INSERT INTO `cm_credentialing_task_logs` (`id`, `user_id`, `credentialing_task_id`, `last_follow_up`, `next_follow_up`, `status`, `details`, `image`, `pdf`, `created_at`, `updated_at`) VALUES
(13197, 1006, 20189, NULL, '2021-08-23 00:00:00.000', 'In Process', 'Sent f/u email since no calls can get through to the credentialing department of BCBS @ tx_standard_contracting_team@bcbstx.com & :  Sub: Location Addition || George West Medical Clinic || Group || BCBS || : Case Number - 02533924  \"Hello,   Please get back to me as soon as possible regarding the status of our query as we are unable to reach out to the credentialing department via calls.  Thank you. \"', NULL, NULL, '2021-08-16 16:45:25', '2021-08-16 16:45:25'),
(13198, 11056, 20189, NULL, '2021-09-01 00:00:00.000', 'In Process', 'Email sent to : 	TXProviderUpdateSubmission@bcbstx.com, provider_relations_houston@bcbstx.com, tx_standard_contracting_team@bcbstx.com  Sub : Re: Location Addition || George West Medical Clinic || Group || BCBS || : Case Number - 02533924  Good afternoon!  Hope all is well. Please let me know if you can find the following group:  Group Name: Coastal Bend Urgent Care, LLC NPI# 1427509264 TIN# 81-1890349  We wish to add the following secondary address under the above-mentioned group: Secondary Address: 504A Houston Street, George West, TX 78022-3663  Please let me know what is required to get this updated. Waiting to hear from you soon.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-08-24 15:15:42', '2021-08-24 15:15:42'),
(13199, 11056, 20189, NULL, '2021-09-21 00:00:00.000', 'In Process', 'Email received from : tx_standard_contracting_team@bcbstx.com  Sub : Re: Location Addition || George West Medical Clinic || Group || BCBS || : Case Number - 02533924  Thank you for contacting Blue Cross and Blue Shield of Texas.  We have received your email for case number 02533924.  Since case 02533924 is closed, your request can not be processed at this time.  To open a new case for your request or for any questions, contact TX_standard_contracting_team@bcbstx.com.  Sincerely, Blue Cross and Blue Shield of Texas', NULL, NULL, '2021-09-14 16:01:18', '2021-09-14 16:01:18'),
(13200, 11056, 20189, NULL, '2021-09-21 00:00:00.000', 'In Process', 'New Application no. : 02860846 has opened. ', NULL, NULL, '2021-09-14 16:33:14', '2021-09-14 16:33:14'),
(13201, 11056, 20189, NULL, '2021-09-27 00:00:00.000', 'In Process', 'Email received from : 	Tx_Network_South_Voicemail &  geraldi_salazar@bcbstx.com  Sub : SECURE - BCBSTX - ADDRESS UPDATE REQUEST - BEEVILLE MEDICAL CLINIC  Hello,  Your previous case was closed in error, so I will be handling the request myself moving forward. Please email me at the account below if you have questions.  I am writing to confirm your request to add an address to tax id 811890349 (BEEVILLE MEDICAL CLINIC). Please confirm which providers will be practicing at this location (provide a list of who will practice here) and provide the phone and fax for this address as well.   504 A Houston Street, George West, TX 78022-3663   Thank you,  Geraldi Salazar | Manager, Network Management – West Region Blue Cross and Blue Shield of Texas geraldi_salazar@bcbstx.com', NULL, NULL, '2021-09-20 16:34:21', '2021-09-20 16:34:21'),
(13202, 11056, 20189, NULL, '2021-10-07 00:00:00.000', 'In Process', 'Email received from : geraldi_salazar@bcbstx.com & Tx_Network_South_Voicemail@bcbstx.com  Sub : RE: SECURE - BCBSTX - ADDRESS UPDATE REQUEST - BEEVILLE MEDICAL CLINIC  Hello,     Please advise if the 600 South Hillside Dr Address is still an active satellite location or if the 504A Houston Street address will be replacing it under tax id 811890349.     Thank you,   Geraldi Salazar | Manager, Network Management – West Region  Blue Cross Blue Shield of Texas  phone 361-878-1622 | fax 361-852-0624', NULL, NULL, '2021-09-30 15:05:16', '2021-09-30 15:05:16'),
(13203, 11056, 20189, NULL, '2021-10-07 00:00:00.000', 'In Process', 'Email received from : geraldi_salazar@bcbstx.com & Tx_Network_South_Voicemail@bcbstx.com  Sub : RE: SECURE - BCBSTX - ADDRESS UPDATE REQUEST - BEEVILLE MEDICAL CLINIC  Hello,     Please advise if the 600 South Hillside Dr Address is still an active satellite location or if the 504A Houston Street address will be replacing it under tax id 811890349.     Thank you,   Geraldi Salazar | Manager, Network Management – West Region  Blue Cross Blue Shield of Texas  phone 361-878-1622 | fax 361-852-0624', NULL, NULL, '2021-09-30 15:05:16', '2021-09-30 15:05:16'),
(13204, 11056, 20189, NULL, '2021-10-14 00:00:00.000', 'In Process', 'Email sent to : geraldi_salazar@bcbstx.com  Sub : RE: SECURE - BCBSTX - ADDRESS UPDATE REQUEST - BEEVILLE MEDICAL CLINIC -- TIN 811890349  Good afternoon Geraldi!  Hope this email finds you well. We have two locations for our practice under the same Tax ID and NPI, But with different addresses.  301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324 is the main & billing location.  504A Houston Street George West , TX 78022-3663 is the secondary location.  If further you have queries or concerns or require documents please let me know.    Thank you!', NULL, NULL, '2021-10-07 15:47:21', '2021-10-07 15:47:21'),
(13205, 11056, 20189, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email received from : geraldi_salazar@bcbstx.com & Angela_Norman@bcbstx.com  Sub : RE: SECURE - BCBSTX - ADDRESS UPDATE REQUEST - BEEVILLE MEDICAL CLINIC -- TIN 811890349  Hi Angela,     Please submit this address update request. See original request at the bottom of the chain and additional information on 9-30.     Thank you,   Geraldi Salazar | Manager, Network Management – West Region  Blue Cross Blue Shield of Texas  phone 361-878-1622 | fax 361-852-0624', NULL, NULL, '2021-10-14 16:26:21', '2021-10-14 16:26:21'),
(13206, 11056, 20189, NULL, '2021-10-29 00:00:00.000', 'In Process', 'Email sent to : geraldi_salazar@bcbstx.com & Angela_Norman@bcbstx.com  Sub : RE: SECURE - BCBSTX - ADDRESS UPDATE REQUEST - BEEVILLE MEDICAL CLINIC -- TIN 811890349  Good afternoon Angela and Geraldi!   Hope you both are doing great. Please provide me the update regarding my request of enrollment and updating both addresses under the TIN & providers.  Group Name Coastal Bend Urgent Care, LLC  Tax ID 81-1890349  Group NPI 1427509264  Primary Location 301 S HILLSIDE DR STE 4, BEEVILLE , TX 78102-5324  Secondary Location 504A Houston Street, George West , TX 78022-3663  Provider Name  NPI  Monica Gonzalez  1871132811  Please assist with the above at your earliest opportunity.  Take Care!  Thank you! Have a blessed day!', NULL, NULL, '2021-10-22 13:47:50', '2021-10-22 13:47:50'),
(13207, 11056, 20189, NULL, '2021-11-16 00:00:00.000', 'In Process', 'Email sent to: Angela_Norman@bcbstx.com  Sub : RE: SECURE - BCBSTX - ADDRESS UPDATE REQUEST - BEEVILLE MEDICAL CLINIC -- TIN 811890349  Good afternoon!     Hope this email finds you well. Please also confirm the effective dates for the group with both locations and also do provide the agreement for the secondary location.     Group Name : BEEVILLE MEDICAL CLINIC Group Record Id : H000Q3Z301  Primary Address :  301 S. HILLSIDE DR., STE 4, BEEVILLE, TX 78102  Secondary Address :  504A HOUSTON ST, GEORGE WEST, TX 78022  Tax I.D : 81-1890349  NPI # : 1427509264     Eagerly, waiting for your response.     Thank you!  Have a wonderful day!', NULL, NULL, '2021-11-09 14:20:15', '2021-11-09 14:20:15'),
(13208, 11056, 20189, NULL, '2021-12-01 00:00:00.000', 'In Process', 'Email sent to:  provider_relations_south_texas@bcbstx.com  Sub:   BCBS of Texas Provider Onboarding Request Form Received: Case Number - 03063270  Good afternoon!  Hope all is well with you. Please provide me the latest updates on Case no.:03063270 &  Application ID: 349775 of the provider, Letica Aleman-Listenbee regarding credentialing and enrollment processing with BCBS.  Eagerly, waiting for the updates.  Thank you!', NULL, NULL, '2021-11-24 13:44:11', '2021-11-24 13:44:11'),
(13209, 11056, 20189, NULL, '2021-12-17 00:00:00.000', 'In Process', 'Case no. : 03063270  In progress. Please see the attachment.', NULL, NULL, '2021-12-10 17:08:40', '2021-12-10 17:08:40'),
(13210, 11056, 20189, NULL, '2021-12-21 00:00:00.000', 'In Process', 'Please see the attachment.', NULL, NULL, '2021-12-14 14:47:20', '2021-12-14 14:47:20'),
(13211, 11056, 20189, NULL, '2021-12-21 00:00:00.000', 'In Process', 'Please see the attachment.', NULL, NULL, '2021-12-14 14:47:26', '2021-12-14 14:47:26'),
(13212, 11056, 20189, NULL, '2021-12-29 00:00:00.000', 'In Process', 'Email sent to: geraldi_salazar@bcbstx.com, Angela_Norman@bcbstx.com  Sub: RE: SECURE - BCBSTX - ADDRESS UPDATE REQUEST - BEEVILLE MEDICAL CLINIC -- TIN 811890349   Good afternoon!     Hope this email finds you well. Please also confirm the effective dates for the group with both locations and also do provide the agreement for the secondary location.     Group Name: BEEVILLE MEDICAL CLINIC Group Record Id : H000Q3Z301  Primary Address:  301 S. HILLSIDE DR., STE 4, BEEVILLE, TX 78102  Secondary Address:  504A HOUSTON ST, GEORGE WEST, TX 78022  Tax I.D:    NPI # : 1427509264     Eagerly, waiting for your response.     Thank you!  Have a wonderful day!', NULL, NULL, '2021-12-22 10:38:46', '2021-12-22 10:38:46'),
(13213, 19067, 20189, NULL, '2022-01-04 00:00:00.000', 'In Process', 'Email sent to: geraldi_salazar@bcbstx.com, Tx_Network_South_Voicemail@bcbstx.com, tx_standard_contracting_team@bcbstx.com  Subject: Enrollment Query || GWMC || Group || BCBS TX ||   Hello,  Hope you are doing well.  I would like to know the enrollment status of the group.  Group Name	George West Medical Clinic Tax ID	81-1890349 Group NPI	1427509264 Primary Location	504A Houston Street, Like Oak County, George West, TX 78022-3663  Thanks & Regards, Ahmed, Hammad.', NULL, NULL, '2021-12-28 17:20:58', '2021-12-28 17:20:58'),
(13214, 19067, 20189, NULL, '2022-01-11 00:00:00.000', 'In Process', 'Email sent to: provider_relations_south_texas@bcbstx.com  Subject: Enrollment Query || CBUC & GWMC || Leticia Aleman-Listenbee || BCBS TX ||  Good Morning!  Hope you are having a productive day.  I would like to know the enrollment status of the following Provider and Group.  Group Name	Beeville Medical Clinic Tax ID	81-1890349 Group NPI	1427509264 Provider Name	NPI	Location Leticia Aleman-Listenbee	1154999654	504A Houston Street, Live Oak County, George West, TX 78022-3663 Leticia Aleman-Listenbee	1154999654	301 S Hillside, DR STE 4, Beeville, TX 78102-5324   Kindly respond promptly.  Thanks & Regards, Hammad Ahmed.', NULL, NULL, '2022-01-04 12:56:48', '2022-01-04 12:56:48'),
(13215, 19067, 20189, NULL, '2022-01-13 00:00:00.000', 'In Process', 'Email received from: geraldi_salazar@bcbstx.com  Subject: Enrollment Query || GWMC || Group || BCBS TX ||   Hello,     I have attached the roster for the group for your review. Please do not send emails to multiple recipients when requesting status.     Please send all future status inquiries to provider_relations_south_texas@bcbstx.com as I no longer oversee providers in Texas.     Thank you,', NULL, NULL, '2022-01-06 09:49:00', '2022-01-06 09:49:00'),
(13216, 19067, 20189, NULL, '2022-01-19 00:00:00.000', 'In Process', 'Email received from: tx_network_south_voicemail@bcbstx.com  Subject: Enrollment Query || GWMC || Group || BCBS TX || : Case Number - 03289312    Good Afternoon Ahmed,  Thank you for your email. Here are all the locations listed.  Image_2022-01-07_14-33-13.png  Mona Dixon | Associate Consultant: Network Management Blue Cross Blue Shield of Texas 512.795-5985| Email: mona_l_dixon@bcbstx.com', NULL, NULL, '2022-01-12 13:35:05', '2022-01-12 13:35:05'),
(13217, 19067, 20189, NULL, '2022-02-02 00:00:00.000', 'In Process', 'Email sent to: Tx_Network_South_Voicemail@bcbstx.com  Subject: Re: Enrollment Query || GWMC || Group || BCBS TX || : Case Number - 03289312   Greetings!  Hope this email finds you well. Please provide us with the effective date and advise if it is a Ancillary Agreement or a Group Contract for the location of 504A Houston Street Live Oak County, George West, TX 78022   Kindly respond promptly.   Regards, Hammad.', NULL, NULL, '2022-01-26 11:02:40', '2022-01-26 11:02:40'),
(13218, 19067, 20189, NULL, '2022-02-21 00:00:00.000', 'In Process', 'Email received from: txintaketeampiermailbox@bcbstx.com  Subject: Re: Enrollment Query || GWMC || Group || BCBS TX || : Case Number - 03289312    Thank you for contacting Blue Cross and Blue Shield of Texas.  We have received your email for case number 03289312.  Since case 03289312 is closed, your request can not be processed at this time.  To open a new case for your request or for any questions, contact Tx_Network_South_Voicemail@bcbstx.com.  Sincerely, Blue Cross and Blue Shield of Texas', NULL, NULL, '2022-02-14 15:01:24', '2022-02-14 15:01:24'),
(13219, 19067, 20189, NULL, '2022-04-08 00:00:00.000', 'In Process', 'Email sent to: Tx_Network_South_Voicemail@bcbstx.com  Subject: Re: Enrollment Query || GWMC || Group || BCBS TX ||   Hi,  Hope this email finds you well. Kindly provide us with the effective date and agreement for the facility below: 504A Houston Street Live Oak County, George West, TX 78022   Thanks,', NULL, NULL, '2022-04-01 13:40:01', '2022-04-01 13:40:01'),
(13220, 22077, 20189, NULL, '2022-04-15 00:00:00.000', 'In Process', 'Email sent to: Tx_Network_South_Voicemail@bcbstx.com  Subject: 	Re: Enrollment Query || GWMC || Group || BCBS TX ||  Hi,  I would like to know the enrollment status for the following group  Group Name	George West Medical Clinic Tax ID	81-1890349 Group NPI	1427509264 Primary Location	301 S HILLSIDE DR STE 4 BEEVILLE, TX 78102-5324 Secondary Location	504A Houston Street Live Oak County George West, TX 78022-3663  Looking forward to your kind response. Have a great day!  Thanks & Regards,', NULL, NULL, '2022-04-08 15:49:26', '2022-04-08 15:49:26'),
(13221, 3046, 20190, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 13:57:04', '2021-03-12 13:57:04'),
(13222, 1006, 20190, NULL, '2021-06-15 00:00:00.000', 'Not Eligible', 'The provider only works in CBUC main location, no need to enroll her in GWMC location as per our discussion with Ryan. ', NULL, NULL, '2021-06-08 16:57:11', '2021-06-08 16:57:11'),
(13223, 3040, 20191, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 13:57:07', '2021-03-12 13:57:07'),
(13224, 3040, 20191, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:32:38', '2021-06-01 14:32:38'),
(13225, 3040, 20191, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:12', '2021-07-20 14:04:12'),
(13226, 3040, 20191, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:43', '2021-07-28 14:32:43'),
(13227, 3040, 20191, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:10', '2021-08-17 09:37:10'),
(13228, 10057, 20191, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:11:22', '2021-10-14 11:11:22'),
(13229, 10057, 20191, NULL, '2021-11-18 00:00:00.000', 'Not Eligible', 'Left Practice.  Please see attachment:', NULL, NULL, '2021-11-11 17:51:22', '2021-11-11 17:51:22'),
(13230, 3040, 20192, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 13:58:34', '2021-03-12 13:58:34'),
