ⇒ 00:06:43.109 Uttam Kumaran: We can share, like, one email, too, so, like, I wouldn’t go through… we can just all use one, or have… just use whatever comes bundled, for sure.

53 00:06:43.110 ⇒ 00:06:44.070 Audre Wirtanen: Okay, cool.

54 00:06:44.850 ⇒ 00:06:45.929 Audre Wirtanen: Okay, awesome.

55 00:06:45.930 ⇒ 00:06:54.960 Grey Louisos, they/them: Yeah, the group plan is $149 a month, and I think that’s what we planned on starting, but just to, yeah, work on… because I think we have used up all of our free trial days.

56 00:06:54.960 ⇒ 00:06:56.460 Audre Wirtanen: We’ve… Okay.

57 00:06:56.460 ⇒ 00:06:57.770 Uttam Kumaran: I can’t even explain it, like.

58 00:06:57.770 ⇒ 00:06:59.800 Audre Wirtanen: More times than probably anyone has asked for.

59 00:06:59.800 ⇒ 00:07:14.369 Uttam Kumaran: Yeah, she said, like, yeah, we’ve been talking to the Hype team for, like, 9 months. I’m like, she’s probably pissed, because she’s an enterprise sales rep, but that’s fine. That’s fine. Like, we’re the customer, so… Cool. So if we can do that, and then… or…

60 00:07:14.370 ⇒ 00:07:24.139 Uttam Kumaran: you want us to do that, or whatever, and we can just share a login, or… or you can invite… we can either… we can create a hype at Brainforge AI, and, like, you can invite that, or…

61 00:07:24.140 ⇒ 00:07:26.760 Audre Wirtanen: Okay. However you want to handle that, so I’ll follow up about that.

62 00:07:26.910 ⇒ 00:07:27.630 Audre Wirtanen: Okay.

63 00:07:27.630 ⇒ 00:07:36.050 Uttam Kumaran: Cool. So, maybe we… getting things awaits, like, anything on your side, if you want to start?

64 00:07:36.500 ⇒ 00:07:42.849 Awaish Kumar: Yeah, I would like to share the screen, with the feedback, and we can discuss that as well. Sure.

65 00:07:50.180 ⇒ 00:07:52.140 Awaish Kumar: Yes.

66 00:07:52.320 ⇒ 00:07:56.750 Awaish Kumar: So basically, I see there are some feedback in red and blue.

67 00:07:58.220 ⇒ 00:08:08.929 Audre Wirtanen: Yeah, so blue was kind of like, we knew the answer to something, and red was kind of like, I need to think through a little bit more. We had questions about, like…

68 00:08:09.710 ⇒ 00:08:15.290 Audre Wirtanen: How exactly it might work or look like. And…

69 00:08:17.430 ⇒ 00:08:23.510 Uttam Kumaran: Should we start, like, logically left to right, or what’s, like, or we start with… yeah.

70 00:08:23.510 ⇒ 00:08:25.249 Andrea DiStefano: Or, like, top-down?

71 00:08:25.250 ⇒ 00:08:31.859 Uttam Kumaran: Okay, let’s do that. Yeah, let’s start… yeah, whatever’s linear from the patient maybe makes sense. Yeah, let’s… let’s do that.

72 00:08:32.340 ⇒ 00:08:33.200 Audre Wirtanen: Okay.

73 00:08:33.610 ⇒ 00:08:37.200 Audre Wirtanen: So… We start with the intake.

74 00:08:37.490 ⇒ 00:08:40.579 Audre Wirtanen: schedule or scheduling, it’ll probably be…

75 00:08:40.850 ⇒ 00:09:00.399 Audre Wirtanen: what Gray and I have talked about is, like, the main way would probably be an embedded link on our website to request the intake, or, like we talked about yesterday, it could be an initial form that gets some information for us, and then from there, it would automatically send the…

76 00:09:00.730 ⇒ 00:09:02.150 Audre Wirtanen: Setup account.

77 00:09:02.310 ⇒ 00:09:09.509 Audre Wirtanen: Auto-send the account set up an intake packet, and then they would set up their account, and then we have these four…

78 00:09:09.750 ⇒ 00:09:12.519 Audre Wirtanen: forms. I think there will be…

79 00:09:12.660 ⇒ 00:09:16.840 Audre Wirtanen: more forms, but I think these are the ones that would trigger

80 00:09:17.500 ⇒ 00:09:23.450 Audre Wirtanen: tasks. So I guess my first question, Gray, is, like, is there a form that we’re not thinking about that…

81 00:09:24.000 ⇒ 00:09:27.580 Audre Wirtanen: we could consider in some point.

82 00:09:27.830 ⇒ 00:09:30.700 Grey Louisos, they/them: That would trigger tasks, or just the forms in general?

83 00:09:31.190 ⇒ 00:09:32.750 Audre Wirtanen: Yeah, like, are there other…

84 00:09:33.280 ⇒ 00:09:39.480 Audre Wirtanen: I guess we haven’t… you and I haven’t gone through all of the forms to think about tasks yet, so that may be something we need to do on…

85 00:09:39.620 ⇒ 00:09:40.330 Uttam Kumaran: Okay.

86 00:09:40.330 ⇒ 00:09:57.880 Grey Louisos, they/them: Okay, yeah, there… well, there are a number of, consent forms and things like that that need to be signed, and I think that’s the bulk… yeah, there’s the HIPAA medical records release, I guess, is the other one that we… we should put into this flow, because that will definitely require,

87 00:09:58.140 ⇒ 00:09:59.410 Grey Louisos, they/them: Actions.

88 00:09:59.710 ⇒ 00:10:00.450 Grey Louisos, they/them: Okay.

89 00:10:01.610 ⇒ 00:10:05.399 Audre Wirtanen: So we’ll add medical records release, and I think we have a question with…

90 00:10:05.890 ⇒ 00:10:10.589 Audre Wirtanen: the medical records connectivity with Healthy, if that is a separate…

91 00:10:11.140 ⇒ 00:10:14.350 Audre Wirtanen: If we need another contract with another integration to access.

92 00:10:15.090 ⇒ 00:10:17.750 Audre Wirtanen: I was a little unclear there.

93 00:10:18.280 ⇒ 00:10:18.950 Uttam Kumaran: Okay.

94 00:10:19.600 ⇒ 00:10:27.969 Uttam Kumaran: I’m noting both of those down. Yeah, I’m looking through… I kind of, like, poked at the API, but this is giving a lot more color, so I’ll figure that out for us.

95 00:10:31.390 ⇒ 00:10:34.280 Awaish Kumar: So what was the… what was the question here?

96 00:10:35.670 ⇒ 00:10:52.590 Uttam Kumaran: these two the same, basically, or like, or how… yeah, I guess we’re basically asking, like, are we gonna have individual ones for all these? I look at… I’m looking at the API for Healthy, and generally, like, they can support multiple forms, so I don’t think the flow should be, like, that tough.

97 00:10:52.960 ⇒ 00:11:01.059 Uttam Kumaran: Right. But I think we will want to make sure that this diagram has all of our forms that we’re going to ask for, because they’re not… they don’t have any, like.

98 00:11:01.210 ⇒ 00:11:03.770 Uttam Kumaran: Anything out of the box, so we’ll have to supply all the…

99 00:11:05.010 ⇒ 00:11:07.479 Uttam Kumaran: The… the criteria for the forms.

100 00:11:08.060 ⇒ 00:11:09.070 Audre Wirtanen: Right, yes.

101 00:11:09.180 ⇒ 00:11:23.360 Audre Wirtanen: So I was thinking we could combine the insurance and the self-pay form into one, and have, you know, I can’t remember what it’s called, but, like, the branching logic of if they say this, then this happens, if they say this, then this…

102 00:11:23.360 ⇒ 00:11:23.950 Uttam Kumaran: S.

103 00:11:25.500 ⇒ 00:11:38.030 Audre Wirtanen: And then that way, because ultimately, our pre-auth specialist is handling all of the payment processes, so that includes, insurance, self-pay, and charity care.

104 00:11:38.200 ⇒ 00:11:44.949 Audre Wirtanen: Which was something that I kind of forgot to put in here, which is where the red is.

105 00:11:45.240 ⇒ 00:11:48.540 Audre Wirtanen: And then… We were thinking that…

106 00:11:48.900 ⇒ 00:12:00.299 Audre Wirtanen: Regardless of what they’re answering, once they submit the form, it would automate, sending the patient the fee schedule for all services, so we can’t…

107 00:12:00.300 ⇒ 00:12:16.229 Audre Wirtanen: obviously control their contract with their insurance company, or have that exact information, but we can send them, you know, what we charge, and it’ll be a sliding scale, so we’ll have to have, like, brackets that people are selecting from, for the self-pay in particular.

108 00:12:17.130 ⇒ 00:12:17.750 Uttam Kumaran: Okay.

109 00:12:20.060 ⇒ 00:12:35.649 Audre Wirtanen: And then we had a question with the self-pay in choosing the sliding scale, like, like, what happens after that? Is it, does it need to go to somebody? Can that, you know, automate, an invoice based on what we think they’re doing? I mean, ultimately, like.

110 00:12:36.540 ⇒ 00:12:37.590 Audre Wirtanen: Unless…

111 00:12:38.030 ⇒ 00:12:50.960 Audre Wirtanen: like, we’ll have to see if they do labs, you know, we won’t know that ahead of time, and so, other than, like, the E&M, that initial visit, we’ll know we can put that on the invoice, and then,

112 00:12:51.460 ⇒ 00:13:02.320 Audre Wirtanen: They’ll have to consent to other things being added, kind of, in real time, but that fee schedule would have, you know, all of those fees on there, so they would know ahead of time what that would cost.

113 00:13:02.880 ⇒ 00:13:03.520 Uttam Kumaran: Okay.

114 00:13:03.950 ⇒ 00:13:04.630 Awaish Kumar: Okay.

115 00:13:04.760 ⇒ 00:13:06.490 Audre Wirtanen: Any questions on that?

116 00:13:07.570 ⇒ 00:13:15.250 Uttam Kumaran: I think that makes sense. I think for this, we’ll just have to kind of build out scenarios, and I’m gonna look through Healthy to see…

117 00:13:16.590 ⇒ 00:13:24.569 Uttam Kumaran: like, once we get into the product, we’ll just test all… we’ll basically have tests that we can run through for all this.

118 00:13:24.710 ⇒ 00:13:26.900 Uttam Kumaran: And then see…

119 00:13:27.360 ⇒ 00:13:36.850 Uttam Kumaran: There… it looks like they can support that type of logic, basically, but for the nuances for this, we’ll have to check, so… but that makes sense.

120 00:13:37.020 ⇒ 00:13:46.210 Audre Wirtanen: Yeah, I’m unsure what automated options are available in the native healthy versus… I think that… Yeah.

121 00:13:47.370 ⇒ 00:13:50.290 Audre Wirtanen: and then…

122 00:13:50.470 ⇒ 00:14:06.680 Audre Wirtanen: regardless also of what they choose, although it will probably be a separate account, you know, a separate account tag that’s set up or something, but we can automate an account setup, like in Stripe. And a question Andrea had was, wouldn’t Healthy already do that? But I’m unclear if

123 00:14:07.020 ⇒ 00:14:12.320 Audre Wirtanen: It would automatically pull that data of that person’s information from the intake into a new account.

