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Medallions Payer Follow up Process
Medallions Payer Follow up Process

Medallions Payer Follow up Process

Updated over 2 months ago

Medallions Payer Follow-up Process

Once an application is submitted to a payer, the Medallion team follows up with payers to record updates on the status of submissions until your provider is PAR.

Our platform has automation built in that takes into account the payer-specific guidelines for follow-up, most notably: how soon the payer provides the first update post submission, how frequently they provide updates thereafter, and the best method for contacting the payer.

Follow-up is typically done by phone, email, and web portal. For phone outreach, Medallion hosts up-to-date records of best phone contacts for payers to ensure accurate outreach.
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Medallion also hosts an in-platform email solution that allows us to route emails related to your requests so we are constantly aware of any incoming status updates from payers. For your visibility, we have a link to view only images of key email updates as they come in.
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Medallion is also continuously expanding our follow-up portal scrapers to asynchronously check updates on enrollment status as they become available.

Once the status has been checked, status updates are logged in the Notes section of the enrollment request and will include the following information:

  • Follow-up Outcome

  • Method of Contact

  • Representative Contacted

  • Reference / Group #

  • Items Discussed

  • Additional Notes

  • Application Submitted

  • Current Status of Application

  • Next Follow-up Date

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