(13231, 3040, 20192, NULL, '2021-06-08 00:00:00.000', 'In Process', 'Email sent to: TXMAContracting@cigna.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Greetings,   Hope you are doing well. Please find the attached Facility/Ancillary network interest form to enroll in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-06-01 14:18:18', '2021-06-01 14:18:18'),
(13232, 3040, 20192, NULL, '2021-06-28 00:00:00.000', 'In Process', 'Email sent to: TXMAContracting@cigna.com, txgqproviderrelations@healthspring.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks  ', NULL, NULL, '2021-06-21 08:58:27', '2021-06-21 08:58:27'),
(13233, 3040, 20192, NULL, '2021-07-15 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-08 16:48:07', '2021-07-08 16:48:07'),
(13234, 3040, 20192, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:42', '2021-07-28 14:32:42'),
(13235, 3040, 20192, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:10', '2021-08-17 09:37:10'),
(13236, 10057, 20192, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:11:15', '2021-10-14 11:11:15'),
(13237, 10057, 20192, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:59:48', '2021-11-15 17:59:48'),
(13238, 10057, 20192, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:07:09', '2021-11-30 13:07:09'),
(13239, 10057, 20192, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:37:10', '2021-12-06 17:37:10'),
(13240, 10057, 20192, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:44:03', '2021-12-13 12:44:03'),
(13241, 10057, 20192, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:46:23', '2021-12-20 11:46:23'),
(13242, 10057, 20192, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:10:25', '2021-12-27 11:10:25'),
(13243, 20067, 20192, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad.  ', NULL, NULL, '2022-01-05 12:57:46', '2022-01-05 12:57:46'),
(13244, 20067, 20192, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch.', NULL, NULL, '2022-01-18 10:56:06', '2022-01-18 10:56:06'),
(13245, 20067, 20192, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:02:09', '2022-01-18 11:02:09'),
(13246, 20067, 20192, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:56:23', '2022-01-28 17:56:23'),
(13247, 20067, 20192, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:50:49', '2022-02-04 10:50:49'),
(13248, 3040, 20193, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 13:59:12', '2021-03-12 13:59:12'),
(13249, 3040, 20193, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:25:14', '2021-06-01 14:25:14'),
(13250, 3040, 20193, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:25:17', '2021-06-01 14:25:17'),
(13251, 3040, 20193, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:13', '2021-07-20 14:04:13'),
(13252, 3040, 20193, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:42', '2021-07-28 14:32:42'),
(13253, 3040, 20193, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:09', '2021-08-17 09:37:09'),
(13254, 10057, 20193, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:11:02', '2021-10-14 11:11:02'),
(13255, 10057, 20193, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:59:43', '2021-11-15 17:59:43'),
(13256, 10057, 20193, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:07:03', '2021-11-30 13:07:03'),
(13257, 10057, 20193, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:37:05', '2021-12-06 17:37:05'),
(13258, 10057, 20193, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:43:58', '2021-12-13 12:43:58'),
(13259, 10057, 20193, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:46:18', '2021-12-20 11:46:18'),
(13260, 10057, 20193, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:10:18', '2021-12-27 11:10:18'),
(13261, 20067, 20193, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad.  ', NULL, NULL, '2022-01-05 12:56:42', '2022-01-05 12:56:42'),
(13262, 20067, 20193, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:59:06', '2022-01-11 13:59:06'),
(13263, 20067, 20193, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:04:57', '2022-01-11 14:04:57'),
(13264, 20067, 20193, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:50:11', '2022-01-11 17:50:11'),
(13265, 20067, 20193, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:02:02', '2022-01-18 11:02:02'),
(13266, 20067, 20193, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:56:17', '2022-01-28 17:56:17'),
(13267, 20067, 20193, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:50:35', '2022-02-04 10:50:35'),
(13268, 3040, 20194, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 13:59:26', '2021-03-12 13:59:26'),
(13269, 3040, 20194, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:25:27', '2021-06-01 14:25:27'),
(13270, 3040, 20194, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:13', '2021-07-20 14:04:13'),
(13271, 3040, 20194, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:42', '2021-07-28 14:32:42'),
(13272, 3040, 20194, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:09', '2021-08-17 09:37:09'),
(13273, 10057, 20194, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:10:52', '2021-10-14 11:10:52'),
(13274, 10057, 20194, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:54:52', '2021-11-15 17:54:52'),
(13275, 10057, 20194, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:06:55', '2021-11-30 13:06:55');
INSERT INTO `cm_credentialing_task_logs` (`id`, `user_id`, `credentialing_task_id`, `last_follow_up`, `next_follow_up`, `status`, `details`, `image`, `pdf`, `created_at`, `updated_at`) VALUES
(13276, 10057, 20194, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:36:59', '2021-12-06 17:36:59'),
(13277, 10057, 20194, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:43:52', '2021-12-13 12:43:52'),
(13278, 10057, 20194, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:46:12', '2021-12-20 11:46:12'),
(13279, 10057, 20194, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:10:11', '2021-12-27 11:10:11'),
(13280, 20067, 20194, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad.  ', NULL, NULL, '2022-01-05 12:55:58', '2022-01-05 12:55:58'),
(13281, 20067, 20194, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:58:59', '2022-01-11 13:58:59'),
(13282, 20067, 20194, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:04:52', '2022-01-11 14:04:52'),
(13283, 20067, 20194, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:50:05', '2022-01-11 17:50:05'),
(13284, 20067, 20194, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:01:55', '2022-01-18 11:01:55'),
(13285, 20067, 20194, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:56:09', '2022-01-28 17:56:09'),
(13286, 20067, 20194, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:50:22', '2022-02-04 10:50:22'),
(13287, 3040, 20195, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 13:59:38', '2021-03-12 13:59:38'),
(13288, 3040, 20195, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:25:32', '2021-06-01 14:25:32'),
(13289, 3040, 20195, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:14', '2021-07-20 14:04:14'),
(13290, 3040, 20195, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:41', '2021-07-28 14:32:41'),
(13291, 3040, 20195, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:09', '2021-08-17 09:37:09'),
(13292, 10057, 20195, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:10:45', '2021-10-14 11:10:45'),
(13293, 10057, 20195, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:54:23', '2021-11-15 17:54:23'),
(13294, 10057, 20195, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:06:49', '2021-11-30 13:06:49'),
(13295, 10057, 20195, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:36:53', '2021-12-06 17:36:53'),
(13296, 10057, 20195, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:43:47', '2021-12-13 12:43:47'),
(13297, 10057, 20195, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:46:07', '2021-12-20 11:46:07'),
(13298, 10057, 20195, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:10:05', '2021-12-27 11:10:05'),
(13299, 20067, 20195, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad.  ', NULL, NULL, '2022-01-05 12:55:21', '2022-01-05 12:55:21'),
(13300, 20067, 20195, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:58:53', '2022-01-11 13:58:53'),
(13301, 20067, 20195, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:04:46', '2022-01-11 14:04:46'),
(13302, 20067, 20195, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:49:58', '2022-01-11 17:49:58'),
(13303, 20067, 20195, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:01:49', '2022-01-18 11:01:49'),
(13304, 20067, 20195, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:56:03', '2022-01-28 17:56:03'),
(13305, 20067, 20195, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:50:12', '2022-02-04 10:50:12'),
(13306, 3046, 20196, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 13:59:45', '2021-03-12 13:59:45'),
(13307, 3040, 20196, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to: michal.simms@christushealth.org  Subject: Enroll Providers || Coastal Bend Urgent Care & George West Medical Clinic || Providers || Amerigroup ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned providers in Christus Health Plan for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you  ', NULL, NULL, '2021-06-07 10:01:46', '2021-06-07 10:01:46'),
(13308, 1006, 20196, NULL, '2021-07-01 00:00:00.000', 'In Process', 'We received the following response from Michal Simms, Michal michal.simms@christushealth.org:  Sub: Enroll Providers || Coastal Bend Urgent Care & George West Medical Clinic || Providers || Amerigroup ||  \"Thank you for sending this notice.  Coastal Bend Urgent Care LLC is contracted with CHRISTUS Health as an Ancillary Provider.  We credential the clinics and not the individual practitioners.  The participating provider is COASTAL BEND URGENT CARE.  George West Medical Clinic has been credentialed effective 11/19/2020 and will be loaded in the next few days under the Coastal Bend Urgent Care records – re # FL01383347.  Let me know if you any questions.  Best regards, Michal  Ms. Michal Simms Network Contractor Senior Nueces Region CHRISTUS Health Plan US Family Health Plan (o) 469-282-3227 (f) 210-766-8818  www.christushealthplan.org Dignity. Integrity. Excellence. Compassion. Stewardship.\"  Sent reply: \"Hello Michal,   I appreciate the update, I just wanted to verify if GWMC had been loaded under the group? Also, could you please let me know what the effective date is for the group?   Thank you!\" ', NULL, NULL, '2021-06-24 14:51:19', '2021-06-24 14:51:19'),
(13309, 1006, 20196, NULL, '2021-07-20 00:00:00.000', 'Approved', 'Received the following approval confirmation email Simms, Michal michal.simms@christushealth.org:  Sub: Enroll Providers || Coastal Bend Urgent Care & George West Medical Clinic || Providers || Amerigroup ||  \"Hello Brad,  George West Medical Clinic has been credentialed effective 11/19/2020 and will be loaded in the next few days under the Coastal Bend Urgent Care records – reference # FL01383347.  Thanks, Michal\"', NULL, NULL, '2021-07-13 16:33:35', '2021-07-13 16:33:35'),
(13310, 3046, 20197, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 13:59:50', '2021-03-12 13:59:50'),
(13311, 3040, 20197, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to: michal.simms@christushealth.org  Subject: Enroll Providers || Coastal Bend Urgent Care & George West Medical Clinic || Providers || Amerigroup ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned providers in Christus Health Plan for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you  ', NULL, NULL, '2021-06-07 10:01:50', '2021-06-07 10:01:50'),
(13312, 1006, 20197, NULL, '2021-07-01 00:00:00.000', 'In Process', 'We received the following response from Michal Simms, Michal michal.simms@christushealth.org:  Sub: Enroll Providers || Coastal Bend Urgent Care & George West Medical Clinic || Providers || Amerigroup ||  \"Thank you for sending this notice.  Coastal Bend Urgent Care LLC is contracted with CHRISTUS Health as an Ancillary Provider.  We credential the clinics and not the individual practitioners.  The participating provider is COASTAL BEND URGENT CARE.  George West Medical Clinic has been credentialed effective 11/19/2020 and will be loaded in the next few days under the Coastal Bend Urgent Care records – re # FL01383347.  Let me know if you any questions.  Best regards, Michal  Ms. Michal Simms Network Contractor Senior Nueces Region CHRISTUS Health Plan US Family Health Plan (o) 469-282-3227 (f) 210-766-8818  www.christushealthplan.org Dignity. Integrity. Excellence. Compassion. Stewardship.\"  Sent reply: \"Hello Michal,   I appreciate the update, I just wanted to verify if GWMC had been loaded under the group? Also, could you please let me know what the effective date is for the group?   Thank you!\" ', NULL, NULL, '2021-06-24 14:51:16', '2021-06-24 14:51:16'),
(13313, 1006, 20197, NULL, '2021-07-20 00:00:00.000', 'Approved', 'Received the following approval confirmation email Simms, Michal michal.simms@christushealth.org:  Sub: Enroll Providers || Coastal Bend Urgent Care & George West Medical Clinic || Providers || Amerigroup ||  \"Hello Brad,  George West Medical Clinic has been credentialed effective 11/19/2020 and will be loaded in the next few days under the Coastal Bend Urgent Care records – reference # FL01383347.  Thanks, Michal\"', NULL, NULL, '2021-07-13 16:33:41', '2021-07-13 16:33:41'),
(13314, 3046, 20198, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 13:59:56', '2021-03-12 13:59:56'),
(13315, 3040, 20198, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to: michal.simms@christushealth.org  Subject: Enroll Providers || Coastal Bend Urgent Care & George West Medical Clinic || Providers || Amerigroup ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned providers in Christus Health Plan for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you  ', NULL, NULL, '2021-06-07 10:01:53', '2021-06-07 10:01:53'),
(13316, 1006, 20198, NULL, '2021-07-01 00:00:00.000', 'In Process', 'We received the following response from Michal Simms, Michal michal.simms@christushealth.org:  Sub: Enroll Providers || Coastal Bend Urgent Care & George West Medical Clinic || Providers || Amerigroup ||  \"Thank you for sending this notice.  Coastal Bend Urgent Care LLC is contracted with CHRISTUS Health as an Ancillary Provider.  We credential the clinics and not the individual practitioners.  The participating provider is COASTAL BEND URGENT CARE.  George West Medical Clinic has been credentialed effective 11/19/2020 and will be loaded in the next few days under the Coastal Bend Urgent Care records – re # FL01383347.  Let me know if you any questions.  Best regards, Michal  Ms. Michal Simms Network Contractor Senior Nueces Region CHRISTUS Health Plan US Family Health Plan (o) 469-282-3227 (f) 210-766-8818  www.christushealthplan.org Dignity. Integrity. Excellence. Compassion. Stewardship.\"  Sent reply: \"Hello Michal,   I appreciate the update, I just wanted to verify if GWMC had been loaded under the group? Also, could you please let me know what the effective date is for the group?   Thank you!\" ', NULL, NULL, '2021-06-24 14:51:06', '2021-06-24 14:51:06'),