124 00:14:12.610 ⇒ 00:14:23.480 Uttam Kumaran: Yeah, that’s… that’s pretty easy, even if they don’t, support it. I will note down to check, like, what the Stripe integration looks like, but that’s not,

125 00:14:23.610 ⇒ 00:14:24.830 Uttam Kumaran: If we have to…

126 00:14:25.310 ⇒ 00:14:38.609 Uttam Kumaran: do that ourselves. They have… they support, like, webhooks and things like that, so it would be a simple API call to hit Stripe to create that, populate some information, and then maintain, like, the links between the healthy account and the Stripe account, so…

127 00:14:39.070 ⇒ 00:14:40.240 Uttam Kumaran: That’s not that bad.

128 00:14:41.120 ⇒ 00:14:41.490 Audre Wirtanen: Okay.

129 00:14:41.490 ⇒ 00:14:46.540 Awaish Kumar: Yeah, he has the direct integration, so… Right.

130 00:14:46.990 ⇒ 00:14:48.010 Audre Wirtanen: Right, yeah.

131 00:14:48.780 ⇒ 00:14:52.679 Uttam Kumaran: Okay, cool. So yeah, I think we can just… that one, it should be pretty easy.

132 00:14:52.840 ⇒ 00:14:54.360 Uttam Kumaran: For me to go find out.

133 00:14:54.610 ⇒ 00:14:55.940 Audre Wirtanen: Okay. What the…

134 00:14:56.030 ⇒ 00:14:59.720 Uttam Kumaran: the Stripe integration kind of details are, so… okay, great.

135 00:14:59.720 ⇒ 00:15:00.130 Audre Wirtanen: Okay.

136 00:15:00.830 ⇒ 00:15:03.160 Uttam Kumaran: So maybe first… yeah, go ahead.

137 00:15:03.160 ⇒ 00:15:04.100 Audre Wirtanen: No, go for it.

138 00:15:04.290 ⇒ 00:15:12.930 Uttam Kumaran: Yeah, I guess, maybe we can talk through… The datastore first.

139 00:15:13.340 ⇒ 00:15:13.960 Audre Wirtanen: Sure.

140 00:15:14.170 ⇒ 00:15:21.570 Uttam Kumaran: Maybe if you want to talk through that, and then we can… this one will take us down here, so yeah, maybe we can talk through the data store.

141 00:15:22.780 ⇒ 00:15:37.099 Audre Wirtanen: Yeah, so this was something that Gray and I didn’t quite dig into in our last meeting, but basically, depending on what people say in their proxy and their advance directive, we have different requirements that we have to meet, and so there’s…

142 00:15:37.260 ⇒ 00:15:39.510 Audre Wirtanen: Kind of a high chance that

143 00:15:39.690 ⇒ 00:15:47.750 Audre Wirtanen: Someone might not provide us all of the information we, like, legally need to have on file, and so,

144 00:15:48.140 ⇒ 00:15:50.509 Audre Wirtanen: We’ll need that healthcare.

145 00:15:50.510 ⇒ 00:15:51.319 Uttam Kumaran: I see.

146 00:15:51.320 ⇒ 00:16:00.059 Audre Wirtanen: viewed by somebody, and then potentially have to fill in manually more information if somebody is not providing everything we’re asking for. Gray, can you speak?

147 00:16:00.060 ⇒ 00:16:00.470 Uttam Kumaran: Okay.

148 00:16:00.470 ⇒ 00:16:01.660 Audre Wirtanen: A little more, potentially.

149 00:16:01.660 ⇒ 00:16:11.619 Grey Louisos, they/them: Yeah, just certain designations, like, if someone has an authorized representative that was appointed by a court, we would need to make sure we got… we have the legal documents on file, so that

150 00:16:11.680 ⇒ 00:16:23.580 Grey Louisos, they/them: we’re doing the due diligence to make sure it’s the right person, and that we’re also storing that information in a way where we’re re-verifying it on a certain timeline, I think every 12 months.

151 00:16:24.250 ⇒ 00:16:33.059 Uttam Kumaran: Yeah, so are these… is this, like, are… do you have, like, access to any, like, regulation docs on this, or, like, what the logic is? And then I can…

152 00:16:33.630 ⇒ 00:16:36.469 Uttam Kumaran: Make sure to have that documentation on our side.

153 00:16:37.690 ⇒ 00:16:39.959 Audre Wirtanen: I think we know…

154 00:16:40.120 ⇒ 00:16:55.859 Audre Wirtanen: what the timeline requirement is, we would be able to… we would probably want to set up a automated reminder of someone to keep reviewing and make sure that, you know, they’re getting it re-certified by the patient, kind of, or like, yes, this is still accurate, right, Gray?

155 00:16:56.210 ⇒ 00:17:00.410 Grey Louisos, they/them: Yeah. I do have a… we have a policy written for…

156 00:17:00.650 ⇒ 00:17:06.579 Grey Louisos, they/them: the different types of designations, and what we need to have, and when we need to re-verify. Is that what you…

157 00:17:06.589 ⇒ 00:17:08.619 Uttam Kumaran: That’s exactly it. Yeah, exactly that.

158 00:17:08.770 ⇒ 00:17:09.920 Grey Louisos, they/them: Yeah, I can share that.

159 00:17:10.480 ⇒ 00:17:18.239 Uttam Kumaran: So, designation, like, policy doc. Okay, cool. And then, have we agreed, Awash, on, like, what this is? Is this…

160 00:17:18.490 ⇒ 00:17:20.410 Uttam Kumaran: Gonna also be unhealthy?

161 00:17:20.579 ⇒ 00:17:22.840 Uttam Kumaran: Or is that gonna be something external?

162 00:17:23.250 ⇒ 00:17:26.590 Awaish Kumar: Yeah, healthy also has the way to, like.

163 00:17:26.839 ⇒ 00:17:32.379 Awaish Kumar: manage, like, upload and manage the documents as well. Forms, yeah, forms and documents, yeah.

164 00:17:33.830 ⇒ 00:17:34.230 Audre Wirtanen: Okay.

165 00:17:34.230 ⇒ 00:17:34.850 Uttam Kumaran: Okay.

166 00:17:35.140 ⇒ 00:17:35.599 Audre Wirtanen: And then we’d.

167 00:17:35.600 ⇒ 00:17:36.440 Uttam Kumaran: Saw.

168 00:17:36.440 ⇒ 00:17:37.710 Audre Wirtanen: Wanna backup.

169 00:17:38.540 ⇒ 00:17:39.320 Uttam Kumaran: Yeah.

170 00:17:39.660 ⇒ 00:17:40.280 Audre Wirtanen: Impossible.

171 00:17:40.280 ⇒ 00:17:44.329 Uttam Kumaran: So I… so, kind of, like, I think my MO on this is, like.

172 00:17:44.580 ⇒ 00:17:52.579 Uttam Kumaran: we’re gonna shove as much as we can into Healthy. They seem to have support for documents for, like, all the core primitive objects.

173 00:17:52.680 ⇒ 00:17:56.169 Uttam Kumaran: But, you’re right, I think a ways we can consider

174 00:17:56.570 ⇒ 00:17:59.760 Uttam Kumaran: Like, a backup data store for…

175 00:18:00.640 ⇒ 00:18:06.329 Uttam Kumaran: this stuff, so there’s those two points. So I want to separate, like, the storage of this.

176 00:18:06.330 ⇒ 00:18:08.709 Audre Wirtanen: And then let’s talk about the alerting.

177 00:18:09.160 ⇒ 00:18:11.289 Uttam Kumaran: First. At, like, SOP, yeah.

178 00:18:12.330 ⇒ 00:18:17.620 Audre Wirtanen: And then we can go into, can we… what does the actual outside data store look like, right?

179 00:18:17.620 ⇒ 00:18:18.840 Uttam Kumaran: Yeah, yeah.

180 00:18:20.540 ⇒ 00:18:23.739 Audre Wirtanen: And a question I had, Gray, this morning was.

181 00:18:23.890 ⇒ 00:18:30.720 Audre Wirtanen: Is there someone specific who is tasked with reviewing the proxies, or can that be anybody on the floor?

182 00:18:32.560 ⇒ 00:18:38.909 Grey Louisos, they/them: I think it can be anybody. I’m gonna… I’ll pull up the policy right now to double check and… and say if it’s something else.

183 00:18:39.090 ⇒ 00:18:41.309 Grey Louisos, they/them: But that sounds right to me.

184 00:18:41.310 ⇒ 00:18:47.949 Uttam Kumaran: Okay, great. So… so one thing we can build out further is, like, the… the data store piece.

185 00:18:48.400 ⇒ 00:18:55.360 Uttam Kumaran: And then the actions that happen, like, based on whatever logic. So, the other piece of ways we should figure out

186 00:18:55.730 ⇒ 00:18:58.130 Uttam Kumaran: They seem to have some orchestration.

187 00:18:58.320 ⇒ 00:19:01.239 Uttam Kumaran: automation within Healthy. We could, of course.

188 00:19:01.680 ⇒ 00:19:07.009 Uttam Kumaran: dudes that. There’s… there’s a bunch of different ways we can do that. And then, let’s basically…

189 00:19:07.320 ⇒ 00:19:14.019 Uttam Kumaran: Attach whatever the, like, SOP is for acting on those alerts.

190 00:19:14.220 ⇒ 00:19:19.529 Uttam Kumaran: Or just keep… create a placeholder for, like, okay, what happens when an alert gets issued?

191 00:19:20.020 ⇒ 00:19:20.960 Audre Wirtanen: Yeah. Okay.

192 00:19:21.170 ⇒ 00:19:21.820 Awaish Kumar: Just a minute.

193 00:19:21.820 ⇒ 00:19:25.489 Audre Wirtanen: And then… A question? Oh, sorry, Awish, go ahead.

194 00:19:25.940 ⇒ 00:19:31.830 Awaish Kumar: Yeah, I was just mentioning that for those automated alerts, we might have to use Kerrigan, that’s what she was saying.

195 00:19:31.830 ⇒ 00:19:32.150 Uttam Kumaran: Yeah.

196 00:19:32.150 ⇒ 00:19:32.690 Awaish Kumar: Yes.

197 00:19:33.470 ⇒ 00:19:34.080 Uttam Kumaran: Yeah.

198 00:19:35.000 ⇒ 00:19:39.410 Uttam Kumaran: So we’ll… We’ll do a testing of that, too.

199 00:19:39.730 ⇒ 00:19:40.430 Audre Wirtanen: Wow.

200 00:19:42.360 ⇒ 00:19:48.400 Uttam Kumaran: Folks on the floor, is it… are… is it, like, gonna… are you having folks on, like, Slack? Is it gonna be email?

201 00:19:48.570 ⇒ 00:19:50.389 Uttam Kumaran: Like, what’s… what do you… or…

202 00:19:50.720 ⇒ 00:19:52.730 Uttam Kumaran: It’s gonna be through Healthy for Comms.