(13317, 1006, 20198, NULL, '2021-07-20 00:00:00.000', 'Approved', 'Received the following approval confirmation email Simms, Michal michal.simms@christushealth.org:  Sub: Enroll Providers || Coastal Bend Urgent Care & George West Medical Clinic || Providers || Amerigroup ||  \"Hello Brad,  George West Medical Clinic has been credentialed effective 11/19/2020 and will be loaded in the next few days under the Coastal Bend Urgent Care records – reference # FL01383347.  Thanks, Michal\"', NULL, NULL, '2021-07-13 16:33:48', '2021-07-13 16:33:48'),
(13318, 3040, 20199, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:00:03', '2021-03-12 14:00:03'),
(13319, 3040, 20199, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:25:36', '2021-06-01 14:25:36'),
(13320, 3040, 20199, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:14', '2021-07-20 14:04:14'),
(13321, 3040, 20199, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:41', '2021-07-28 14:32:41'),
(13322, 3040, 20199, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:08', '2021-08-17 09:37:08'),
(13323, 10057, 20199, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:10:38', '2021-10-14 11:10:38'),
(13324, 10057, 20199, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:55:41', '2021-11-15 17:55:41'),
(13325, 10057, 20199, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:06:42', '2021-11-30 13:06:42'),
(13326, 10057, 20199, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:36:48', '2021-12-06 17:36:48'),
(13327, 10057, 20199, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:43:41', '2021-12-13 12:43:41'),
(13328, 10057, 20199, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:46:02', '2021-12-20 11:46:02'),
(13329, 10057, 20199, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:09:57', '2021-12-27 11:09:57'),
(13330, 20067, 20199, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad.  ', NULL, NULL, '2022-01-05 12:52:30', '2022-01-05 12:52:30'),
(13331, 20067, 20199, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:58:47', '2022-01-11 13:58:47'),
(13332, 20067, 20199, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:04:37', '2022-01-11 14:04:37'),
(13333, 20067, 20199, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:49:50', '2022-01-11 17:49:50'),
(13334, 20067, 20199, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:01:42', '2022-01-18 11:01:42'),
(13335, 20067, 20199, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:55:57', '2022-01-28 17:55:57'),
(13336, 20067, 20199, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:49:57', '2022-02-04 10:49:57'),
(13337, 3040, 20200, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:00:15', '2021-03-12 14:00:15'),
(13338, 3040, 20200, NULL, '2021-05-10 00:00:00.000', 'In Process', 'Email sent to:  CSHNproviderrelations@christushealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Christus Spohn ||  Greetings,   Hope you are doing well. I wanted to enroll the below mentioned group & providers in Christus Spohn in our group Valley Med Urgent Care PLLC under below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Address: 101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166      Provider 1: Provider Name: Escobar, Angiollet Solis Provider NPI# 1962917997  Provider 2: Provider Name: Rodriguez, Cynthia Provider NPI# 1124282553  Provider 3: Provider Name: Naranjo, Diego Provider NPI# 1568929800  Provider 4: Provider Name: Garcia, Homero Provider NPI# 1730564857  Provider 5: Provider Name: Lira, Arturo Alejandro Provider NPI# 1245789502  Provider 6: Provider Name: Lopez, Mayra Alejandra Provider NPI# 1265945125  Provider 7: Provider Name: Potter, Deborah Provider NPI# 1861914053  Provider 8: Provider Name: Saavedra, Teresa Provider NPI# 1255676151  Provider 9: Provider Name: Wright, Larry Donald Provider NPI# 1033769765  Provider 10: Provider Name: Wert, Jeniece K Provider NPI# 1659919702  Provider 11: Provider Name: Hernandez, Eder Francisco Provider NPI# 1386956852  Please get back to me as soon as you can get a chance. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-03 07:45:16', '2021-05-03 07:45:16'),
(13339, 3040, 20200, NULL, '2021-06-03 00:00:00.000', 'In Process', 'Email sent to: CSHNproviderrelations@christushealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Christus Spohn ||  Hello,   Can you please advise the process for credentialing?  Waiting to hear from you soon.   Thank you', NULL, NULL, '2021-05-27 10:44:56', '2021-05-27 10:44:56'),
(13340, 3040, 20200, NULL, '2021-06-22 00:00:00.000', 'In Process', 'I called the 800-419-3461 and left the VM. Because I didn\'t getting any reply from the insurance.  ', NULL, NULL, '2021-06-15 13:26:47', '2021-06-15 13:26:47'),
(13341, 11056, 20200, NULL, '2021-07-08 00:00:00.000', 'In Process', 'Email sent to : CSHNproviderrelations@christushealth.org  Sub : ENROLLMENT REQUEST || Valley Med Urgent Care PLLC || Christus Spohn ||  Greetings,  Kindly respond soon. Hope you are doing well. I wanted to enroll the below mentioned group & providers in Christus Spohn in our group Valley Med Urgent Care PLLC under below locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Address: 101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166      Providers: Provider 1: Provider Name: Escobar, Angiollet Solis Provider NPI# 1962917997  Provider 2: Provider Name: Rodriguez, Cynthia Provider NPI# 1124282553  Provider 3: Provider Name: Naranjo, Diego Provider NPI# 1568929800  Provider 4: Provider Name: Garcia, Homero Provider NPI# 1730564857  Provider 5: Provider Name: Lira, Arturo Alejandro Provider NPI# 1245789502  Provider 6: Provider Name: Lopez, Mayra Alejandra Provider NPI# 1265945125  Provider 7: Provider Name: Potter, Deborah Provider NPI# 1861914053  Provider 8: Provider Name: Saavedra, Teresa Provider NPI# 1255676151  Provider 9: Provider Name: Wright, Larry Donald Provider NPI# 1033769765  Provider 10: Provider Name: Wert, Jeniece K Provider NPI# 1659919702  Provider 11: Provider Name: Hernandez, Eder Francisco Provider NPI# 1386956852  Provider 12: Provider Name: Hernandez, Juan Provider NPI#: 1225617558  Please get back to me as soon as possible. Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-07-01 13:27:33', '2021-07-01 13:27:33'),
(13342, 3040, 20200, NULL, '2021-07-15 00:00:00.000', 'Not Eligible', 'Email rcvd from: michal.simms@christushealth.org  Subject;:Enroll Group & Providers || Valley Med Urgent Care PLLC || USFHP|  Adil,  CHRISTUS Health Plan and CHRISTUS Spohn Health Network are two separate health plans…  I work for CHRISTUS Health Plan.  This is the service area Vicki at Spohn sent you in an email last week… I don’t see Cameron listed.', NULL, NULL, '2021-07-08 16:56:53', '2021-07-08 16:56:53'),
(13343, 3040, 20201, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:00:26', '2021-03-12 14:00:26'),
(13344, 3040, 20201, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:25:40', '2021-06-01 14:25:40'),
(13345, 3040, 20201, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:14', '2021-07-20 14:04:14'),
(13346, 3040, 20201, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:40', '2021-07-28 14:32:40'),
(13347, 3040, 20201, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:08', '2021-08-17 09:37:08'),
(13348, 10057, 20201, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:10:30', '2021-10-14 11:10:30');
INSERT INTO `cm_credentialing_task_logs` (`id`, `user_id`, `credentialing_task_id`, `last_follow_up`, `next_follow_up`, `status`, `details`, `image`, `pdf`, `created_at`, `updated_at`) VALUES
(13349, 10057, 20201, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:53:46', '2021-11-15 17:53:46'),
(13350, 10057, 20201, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:06:36', '2021-11-30 13:06:36'),
(13351, 10057, 20201, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:36:40', '2021-12-06 17:36:40'),
(13352, 10057, 20201, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:43:35', '2021-12-13 12:43:35'),
(13353, 10057, 20201, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:45:56', '2021-12-20 11:45:56'),
(13354, 10057, 20201, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:09:50', '2021-12-27 11:09:50'),
(13355, 20067, 20201, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad.  ', NULL, NULL, '2022-01-05 12:51:41', '2022-01-05 12:51:41'),
(13356, 20067, 20201, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:58:39', '2022-01-11 13:58:39'),
(13357, 20067, 20201, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:04:30', '2022-01-11 14:04:30'),
(13358, 20067, 20201, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:49:38', '2022-01-11 17:49:38'),
(13359, 20067, 20201, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:01:36', '2022-01-18 11:01:36'),
(13360, 20067, 20201, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:55:48', '2022-01-28 17:55:48'),
(13361, 20067, 20201, NULL, '2022-02-08 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you!', NULL, NULL, '2022-02-01 15:21:42', '2022-02-01 15:21:42'),
(13362, 3040, 20202, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:00:37', '2021-03-12 14:00:37'),
(13363, 3040, 20202, NULL, '2021-05-10 00:00:00.000', 'In Process', 'Email sent to:  CSHNproviderrelations@christushealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Christus Spohn ||  Greetings,   Hope you are doing well. I wanted to enroll the below mentioned group & providers in Christus Spohn in our group Valley Med Urgent Care PLLC under below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Address: 101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166      Provider 1: Provider Name: Escobar, Angiollet Solis Provider NPI# 1962917997  Provider 2: Provider Name: Rodriguez, Cynthia Provider NPI# 1124282553  Provider 3: Provider Name: Naranjo, Diego Provider NPI# 1568929800  Provider 4: Provider Name: Garcia, Homero Provider NPI# 1730564857  Provider 5: Provider Name: Lira, Arturo Alejandro Provider NPI# 1245789502  Provider 6: Provider Name: Lopez, Mayra Alejandra Provider NPI# 1265945125  Provider 7: Provider Name: Potter, Deborah Provider NPI# 1861914053  Provider 8: Provider Name: Saavedra, Teresa Provider NPI# 1255676151  Provider 9: Provider Name: Wright, Larry Donald Provider NPI# 1033769765  Provider 10: Provider Name: Wert, Jeniece K Provider NPI# 1659919702  Provider 11: Provider Name: Hernandez, Eder Francisco Provider NPI# 1386956852  Please get back to me as soon as you can get a chance. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-03 07:47:09', '2021-05-03 07:47:09'),
(13364, 3040, 20202, NULL, '2021-06-03 00:00:00.000', 'In Process', 'Email sent to: CSHNproviderrelations@christushealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Christus Spohn ||  Hello,   Can you please advise the process for credentialing?  Waiting to hear from you soon.   Thank you', NULL, NULL, '2021-05-27 10:45:00', '2021-05-27 10:45:00'),
(13365, 3040, 20202, NULL, '2021-06-22 00:00:00.000', 'In Process', 'I called the 800-419-3461 and left the VM. Because I didn\'t getting any reply from the insurance.  ', NULL, NULL, '2021-06-15 13:26:43', '2021-06-15 13:26:43'),
(13366, 11056, 20202, NULL, '2021-07-08 00:00:00.000', 'In Process', 'Email sent to : CSHNproviderrelations@christushealth.org  Sub : ENROLLMENT REQUEST || Valley Med Urgent Care PLLC || Christus Spohn ||  Greetings,  Kindly respond soon. Hope you are doing well. I wanted to enroll the below mentioned group & providers in Christus Spohn in our group Valley Med Urgent Care PLLC under below locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Address: 101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166      Providers: Provider 1: Provider Name: Escobar, Angiollet Solis Provider NPI# 1962917997  Provider 2: Provider Name: Rodriguez, Cynthia Provider NPI# 1124282553  Provider 3: Provider Name: Naranjo, Diego Provider NPI# 1568929800  Provider 4: Provider Name: Garcia, Homero Provider NPI# 1730564857  Provider 5: Provider Name: Lira, Arturo Alejandro Provider NPI# 1245789502  Provider 6: Provider Name: Lopez, Mayra Alejandra Provider NPI# 1265945125  Provider 7: Provider Name: Potter, Deborah Provider NPI# 1861914053  Provider 8: Provider Name: Saavedra, Teresa Provider NPI# 1255676151  Provider 9: Provider Name: Wright, Larry Donald Provider NPI# 1033769765  Provider 10: Provider Name: Wert, Jeniece K Provider NPI# 1659919702  Provider 11: Provider Name: Hernandez, Eder Francisco Provider NPI# 1386956852  Provider 12: Provider Name: Hernandez, Juan Provider NPI#: 1225617558  Please get back to me as soon as possible. Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-07-01 13:27:50', '2021-07-01 13:27:50'),
(13367, 3040, 20202, NULL, '2021-07-15 00:00:00.000', 'Not Eligible', 'Email rcvd from: michal.simms@christushealth.org  Subject;:Enroll Group & Providers || Valley Med Urgent Care PLLC || USFHP|  Adil,  CHRISTUS Health Plan and CHRISTUS Spohn Health Network are two separate health plans…  I work for CHRISTUS Health Plan.  This is the service area Vicki at Spohn sent you in an email last week… I don’t see Cameron listed.', NULL, NULL, '2021-07-08 16:56:53', '2021-07-08 16:56:53'),
(13368, 3040, 20203, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:00:49', '2021-03-12 14:00:49'),
(13369, 3040, 20203, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:25:43', '2021-06-01 14:25:43'),
(13370, 3040, 20203, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:15', '2021-07-20 14:04:15'),
(13371, 3040, 20203, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:40', '2021-07-28 14:32:40'),
(13372, 3040, 20203, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:07', '2021-08-17 09:37:07'),
(13373, 10057, 20203, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:10:23', '2021-10-14 11:10:23'),
(13374, 10057, 20203, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:53:07', '2021-11-15 17:53:07'),
(13375, 10057, 20203, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:06:30', '2021-11-30 13:06:30'),
(13376, 10057, 20203, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:36:21', '2021-12-06 17:36:21'),
(13377, 10057, 20203, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:43:29', '2021-12-13 12:43:29'),
(13378, 10057, 20203, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:45:51', '2021-12-20 11:45:51'),
(13379, 10057, 20203, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:09:44', '2021-12-27 11:09:44'),
(13380, 20067, 20203, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad. ', NULL, NULL, '2022-01-05 12:50:26', '2022-01-05 12:50:26'),
(13381, 20067, 20203, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:58:32', '2022-01-11 13:58:32'),
(13382, 20067, 20203, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:04:22', '2022-01-11 14:04:22'),
(13383, 20067, 20203, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:49:31', '2022-01-11 17:49:31'),
(13384, 20067, 20203, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:01:29', '2022-01-18 11:01:29'),
(13385, 20067, 20203, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:55:34', '2022-01-28 17:55:34'),
(13386, 20067, 20203, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:49:37', '2022-02-04 10:49:37'),
(13387, 3040, 20204, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:01:02', '2021-03-12 14:01:02'),
(13388, 3040, 20204, NULL, '2021-06-08 00:00:00.000', 'Not Eligible', 'Provider is no longer with VMUC.', NULL, NULL, '2021-06-01 13:03:43', '2021-06-01 13:03:43'),
(13389, 3040, 20205, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:01:15', '2021-03-12 14:01:15'),
(13390, 3040, 20205, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:25:47', '2021-06-01 14:25:47'),
(13391, 3040, 20205, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:15', '2021-07-20 14:04:15'),
(13392, 3040, 20205, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:39', '2021-07-28 14:32:39'),
(13393, 3040, 20205, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:07', '2021-08-17 09:37:07'),
(13394, 10057, 20205, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:10:17', '2021-10-14 11:10:17'),
(13395, 10057, 20205, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:52:32', '2021-11-15 17:52:32'),
(13396, 10057, 20205, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:06:23', '2021-11-30 13:06:23'),
(13397, 10057, 20205, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:36:12', '2021-12-06 17:36:12'),
(13398, 10057, 20205, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:43:24', '2021-12-13 12:43:24'),
(13399, 10057, 20205, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:45:43', '2021-12-20 11:45:43'),
(13400, 10057, 20205, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:09:38', '2021-12-27 11:09:38'),
(13401, 20067, 20205, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad. ', NULL, NULL, '2022-01-05 12:49:19', '2022-01-05 12:49:19'),
(13402, 20067, 20205, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:58:24', '2022-01-11 13:58:24'),
(13403, 20067, 20205, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:04:16', '2022-01-11 14:04:16'),
(13404, 20067, 20205, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:49:25', '2022-01-11 17:49:25'),
(13405, 20067, 20205, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:01:23', '2022-01-18 11:01:23'),
(13406, 20067, 20205, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:55:27', '2022-01-28 17:55:27'),
(13407, 20067, 20205, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:49:24', '2022-02-04 10:49:24'),
(13408, 3046, 20206, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:01:17', '2021-03-12 14:01:17'),
(13409, 3040, 20206, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to:  CSHNproviderrelations@christushealth.org  Subject:Enroll Providers || Coastal Bend Urgent Care & George West Medical Clinic || Providers || Christus Spohn||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned providers in Christus Spohn for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you  ', NULL, NULL, '2021-06-07 10:05:28', '2021-06-07 10:05:28'),
(13410, 1006, 20206, NULL, '2021-07-01 00:00:00.000', 'In Process', 'Found correct email for follow-ups and sent email @ vicki.guerra@christushealth.org:  Sub: Enrollment Request - CBUC/GWMC - Christus Spohn  \"Hello Vicki,   I hope you\'re doing well, we wanted to enroll the following group and providers with Christus Spohn, their information is below:  Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324 Secondary Address: 504A Houston Street George West , TX 78022-3663  Provider Name: Katherine Paterson Provider NPI# 1164776548  Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  Please let me know what is required to proceed with this request and also who I should contact for enrollment requests.   Thank you!\"', NULL, NULL, '2021-06-24 15:01:35', '2021-06-24 15:01:35'),
(13411, 1006, 20206, NULL, '2021-07-20 00:00:00.000', 'In Process', 'We received the following update from vicki.guerra@christushealth.org:  Sub; Enrollment Request - CBUC/GWMC - Christus Spohn  \"Hi Brad,  Happy TGIF!  The request for extending a contract has been approved. We charge credentialing fees for mid-levels and physicians. How many will be contracted in those below locations?  Thanks,  Vicki Ann Guerra Provider Relations Representative CHRISTUS Spohn Health Network 613 Elizabeth St Ste 604 Corpus Christi, TX 78404 O: 361-881-3167 F: 361-881-3745\"  Replied with:  \"Hello Vicki,   I appreciate the update, would we be able to do an ancillary contract as we\'re urgent care, or do the individual practitioners need to be enrolled? If so, can you please let me know what the fees are.  Thank you. \"', NULL, NULL, '2021-07-13 16:54:06', '2021-07-13 16:54:06'),
(13412, 1006, 20206, NULL, '2021-08-02 00:00:00.000', 'Not Eligible', 'The provider is no longer a part of the group as per Ryan. ', NULL, NULL, '2021-07-26 08:58:43', '2021-07-26 08:58:43'),
(13413, 3046, 20207, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:01:21', '2021-03-12 14:01:21'),
(13414, 3040, 20207, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to:  CSHNproviderrelations@christushealth.org  Subject:Enroll Providers || Coastal Bend Urgent Care & George West Medical Clinic || Providers || Christus Spohn||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned providers in Christus Spohn for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you  ', NULL, NULL, '2021-06-07 10:05:32', '2021-06-07 10:05:32'),
(13415, 1006, 20207, NULL, '2021-07-01 00:00:00.000', 'In Process', 'Found correct email for follow-ups and sent email @ vicki.guerra@christushealth.org:  Sub: Enrollment Request - CBUC/GWMC - Christus Spohn  \"Hello Vicki,   I hope you\'re doing well, we wanted to enroll the following group and providers with Christus Spohn, their information is below:  Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324 Secondary Address: 504A Houston Street George West , TX 78022-3663  Provider Name: Katherine Paterson Provider NPI# 1164776548  Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  Please let me know what is required to proceed with this request and also who I should contact for enrollment requests.   Thank you!\"', NULL, NULL, '2021-06-24 15:01:38', '2021-06-24 15:01:38'),
(13416, 1006, 20207, NULL, '2021-07-20 00:00:00.000', 'In Process', 'We received the following update from vicki.guerra@christushealth.org:  Sub; Enrollment Request - CBUC/GWMC - Christus Spohn  \"Hi Brad,  Happy TGIF!  The request for extending a contract has been approved. We charge credentialing fees for mid-levels and physicians. How many will be contracted in those below locations?  Thanks,  Vicki Ann Guerra Provider Relations Representative CHRISTUS Spohn Health Network 613 Elizabeth St Ste 604 Corpus Christi, TX 78404 O: 361-881-3167 F: 361-881-3745\"  Replied with:  \"Hello Vicki,   I appreciate the update, would we be able to do an ancillary contract as we\'re urgent care, or do the individual practitioners need to be enrolled? If so, can you please let me know what the fees are.  Thank you. \"', NULL, NULL, '2021-07-13 16:54:11', '2021-07-13 16:54:11'),
(13417, 1006, 20207, NULL, '2021-08-10 00:00:00.000', 'In Process', 'We received the following update from vicki.guerra@christushealth.org:  Sub: Enrollment Request - CBUC/GWMC - Christus Spohn  \"Hi Brad,  Good question! The Urgent Cares are contracted as individual practitioners. This does not mean all your providers need to be contracted if you feel on physicians would see members versus mid-levels. Or, if your Urgent Care group will use a modifier where mid-levels do see our members but the claim will bill under the physician.  Does this answer your question(s)? If not please let me know.\"  Replied with:  \"Hello Vicki,   I appreciate the update, our physician will not be seeing the patients it will only be the Mid-levels and we bill using the group\'s information except for the rendering NPI which will use the NPI of the provider that saw the patient. How would you suggest that we proceed?  Thank you. \"', NULL, NULL, '2021-08-03 17:06:35', '2021-08-03 17:06:35'),
(13418, 1006, 20207, NULL, '2021-08-12 00:00:00.000', 'In Process', 'Received the following update from vicki.guerra@christushealth.org:  Sub; Enrollment Request - CBUC/GWMC - Christus Spohn  \"Thanks Brad! Who will follow the patients if admitted into the hospital? Does this group contract with one of our hospitalists groups at a Christus Facility or another physician who has priveleges?  Vicki Ann Guerra Provider Relations Representative CHRISTUS Spohn Health Network 613 Elizabeth St Ste 604 Corpus Christi, TX 78404 O: 361-881-3167 F: 361-881-3745\"  Replied with:  \"Hello Vicki,   The supervising physician for the group does have hospital privileges, their information is as follows:  Frank Dehnisch  NPI# 1952376345  Please let me know if anything else is required.  Thank you. \"', NULL, NULL, '2021-08-05 12:52:46', '2021-08-05 12:52:46'),
(13419, 1006, 20207, NULL, '2021-08-23 00:00:00.000', 'In Process', 'We received the following request from vicki.guerra@christushealth.org:  Sub: Enrollment Request - CBUC/GWMC - Christus Spohn  \"Hi Brad,  What is the last 4 ss?  Thanks,  Vicki Ann Guerra Provider Relations Representative CHRISTUS Spohn Health Network 613 Elizabeth St Ste 604 Corpus Christi, TX 78404 O: 361-881-3167 F: 361-881-3745\"  Replied with providers last 4 SSN. ', NULL, NULL, '2021-08-16 17:05:11', '2021-08-16 17:05:11'),
(13420, 11056, 20207, NULL, '2021-09-01 00:00:00.000', 'In Process', 'Email received from : vicki.guerra@christushealth.org  Sub : Re: Enrollment Request - CBUC/GWMC - Christus Spohn  Hi Brad,     Happy Wednesday!     I do not find the provider did his reappointment paperwork with the Christus hospital facility.     Can the provider be asked if he re-did hospital facility paperwork?     Thanks,        Vicki Ann Guerra  Provider Relations Representative  CHRISTUS Spohn Health Network  613 Elizabeth St Ste 604  Corpus Christi, TX 78404  O: 361-881-3167  F: 361-881-3745', NULL, NULL, '2021-08-25 08:17:32', '2021-08-25 08:17:32'),
(13421, 11056, 20207, NULL, '2021-09-27 00:00:00.000', 'In Process', 'We have informed the provider. Still waiting for his response.', NULL, NULL, '2021-09-20 16:42:14', '2021-09-20 16:42:14'),
(13422, 11056, 20207, NULL, '2021-10-07 00:00:00.000', 'In Process', 'We have informed the provider. Still waiting for his response.', NULL, NULL, '2021-09-30 13:50:07', '2021-09-30 13:50:07'),
(13423, 11056, 20207, NULL, '2021-10-14 00:00:00.000', 'In Process', 'We have informed the provider. Still waiting for his response.', NULL, NULL, '2021-10-07 17:02:04', '2021-10-07 17:02:04'),
(13424, 11056, 20207, NULL, '2021-10-25 00:00:00.000', 'In Process', 'We have informed the provider. Still waiting for his response.', NULL, NULL, '2021-10-18 16:38:17', '2021-10-18 16:38:17'),
(13425, 11056, 20207, NULL, '2021-10-25 00:00:00.000', 'In Process', 'We have informed the provider. Still waiting for his response.', NULL, NULL, '2021-10-18 16:38:19', '2021-10-18 16:38:19'),
(13426, 11056, 20207, NULL, '2021-11-17 00:00:00.000', 'In Process', 'Have emailed them again. Waiting for response.', NULL, NULL, '2021-11-10 09:23:11', '2021-11-10 09:23:11'),
(13427, 11056, 20207, NULL, '2021-11-22 00:00:00.000', 'On Hold', 'Have emailed them again. Waiting for response.  It has been along that we get n response from the provider.', NULL, NULL, '2021-11-15 16:59:28', '2021-11-15 16:59:28'),
(13428, 3040, 20208, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:01:27', '2021-03-12 14:01:27'),
(13429, 3040, 20208, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:25:51', '2021-06-01 14:25:51');
INSERT INTO `cm_credentialing_task_logs` (`id`, `user_id`, `credentialing_task_id`, `last_follow_up`, `next_follow_up`, `status`, `details`, `image`, `pdf`, `created_at`, `updated_at`) VALUES
(13430, 3040, 20208, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:16', '2021-07-20 14:04:16'),
(13431, 3040, 20208, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:39', '2021-07-28 14:32:39'),
(13432, 3040, 20208, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:07', '2021-08-17 09:37:07'),
(13433, 10057, 20208, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:10:10', '2021-10-14 11:10:10'),
(13434, 10057, 20208, NULL, '2021-11-18 00:00:00.000', 'Not Eligible', 'Left Practice.  Please see attachment:', NULL, NULL, '2021-11-11 17:51:13', '2021-11-11 17:51:13'),
(13435, 3046, 20209, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:01:28', '2021-03-12 14:01:28'),
(13436, 3040, 20209, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to:  CSHNproviderrelations@christushealth.org  Subject:Enroll Providers || Coastal Bend Urgent Care & George West Medical Clinic || Providers || Christus Spohn||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned providers in Christus Spohn for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you  ', NULL, NULL, '2021-06-07 10:05:35', '2021-06-07 10:05:35'),
(13437, 1006, 20209, NULL, '2021-07-01 00:00:00.000', 'In Process', 'Found correct email for follow-ups and sent email @ vicki.guerra@christushealth.org:  Sub: Enrollment Request - CBUC/GWMC - Christus Spohn  \"Hello Vicki,   I hope you\'re doing well, we wanted to enroll the following group and providers with Christus Spohn, their information is below:  Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324 Secondary Address: 504A Houston Street George West , TX 78022-3663  Provider Name: Katherine Paterson Provider NPI# 1164776548  Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  Please let me know what is required to proceed with this request and also who I should contact for enrollment requests.   Thank you!\"', NULL, NULL, '2021-06-24 15:01:41', '2021-06-24 15:01:41'),
(13438, 1006, 20209, NULL, '2021-07-20 00:00:00.000', 'In Process', 'We received the following update from vicki.guerra@christushealth.org:  Sub; Enrollment Request - CBUC/GWMC - Christus Spohn  \"Hi Brad,  Happy TGIF!  The request for extending a contract has been approved. We charge credentialing fees for mid-levels and physicians. How many will be contracted in those below locations?  Thanks,  Vicki Ann Guerra Provider Relations Representative CHRISTUS Spohn Health Network 613 Elizabeth St Ste 604 Corpus Christi, TX 78404 O: 361-881-3167 F: 361-881-3745\"  Replied with:  \"Hello Vicki,   I appreciate the update, would we be able to do an ancillary contract as we\'re urgent care, or do the individual practitioners need to be enrolled? If so, can you please let me know what the fees are.  Thank you. \"', NULL, NULL, '2021-07-13 16:54:15', '2021-07-13 16:54:15'),
(13439, 1006, 20209, NULL, '2021-08-10 00:00:00.000', 'In Process', 'We received the following update from vicki.guerra@christushealth.org:  Sub: Enrollment Request - CBUC/GWMC - Christus Spohn  \"Hi Brad,  Good question! The Urgent Cares are contracted as individual practitioners. This does not mean all your providers need to be contracted if you feel on physicians would see members versus mid-levels. Or, if your Urgent Care group will use a modifier where mid-levels do see our members but the claim will bill under the physician.  Does this answer your question(s)? If not please let me know.\"  Replied with:  \"Hello Vicki,   I appreciate the update, our physician will not be seeing the patients it will only be the Mid-levels and we bill using the group\'s information except for the rendering NPI which will use the NPI of the provider that saw the patient. How would you suggest that we proceed?  Thank you. \"', NULL, NULL, '2021-08-03 17:06:31', '2021-08-03 17:06:31'),