203 00:19:53.350 ⇒ 00:19:56.589 Audre Wirtanen: Yeah, so we will have,

204 00:19:56.850 ⇒ 00:20:13.699 Audre Wirtanen: some kind of phone system with a texting between staff that is HIPAA compliant, and then that will be probably native to the phone system we choose, but then the texting to the patients will need to be OMD, or a separate contract.

205 00:20:14.750 ⇒ 00:20:19.320 Audre Wirtanen: And… One of the issues… so, like.

206 00:20:20.320 ⇒ 00:20:32.439 Audre Wirtanen: we hire and work with lots of disabled people, and so Slack can be really hard for folks, and so we’re… we’ve kind of always had to stay pretty simple and, like, a little chaotic because of it.

207 00:20:32.440 ⇒ 00:20:33.040 Uttam Kumaran: That’s fine.

208 00:20:33.040 ⇒ 00:20:47.229 Audre Wirtanen: But I am wondering, like, I would like to keep having this conversation ongoingly, and kind of figure out, like, are there certain people who have access to Slack, and then how does that get potentially connected to other people who aren’t using it?

209 00:20:47.230 ⇒ 00:20:53.740 Audre Wirtanen: Because I wonder, you know, Slack would be nice, or just being able to have a centralized place for some people, yeah.

210 00:20:53.740 ⇒ 00:20:58.820 Uttam Kumaran: Yeah, it makes a lot of sense, so I think that’s the best way, is, like, start with, like, whatever the…

211 00:20:59.790 ⇒ 00:21:13.190 Uttam Kumaran: whatever, like, basic has to happen, and then we can start to do things like… you can have a Slack for some people that you can trigger to a phone or whatever. Do you have… have you talked to… I mean, we’re familiar with some of the…

212 00:21:13.570 ⇒ 00:21:18.350 Awaish Kumar: like, we’ve done some stuff with Call Center and stuff like that, but do you have the name of the…

213 00:21:18.350 ⇒ 00:21:20.149 Uttam Kumaran: Phone system that you’re thinking about.

214 00:21:20.150 ⇒ 00:21:24.029 Audre Wirtanen: So we were initially really liking Zoom Phone because we can set up.

215 00:21:24.030 ⇒ 00:21:24.740 Uttam Kumaran: Oh, nice.

216 00:21:24.740 ⇒ 00:21:26.429 Audre Wirtanen: complicated call system.

217 00:21:26.430 ⇒ 00:21:27.000 Uttam Kumaran: Yes.

218 00:21:27.090 ⇒ 00:21:32.799 Audre Wirtanen: We integrate with, like, meetings and stuff like that. But then, Andrea just had a meeting with.

219 00:21:32.800 ⇒ 00:21:34.990 Andrea DiStefano: With the dial pad? Okay.

220 00:21:34.990 ⇒ 00:21:35.530 Uttam Kumaran: Okay.

221 00:21:35.710 ⇒ 00:21:36.430 Uttam Kumaran: And…

222 00:21:36.430 ⇒ 00:21:41.430 Andrea DiStefano: The thing that we heard from Dialpad that they can do is that they can do…

223 00:21:41.490 ⇒ 00:21:50.609 Andrea DiStefano: this is, like, the term they use, I don’t know that much about it, but you probably do. They do split porting, so they can… Okay. You can use OMD,

224 00:21:50.610 ⇒ 00:22:04.749 Andrea DiStefano: with the phone number that you have through Dialpad to text with patients, and then you can also… and then you’re using the same phone number as your, you know, your work phone number in Dialpad with coworkers, with patients calling in.

225 00:22:04.750 ⇒ 00:22:08.389 Uttam Kumaran: Yeah, they basically do, like, forwarding, basically.

226 00:22:08.390 ⇒ 00:22:18.950 Andrea DiStefano: I’ve heard from Zoom that they do the split porting, so we’re circling back with them to get that information, since we now know that Dialpad can do it.

227 00:22:19.330 ⇒ 00:22:19.960 Uttam Kumaran: Okay.

228 00:22:20.930 ⇒ 00:22:24.969 Uttam Kumaran: Cool. Yeah, that I think you should definitely have.

229 00:22:25.060 ⇒ 00:22:37.530 Uttam Kumaran: It’s gonna be really brutal for people to swap phone numbers, and Dialpad and a bunch of these guys, they cycle their end customer phone numbers. So, like, similarly, when you get a text from, like.

230 00:22:37.530 ⇒ 00:22:57.189 Uttam Kumaran: there’s… there’s kind of a couple different text ways. Sometimes you get a text where it’s, like, from a full number, but it’s clearly, like, if you call it, there’s no… there’s no, like, going back, and so that’s the forwarding. You also can do, like, more automated, where if you get, like, Uber Eats and stuff like that, it’s, like, the six number or whatever. That is also, like, a different system, but those, you can’t…

231 00:22:57.320 ⇒ 00:23:03.530 Uttam Kumaran: have, like, it’s a little bit more difficult to have a dialogue. Like, for example, when you text, like, an airline.

232 00:23:03.640 ⇒ 00:23:14.269 Uttam Kumaran: they have a whole robust system of, like, texting through those portals, but those are reserved. They don’t get, like, cycled. But, like, long story short, okay, like, makes sense.

233 00:23:14.450 ⇒ 00:23:15.180 Audre Wirtanen: Okay.

234 00:23:15.600 ⇒ 00:23:20.940 Andrea DiStefano: And they both… both of those have… they have channels the same way Slack has channels, and you can do.

235 00:23:20.940 ⇒ 00:23:21.630 Uttam Kumaran: Yes.

236 00:23:21.630 ⇒ 00:23:38.470 Andrea DiStefano: So, I’m wondering if that essentially would take the place… like, I don’t know if it has all the functionality of Slack, like, if you can link files, the way you can link them in Slack, that’s not a question we asked. Okay. But we can ask, because I’m curious if it replaces Slack, and then also.

237 00:23:39.020 ⇒ 00:23:45.550 Andrea DiStefano: Audrey, maybe we should think about getting some sort of… if we can get access to test…

238 00:23:45.670 ⇒ 00:23:49.119 Andrea DiStefano: Both Zoom phones and Dialpad for accessibility?

239 00:23:50.430 ⇒ 00:24:06.950 Uttam Kumaran: Yeah, Healthy mentioned they have a Zoom integration, too, and I will say, like, I… I was talking to this about someone yesterday, like, Zoom’s… Zoom is, like, actually, like, they have a ton of features that just… they just do a bad job advertising, so they actually have a lot of, like, phone capabilities.

240 00:24:06.950 ⇒ 00:24:14.809 Uttam Kumaran: like, their SDK is really good. They actually have, like, a ton of great, like, security features as well, which…

241 00:24:15.240 ⇒ 00:24:15.810 Audre Wirtanen: Yeah.

242 00:24:15.810 ⇒ 00:24:28.810 Uttam Kumaran: like, they went really heavy on security, because they did a lot of work with, like, government and stuff like that, so… a lot of great encryption, stuff like that, so… But there’s also a lot of options in this world, so maybe it’s something that

243 00:24:28.960 ⇒ 00:24:48.909 Uttam Kumaran: I would love to kind of take what I heard today, and then maybe poke a little bit more at Zoom Phone. Like, we do Zoom for, like, everything. We’ve done a lot of work even in Brainforge with their APIs, so we’re really familiar with that. So we have Zoom Pro, too, so maybe I can even test some of our stuff.

244 00:24:49.500 ⇒ 00:24:50.809 Andrea DiStefano: Yeah, that’d be great.

245 00:24:51.040 ⇒ 00:24:51.980 Audre Wirtanen: Yeah, that would be…

246 00:24:53.150 ⇒ 00:24:55.329 Uttam Kumaran: And I think, you know, as we’re…

247 00:24:55.330 ⇒ 00:25:09.410 Andrea DiStefano: since we are looking at both, it would be helpful to know the ways in which it integrates or overlaps with Healthy, because Dial doesn’t have an integration with Healthy. They said we could do the OMD thing, but I’m not sure what…

248 00:25:09.520 ⇒ 00:25:12.929 Andrea DiStefano: what’s needed on the integration front, like, maybe there is…

249 00:25:12.930 ⇒ 00:25:13.450 Uttam Kumaran: Yeah.

250 00:25:13.450 ⇒ 00:25:15.609 Andrea DiStefano: a high need, but I’m… I’m…

251 00:25:16.260 ⇒ 00:25:20.489 Andrea DiStefano: It would be helpful to have… Your… your input on that.

252 00:25:20.870 ⇒ 00:25:21.510 Uttam Kumaran: Okay.

253 00:25:25.020 ⇒ 00:25:26.290 Uttam Kumaran: Okay, great.

254 00:25:27.020 ⇒ 00:25:33.269 Audre Wirtanen: And then back to… sorry, I just also thought of… Gray, we have not written the charity care policy, have we?

255 00:25:33.840 ⇒ 00:25:40.469 Grey Louisos, they/them: We do have a draft, but it’s a little bit… it’s a little old, but we do have some stuff prepared.

256 00:25:40.720 ⇒ 00:25:42.789 Audre Wirtanen: Okay, so maybe you and I can…

257 00:25:43.320 ⇒ 00:25:50.649 Audre Wirtanen: look at, or I can edit it, maybe async, and then we can also provide that to you all, so we can start thinking about the charity care.

258 00:25:50.760 ⇒ 00:25:52.930 Audre Wirtanen: process, or add it into this.

259 00:25:53.210 ⇒ 00:25:54.050 Uttam Kumaran: Okay.

260 00:25:58.340 ⇒ 00:25:58.980 Uttam Kumaran: Okay.

261 00:25:59.870 ⇒ 00:26:07.750 Uttam Kumaran: Maybe let’s talk about products, or should we go to the right? What do we think?

262 00:26:09.250 ⇒ 00:26:10.279 Audre Wirtanen: What…

263 00:26:10.280 ⇒ 00:26:15.940 Uttam Kumaran: I would… since we’re talk… since we’ve talked about Stripe and stuff, maybe we go through this area.

264 00:26:16.350 ⇒ 00:26:16.839 Audre Wirtanen: Sure, sure.

265 00:26:16.840 ⇒ 00:26:18.660 Uttam Kumaran: to wrap this up.

266 00:26:18.880 ⇒ 00:26:30.849 Uttam Kumaran: So, yeah, so, like, we… on the product… on the… oh, sorry, on the pre-aud side, we have reviewing insurance submissions, reviewing self-pay, approved coverage, so let’s talk about

267 00:26:31.480 ⇒ 00:26:36.520 Uttam Kumaran: Maybe this box, and then naturally we can go into payments.

268 00:26:36.730 ⇒ 00:26:37.370 Audre Wirtanen: Sure.

269 00:26:37.950 ⇒ 00:26:40.730 Audre Wirtanen: So the pre-auth will be doing…

270 00:26:41.050 ⇒ 00:26:50.480 Audre Wirtanen: all of the payment stuff, basically. And… I… I’m kind of unclear…

271 00:26:50.600 ⇒ 00:26:56.980 Audre Wirtanen: how pre-auth people like to work with different insurance companies. I’m sure it’s.