(13440, 1006, 20209, NULL, '2021-08-12 00:00:00.000', 'In Process', 'Received the following update from vicki.guerra@christushealth.org:  Sub; Enrollment Request - CBUC/GWMC - Christus Spohn  \"Thanks Brad! Who will follow the patients if admitted into the hospital? Does this group contract with one of our hospitalists groups at a Christus Facility or another physician who has priveleges?  Vicki Ann Guerra Provider Relations Representative CHRISTUS Spohn Health Network 613 Elizabeth St Ste 604 Corpus Christi, TX 78404 O: 361-881-3167 F: 361-881-3745\"  Replied with:  \"Hello Vicki,   The supervising physician for the group does have hospital privileges, their information is as follows:  Frank Dehnisch  NPI# 1952376345  Please let me know if anything else is required.  Thank you. \"', NULL, NULL, '2021-08-05 12:51:54', '2021-08-05 12:51:54'),
(13441, 1006, 20209, NULL, '2021-08-23 00:00:00.000', 'In Process', 'We received the following request from vicki.guerra@christushealth.org:  Sub: Enrollment Request - CBUC/GWMC - Christus Spohn  \"Hi Brad,  What is the last 4 ss?  Thanks,  Vicki Ann Guerra Provider Relations Representative CHRISTUS Spohn Health Network 613 Elizabeth St Ste 604 Corpus Christi, TX 78404 O: 361-881-3167 F: 361-881-3745\"  Replied with providers last 4 SSN. ', NULL, NULL, '2021-08-16 17:05:15', '2021-08-16 17:05:15'),
(13442, 11056, 20209, NULL, '2021-09-01 00:00:00.000', 'In Process', 'Email received from : vicki.guerra@christushealth.org  Sub : Re: Enrollment Request - CBUC/GWMC - Christus Spohn  Hi Brad,     Happy Wednesday!     I do not find the provider did his reappointment paperwork with the Christus hospital facility.     Can the provider be asked if he re-did hospital facility paperwork?     Thanks,        Vicki Ann Guerra  Provider Relations Representative  CHRISTUS Spohn Health Network  613 Elizabeth St Ste 604  Corpus Christi, TX 78404  O: 361-881-3167  F: 361-881-3745', NULL, NULL, '2021-08-25 08:17:19', '2021-08-25 08:17:19'),
(13443, 11056, 20209, NULL, '2021-09-27 00:00:00.000', 'In Process', 'We have informed the provider. Still waiting for his response.', NULL, NULL, '2021-09-20 16:40:45', '2021-09-20 16:40:45'),
(13444, 11056, 20209, NULL, '2021-10-07 00:00:00.000', 'In Process', 'We have informed the provider. Still waiting for his response.', NULL, NULL, '2021-09-30 13:49:59', '2021-09-30 13:49:59'),
(13445, 11056, 20209, NULL, '2021-10-14 00:00:00.000', 'In Process', 'We have informed the provider. Still waiting for his response.', NULL, NULL, '2021-10-07 17:01:58', '2021-10-07 17:01:58'),
(13446, 11056, 20209, NULL, '2021-10-25 00:00:00.000', 'In Process', 'We have informed the provider. Still waiting for his response.', NULL, NULL, '2021-10-18 16:38:24', '2021-10-18 16:38:24'),
(13447, 11056, 20209, NULL, '2021-11-17 00:00:00.000', 'In Process', 'Have emailed them again. Waiting for response.', NULL, NULL, '2021-11-10 09:23:05', '2021-11-10 09:23:05'),
(13448, 11056, 20209, NULL, '2021-11-22 00:00:00.000', 'On Hold', 'Have emailed them again. Waiting for response.  It has been along that we get n response from the provider.', NULL, NULL, '2021-11-15 16:59:32', '2021-11-15 16:59:32'),
(13449, 3040, 20210, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:03:28', '2021-03-12 14:03:28'),
(13450, 3040, 20210, NULL, '2021-06-08 00:00:00.000', 'In Process', 'Email sent to: TXMAContracting@cigna.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Greetings,   Hope you are doing well. Please find the attached Facility/Ancillary network interest form to enroll in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-06-01 14:19:30', '2021-06-01 14:19:30'),
(13451, 3040, 20210, NULL, '2021-06-28 00:00:00.000', 'In Process', 'Email sent to: TXMAContracting@cigna.com, txgqproviderrelations@healthspring.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks  ', NULL, NULL, '2021-06-21 08:58:22', '2021-06-21 08:58:22'),
(13452, 3040, 20210, NULL, '2021-07-15 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-08 16:48:04', '2021-07-08 16:48:04'),
(13453, 3040, 20210, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:39', '2021-07-28 14:32:39'),
(13454, 3040, 20210, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:06', '2021-08-17 09:37:06'),
(13455, 10057, 20210, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:10:00', '2021-10-14 11:10:00'),
(13456, 10057, 20210, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:59:28', '2021-11-15 17:59:28'),
(13457, 10057, 20210, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:06:16', '2021-11-30 13:06:16'),
(13458, 10057, 20210, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:40:24', '2021-12-06 17:40:24'),
(13459, 10057, 20210, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:45:44', '2021-12-13 12:45:44'),
(13460, 10057, 20210, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:47:55', '2021-12-20 11:47:55'),
(13461, 10057, 20210, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:09:31', '2021-12-27 11:09:31'),
(13462, 20067, 20210, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad.  ', NULL, NULL, '2022-01-05 12:57:28', '2022-01-05 12:57:28'),
(13463, 20067, 20210, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch.', NULL, NULL, '2022-01-18 10:55:27', '2022-01-18 10:55:27'),
(13464, 20067, 20210, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:01:15', '2022-01-18 11:01:15'),
(13465, 20067, 20210, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:55:21', '2022-01-28 17:55:21'),
(13466, 20067, 20210, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:48:50', '2022-02-04 10:48:50'),
(13467, 3040, 20211, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:03:40', '2021-03-12 14:03:40'),
(13468, 3040, 20211, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:26:07', '2021-06-01 14:26:07'),
(13469, 3040, 20211, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:16', '2021-07-20 14:04:16'),
(13470, 3040, 20211, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:38', '2021-07-28 14:32:38'),
(13471, 3040, 20211, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:05', '2021-08-17 09:37:05'),
(13472, 10057, 20211, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:09:52', '2021-10-14 11:09:52'),
(13473, 10057, 20211, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:59:37', '2021-11-15 17:59:37'),
(13474, 10057, 20211, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:06:09', '2021-11-30 13:06:09'),
(13475, 10057, 20211, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:40:16', '2021-12-06 17:40:16'),
(13476, 10057, 20211, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:45:38', '2021-12-13 12:45:38'),
(13477, 10057, 20211, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:47:50', '2021-12-20 11:47:50'),
(13478, 10057, 20211, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:09:25', '2021-12-27 11:09:25'),
(13479, 20067, 20211, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad.  ', NULL, NULL, '2022-01-05 12:56:23', '2022-01-05 12:56:23'),
(13480, 20067, 20211, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:58:18', '2022-01-11 13:58:18'),
(13481, 20067, 20211, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:04:08', '2022-01-11 14:04:08'),
(13482, 20067, 20211, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:49:16', '2022-01-11 17:49:16'),
(13483, 20067, 20211, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:01:00', '2022-01-18 11:01:00'),
(13484, 20067, 20211, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:55:15', '2022-01-28 17:55:15'),
(13485, 20067, 20211, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:48:12', '2022-02-04 10:48:12'),
(13486, 3040, 20212, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:03:57', '2021-03-12 14:03:57'),
(13487, 3040, 20212, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:26:11', '2021-06-01 14:26:11'),
(13488, 3040, 20212, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:16', '2021-07-20 14:04:16'),
(13489, 3040, 20212, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:38', '2021-07-28 14:32:38'),
(13490, 3040, 20212, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:05', '2021-08-17 09:37:05'),
(13491, 10057, 20212, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:08:58', '2021-10-14 11:08:58'),
(13492, 10057, 20212, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:54:47', '2021-11-15 17:54:47'),
(13493, 10057, 20212, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:06:02', '2021-11-30 13:06:02'),
(13494, 10057, 20212, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:40:09', '2021-12-06 17:40:09'),
(13495, 10057, 20212, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:45:32', '2021-12-13 12:45:32'),
(13496, 10057, 20212, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:47:45', '2021-12-20 11:47:45'),
(13497, 10057, 20212, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:09:19', '2021-12-27 11:09:19'),
(13498, 20067, 20212, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad.  ', NULL, NULL, '2022-01-05 12:55:37', '2022-01-05 12:55:37'),
(13499, 20067, 20212, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:58:12', '2022-01-11 13:58:12'),
(13500, 20067, 20212, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:04:00', '2022-01-11 14:04:00'),
(13501, 20067, 20212, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:49:10', '2022-01-11 17:49:10'),
(13502, 20067, 20212, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:00:50', '2022-01-18 11:00:50'),
(13503, 20067, 20212, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:55:08', '2022-01-28 17:55:08'),
(13504, 20067, 20212, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:47:53', '2022-02-04 10:47:53'),
(13505, 3040, 20213, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:04:16', '2021-03-12 14:04:16'),
(13506, 3040, 20213, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:26:15', '2021-06-01 14:26:15');
INSERT INTO `cm_credentialing_task_logs` (`id`, `user_id`, `credentialing_task_id`, `last_follow_up`, `next_follow_up`, `status`, `details`, `image`, `pdf`, `created_at`, `updated_at`) VALUES
(13507, 3040, 20213, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:17', '2021-07-20 14:04:17'),
(13508, 3040, 20213, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:37', '2021-07-28 14:32:37'),
(13509, 3040, 20213, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:04', '2021-08-17 09:37:04'),
(13510, 10057, 20213, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:08:51', '2021-10-14 11:08:51'),
(13511, 10057, 20213, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:54:18', '2021-11-15 17:54:18'),
(13512, 10057, 20213, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:05:56', '2021-11-30 13:05:56'),
(13513, 10057, 20213, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:40:03', '2021-12-06 17:40:03'),
(13514, 10057, 20213, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:45:25', '2021-12-13 12:45:25'),
(13515, 10057, 20213, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:47:39', '2021-12-20 11:47:39'),
(13516, 10057, 20213, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:08:43', '2021-12-27 11:08:43'),
(13517, 20067, 20213, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad.  ', NULL, NULL, '2022-01-05 12:54:57', '2022-01-05 12:54:57'),
(13518, 20067, 20213, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:58:05', '2022-01-11 13:58:05'),
(13519, 20067, 20213, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:03:54', '2022-01-11 14:03:54'),
(13520, 20067, 20213, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:49:02', '2022-01-11 17:49:02'),
(13521, 20067, 20213, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:00:41', '2022-01-18 11:00:41'),
(13522, 20067, 20213, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:55:00', '2022-01-28 17:55:00'),
(13523, 20067, 20213, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:47:39', '2022-02-04 10:47:39'),
(13524, 3040, 20214, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:04:30', '2021-03-12 14:04:30'),
(13525, 3040, 20214, NULL, '2021-05-10 00:00:00.000', 'In Process', 'Email sent to:  CSHNproviderrelations@christushealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Christus Spohn ||  Greetings,   Hope you are doing well. I wanted to enroll the below mentioned group & providers in Christus Spohn in our group Valley Med Urgent Care PLLC under below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Address: 101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166      Provider 1: Provider Name: Escobar, Angiollet Solis Provider NPI# 1962917997  Provider 2: Provider Name: Rodriguez, Cynthia Provider NPI# 1124282553  Provider 3: Provider Name: Naranjo, Diego Provider NPI# 1568929800  Provider 4: Provider Name: Garcia, Homero Provider NPI# 1730564857  Provider 5: Provider Name: Lira, Arturo Alejandro Provider NPI# 1245789502  Provider 6: Provider Name: Lopez, Mayra Alejandra Provider NPI# 1265945125  Provider 7: Provider Name: Potter, Deborah Provider NPI# 1861914053  Provider 8: Provider Name: Saavedra, Teresa Provider NPI# 1255676151  Provider 9: Provider Name: Wright, Larry Donald Provider NPI# 1033769765  Provider 10: Provider Name: Wert, Jeniece K Provider NPI# 1659919702  Provider 11: Provider Name: Hernandez, Eder Francisco Provider NPI# 1386956852  Please get back to me as soon as you can get a chance. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-03 07:46:17', '2021-05-03 07:46:17'),
(13526, 3040, 20214, NULL, '2021-06-03 00:00:00.000', 'In Process', 'Email sent to: CSHNproviderrelations@christushealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Christus Spohn ||  Hello,   Can you please advise the process for credentialing?  Waiting to hear from you soon.   Thank you', NULL, NULL, '2021-05-27 10:47:12', '2021-05-27 10:47:12'),
(13527, 3040, 20214, NULL, '2021-06-22 00:00:00.000', 'In Process', 'I called the 800-419-3461 and left the VM. Because I didn\'t getting any reply from the insurance.  ', NULL, NULL, '2021-06-15 13:26:39', '2021-06-15 13:26:39'),
(13528, 11056, 20214, NULL, '2021-07-08 00:00:00.000', 'In Process', 'Email sent to : CSHNproviderrelations@christushealth.org  Sub : ENROLLMENT REQUEST || Valley Med Urgent Care PLLC || Christus Spohn ||  Greetings,  Kindly respond soon. Hope you are doing well. I wanted to enroll the below mentioned group & providers in Christus Spohn in our group Valley Med Urgent Care PLLC under below locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Address: 101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166      Providers: Provider 1: Provider Name: Escobar, Angiollet Solis Provider NPI# 1962917997  Provider 2: Provider Name: Rodriguez, Cynthia Provider NPI# 1124282553  Provider 3: Provider Name: Naranjo, Diego Provider NPI# 1568929800  Provider 4: Provider Name: Garcia, Homero Provider NPI# 1730564857  Provider 5: Provider Name: Lira, Arturo Alejandro Provider NPI# 1245789502  Provider 6: Provider Name: Lopez, Mayra Alejandra Provider NPI# 1265945125  Provider 7: Provider Name: Potter, Deborah Provider NPI# 1861914053  Provider 8: Provider Name: Saavedra, Teresa Provider NPI# 1255676151  Provider 9: Provider Name: Wright, Larry Donald Provider NPI# 1033769765  Provider 10: Provider Name: Wert, Jeniece K Provider NPI# 1659919702  Provider 11: Provider Name: Hernandez, Eder Francisco Provider NPI# 1386956852  Provider 12: Provider Name: Hernandez, Juan Provider NPI#: 1225617558  Please get back to me as soon as possible. Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-07-01 13:27:59', '2021-07-01 13:27:59'),