272 00:26:56.980 ⇒ 00:26:57.460 Uttam Kumaran: Yeah.

273 00:26:57.460 ⇒ 00:27:01.619 Audre Wirtanen: different based on the provider. So…

274 00:27:02.550 ⇒ 00:27:12.149 Audre Wirtanen: I’m… I know that we’re gonna need to set up, like, automated reminders and different automation of tasks, I’m sure people would like that, but I’m… I’m not really sure,

275 00:27:12.420 ⇒ 00:27:26.219 Audre Wirtanen: the best way, we’re hoping to hire our floor manager by, like, December or January, so we have that input earlier on. So I’m wondering if this is a little bit of a placeholder, but we can also try and do some,

276 00:27:26.390 ⇒ 00:27:31.830 Audre Wirtanen: Like, work together, kind of, basics, we are…

277 00:27:31.970 ⇒ 00:27:40.360 Audre Wirtanen: trying to contract with, like, as many insurance companies as humanly possible. So…

278 00:27:40.860 ⇒ 00:27:56.460 Audre Wirtanen: But… and, initially, it’ll just be Medicare and commercial, and then we… we have a pretty significant delay on Medicaid because of a DOH policy that was changed 5 years ago that we all despise. So, it will be… there may also be, kind of.

279 00:27:57.410 ⇒ 00:28:00.989 Audre Wirtanen: 6 months after we open, we’re still kind of working on this as well.

280 00:28:01.580 ⇒ 00:28:02.240 Uttam Kumaran: Okay.

281 00:28:02.650 ⇒ 00:28:04.499 Audre Wirtanen: Just to give you all a heads up. And then…

282 00:28:04.500 ⇒ 00:28:05.110 Uttam Kumaran: Okay.

283 00:28:06.110 ⇒ 00:28:23.339 Audre Wirtanen: yeah, definitely phone call, we’ll obviously submit to insurance for pre-authorizations. I think for E&Ms, that should be pretty straightforward, because we’re also negotiating all of these services with all of the payers anyway ahead of time, so I’m assuming it’s more on the patient’s,

284 00:28:23.390 ⇒ 00:28:26.579 Audre Wirtanen: Side that a lot of the extra legwork will be.

285 00:28:28.540 ⇒ 00:28:29.150 Uttam Kumaran: Okay.

286 00:28:29.620 ⇒ 00:28:30.569 Audre Wirtanen: for this person.

287 00:28:30.980 ⇒ 00:28:33.220 Audre Wirtanen: And then,

288 00:28:33.850 ⇒ 00:28:53.419 Audre Wirtanen: And Gray, can you remind… do we have, anywhere that talks about timelines for… for pre-auth needs? Weren’t we talking about, like, we would at least want to schedule, like, one to two weeks out, unless it’s actually really an emergency, so that we have that time for the pre-auth verification to… to go through?

289 00:28:55.020 ⇒ 00:28:57.970 Grey Louisos, they/them: Trying to remember if we put that into…

290 00:28:59.010 ⇒ 00:29:05.610 Grey Louisos, they/them: a policy somewhere. I think that was part of the intake conversation, the intake SOP conversation.

291 00:29:05.610 ⇒ 00:29:06.440 Uttam Kumaran: Okay.

292 00:29:07.050 ⇒ 00:29:10.739 Audre Wirtanen: yeah, I want automated timing of tasks and reminders and… Great.

293 00:29:11.240 ⇒ 00:29:16.969 Uttam Kumaran: So I put a note, like, figuring out what is the, like, minimum time needed for pre-auth.

294 00:29:17.110 ⇒ 00:29:22.500 Uttam Kumaran: And we can agree on that, or basically have that end up in the… in the intake.

295 00:29:22.800 ⇒ 00:29:26.959 Uttam Kumaran: SOP, or an intake policy. And then, yeah, for…

296 00:29:27.370 ⇒ 00:29:29.259 Uttam Kumaran: I guess, can you talk to me about…

297 00:29:29.650 ⇒ 00:29:39.840 Uttam Kumaran: the automations and, like, who… so this is… this is, like, who is involved, and, like, the… again, we could talk a little bit about what automations are necessary for this piece.

298 00:29:41.320 ⇒ 00:29:50.989 Audre Wirtanen: Yeah, so I think it’ll just be the pre-auth specialist. I think they’re really gonna be the person who’s dealing with the insurance companies constantly, that’s their.

299 00:29:50.990 ⇒ 00:29:51.380 Uttam Kumaran: Yes.

300 00:29:51.380 ⇒ 00:29:54.210 Audre Wirtanen: job. And so…

301 00:29:54.480 ⇒ 00:30:00.609 Audre Wirtanen: I feel like it’ll have to be kind of tailored to that… that person, a bit, but,

302 00:30:01.070 ⇒ 00:30:16.699 Audre Wirtanen: you know, we’ll need a minimum amount of time, probably different, payers, as in insurance companies, will have different requirements that we have to meet, or we know, you know, oh, Health First is really slow, so we need 3 weeks, actually, or something like that.

303 00:30:16.960 ⇒ 00:30:24.270 Audre Wirtanen: And then… We don’t need, them to actually review the submission to create.

304 00:30:24.290 ⇒ 00:30:41.620 Audre Wirtanen: auto-create payment accounts. I think that could just be done automatically, because our situation won’t change with the payer, it would just be the patient side that would change once the pre-auth comes through. We would want to notify them if they’re out of network, obviously, so I think.

305 00:30:41.620 ⇒ 00:30:42.100 Uttam Kumaran: Yeah.

306 00:30:42.420 ⇒ 00:30:56.319 Audre Wirtanen: that would definitely be a consecutive, part there. But hopefully we would know that, actually, when… like, the patient would know that up front. Like, we’ll be really clear about what we take and what we don’t take yet. Okay.

307 00:30:58.130 ⇒ 00:31:01.199 Audre Wirtanen: Let’s see… and then the payment system…

308 00:31:01.460 ⇒ 00:31:04.819 Audre Wirtanen: Like, ultimately, all of that stuff would be going to, like, our…

309 00:31:05.150 ⇒ 00:31:20.200 Audre Wirtanen: bookkeeper and accountant, ultimately, so I think we’re kind of just trying to connect, like, the pre-auth situation and the intake to setting that up for ease. But that would obviously be, you know, after people pay, that that’s.

310 00:31:20.200 ⇒ 00:31:26.650 Uttam Kumaran: So is this… is this all going to be done via Stripe, basically? And then is someone going… or, like, what’s the…

311 00:31:27.340 ⇒ 00:31:36.280 Audre Wirtanen: Well, I think that’s the native what’s in Healthy, so we definitely want to do that. I know that Caragon also integrates, like, PayPal and some other systems, and so…

312 00:31:36.280 ⇒ 00:31:41.110 Uttam Kumaran: Yeah, I guess tell me about, like, the customer experience side of it. I mean, again, I only know from.

313 00:31:41.110 ⇒ 00:31:41.490 Audre Wirtanen: Yeah.

314 00:31:41.490 ⇒ 00:31:52.049 Uttam Kumaran: clinics that I’ve been to on, like, what you… I mean, again, usually it’s just in person, pay by card, or whatever, but I guess, tell me, like, yeah, how you guys are thinking about that.

315 00:31:52.050 ⇒ 00:31:56.910 Audre Wirtanen: Yeah, Card, PayPal, I think would be a good option for folks, okay.

316 00:31:57.400 ⇒ 00:32:01.960 Audre Wirtanen: I don’t think we want to take cash, but… meh.

317 00:32:02.100 ⇒ 00:32:03.819 Audre Wirtanen: And then,

318 00:32:03.830 ⇒ 00:32:25.020 Audre Wirtanen: usually… I mean, hospital systems now really try and force people to pay up front as a way to try and not lose money, and they actually hide the fact that they have charity care. It’s pretty wild trying to get charity care coverage. But we’re not doing that, so I don’t think there’s gonna be an expectation of anybody paying ahead of time, because I also think the bill may change, and so maybe we can…

319 00:32:25.020 ⇒ 00:32:36.510 Uttam Kumaran: So that’s the thing. Typically, is it a hold? Like, I… yeah, like, I feel like typically they’re… they kind of hold a payment until the end, and then they can add on extra line items to finalize. It’s sometimes a success situation.

320 00:32:36.740 ⇒ 00:32:41.080 Uttam Kumaran: Yeah, I don’t even know if we want to do that. Okay. We want, like…

321 00:32:41.080 ⇒ 00:32:48.230 Audre Wirtanen: them to know what the fee schedule is, you know, will kind of… they’ll consent to treat when they come in, and then…

322 00:32:48.790 ⇒ 00:33:08.099 Audre Wirtanen: they can decide also afterward. Hopefully, we get enough information through the self-pay and charity care piece to know, okay, this person probably isn’t going to make this full bill, and so then… Yes. …be more due diligence of, like, how much can you commit to? Do you want to set up a payment plan? Like, that part is going to be a little bit more complicated.

323 00:33:08.100 ⇒ 00:33:12.109 Audre Wirtanen: But… Ultimately, I think it’s just, like.

324 00:33:12.220 ⇒ 00:33:26.819 Audre Wirtanen: pay at the time of service, and then the other thing we will probably do is, and I’ve only ever had this happen to me once, is, if somebody has a really negative experience, I think we might want to comp them.

325 00:33:27.370 ⇒ 00:33:28.449 Uttam Kumaran: Okay, yeah.

326 00:33:28.450 ⇒ 00:33:31.889 Audre Wirtanen: That’ll also be… Something we want to be able to do.

327 00:33:31.890 ⇒ 00:33:36.450 Uttam Kumaran: Totally. So, I mean, I’m not hearing anything that can’t be done in Stripe.

328 00:33:36.640 ⇒ 00:33:37.720 Audre Wirtanen: Cool. Basically.

329 00:33:37.720 ⇒ 00:33:40.209 Uttam Kumaran: And they have all the integrations with…

330 00:33:40.430 ⇒ 00:33:51.060 Uttam Kumaran: PayPal and everything, they have great fraud detection, they have, like, all the reminders, and can set up branded invoice, all that stuff, so that should be all fine.

331 00:33:51.570 ⇒ 00:33:53.100 Uttam Kumaran: Yeah.

332 00:33:53.240 ⇒ 00:34:03.079 Uttam Kumaran: So I’m not too worried about that. I mean, the only problem is, like, you’re like, what’s the catch? Their fees are high, like… but for anybody, it’s typically, like, I think they charge…

333 00:34:04.890 ⇒ 00:34:19.350 Uttam Kumaran: like, 2… some percent, like, basically the credit card fee plus, like, 30 cents or something per transaction. But I also think, like, you can get their startup program and some bunch of transaction fees waived, so…

334 00:34:19.489 ⇒ 00:34:24.639 Uttam Kumaran: I don’t know, do you… yeah. I think we have a non-profit account with them. Oh, great, okay.