(13529, 3040, 20214, NULL, '2021-07-15 00:00:00.000', 'Not Eligible', 'Email rcvd from: michal.simms@christushealth.org  Subject;:Enroll Group & Providers || Valley Med Urgent Care PLLC || USFHP|  Adil,  CHRISTUS Health Plan and CHRISTUS Spohn Health Network are two separate health plans…  I work for CHRISTUS Health Plan.  This is the service area Vicki at Spohn sent you in an email last week… I don’t see Cameron listed.', NULL, NULL, '2021-07-08 16:56:52', '2021-07-08 16:56:52'),
(13530, 3040, 20215, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:04:42', '2021-03-12 14:04:42'),
(13531, 3040, 20215, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:26:20', '2021-06-01 14:26:20'),
(13532, 3040, 20215, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:17', '2021-07-20 14:04:17'),
(13533, 3040, 20215, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:37', '2021-07-28 14:32:37'),
(13534, 3040, 20215, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:04', '2021-08-17 09:37:04'),
(13535, 10057, 20215, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:08:44', '2021-10-14 11:08:44'),
(13536, 10057, 20215, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:55:33', '2021-11-15 17:55:33'),
(13537, 10057, 20215, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:05:48', '2021-11-30 13:05:48'),
(13538, 10057, 20215, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:39:56', '2021-12-06 17:39:56'),
(13539, 10057, 20215, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:45:18', '2021-12-13 12:45:18'),
(13540, 10057, 20215, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:47:34', '2021-12-20 11:47:34'),
(13541, 10057, 20215, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:08:36', '2021-12-27 11:08:36'),
(13542, 20067, 20215, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad.  ', NULL, NULL, '2022-01-05 12:52:14', '2022-01-05 12:52:14'),
(13543, 20067, 20215, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:57:57', '2022-01-11 13:57:57'),
(13544, 20067, 20215, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:03:48', '2022-01-11 14:03:48'),
(13545, 20067, 20215, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:48:54', '2022-01-11 17:48:54'),
(13546, 20067, 20215, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:00:34', '2022-01-18 11:00:34'),
(13547, 20067, 20215, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:54:52', '2022-01-28 17:54:52'),
(13548, 20067, 20215, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:47:25', '2022-02-04 10:47:25'),
(13549, 3040, 20216, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:04:55', '2021-03-12 14:04:55'),
(13550, 3040, 20216, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:26:24', '2021-06-01 14:26:24'),
(13551, 3040, 20216, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:18', '2021-07-20 14:04:18'),
(13552, 3040, 20216, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:36', '2021-07-28 14:32:36'),
(13553, 3040, 20216, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:03', '2021-08-17 09:37:03'),
(13554, 10057, 20216, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:08:35', '2021-10-14 11:08:35'),
(13555, 10057, 20216, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:59:21', '2021-11-15 17:59:21'),
(13556, 10057, 20216, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:05:41', '2021-11-30 13:05:41'),
(13557, 10057, 20216, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:39:49', '2021-12-06 17:39:49'),
(13558, 10057, 20216, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:45:13', '2021-12-13 12:45:13'),
(13559, 10057, 20216, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:47:29', '2021-12-20 11:47:29'),
(13560, 10057, 20216, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:08:30', '2021-12-27 11:08:30'),
(13561, 20067, 20216, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad. ', NULL, NULL, '2022-01-05 12:48:05', '2022-01-05 12:48:05'),
(13562, 20067, 20216, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:57:50', '2022-01-11 13:57:50'),
(13563, 20067, 20216, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:03:40', '2022-01-11 14:03:40'),
(13564, 20067, 20216, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:48:48', '2022-01-11 17:48:48'),
(13565, 20067, 20216, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:00:28', '2022-01-18 11:00:28'),
(13566, 20067, 20216, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:54:44', '2022-01-28 17:54:44'),
(13567, 20067, 20216, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:47:13', '2022-02-04 10:47:13'),
(13568, 3040, 20217, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:05:07', '2021-03-12 14:05:07'),
(13569, 3040, 20217, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:26:27', '2021-06-01 14:26:27'),
(13570, 3040, 20217, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:18', '2021-07-20 14:04:18'),
(13571, 3040, 20217, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:36', '2021-07-28 14:32:36'),
(13572, 3040, 20217, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:03', '2021-08-17 09:37:03'),
(13573, 10057, 20217, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:08:26', '2021-10-14 11:08:26'),
(13574, 10057, 20217, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:53:40', '2021-11-15 17:53:40'),
(13575, 10057, 20217, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:05:34', '2021-11-30 13:05:34'),
(13576, 10057, 20217, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:39:43', '2021-12-06 17:39:43'),
(13577, 10057, 20217, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:45:07', '2021-12-13 12:45:07'),
(13578, 10057, 20217, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:47:24', '2021-12-20 11:47:24');
INSERT INTO `cm_credentialing_task_logs` (`id`, `user_id`, `credentialing_task_id`, `last_follow_up`, `next_follow_up`, `status`, `details`, `image`, `pdf`, `created_at`, `updated_at`) VALUES
(13579, 10057, 20217, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:08:23', '2021-12-27 11:08:23'),
(13580, 20067, 20217, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad.  ', NULL, NULL, '2022-01-05 12:51:04', '2022-01-05 12:51:04'),
(13581, 20067, 20217, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:57:42', '2022-01-11 13:57:42'),
(13582, 20067, 20217, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:03:32', '2022-01-11 14:03:32'),
(13583, 20067, 20217, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:48:41', '2022-01-11 17:48:41'),
(13584, 20067, 20217, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:00:17', '2022-01-18 11:00:17'),
(13585, 20067, 20217, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:54:38', '2022-01-28 17:54:38'),
(13586, 20067, 20217, NULL, '2022-02-08 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you!  ', NULL, NULL, '2022-02-01 15:21:06', '2022-02-01 15:21:06'),
(13587, 3040, 20218, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:05:22', '2021-03-12 14:05:22'),
(13588, 3040, 20218, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:26:31', '2021-06-01 14:26:31'),
(13589, 3040, 20218, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:18', '2021-07-20 14:04:18'),
(13590, 3040, 20218, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:35', '2021-07-28 14:32:35'),
(13591, 3040, 20218, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:02', '2021-08-17 09:37:02'),
(13592, 10057, 20218, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:08:19', '2021-10-14 11:08:19'),
(13593, 10057, 20218, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:53:02', '2021-11-15 17:53:02'),
(13594, 10057, 20218, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:05:27', '2021-11-30 13:05:27'),
(13595, 10057, 20218, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:39:35', '2021-12-06 17:39:35'),
(13596, 10057, 20218, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:45:01', '2021-12-13 12:45:01'),
(13597, 10057, 20218, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:47:19', '2021-12-20 11:47:19'),
(13598, 10057, 20218, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:08:17', '2021-12-27 11:08:17'),
(13599, 20067, 20218, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad. ', NULL, NULL, '2022-01-05 12:49:58', '2022-01-05 12:49:58'),
(13600, 20067, 20218, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:57:16', '2022-01-11 13:57:16'),
(13601, 20067, 20218, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:03:24', '2022-01-11 14:03:24'),
(13602, 20067, 20218, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:48:34', '2022-01-11 17:48:34'),
(13603, 20067, 20218, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:00:09', '2022-01-18 11:00:09'),
(13604, 20067, 20218, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:54:30', '2022-01-28 17:54:30'),
(13605, 20067, 20218, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:47:00', '2022-02-04 10:47:00'),
(13606, 3040, 20219, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:05:37', '2021-03-12 14:05:37'),
(13607, 3040, 20219, NULL, '2021-06-08 00:00:00.000', 'Not Eligible', 'Provider is no longer with VMUC.', NULL, NULL, '2021-06-01 13:04:35', '2021-06-01 13:04:35'),
(13608, 3040, 20220, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:05:54', '2021-03-12 14:05:54'),
(13609, 3040, 20220, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:26:35', '2021-06-01 14:26:35'),
(13610, 3040, 20220, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:19', '2021-07-20 14:04:19'),
(13611, 3040, 20220, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:35', '2021-07-28 14:32:35'),
(13612, 3040, 20220, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:02', '2021-08-17 09:37:02'),
(13613, 10057, 20220, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:07:04', '2021-10-14 11:07:04'),
(13614, 10057, 20220, NULL, '2021-11-22 00:00:00.000', 'In Process', 'Email Sent To : JENNIFER.PEREZ@cigna.com, TXGQProviderRelations@healthspring.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you well. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Hernandez, Juan	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-11-15 17:52:25', '2021-11-15 17:52:25'),
(13615, 10057, 20220, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Can I get the latest update on the below mentioned request.  Please get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-11-30 13:05:21', '2021-11-30 13:05:21'),
(13616, 10057, 20220, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope this email finds you in good health. I want to know the enrollment status for the below mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan  Hernandez	1225617558 Jeniece K  Wert	1659919702 Larry  Wright	1033769765 Teresa  Saavedra	1255676151 Eder  Hernandez	1386956852 Homero  Garcia	1730564857 Deborah  Potter	1861914053 Diego  Naranjo	1568929800 Mayra  Lopez	1265945125  Kindly get back to me as soon as possible.  Thanks & Regards,', NULL, NULL, '2021-12-06 17:39:28', '2021-12-06 17:39:28'),
(13617, 10057, 20220, NULL, '2021-12-20 00:00:00.000', 'In Process', 'Email Sent To : TXGQProviderRelations@healthspring.com, TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hey,  I\'m writing this email to check the current status on the below mentioned request. This is my second reminder.  Your earliest response will be highly appreciated.  Thanks & Regards,', NULL, NULL, '2021-12-13 12:44:56', '2021-12-13 12:44:56'),
(13618, 10057, 20220, NULL, '2021-12-27 00:00:00.000', 'In Process', 'Email Received From : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Steve,  The last Letter of Interest that was submitted to Valley Organized Physicians/LVPA was in October of 2018. The LVPA Board of Directors determined that there was no network need and appropriate communication was provided via mail. If the group would like to be reconsidered, please fill out the attached LOI and we can make sure to review during our January 2022 Board of Directors meeting. I is going to be important that you list out all locations as well.  Please let me know if you have any other questions.  Thank you, Iliana', NULL, NULL, '2021-12-20 11:47:14', '2021-12-20 11:47:14'),
(13619, 10057, 20220, NULL, '2022-01-03 00:00:00.000', 'In Process', 'Email Sent To : iliana.cortez@careallies.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Thank you for reaching out. Please find the attached LOI for groups and providers.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166  Provider Name	NPI Juan Hernandez	1225617558 Wert, Jeniece K	1659919702 Wright, Larry	1033769765 Saavedra, Teresa	1255676151 Hernandez, Eder	1386956852 Garcia, Homero	1730564857 Potter, Deborah	1861914053 Naranjo, Diego	1568929800 Lopez, Mayra	1265945125 Escobar, Angiollet	1962917997 Rodriguez, Cynthia	1124282553  Please revert back to me once you have the update. Have a great day!  Regards,', NULL, NULL, '2021-12-27 11:08:11', '2021-12-27 11:08:11'),
(13620, 20067, 20220, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Subject: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hello Good Morning,  Hope you are doing well. I want to know the enrollment status for the below-mentioned providers under these locations.  Group Name	Valley Med Urgent Care PLLC Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd, Brownsville, TX 78521-3496 Secondary Location	800 E Alton Gloor Blvd, Brownsville, TX 78526-4248 Tertiary Location	101 E. Expressway 83, Suite #170, McAllen, TX 78501-1166 Provider Name	NPI Juan Hernandez	1225617558 Jeniece Wert	1659919702 Cynthia Rodriguez	1124282553 Deborah Potter	1861914053 Larry Wright	1033769765 Teresa Saavedra	1255676151 Diego Naranjo	1568929800 Eder Hernandez	1386956852 Homero Garcia	1730564857 Angiollet Escobar	1962917997 Mayra Lopez	1265945125   Thanks and Regards, Syed Ahad. ', NULL, NULL, '2022-01-05 12:49:02', '2022-01-05 12:49:02'),
(13621, 20067, 20220, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Hello Syed,     I emailed Steve Albert, but the email bounced back.     We will be meeting with our LVPA and HOPE Board of Directors the week of the  24th where we will be discussing your group. Please fill out 1 LOI for the group with all location listed.  Please email me with any questions that you may have.     Thank you.     Iliana', NULL, NULL, '2022-01-11 13:55:56', '2022-01-11 13:55:56'),
(13622, 20067, 20220, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring  Good afternoon,  Hope all is well with you. The LOI form which you sent me doesn\'t have fields for additional locations. Kindly see the attachment below  Eagerly waiting to hear from you   Thanks and Regards, Syed Ahad.', NULL, NULL, '2022-01-11 14:03:19', '2022-01-11 14:03:19'),
(13623, 20067, 20220, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email Received from: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Thank you for the updated LOI. I added all locations. We meet with our Board of Directors on January 24th. Will be InTouch. ', NULL, NULL, '2022-01-11 17:48:28', '2022-01-11 17:48:28'),
(13624, 20067, 20220, NULL, '2022-01-25 00:00:00.000', 'In Process', 'Will follow-up next week because the meeting of Board of Directors will be on  24th January', NULL, NULL, '2022-01-18 11:00:02', '2022-01-18 11:00:02'),
(13625, 20067, 20220, NULL, '2022-02-04 00:00:00.000', 'In Process', 'Email sent to: iliana.cortez@careallies.com  Sub: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Good Evening! Hope this email finds you well. Any updates on the request?  Eagerly waiting to hear from you, Thanks and Regards,', NULL, NULL, '2022-01-28 17:54:23', '2022-01-28 17:54:23'),
(13626, 20067, 20220, NULL, '2022-02-11 00:00:00.000', 'Not Eligible', 'Email received from: dulce.lumbrera@careallies.com  Sub:  Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring   Hi Syed,  Thank you for reaching out. Please see attached for a response to the letter of interest that was presented at the Board of Director meeting. Thank you', NULL, NULL, '2022-02-04 10:46:44', '2022-02-04 10:46:44'),
(13627, 3040, 20221, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:06:35', '2021-03-12 14:06:35'),
(13628, 3040, 20221, NULL, '2021-06-08 00:00:00.000', 'On Hold', 'Facility/ Ancillary network interest form submitted. Please see group task.   ', NULL, NULL, '2021-06-01 14:26:38', '2021-06-01 14:26:38'),
(13629, 3040, 20221, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com   Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,   Hope you are doing well. I wanted to know the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thanks ', NULL, NULL, '2021-07-20 14:04:19', '2021-07-20 14:04:19'),
(13630, 3040, 20221, NULL, '2021-08-04 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,  Please advise the enrollment status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below locations.   Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,   Thanks  ', NULL, NULL, '2021-07-28 14:32:34', '2021-07-28 14:32:34'),
(13631, 3040, 20221, NULL, '2021-08-24 00:00:00.000', 'In Process', 'Email sent to: JENNIFER.PEREZ@cigna.com  Subject: Re: [External] Re: Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello Jennifer,   Hope you are doing well. I sent the emails which are mentioned on the letter of interest form but I couldn\'t get any reply from their side. Can you please check the status and advise?  Practice Details: Practice Name: Valley Med Urgent Care PLLC (All three locations) Practice Tax-ID# 81-5123542 Practice NPI# 1518404631 Primary Address: 2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Address:101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166   Tertiary Address: 800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Please get back to me as soon as you can get a chance. Waiting for your reply,  Thank you  ', NULL, NULL, '2021-08-17 09:37:02', '2021-08-17 09:37:02'),
(13632, 10057, 20221, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email Sent To : TXMAContracting@cigna.com  Sub : Group Enrollment || Valley Med Urgent Care PLLC || Group || Cigna Healthspring ||  Hello,  Hope you are doing well. I wanted to know the enrollment updated status for the below mentioned group in Cigna Healthspring for our group Valley Med Urgent Care PLLC under the below mentioned locations.  Group Name	Valley Med Urgent Care PLLC (All three locations) Tax ID	81-5123542 Group NPI	1518404631 Primary Location	2534 Boca Chica Blvd Brownsville , TX 78521-3496 Secondary Location	101 E. Expressway 83, Suite #170 McAllen , TX 78501-1166 Tertiary Location	800 E Alton Gloor Blvd Brownsville , TX 78526-4248  Looking forward to hearing from you.  Thanks & Regards,', NULL, NULL, '2021-10-14 11:06:52', '2021-10-14 11:06:52'),
(13633, 10057, 20221, NULL, '2021-11-18 00:00:00.000', 'Not Eligible', 'Left Practice.  Please see attachment:', NULL, NULL, '2021-11-11 17:51:04', '2021-11-11 17:51:04'),
(13634, 3046, 20222, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:07:43', '2021-03-12 14:07:43'),
(13635, 3040, 20222, NULL, '2021-06-15 00:00:00.000', 'In Process', 'Email sent to:  intake_pdm@cigna.com   Subject:Location Addition || George West Medical Clinic || Group || Cigna ||  Greetings,   Hope you are doing well. I wanted to add the below mentioned location in Humana in our group George West Medical Clinic.   Practice Name: George West Medical Clinic Practice NPI# 1427509264 Practice Tax ID# 81-1890349 Practice Address: 504A Houston Street George West , TX 78022-3663  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-06-08 17:13:16', '2021-06-08 17:13:16'),
(13636, 1006, 20222, NULL, '2021-06-16 00:00:00.000', 'In Process', 'Sent a f/u email @ PDM COGZ PDMCOGZ@cigna.com & intake_pdm@cigna.com:  Sub: Enrollment Query - CBUC/GWMC - Cigna  \"Hello,   I wanted to verify if the following group and providers were enrolled with Cigna under the mentioned addresses:   Group Name: Coastal Bend Urgent Care, LLC NPI# 1427509264TIN# 81-1890349  Primary Address: 301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Address: 504A Houston Street, George West, TX 78022-3663  Provider Name: Katherine Paterson NPI# 1164776548  Provider Name: Mercedita Flynn NPI# 1619166188  Provider Name: Jennifer Tudor NPI# 1720455835  Please get back to me as soon as you\'re able.  Thank you. \"', NULL, NULL, '2021-06-09 10:11:01', '2021-06-09 10:11:01'),
(13637, 1006, 20222, NULL, '2021-07-06 00:00:00.000', 'Approved', 'Coastal Bend Urgent Care:  Eff: 07/06/2017 Provider ID# 9355952  Ref# Ivan C 06/29/2021  Location confirmation is attached for reference. ', NULL, NULL, '2021-06-29 12:10:19', '2021-06-29 12:10:19'),
(13638, 3046, 20223, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:07:47', '2021-03-12 14:07:47'),
(13639, 1006, 20223, NULL, '2021-06-15 00:00:00.000', 'Not Eligible', 'The provider only works in CBUC main location, no need to enroll her in GWMC location as per our discussion with Ryan. ', NULL, NULL, '2021-06-08 16:57:15', '2021-06-08 16:57:15'),
(13640, 3046, 20224, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:08:50', '2021-03-12 14:08:50'),
(13641, 3040, 20224, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to: dhpcontracting@dchstx.org  Subject: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned providers in Driscoll  for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you    ', NULL, NULL, '2021-06-07 10:37:56', '2021-06-07 10:37:56'),
(13642, 1006, 20224, NULL, '2021-07-02 00:00:00.000', 'In Process', 'We received the following email from dhpcontracting@dchstx.org:  Sub: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  \"Good afternoon,  Please complete the attached documents for each provider and email them to dhpcontracting@dchstx.org.  We will also need a current PAA or Collaborative agreement for each of the mid-level practitioners.  Thank you Karla Claunch\"  Requested Ryan to send us copies of the PAA/Collaborative agreement to avoid any delays.   \"Hello Ryan,  We need updated copies of the following documents for the mentioned providers: Mercedita Flynn An updated copy of AANP CertificationFrank Dehnisch An updated copy of Malpractice Also, we would like copies of current PAA or Collaborative agreements for all the mid-level providers, please send these over as soon as you\'re able to. Thank you!\"', NULL, NULL, '2021-06-25 13:49:06', '2021-06-25 13:49:06'),
(13643, 1006, 20224, NULL, '2021-07-21 00:00:00.000', 'In Process', 'Still waiting on Ryan to send us PAA/Collab agreement for all providers to proceed with this request, sent another reminder via hangouts/google chat:  \"Hello Ryan,  I just wanted to ask if it would be possible for you to get us the following information: We need updated copies of the following documents for the mentioned providers:  Mercedita Flynn An updated copy of AANP Certification Frank Dehnisch An updated copy of Malpractice  Also, we would like copies of current PAA or Collaborative agreements for all the mid-level providers, please send these over as soon as you\'re able to.  Thank you!  Also, if you could send us the update CLIA of both CBUC & GWMC\"', NULL, NULL, '2021-07-14 16:27:49', '2021-07-14 16:27:49'),
(13644, 11056, 20224, NULL, '2021-08-26 00:00:00.000', 'In Process', 'Still waiting for the  Updated MALPRACTICE : Frank Dehnisch  Updated  AANP Certification : Mercedita Flynn  by Ryan.', NULL, NULL, '2021-08-18 15:04:14', '2021-08-18 15:04:14'),
(13645, 11056, 20224, NULL, '2021-09-01 00:00:00.000', 'In Process', 'Ryan hasn\'t responded to our emails and calls too.  Still waiting for the  Updated MALPRACTICE : Frank Dehnisch  Updated  AANP Certification : Mercedita Flynn  by Ryan.', NULL, NULL, '2021-08-25 08:21:41', '2021-08-25 08:21:41'),
(13646, 11056, 20224, NULL, '2021-09-24 00:00:00.000', 'In Process', 'Email sent to : Karla.Claunch@dchstx.org  Sub  : Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  Good evening Karla!  Hope this email finds you well. Here are the forms with attached documents in the Pdf too with W9s, which you requested for in the previous email for enrollment process. Please find the attachments.  Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Primary Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324 Secondary Address: 504A Houston Street George West , TX 78022-3663  Provider Details: Provider Name: Paterson, Katherine Provider NPI# 1164776548  Provider Name: Flynn, Mercedita  Provider NPI# 1619166188  Provider Name: Gonzalez, Monica Provider NPI# 1427509264  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you! Have a great day', NULL, NULL, '2021-09-17 12:22:14', '2021-09-17 12:22:14'),
(13647, 11056, 20224, NULL, '2021-10-05 00:00:00.000', 'In Process', 'Email received from : Karla.Claunch@dchstx.org  Sub : Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||   Good afternoon,  Thank you for these requests but, the disclosure statements were not attached for Monica Gonzalez NP and Katherine Paterson NP.  Please email these directly to me when completed.  They are all now in the credentialing process.  Please allow 60-90 days to complete.  Once complete, you will receive a welcome letter with their effective date.  Thank you  Karla Claunch   ', NULL, NULL, '2021-09-28 16:58:59', '2021-09-28 16:58:59'),
(13648, 11056, 20224, NULL, '2021-10-13 00:00:00.000', 'In Process', 'Email received from : Karla.Claunch@dchstx.org  Sub : Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  My apologies,  I am just noticing that this practice is currently not participating with us.  All providers requested are mid-level who will need a supervising physician.  The physician will also need to be a Driscoll Health Plan participating physician.  If their supervising physician is not already credentialed with us, we will also need to credential them.  We will also need the current PAA or Collaborative agreement between the NP’s and supervising physician.  They should have one on file within the practice.  We are withdrawing these providers  due to not currently having a supervising physician on file for this practice.  We can re-activate them once the remaining, required information is received and they have an established, participating, supervising physician.  We look forward to working with you and eager to hear from you again soon.  Please let me know if you need any further assistance.  Karla Claunch  ', NULL, NULL, '2021-10-06 16:31:20', '2021-10-06 16:31:20'),
(13649, 11056, 20224, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email sent to : Karla.Claunch@dchstx.org  Sub : Sub : Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  Hey Karla!  Hope you had a great weekend. You don\'t need to apologise. We do have a supervising physician for this practice and want to let him participate with Driscoll Health Plan. Please suggest to me the procedure to credential the supervising physician as soon as possible.  Supervising Physician Details: Name : Frank Dehnisch NPi # : 1952376345 CAQH I.D # : 10577534  Please do not hesitate to contact me directly, if you have any questions or concerns I am happy to help.  Thank you! Have a wonderful day!', NULL, NULL, '2021-10-14 15:43:55', '2021-10-14 15:43:55'),
(13650, 11056, 20224, NULL, '2021-10-29 00:00:00.000', 'In Process', 'Email received from: Karla.Claunch@dchstx.org  Sub : Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||   Good afternoon,  I wish the weekend was much longer but, here we are.  We will need the same documents for the supervising physician and he must carry them on his license.  Please send a Request for Contact as well as the DHP addendum and disclosure as below.', NULL, NULL, '2021-10-22 08:49:46', '2021-10-22 08:49:46'),
(13651, 11056, 20224, NULL, '2021-11-16 00:00:00.000', 'In Process', 'Email sent to: Karla.Claunch@dchstx.org  Sub : Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||   Good afternoon!  Hope this email finds you well. Please find the attached forms for the Supervising physician enrollment with Driscoll. Please accept my apology for the delay. If any corrections are required please let me know.  Supervising Physician Details: Name : Frank Dehnisch NPi # : 1952376345 CAQH I.D # : 10577534  Please do not hesitate to contact me directly, if you have any questions or concerns I am happy to help.  Thank you! Have a blessed day!', NULL, NULL, '2021-11-09 14:34:00', '2021-11-09 14:34:00'),
(13652, 11056, 20224, NULL, '2021-12-01 00:00:00.000', 'In Process', 'Email sent to:  Karla.Claunch@dchstx.org  Sub: Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||   Hello,  Thank you for this request.  Before I begin, the addendum needs to be completed with all information.  The disclosure is named and signed by Mercedita Flynn so, we will need his own, signed by him please.  This provider will not be processed until this information is received.  Your prompt attention will avoid delays and withdrawal.  I look forward to hearing from you soon.  Thank you  Karla Claunch   Provided them with their requirement.', NULL, NULL, '2021-11-24 10:03:37', '2021-11-24 10:03:37'),
(13653, 11056, 20224, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email sent to:  Karla.Claunch@dchstx.org  Sub: Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  Good morning!  Hope this email finds you well. Here you go. Please find the corrected one in the attachment.  If anything else is needed feel free to reach out to me.  Take Care!  Thank you!', NULL, NULL, '2021-12-06 16:40:24', '2021-12-06 16:40:24'),
(13654, 11056, 20224, NULL, '2021-12-24 00:00:00.000', 'In Process', 'Email received from:  Karla.Claunch@dchstx.org  Sub:  Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  Good afternoon,  You only sent one disclosure, it was for Mercedita which I already have.   I am needing one for both of these providers please-Monica Gonzalez NP and Katherine Paterson NP  They are now in process.  Please allow 60-90 days to complete the process.  I am looking forward to hearing back from you soon with these disclosures and all of their PAA/Collaborative Agreements  Thank you', NULL, NULL, '2021-12-17 14:48:04', '2021-12-17 14:48:04'),
(13655, 11056, 20224, NULL, '2021-12-29 00:00:00.000', 'In Process', '	 Email sent to: Karla.Claunch@dchstx.org  Sub: Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||   Good afternoon!  Hope you are having a blessed day. Please find the attached disclosure for Monica Gonzalez and Katherine Paterson. We will provide you with their PAA/Collaborative Agreements near in the future.  Please do not hesitate to contact me directly, if you have any questions or concerns I am happy to help.  Take Care!  Thank you! Have a wonderful day!', NULL, NULL, '2021-12-22 11:11:47', '2021-12-22 11:11:47'),