335 00:34:24.639 ⇒ 00:34:29.299 Audre Wirtanen: Yeah, we just have never used it, because we don’t know how to code, and we opened it, and we’re like, oh my god, so…

336 00:34:29.300 ⇒ 00:34:40.190 Uttam Kumaran: Cool. Yeah, we have some… we have some contacts at Stripe, too, so I can make sure that that’s… we can just make sure that that’s all set up, and then, yeah, that’s actually great, so I will double-check, like, what the terms are for…

337 00:34:40.340 ⇒ 00:34:44.069 Uttam Kumaran: Nonprofit, and yeah, you should be fine there.

338 00:34:44.330 ⇒ 00:34:48.379 Audre Wirtanen: Yeah, I think it’s, like, 1% lower or something. I don’t remember what it was. This was all.

339 00:34:48.389 ⇒ 00:34:54.539 Uttam Kumaran: Worth it. Worth it, because we get… yeah, it hurts to just lose that.

340 00:34:54.770 ⇒ 00:34:55.380 Audre Wirtanen: Cop.

341 00:34:55.389 ⇒ 00:34:56.589 Uttam Kumaran: Huh. Okay.

342 00:34:57.160 ⇒ 00:35:01.640 Audre Wirtanen: And Caragon integrates with other payment platforms, but I don’t know…

343 00:35:02.070 ⇒ 00:35:04.369 Audre Wirtanen: Like, why would we choose multiple?

344 00:35:04.660 ⇒ 00:35:05.160 Audre Wirtanen: Right?

345 00:35:05.160 ⇒ 00:35:08.730 Uttam Kumaran: Yeah, the only re… people typically,

346 00:35:09.440 ⇒ 00:35:12.209 Uttam Kumaran: like, for example, if you’re doing B2B, sometimes, like.

347 00:35:12.480 ⇒ 00:35:21.799 Uttam Kumaran: like, QuickBooks, like, we do a lot of billing through QuickBooks. QuickBooks has their own, like, checking, and so we wanna, like, you can open up your own checking account, so it speeds up, so… but, like.

348 00:35:22.020 ⇒ 00:35:25.130 Uttam Kumaran: Roughly, the fees are generally the same.

349 00:35:25.280 ⇒ 00:35:27.689 Uttam Kumaran: so I would…

350 00:35:27.800 ⇒ 00:35:36.989 Uttam Kumaran: I would say, like, Stripe is the most flexible, and you won’t have a problem with them ever. And if you’re getting the non-profit discount, you’re not gonna find a cheaper deal anywhere else on the processing piece.

351 00:35:36.990 ⇒ 00:35:38.780 Audre Wirtanen: Yeah. Okay, cool.

352 00:35:38.940 ⇒ 00:35:43.079 Uttam Kumaran: Cool, okay, so that kind of settles…

353 00:35:43.960 ⇒ 00:35:47.899 Uttam Kumaran: payment, I guess we can work our way…

354 00:35:48.360 ⇒ 00:35:53.079 Uttam Kumaran: Okay, so this is… we’ve sort of talked a little bit about

355 00:35:53.360 ⇒ 00:35:58.490 Uttam Kumaran: Maybe we can move to the right side, about, you know, 25 minutes or so.

356 00:35:58.520 ⇒ 00:35:59.650 Audre Wirtanen: Yeah.

357 00:36:00.100 ⇒ 00:36:01.090 Audre Wirtanen: and the…

358 00:36:01.430 ⇒ 00:36:14.010 Audre Wirtanen: just to also provide more context, the reason the, fee schedule has to be sent so early to patients is because they actually need… legally now, they have to see the fee schedule before they come in for service. So that was the…

359 00:36:14.310 ⇒ 00:36:15.260 Audre Wirtanen: Logic there.

360 00:36:15.920 ⇒ 00:36:19.060 Audre Wirtanen: And then to the right.

361 00:36:19.280 ⇒ 00:36:22.550 Audre Wirtanen: Should we go through the access form first?

362 00:36:24.160 ⇒ 00:36:25.020 Audre Wirtanen: That’s okay.

363 00:36:25.750 ⇒ 00:36:26.470 Audre Wirtanen: Alright.

364 00:36:26.770 ⇒ 00:36:32.280 Audre Wirtanen: So… We are going to need to think through

365 00:36:32.510 ⇒ 00:36:38.599 Audre Wirtanen: the time-based coordination requirements for each thing we put on the access form will basically have

366 00:36:38.840 ⇒ 00:36:42.030 Audre Wirtanen: Wheelchairs on site, we’ll have,

367 00:36:42.500 ⇒ 00:36:55.540 Audre Wirtanen: different options for vitals for people to choose from, if they want forehead versus, like, under the tongue for things. We’ll have, translation

368 00:36:56.060 ⇒ 00:37:06.489 Audre Wirtanen: on an iPad, essentially, that’s like a real-time translator, like a person that we contract. We contract with the company, and they, you know, whatever. And then if they need other support.

369 00:37:06.590 ⇒ 00:37:19.839 Audre Wirtanen: Anyway, we’ll have a list of these things, and then, ideally, each selection that somebody says yes to would trigger a separate task to either the floor manager or the person at the front desk.

370 00:37:20.240 ⇒ 00:37:27.769 Audre Wirtanen: To review that, you know, we need this set up within this certain time frame. And then we would also

371 00:37:28.150 ⇒ 00:37:30.030 Audre Wirtanen: automate,

372 00:37:31.290 ⇒ 00:37:50.210 Audre Wirtanen: you know, once that review occurs by somebody, hopefully then there would be an automated email sent to the patient, being like, we’ve reviewed this, you know, please let us know if anything changes, call the front desk, or something. Or maybe, I don’t know if we want to set up another form for them to change it, but I feel like maybe calling the front desk might be the easiest way for them.

373 00:37:50.900 ⇒ 00:37:53.360 Audre Wirtanen: And then…

374 00:37:54.170 ⇒ 00:38:00.090 Audre Wirtanen: Yeah, they’d get scheduling confirmation and reminders, and that stuff would be repeated in there as well.

375 00:38:01.110 ⇒ 00:38:11.350 Audre Wirtanen: So I think… I think everything could be coordinated, like, a week in advance, a day in advance, you know, wheelchairs will need to kind of be, like, day of or day in advance.

376 00:38:11.400 ⇒ 00:38:22.809 Audre Wirtanen: I’m trying to think if there’s gonna be anything… I guess if somebody requests, like, an ASL interpreter, I think the company we’ll contract with will have ASL as well, Gray, is that true, or is that a separate…

377 00:38:23.710 ⇒ 00:38:30.839 Grey Louisos, they/them: We’ll have to see when we start looking at the actual companies. Hopefully, if it’s video interpretation, they’ll have ASL.

378 00:38:32.350 ⇒ 00:38:36.070 Audre Wirtanen: And then…

379 00:38:37.000 ⇒ 00:38:44.079 Audre Wirtanen: And technically, we will have a Hoyer lift, but I’m like, where is that even gonna be stored? I don’t know, we’ll figure that out.

380 00:38:45.430 ⇒ 00:38:50.339 Audre Wirtanen: And then… And the access form will be re…

381 00:38:50.700 ⇒ 00:38:54.469 Audre Wirtanen: requested to be filled out for every single appointment. So…

382 00:38:54.470 ⇒ 00:38:54.890 Uttam Kumaran: Yeah.

383 00:38:54.890 ⇒ 00:38:59.380 Audre Wirtanen: It’ll be kind of a separate, like, follow-up, a smaller version of this.

384 00:38:59.400 ⇒ 00:39:00.150 Uttam Kumaran: Okay.

385 00:39:01.320 ⇒ 00:39:02.690 Audre Wirtanen: And then…

386 00:39:03.740 ⇒ 00:39:16.450 Audre Wirtanen: in terms of experience history, which is what we call, like, your health history, because we try to tell people, tell us what you really think, rather than what doctors have said to you.

387 00:39:16.800 ⇒ 00:39:25.700 Audre Wirtanen: And we will have to figure out exactly how we’ll triage patients, but ideally, through this, we’ll be able to create some, like.

388 00:39:25.820 ⇒ 00:39:29.680 Audre Wirtanen: Tagging system of, like, urgent review versus, like.

389 00:39:30.540 ⇒ 00:39:34.990 Audre Wirtanen: non-urgent review. Maybe that’s kind of just the two ways we do it.

390 00:39:35.130 ⇒ 00:39:35.710 Uttam Kumaran: Great.

391 00:39:35.910 ⇒ 00:39:43.940 Audre Wirtanen: you know, oh, they just came out of the ER, or they feel like they’re gonna die. Okay, then we’ll see you sooner, and we’ll try and get you in sooner. Okay.

392 00:39:45.170 ⇒ 00:39:46.780 Audre Wirtanen: And…

393 00:39:47.110 ⇒ 00:39:56.269 Audre Wirtanen: the front desk will need to review the full submission intake, and that would probably be when provider assignments happen, so I know yesterday we talked a lot about, like.

394 00:39:56.400 ⇒ 00:40:05.669 Audre Wirtanen: having patients choose and stuff like that, but we are trying to really redistribute, like, our current clinical director has about 4,000 patients, which is way too many.

395 00:40:05.670 ⇒ 00:40:19.109 Audre Wirtanen: And so, we actually need to distribute her patient load over multiple people, and so there’s gonna be a point where, like, pretty soon, it’s like, okay, she’s full, and we need people to actually voluntarily go to somebody else, even though Polizzi’s overseeing everyone as well.

396 00:40:19.110 ⇒ 00:40:25.019 Audre Wirtanen: So I think provider assignments are gonna be not quite as… An option for people.

397 00:40:25.020 ⇒ 00:40:30.200 Uttam Kumaran: And where is that on this… on this chart? Like, the assignments?

398 00:40:30.430 ⇒ 00:40:45.470 Audre Wirtanen: Yeah, so I think it’s gonna have to be the front desk. When the front desk reviews the full intake submission, when they start to see, like, all of the symptoms that somebody is complaining of ahead of time, you know, look at the severity of the situation, I think that’s gonna need to be kind of a manual…

399 00:40:45.720 ⇒ 00:40:46.570 Uttam Kumaran: Okay.

400 00:40:47.160 ⇒ 00:40:48.160 Audre Wirtanen: Okay.

401 00:40:48.470 ⇒ 00:40:51.039 Audre Wirtanen: And I… and I wonder,

402 00:40:52.640 ⇒ 00:41:06.589 Audre Wirtanen: and it’s… there’s probably going to be different situations we have to navigate as we’re growing as… as well, so I do think manual there might just be the easiest, so that we’re not accidentally overbooking somebody, or.

403 00:41:06.590 ⇒ 00:41:17.559 Uttam Kumaran: Yeah, so that’s gonna be something we’re gonna look in Healthy, like, how easy it is to identify that. Like, ideally, they have the chart, they have all the charts and data to kind of help do that.

404 00:41:18.180 ⇒ 00:41:19.710 Uttam Kumaran: Resource allocation.

405 00:41:19.910 ⇒ 00:41:22.670 Audre Wirtanen: Yeah, and if somebody’s requesting, like.

406 00:41:22.800 ⇒ 00:41:37.130 Audre Wirtanen: oh, I want to see cardiology, and we’re also, like, we also think you should see primary care. You know, like, maybe we can also suggest to them, like, would you be open to scheduling to a point? Like, that might be… because that initial intake is going to be really massive. Like, it will probably be…

407 00:41:40.280 ⇒ 00:41:43.680 Audre Wirtanen: You know, every symptom we can really think of, they’re just checking.

408 00:41:44.010 ⇒ 00:41:50.699 Audre Wirtanen: boxes, so we can start to cluster things and understand better, like, what are they… what is being served, what is not being served.

409 00:41:50.700 ⇒ 00:41:51.240 Uttam Kumaran: Okay.

410 00:41:51.550 ⇒ 00:41:56.740 Uttam Kumaran: So that’s, I think, something we’ll see in the product, like, what is the,

411 00:41:57.210 ⇒ 00:42:00.250 Uttam Kumaran: Like, what is the triage system for intake?

412 00:42:00.250 ⇒ 00:42:03.449 Audre Wirtanen: Yeah. What can, like, the front desk people, like.

413 00:42:03.450 ⇒ 00:42:16.069 Uttam Kumaran: see, and then whether there’s anything custom we need to add on, like, urgency, or… yeah. So, we can take a look at that. We just have to look at the product to see that.

414 00:42:17.020 ⇒ 00:42:19.770 Audre Wirtanen: Yeah, and I don’t know… oh, go ahead.

415 00:42:20.140 ⇒ 00:42:24.349 Awaish Kumar: This is scheduling, like, we are… we don’t want to give that to the patient.

416 00:42:25.180 ⇒ 00:42:30.919 Audre Wirtanen: No, because… One, we’re gonna fill up really fast.

417 00:42:31.030 ⇒ 00:42:33.730 Audre Wirtanen: So, you know, I think… I think we’re gonna…

418 00:42:34.450 ⇒ 00:42:44.090 Audre Wirtanen: struggle, there a little bit. But I also think because we do need patients to go to other providers, we can’t… everyone can’t see Politzi.

419 00:42:44.280 ⇒ 00:42:59.820 Audre Wirtanen: we might have to have the scheduler call people and be like, hey, I need to talk you through this, you know, are you okay? She’s overseeing this person, but we do need to distribute the load differently because she can’t see 4,000 people. So…

420 00:42:59.960 ⇒ 00:43:11.540 Audre Wirtanen: And I think because all of these patients… the majority of these patients already see her, that’s gonna need to be a renegotiation with a lot of patients, and they might not be very happy with it, so… Okay.

421 00:43:13.030 ⇒ 00:43:13.670 Uttam Kumaran: Okay.

422 00:43:14.000 ⇒ 00:43:20.979 Uttam Kumaran: And then, is there anything here, like, you know, again, on the, on, like, the data store side that we need to…

423 00:43:22.160 ⇒ 00:43:22.850 Uttam Kumaran: Okay.

424 00:43:22.850 ⇒ 00:43:38.010 Audre Wirtanen: So, basically, the intake form, the health experience is going to be a huge, really important data set to start with, to then be comparing more experiences to over time as treatment is ongoing. So, we’ll have…

425 00:43:38.010 ⇒ 00:43:57.829 Audre Wirtanen: neurological symptoms, gastro symptoms, like, truly everything there. And then, we’ll probably ask them also to start to fill out, like, a baseline quality of life questionnaire, like the SF36, which also includes levels of disability, so that we have those first data points to start our data bank that we can compare to as time goes on.

426 00:43:57.830 ⇒ 00:43:58.280 Audre Wirtanen: Right.

427 00:43:58.280 ⇒ 00:43:58.910 Uttam Kumaran: Okay.

428 00:43:59.490 ⇒ 00:44:00.559 Audre Wirtanen: And then…

429 00:44:00.690 ⇒ 00:44:06.569 Audre Wirtanen: that’ll also be where they put in, you know, their current medications as well, and so I’m not sure…

430 00:44:06.700 ⇒ 00:44:14.549 Audre Wirtanen: if that can automatically be pulled into Healthy, into their chart, or what the best way is there.

431 00:44:14.750 ⇒ 00:44:16.290 Audre Wirtanen: So that’s a question I have.

432 00:44:17.440 ⇒ 00:44:21.400 Uttam Kumaran: Great, yeah, well, I’m gonna… we’re gonna… I think we’ll look. It seems like…

433 00:44:22.240 ⇒ 00:44:33.399 Uttam Kumaran: they have support for pretty flexible, like, intake. So, ideally, again, it’s sort of like, as much as we can cram into healthy, and then we will back that up.

434 00:44:34.250 ⇒ 00:44:35.860 Uttam Kumaran: Somewhere, you know?

435 00:44:36.940 ⇒ 00:44:43.019 Audre Wirtanen: And probably select You know, which parts are anonymized.

436 00:44:43.480 ⇒ 00:44:44.060 Uttam Kumaran: Totally.

437 00:44:44.240 ⇒ 00:44:45.680 Audre Wirtanen: Kind of situation.

438 00:44:45.680 ⇒ 00:45:05.010 Uttam Kumaran: 100%, yeah, and again, some of this is, like, the use cases are different, right? There’s, like, operational use cases, right, with… with… this is… a lot of what we’re seeing on the screen now is very operational, like, okay, this needs to happen, or this needs to happen, and then there will be some, like, reporting and analysis use cases that we want to support, and ideally, like, that happens

439 00:45:05.010 ⇒ 00:45:15.949 Uttam Kumaran: in flight, like, we start to store this information, like, scrub PII, scrub stuff like that, and then that way you can start to run analysis. Healthy is…

440 00:45:16.300 ⇒ 00:45:21.060 Uttam Kumaran: like, I’m sure they have some reporting, but this is something that you guys can do outside pretty easily.

441 00:45:21.830 ⇒ 00:45:22.680 Audre Wirtanen: Okay, cool.

442 00:45:23.050 ⇒ 00:45:28.900 Audre Wirtanen: In terms of scheduling, What will be different is…

443 00:45:29.040 ⇒ 00:45:33.200 Audre Wirtanen: in the follow-up appointments, I think patients should be able to select.

444 00:45:33.200 ⇒ 00:45:49.429 Audre Wirtanen: So in the initial intake, when we’re onboarding somebody new, I think it’s a… it’s a manual scheduling from our scheduler situation, but then once they have established care with us, then they can access, you know, is it telehealth, is it whatever? I mean…

445 00:45:49.480 ⇒ 00:45:57.310 Audre Wirtanen: we need CMS to, you know, Re-approve telehealth, but, anyway.

446 00:45:57.630 ⇒ 00:45:58.240 Awaish Kumar: Okay.

447 00:45:58.240 ⇒ 00:45:59.610 Uttam Kumaran: Yeah, I agree.

448 00:45:59.610 ⇒ 00:46:01.545 Audre Wirtanen: I was like.

449 00:46:02.750 ⇒ 00:46:09.670 Awaish Kumar: Would that give the patient, like, ability to choose the provider, or it’s just… I think…

450 00:46:09.840 ⇒ 00:46:15.810 Audre Wirtanen: Well, I guess from there… That’s a good question.

451 00:46:19.350 ⇒ 00:46:34.439 Andrea DiStefano: Could we, like, specifically populate providers that have been assigned to them so they have an option between, like, you know, if they’re deciding between cardiology, infusion, primary care, they just see the providers that have already been…

452 00:46:34.440 ⇒ 00:46:36.549 Audre Wirtanen: Select which one they want, yeah.

453 00:46:37.050 ⇒ 00:46:49.410 Uttam Kumaran: Yeah, we can kind of tell. I think, Awash, we’ll… when we kind of do the scenarios, we’ll look at new patient, and then we’ll look at return patient, and then we’ll sort of map out, like, what the

454 00:46:50.070 ⇒ 00:46:53.559 Uttam Kumaran: like, view access, basically, through the whole process for them. I…

455 00:46:53.710 ⇒ 00:46:56.930 Uttam Kumaran: We just have to see what… how the healthy stuff works.

456 00:46:59.550 ⇒ 00:47:00.220 Audre Wirtanen: Okay.

457 00:47:00.630 ⇒ 00:47:03.679 Audre Wirtanen: Yeah, and like… the telehealth piece.

458 00:47:05.440 ⇒ 00:47:18.609 Audre Wirtanen: is probably going to have to be connected to pre-auth. I wonder if we can get ahead of it, and in the pre-auth process, confirm telehealth is covered automatically, so that patients don’t have to go through that again, if they request it.

459 00:47:18.610 ⇒ 00:47:19.080 Uttam Kumaran: Yeah.

460 00:47:19.080 ⇒ 00:47:33.749 Audre Wirtanen: down the road, because they do have to have an in-person appointment for telehealth to be approved insurance-wise anyway, but as things are shifting, I bet you different providers are going to start to drop, and by providers, I mean payers, sorry, are going to start to drop services, telehealth services.

461 00:47:36.480 ⇒ 00:47:37.530 Uttam Kumaran: Woohoo!

462 00:47:40.090 ⇒ 00:47:41.790 Uttam Kumaran: Great, okay.

463 00:47:46.160 ⇒ 00:47:52.039 Audre Wirtanen: And I wonder, even… And this is another question, is, like, can we pre-auth

464 00:47:52.370 ⇒ 00:48:02.459 Audre Wirtanen: almost all of our services, when we initially run someone’s insurance, to just see what is fully covered and give that information to them up front, so we’re not cont… like… and maybe there’s.

465 00:48:02.460 ⇒ 00:48:02.960 Uttam Kumaran: Yeah.

466 00:48:02.960 ⇒ 00:48:10.830 Audre Wirtanen: Like, okay, we do that every 6 months, or every year, if they haven’t come and seen us yet, but otherwise, we go off of that. I don’t know.

467 00:48:11.160 ⇒ 00:48:18.769 Uttam Kumaran: So, I mean, basically, I think we’re gonna need some type of pre-auth policy, and then… that specialist…

468 00:48:19.160 ⇒ 00:48:22.680 Uttam Kumaran: They probably have the answer in terms of, like, what’s possible.

469 00:48:22.820 ⇒ 00:48:25.839 Audre Wirtanen: Right. I mean, I agree, and I just don’t know what the…

470 00:48:26.690 ⇒ 00:48:29.620 Uttam Kumaran: the REAuth, like, SLAs are, and things like that.

471 00:48:30.180 ⇒ 00:48:38.450 Grey Louisos, they/them: I know that the ClaimMD, integration in Healthy, that is Now, just part of the…

472 00:48:38.880 ⇒ 00:48:45.589 Grey Louisos, they/them: part of Healthy, that it’ll… it’s not, like, a separate contract or anything, but they do automatically,

473 00:48:45.730 ⇒ 00:49:02.070 Grey Louisos, they/them: check eligibility for certain services. A lot of that’s built into the ClaimMD system, and I think, like, whole pre-auths will only be necessary for certain services, but routine things will be automatically checked, in ClaimMD.

474 00:49:02.070 ⇒ 00:49:02.590 Uttam Kumaran: Correct.

475 00:49:02.860 ⇒ 00:49:11.419 Audre Wirtanen: Right, so maybe we should identify, of the services, which ones we think will need. Like, TC… transcranial Doppler definitely will.

476 00:49:11.950 ⇒ 00:49:15.109 Grey Louisos, they/them: Probably infusion for certain payers, I’d say.

477 00:49:15.110 ⇒ 00:49:15.730 Audre Wirtanen: Okay.

478 00:49:16.460 ⇒ 00:49:25.879 Audre Wirtanen: So we can… we can make that list and send it to you, or even just maybe note on the data flow with all the vitals and the services which ones we think,

479 00:49:26.680 ⇒ 00:49:28.590 Audre Wirtanen: You’ll need a separate pre-auth.

480 00:49:28.760 ⇒ 00:49:29.500 Uttam Kumaran: Okay.

481 00:49:34.020 ⇒ 00:49:34.800 Uttam Kumaran: Okay.

482 00:49:38.650 ⇒ 00:49:39.300 Audre Wirtanen: And then…

483 00:49:39.300 ⇒ 00:49:47.929 Uttam Kumaran: yeah, this I’m fine with. Like, any sort of scheduling, again, we’ll look at, like, what all the healthy UIs are for all of that,

484 00:49:49.060 ⇒ 00:50:00.050 Uttam Kumaran: So, ideally, yeah, I mean, again, ideally, there’s… really, the kind of couple things are, like, are people able to get payments through Stripe? Are they able to do scheduling?

485 00:50:00.290 ⇒ 00:50:07.400 Uttam Kumaran: Via Healthy, and then the other integration is to think about text, phone, System.

486 00:50:07.660 ⇒ 00:50:12.460 Uttam Kumaran: Right. And then in person is, of course, the fourth mode, communication here.

487 00:50:12.890 ⇒ 00:50:19.970 Audre Wirtanen: Right. And then we should also… like, post, visit.

488 00:50:20.100 ⇒ 00:50:31.430 Audre Wirtanen: what happens. That’s a whole other set of things, I think, and the coding and billing, too, which I think sounds like it’s really integrated, Gray, so it should be… pretty…

489 00:50:31.540 ⇒ 00:50:33.870 Audre Wirtanen: Chill, but we should definitely,

490 00:50:35.200 ⇒ 00:50:42.249 Audre Wirtanen: Write that out, and then we can map it out here and think about closing the loop on each visit, what that really means.

491 00:50:42.250 ⇒ 00:50:42.770 Uttam Kumaran: S.

492 00:50:43.690 ⇒ 00:50:50.630 Audre Wirtanen: Are we gonna have data flow documents similar to this for during visit, after visit?

493 00:50:50.840 ⇒ 00:50:58.149 Andrea DiStefano: Or for specialty procedures, like, it seems like it would be really helpful, and then we’ll eventually capture everything.

494 00:50:58.940 ⇒ 00:51:03.250 Uttam Kumaran: Yes. Yeah. Like, basically how I’m thinking about it,

495 00:51:03.520 ⇒ 00:51:13.869 Uttam Kumaran: is… there’s… some of these are gonna be, like, operational if-thens, and we’ll build… we’ll continue to build this out. But I also want to basically…

496 00:51:14.110 ⇒ 00:51:18.180 Uttam Kumaran: be able to mimic, like, scenarios. So…

497 00:51:18.600 ⇒ 00:51:34.839 Uttam Kumaran: I’m gonna see whether we consolidate it all into one diagram, or we have separate diagrams, but, the biggest thing for me is also in healthy, I wanna… I wanna see if we can set up, like, basically, like, fake patients, and see… and basically walk… yeah, walk through

498 00:51:35.130 ⇒ 00:51:41.650 Uttam Kumaran: the entire flow. Even things about follow-ups, so ideally, we have

499 00:51:41.870 ⇒ 00:51:52.000 Uttam Kumaran: that there, and we can test all this out. And then we’ll… we’ll diagram as much as we can, as effectively as we can. I probably…

500 00:51:52.200 ⇒ 00:51:58.409 Uttam Kumaran: will, yeah, I’ll have to think about how we diagram, like, the datastore.

501 00:51:58.660 ⇒ 00:52:09.809 Uttam Kumaran: related things. More, I just want to make sure that all the operational scenarios are here, and then ideally, each of these blocks will get linked to the SOP or the policy,

502 00:52:09.810 ⇒ 00:52:21.880 Uttam Kumaran: not… and the other thing I wrote down, too, is we need… we could do, like, basically, like, a character map of, like, who are all the characters in this flow, like, the floor manager, the pre-op person, so it’s really clear, like, who is assigned.

503 00:52:21.960 ⇒ 00:52:27.510 Audre Wirtanen: to the action at each stage. That’s something that’s missing from this diagram.

504 00:52:31.040 ⇒ 00:52:31.700 Uttam Kumaran: Yeah.

505 00:52:32.520 ⇒ 00:52:35.610 Audre Wirtanen: Yeah, and some of those things we probably need to…

506 00:52:35.980 ⇒ 00:52:40.000 Audre Wirtanen: Make decisions on as we map it out as well, just in terms of, like.

507 00:52:41.070 ⇒ 00:52:49.090 Audre Wirtanen: We’ve been talking about different ways to get disabled people, like, really part-time remote jobs, and, like.

508 00:52:49.620 ⇒ 00:52:56.499 Audre Wirtanen: scheduling. Yes. You know, so with the Zoom phone or whatever phone, we can kind of set up systems so those people are…

509 00:52:56.640 ⇒ 00:52:57.230 Audre Wirtanen: On for dinner.

510 00:52:57.230 ⇒ 00:53:00.150 Uttam Kumaran: That’s great, yeah, I think the biggest thing is just, like, having…

511 00:53:00.260 ⇒ 00:53:05.670 Uttam Kumaran: for example, if they’re scheduling, okay, like, what is their SOP for that? Like, what information do they need?

512 00:53:05.830 ⇒ 00:53:15.300 Uttam Kumaran: do they… do they help these? And then, yeah, I think once we have the SOPs, you can then take that and map, like, okay, what is possible

513 00:53:16.680 ⇒ 00:53:23.020 Uttam Kumaran: You know, remote versus in-person, and then who’s… basically, again, we mapped that to one of the characters for responsibility.

514 00:53:23.150 ⇒ 00:53:24.120 Audre Wirtanen: Yeah.

515 00:53:24.660 ⇒ 00:53:25.410 Uttam Kumaran: Yeah.

516 00:53:26.030 ⇒ 00:53:26.410 Audre Wirtanen: Yeah.

517 00:53:26.410 ⇒ 00:53:28.400 Uttam Kumaran: Yeah, go ahead, go ahead.

518 00:53:28.780 ⇒ 00:53:42.399 Audre Wirtanen: Oh, I was just gonna bring up one of the things that we’re… I’m really not excited about is that somebody has to manually let somebody in the building every single time they arrive. There was a change in our security that our landlord did without talking to us.

519 00:53:42.460 ⇒ 00:53:54.690 Audre Wirtanen: And, so now we don’t have a wheelchair push button on the front door with an automatic opening, and instead we have this absurd system that I really don’t like. And so I don’t know if we’re…

520 00:53:54.980 ⇒ 00:53:57.370 Audre Wirtanen: like, who… I don’t know anyone… I don’t think.

521 00:53:57.370 ⇒ 00:54:00.149 Uttam Kumaran: Can that be an app, or, like, a QR code or something?

522 00:54:00.810 ⇒ 00:54:01.440 Andrea DiStefano: R.

523 00:54:01.440 ⇒ 00:54:03.590 Audre Wirtanen: It could be a QR code.

524 00:54:03.590 ⇒ 00:54:06.299 Andrea DiStefano: We can get the landlord to approve that.

525 00:54:06.450 ⇒ 00:54:10.109 Andrea DiStefano: It can be a QR code, and it can tie…

526 00:54:10.290 ⇒ 00:54:14.019 Andrea DiStefano: Like, it would be helpful if it ties into schedule somehow.

527 00:54:14.020 ⇒ 00:54:19.789 Uttam Kumaran: Well, I guess, like, what are the… are they concerned about, like, having a log of people, or what is the…

528 00:54:20.400 ⇒ 00:54:24.630 Uttam Kumaran: Yeah, like, I’m familiar with Butterfly and a couple of these, like, we could totally…

529 00:54:25.350 ⇒ 00:54:25.790 Audre Wirtanen: They’re…

530 00:54:25.790 ⇒ 00:54:26.390 Uttam Kumaran: I…

531 00:54:26.550 ⇒ 00:54:32.250 Audre Wirtanen: I mean, our… our landlord… In the final hours of lease negotiation.

532 00:54:32.500 ⇒ 00:54:36.650 Audre Wirtanen: thought that our Medicaid patients were going to destroy the facade of the building.

533 00:54:37.320 ⇒ 00:54:37.690 Uttam Kumaran: Okay.

534 00:54:38.610 ⇒ 00:54:51.090 Audre Wirtanen: They don’t live in reality, and I’m unclear what they think is going to happen, but it’s really… from, like, a disability accessibility perspective, it’s, like, absurdly prohibitive to get into this building.

535 00:54:51.110 ⇒ 00:54:57.769 Uttam Kumaran: So, you know, it’s not just, like, a buzzer. It’s like you have to go in and, like, push a bunch of things, and know how the system works, and… Yeah.

536 00:54:57.770 ⇒ 00:55:01.489 Audre Wirtanen: Barcode feels prohibitive if somebody doesn’t have a smartphone, like…

537 00:55:01.650 ⇒ 00:55:03.819 Audre Wirtanen: It’s just, like, a little bit annoying.

538 00:55:03.820 ⇒ 00:55:04.699 Uttam Kumaran: Yeah, I agree.

539 00:55:05.020 ⇒ 00:55:07.640 Audre Wirtanen: I mean, there… I think we should have, again, like.

540 00:55:08.690 ⇒ 00:55:15.999 Uttam Kumaran: Plan A, Plan B. Ideally, someone in person gets an alert that someone’s arrived, or something like that, and then

541 00:55:16.150 ⇒ 00:55:24.819 Uttam Kumaran: Yeah, like, what I’ve seen commonly is something like Butterfly, or something simple for check-in, and with a butterfly, you can provision time

542 00:55:24.950 ⇒ 00:55:28.939 Uttam Kumaran: time-bound access pretty easily. So, like.

543 00:55:29.130 ⇒ 00:55:32.179 Uttam Kumaran: Within the hour, or whatever, someone

544 00:55:32.340 ⇒ 00:55:37.350 Uttam Kumaran: I mean, the problem with Butterfly is that you have to go install that app, but there are some less

545 00:55:37.620 ⇒ 00:55:45.939 Uttam Kumaran: impactful, you get texted, like, a QR code, or you get texted a code, and it is a time-bound auth code, basically. Yeah.

546 00:55:46.150 ⇒ 00:55:50.100 Audre Wirtanen: So it could be potentially on any phone, even if it’s not a smart… well.

547 00:55:50.100 ⇒ 00:55:54.070 Uttam Kumaran: Well, that’s, I think… yeah, well, I guess if it’s not a smart…

548 00:55:54.320 ⇒ 00:56:10.100 Uttam Kumaran: Yeah, again, it kind of depends. Like, if it’s, like, an input code, then that could get texted to everybody, or emailed or whatever before. If it’s a QR code, then yeah, that image would get texted or emailed. And then for the landlord, really, the pitch is that, like.

549 00:56:10.200 ⇒ 00:56:16.830 Uttam Kumaran: okay, everyone only has access for the limited time, there’s an audit log, so I think that’s a good sell for them, too.

550 00:56:17.030 ⇒ 00:56:22.649 Uttam Kumaran: It’s something we can look into, probably. I’ll just note it down, something we should…

551 00:56:23.870 ⇒ 00:56:24.910 Uttam Kumaran: think about.

552 00:56:24.910 ⇒ 00:56:37.000 Andrea DiStefano: I wonder if it can integrate into the schedule, just so that it’s not so much labor for the front desk to go in and assign temporary codes and temporary barcodes, like, automated would be ideal.

553 00:56:38.990 ⇒ 00:56:43.170 Uttam Kumaran: What is it right now? Like, is it a… is it a keypad? Or it’s like a…

554 00:56:43.170 ⇒ 00:56:48.790 Andrea DiStefano: It’s like, you… you go through a directory and you call, and it calls somebody else.

555 00:56:49.720 ⇒ 00:56:52.210 Uttam Kumaran: Like a typical, like, dentist office flow.

556 00:56:52.420 ⇒ 00:56:58.699 Andrea DiStefano: Yeah, they said that the pin pad and the QR code functionality is, like, turned off.

557 00:56:58.990 ⇒ 00:57:02.980 Andrea DiStefano: I don’t know if that means they didn’t buy it, or maybe they… it’s included.

558 00:57:02.980 ⇒ 00:57:07.489 Uttam Kumaran: Is it a butterfly-branded thing? Like, do you know what the… oh, okay, alright.

559 00:57:09.700 ⇒ 00:57:11.279 Audre Wirtanen: runs really hot.

560 00:57:12.250 ⇒ 00:57:13.160 Audre Wirtanen: It’s like a real…

561 00:57:13.160 ⇒ 00:57:15.050 Uttam Kumaran: the machine.

562 00:57:15.050 ⇒ 00:57:15.440 Audre Wirtanen: weirdly.

563 00:57:15.440 ⇒ 00:57:16.120 Uttam Kumaran: That’s free.

564 00:57:16.280 ⇒ 00:57:19.079 Audre Wirtanen: Yeah, I’m a little… I was a little, like, oh, is this gonna, like…

565 00:57:19.210 ⇒ 00:57:24.600 Audre Wirtanen: blow up or something, I don’t know. It feels a little… It’s running overtime. Okay.

566 00:57:24.600 ⇒ 00:57:26.370 Uttam Kumaran: Well, one thing is, like,

567 00:57:26.710 ⇒ 00:57:34.109 Uttam Kumaran: So, but the… but right now, it… it doesn’t work at all. Like, you’re not able to press a button and it opens, but it is set up to do that.

568 00:57:34.680 ⇒ 00:57:42.329 Audre Wirtanen: Well, we hope so. The only thing is, the landlord, like, we have not received the building rules. The landlord is the most difficult to communicate with.

569 00:57:43.590 ⇒ 00:57:44.320 Audre Wirtanen: Okay.

570 00:57:44.320 ⇒ 00:57:45.529 Uttam Kumaran: The odds are tough.

571 00:57:45.530 ⇒ 00:57:48.029 Audre Wirtanen: The odds are tough, and we kind of need to, like.

572 00:57:48.480 ⇒ 00:58:06.650 Audre Wirtanen: know exactly what we need and what the plan is, and tell him exactly what to do, and then just push him really hard. Once we know that, any changing information to him is, like, impossible for him to track. So, it’s… it’s gonna have to be, like, a specific strategy if we need something different. And we’re gonna have to.

573 00:58:06.650 ⇒ 00:58:07.030 Uttam Kumaran: Okay.

574 00:58:07.600 ⇒ 00:58:08.430 Audre Wirtanen: with…

575 00:58:08.940 ⇒ 00:58:15.650 Audre Wirtanen: our build as well. Like, we might have to wait to kind of get it sorted until certain other things are done, so…

576 00:58:15.650 ⇒ 00:58:21.849 Uttam Kumaran: Yeah, I’m gonna… I’ll probably… we’ll… we can handle this towards the end, and then, yeah, I think we’ll…

577 00:58:22.790 ⇒ 00:58:33.099 Uttam Kumaran: If they already have Butterfly installed, that’s really great, because I know this functionality exists. We used to have… I had Butterfly in my last apartment, so they can do this time-blocked stuff.

578 00:58:33.320 ⇒ 00:58:39.779 Uttam Kumaran: Okay, so I’ll just note it down and think about it as we go.

579 00:58:40.190 ⇒ 00:58:40.780 Audre Wirtanen: Cool.

580 00:58:41.210 ⇒ 00:58:47.320 Audre Wirtanen: yeah, I really want our front desk people to, like, be managing what’s in front of them, and not outside the building, if possible.

581 00:58:47.320 ⇒ 00:58:48.120 Uttam Kumaran: Yeah.

582 00:58:51.570 ⇒ 00:59:02.130 Uttam Kumaran: Okay. I know we’re coming up on the hour, so I think on our side, one, we have a couple… we’ll implement all this feedback into a diagram. I think we’ll…

583 00:59:02.520 ⇒ 00:59:17.179 Uttam Kumaran: think about… one thing that’s important as we’re gonna go is thinking about, like, how do we maintain this, like, process flow diagram, both in text and as well as, like, something more visual. It would be great if we can get

584 00:59:17.190 ⇒ 00:59:23.159 Uttam Kumaran: healthy setup. Yep. As well as if you have access to Stripe already, if you can invite

585 00:59:23.200 ⇒ 00:59:35.709 Uttam Kumaran: I… again, I can… I can… you can either invite us directly, or if we can create a joint email, you can invite that. That would be great. And then I’ll… I’ll also compare and note down, like, what your,

586 00:59:35.930 ⇒ 00:59:38.009 Uttam Kumaran: Processing fee plan is.

587 00:59:38.180 ⇒ 00:59:44.929 Uttam Kumaran: And I can see if I can get you guys some more stuff, so let’s see if I can make a phone call.

588 00:59:45.360 ⇒ 00:59:57.519 Uttam Kumaran: And then for… well, I’ll… we’ll also confirm, once we get access to Healthy, the Stripe integration, we’ll see about, like, Kerrigon, and, like, what automations we can build.

589 00:59:57.710 ⇒ 01:00:01.530 Uttam Kumaran: I think, Awash, maybe this is something, again, we can…

590 01:00:01.830 ⇒ 01:00:05.840 Uttam Kumaran: Kick for a sec, but we can think about, like, what the data stores are gonna be.

591 01:00:05.950 ⇒ 01:00:08.400 Uttam Kumaran: for… .

592 01:00:08.600 ⇒ 01:00:10.730 Awaish Kumar: This piece…

593 01:00:11.130 ⇒ 01:00:19.980 Awaish Kumar: like, part of the operational work. So, like, all the in-tech forms which are filled, or any documents are going to be in the healthy documents.

594 01:00:20.410 ⇒ 01:00:26.370 Awaish Kumar: But then, like, It’s not the, like, reporting data store.

595 01:00:26.710 ⇒ 01:00:27.310 Awaish Kumar: That one.

596 01:00:27.310 ⇒ 01:00:31.870 Uttam Kumaran: like, Yeah, we’ll separate out the reporting.

597 01:00:32.290 ⇒ 01:00:37.580 Uttam Kumaran: So we’re gonna need, basically, one backup operational database, and then this will get, like.

598 01:00:37.870 ⇒ 01:00:43.130 Uttam Kumaran: cloned into something for reporting. And then the reporting we can kick for a while, probably.

599 01:00:43.860 ⇒ 01:00:47.849 Uttam Kumaran: And then, yeah, I think on our side.

600 01:00:48.160 ⇒ 01:00:58.229 Uttam Kumaran: If we can get the, like, any information on, like, the pre-auth process, we can get also the,

601 01:00:59.070 ⇒ 01:01:05.279 Uttam Kumaran: like, the form information, we can start to play around with how the form scenarios work in Healthy.

602 01:01:08.120 ⇒ 01:01:12.090 Audre Wirtanen: I might give you an incomplete version, but a kind of… Yeah.

603 01:01:12.260 ⇒ 01:01:13.960 Audre Wirtanen: Like, if that’s okay.

604 01:01:14.080 ⇒ 01:01:15.389 Awaish Kumar: Sure, sure.

605 01:01:15.960 ⇒ 01:01:22.160 Uttam Kumaran: And then the last piece is, like, I’ll… we can do some exploration on… Phone.

606 01:01:22.560 ⇒ 01:01:32.680 Uttam Kumaran: So maybe what I’ll do is I’ll note down some of these takeaways, and then we can put some priorities on, like, okay, what’s more urgent than not, and then we can…

607 01:01:33.490 ⇒ 01:01:34.679 Uttam Kumaran: Start to execute.

608 01:01:35.440 ⇒ 01:01:36.370 Audre Wirtanen: Okay, cool.

609 01:01:36.830 ⇒ 01:01:42.840 Audre Wirtanen: And Gray and I will… Talk later today about,

610 01:01:43.000 ⇒ 01:01:45.839 Audre Wirtanen: Healthy account, getting you the proxy policy.

611 01:01:46.210 ⇒ 01:01:49.350 Audre Wirtanen: Noting separate services that need separate pre-auth.

612 01:01:49.780 ⇒ 01:01:59.540 Audre Wirtanen: I’m gonna pause on the charity care policy, maybe that can be done a little bit later, since we do need to… Yeah. …and do pre-auth policy and re-auth stuff.

613 01:01:59.800 ⇒ 01:02:06.169 Audre Wirtanen: invite you to the Stripe account, and provide the intake form that we have as a base that we’ll be building off of.

614 01:02:06.510 ⇒ 01:02:07.270 Uttam Kumaran: Yes.

615 01:02:08.730 ⇒ 01:02:09.380 Audre Wirtanen: Great.

616 01:02:09.380 ⇒ 01:02:13.180 Uttam Kumaran: And I’ll… I’ll send it… I’ll send… I can send this all, too, so we have a to-do list, so…

617 01:02:15.290 ⇒ 01:02:16.030 Uttam Kumaran: Okay.

618 01:02:16.170 ⇒ 01:02:18.310 Audre Wirtanen: Awesome. Thank you all very much. This is great.

619 01:02:18.310 ⇒ 01:02:21.610 Uttam Kumaran: Thank you, very productive, I appreciate it. Thanks for the time and the focus.

620 01:02:21.770 ⇒ 01:02:26.080 Audre Wirtanen: Right. No, this is really awesome. We’ve been wanting to do this for, like, a while, so this is great. Yeah.

621 01:02:26.080 ⇒ 01:02:29.990 Uttam Kumaran: Great. Okay, cool. Alright, thanks everyone. Talk to you soon.