(13656, 19067, 20224, NULL, '2022-01-06 00:00:00.000', 'In Process', 'Email sent to: Karla.Claunch@dchstx.org  Subject: Re: FW: FW: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||   Good afternoon!  Hope this email finds you well. Kindly do provide me with the recent accomplishments of the credentialing process of the below-mentioned providers under facility TIN.  Group Name	Coastal Bend Urgent Care, LLC Tax ID	81-1890349 Group NPI	1427509264 Primary Location	301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Location	504A Houston Street, George West, TX 78022-3663 Provider Name	NPI Katherine Paterson	1164776548 Mercedita Flynn	1619166188 Monica Gonzalez	1871132811   Please get back to me soon with the updates and if credentialing is completed do provide me with effective dates and welcome letters.  Thank you! Have a wonderful weekend!', NULL, NULL, '2021-12-30 11:01:26', '2021-12-30 11:01:26'),
(13657, 19067, 20224, NULL, '2022-01-17 00:00:00.000', 'In Process', 'Email sent to: Karla.Claunch@dchstx.org  Subject: Re: FW: FW: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  Greetings!  Any updates on the previously mentioned request.  Thanks, Hammad Ahmed.', NULL, NULL, '2022-01-09 22:22:46', '2022-01-09 22:22:46'),
(13658, 19067, 20224, NULL, '2022-01-17 00:00:00.000', 'In Process', 'Email received from: Karla.Claunch@dchstx.org  Subject: Re: FW: FW: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||    Good morning,  I sent the welcome packet and contract 12/28/2021 to the credentialing contact email we have on file.  I have attached everything to this email for you.    ', NULL, NULL, '2022-01-10 09:25:00', '2022-01-10 09:25:00');
INSERT INTO `cm_credentialing_task_logs` (`id`, `user_id`, `credentialing_task_id`, `last_follow_up`, `next_follow_up`, `status`, `details`, `image`, `pdf`, `created_at`, `updated_at`) VALUES
(13659, 19067, 20224, NULL, '2022-02-01 00:00:00.000', 'In Process', 'Email received from: Diana.Flores@dchstx.org  Subject: CREDENTIALING- Mercedita N. Flynn FNP    Mercedita N. Flynn, FNP  NPI # 1619166188  Coastal Bend Urgent Care LLC  Tax ID # 81-1890349     Good morning Ahmed     In order to initiate the credentialing process for Mercedita with Driscoll Health Plan, please provide the following information to avoid delay in credentialing the provider.     ·         Attestation pages with current signature and date-Attached  ·         Addendum--Attached please fill in % of time supervised  ·         Copy of PAA/ Collaborating Agreement-attached or if you already have your own and it provides the information requested on our form you can send it in.  ·         Copy of current DEA-License- in CAQH its expired  Copy of current CLIA-per addendum* you have a CLIA in the office please provide a copy of certificate Texas Standardized Credentialing Application is missing required information in order to complete your application. See highlighted pages attached, review in its entirety for accuracy and fill in information. You can fill in attached pages or go online to CAQH. Once completed I can retrieve pages online. TSCA-page-5-call coverage normally  listed is the Supervising physician TSCA-page-6- Check Payable To-normally list the corporation name as it appears on W-9    I have attached forms needed, please provide the above required documents to process the application.     If you have any questions please contact me via email or by phone.     Thank you in advance for your cooperation.     Sincerely     Diana R. Flores  Credentialing Specialist  4525 Ayers St  Corpus Christi, TX 78415-1401  Office:  (361) 694-5563  Fax: (361) 808-2182  Email: diana.flores@dchstx.org  Website: www.driscollhealthplan.com', NULL, NULL, '2022-01-25 10:18:57', '2022-01-25 10:18:57'),
(13660, 19067, 20224, NULL, '2022-03-17 00:00:00.000', 'In Process', 'Email sent to: Diana.Flores@dchstx.org  Subject: CREDENTIALING- Mercedita N. Flynn FNP   Hi Diana!  Sorry for the late reply. Kindly see the attachments as per your request.  Thanks, Hammad Ahmed', NULL, NULL, '2022-03-10 13:39:45', '2022-03-10 13:39:45'),
(13661, 19067, 20224, NULL, '2022-04-08 00:00:00.000', 'In Process', 'Email sent to: diana.flores@dchstx.org  Subject: Re: CREDENTIALING- Mercedita N. Flynn FNP   Hi Diana,  Any updates on the enrollment process of the provider? Kindly update timely.  Thanks,', NULL, NULL, '2022-04-01 15:40:59', '2022-04-01 15:40:59'),
(13662, 3046, 20225, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:08:52', '2021-03-12 14:08:52'),
(13663, 3040, 20225, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to: dhpcontracting@dchstx.org  Subject: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned providers in Driscoll  for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you    ', NULL, NULL, '2021-06-07 10:37:59', '2021-06-07 10:37:59'),
(13664, 1006, 20225, NULL, '2021-07-02 00:00:00.000', 'In Process', 'We received the following email from dhpcontracting@dchstx.org:  Sub: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  \"Good afternoon,  Please complete the attached documents for each provider and email them to dhpcontracting@dchstx.org.  We will also need a current PAA or Collaborative agreement for each of the mid-level practitioners.  Thank you Karla Claunch\"  Requested Ryan to send us copies of the PAA/Collaborative agreement to avoid any delays.   \"Hello Ryan,  We need updated copies of the following documents for the mentioned providers: Mercedita Flynn An updated copy of AANP CertificationFrank Dehnisch An updated copy of Malpractice Also, we would like copies of current PAA or Collaborative agreements for all the mid-level providers, please send these over as soon as you\'re able to. Thank you!\"', NULL, NULL, '2021-06-25 13:49:02', '2021-06-25 13:49:02'),
(13665, 1006, 20225, NULL, '2021-07-21 00:00:00.000', 'In Process', 'Still waiting on Ryan to send us PAA/Collab agreement for all providers to proceed with this request, sent another reminder via hangouts/google chat:  \"Hello Ryan,  I just wanted to ask if it would be possible for you to get us the following information: We need updated copies of the following documents for the mentioned providers:  Mercedita Flynn An updated copy of AANP Certification Frank Dehnisch An updated copy of Malpractice  Also, we would like copies of current PAA or Collaborative agreements for all the mid-level providers, please send these over as soon as you\'re able to.  Thank you!  Also, if you could send us the update CLIA of both CBUC & GWMC\"', NULL, NULL, '2021-07-14 16:27:45', '2021-07-14 16:27:45'),
(13666, 11056, 20225, NULL, '2021-08-26 00:00:00.000', 'In Process', 'Still waiting for the  Updated MALPRACTICE : Frank Dehnisch  Updated  AANP Certification : Mercedita Flynn  by Ryan.', NULL, NULL, '2021-08-18 15:04:07', '2021-08-18 15:04:07'),
(13667, 11056, 20225, NULL, '2021-09-01 00:00:00.000', 'In Process', 'Ryan hasn\'t responded to our emails and calls too.  Still waiting for the  Updated MALPRACTICE : Frank Dehnisch  Updated  AANP Certification : Mercedita Flynn  by Ryan.', NULL, NULL, '2021-08-25 08:21:35', '2021-08-25 08:21:35'),
(13668, 11056, 20225, NULL, '2021-09-24 00:00:00.000', 'In Process', 'Email sent to : Karla.Claunch@dchstx.org  Sub  : Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  Good evening Karla!  Hope this email finds you well. Here are the forms with attached documents in the Pdf too with W9s, which you requested for in the previous email for enrollment process. Please find the attachments.  Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Primary Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324 Secondary Address: 504A Houston Street George West , TX 78022-3663  Provider Details: Provider Name: Paterson, Katherine Provider NPI# 1164776548  Provider Name: Flynn, Mercedita  Provider NPI# 1619166188  Provider Name: Gonzalez, Monica Provider NPI# 1427509264  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you! Have a great day', NULL, NULL, '2021-09-17 12:21:41', '2021-09-17 12:21:41'),
(13669, 11056, 20225, NULL, '2021-10-05 00:00:00.000', 'In Process', 'Email received from : Karla.Claunch@dchstx.org  Sub : Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||   Good afternoon,  Thank you for these requests but, the disclosure statements were not attached for Monica Gonzalez NP and Katherine Paterson NP.  Please email these directly to me when completed.  They are all now in the credentialing process.  Please allow 60-90 days to complete.  Once complete, you will receive a welcome letter with their effective date.  Thank you  Karla Claunch   ', NULL, NULL, '2021-09-28 16:58:52', '2021-09-28 16:58:52'),
(13670, 11056, 20225, NULL, '2021-10-13 00:00:00.000', 'In Process', 'Email received from : Karla.Claunch@dchstx.org  Sub : Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  My apologies,  I am just noticing that this practice is currently not participating with us.  All providers requested are mid-level who will need a supervising physician.  The physician will also need to be a Driscoll Health Plan participating physician.  If their supervising physician is not already credentialed with us, we will also need to credential them.  We will also need the current PAA or Collaborative agreement between the NP’s and supervising physician.  They should have one on file within the practice.  We are withdrawing these providers  due to not currently having a supervising physician on file for this practice.  We can re-activate them once the remaining, required information is received and they have an established, participating, supervising physician.  We look forward to working with you and eager to hear from you again soon.  Please let me know if you need any further assistance.  Karla Claunch  ', NULL, NULL, '2021-10-06 16:31:14', '2021-10-06 16:31:14'),
(13671, 11056, 20225, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email sent to : Karla.Claunch@dchstx.org  Sub : Sub : Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  Hey Karla!  Hope you had a great weekend. You don\'t need to apologise. We do have a supervising physician for this practice and want to let him participate with Driscoll Health Plan. Please suggest to me the procedure to credential the supervising physician as soon as possible.  Supervising Physician Details: Name : Frank Dehnisch NPi # : 1952376345 CAQH I.D # : 10577534  Please do not hesitate to contact me directly, if you have any questions or concerns I am happy to help.  Thank you! Have a wonderful day!', NULL, NULL, '2021-10-14 15:43:49', '2021-10-14 15:43:49'),
(13672, 11056, 20225, NULL, '2021-10-29 00:00:00.000', 'In Process', 'Email received from: Karla.Claunch@dchstx.org  Sub : Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||   Good afternoon,  I wish the weekend was much longer but, here we are.  We will need the same documents for the supervising physician and he must carry them on his license.  Please send a Request for Contact as well as the DHP addendum and disclosure as below.', NULL, NULL, '2021-10-22 08:49:41', '2021-10-22 08:49:41'),
(13673, 11056, 20225, NULL, '2021-11-16 00:00:00.000', 'In Process', 'Email sent to: Karla.Claunch@dchstx.org  Sub : Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||   Good afternoon!  Hope this email finds you well. Please find the attached forms for the Supervising physician enrollment with Driscoll. Please accept my apology for the delay. If any corrections are required please let me know.  Supervising Physician Details: Name : Frank Dehnisch NPi # : 1952376345 CAQH I.D # : 10577534  Please do not hesitate to contact me directly, if you have any questions or concerns I am happy to help.  Thank you! Have a blessed day!', NULL, NULL, '2021-11-09 14:33:49', '2021-11-09 14:33:49'),
(13674, 11056, 20225, NULL, '2021-12-01 00:00:00.000', 'In Process', 'Email sent to:  Karla.Claunch@dchstx.org  Sub: Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||   Hello,  Thank you for this request.  Before I begin, the addendum needs to be completed with all information.  The disclosure is named and signed by Mercedita Flynn so, we will need his own, signed by him please.  This provider will not be processed until this information is received.  Your prompt attention will avoid delays and withdrawal.  I look forward to hearing from you soon.  Thank you  Karla Claunch   Provided them with their requirement.', NULL, NULL, '2021-11-24 10:03:30', '2021-11-24 10:03:30'),
(13675, 11056, 20225, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email sent to:  Karla.Claunch@dchstx.org  Sub: Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  Good morning!  Hope this email finds you well. Here you go. Please find the corrected one in the attachment.  If anything else is needed feel free to reach out to me.  Take Care!  Thank you!', NULL, NULL, '2021-12-06 16:40:19', '2021-12-06 16:40:19'),
(13676, 11056, 20225, NULL, '2021-12-24 00:00:00.000', 'In Process', 'Email received from:  Karla.Claunch@dchstx.org  Sub:  Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  Good afternoon,  You only sent one disclosure, it was for Mercedita which I already have.   I am needing one for both of these providers please-Monica Gonzalez NP and Katherine Paterson NP  They are now in process.  Please allow 60-90 days to complete the process.  I am looking forward to hearing back from you soon with these disclosures and all of their PAA/Collaborative Agreements  Thank you', NULL, NULL, '2021-12-17 14:47:56', '2021-12-17 14:47:56'),
(13677, 11056, 20225, NULL, '2021-12-29 00:00:00.000', 'In Process', '	 Email sent to: Karla.Claunch@dchstx.org  Sub: Fwd: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||   Good afternoon!  Hope you are having a blessed day. Please find the attached disclosure for Monica Gonzalez and Katherine Paterson. We will provide you with their PAA/Collaborative Agreements near in the future.  Please do not hesitate to contact me directly, if you have any questions or concerns I am happy to help.  Take Care!  Thank you! Have a wonderful day!', NULL, NULL, '2021-12-22 11:11:42', '2021-12-22 11:11:42'),
(13678, 19067, 20225, NULL, '2022-01-06 00:00:00.000', 'In Process', 'Email sent to: Karla.Claunch@dchstx.org  Subject: Re: FW: FW: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||   Good afternoon!  Hope this email finds you well. Kindly do provide me with the recent accomplishments of the credentialing process of the below-mentioned providers under facility TIN.  Group Name	Coastal Bend Urgent Care, LLC Tax ID	81-1890349 Group NPI	1427509264 Primary Location	301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Location	504A Houston Street, George West, TX 78022-3663 Provider Name	NPI Katherine Paterson	1164776548 Mercedita Flynn	1619166188 Monica Gonzalez	1871132811   Please get back to me soon with the updates and if credentialing is completed do provide me with effective dates and welcome letters.  Thank you! Have a wonderful weekend!', NULL, NULL, '2021-12-30 11:01:20', '2021-12-30 11:01:20'),
(13679, 19067, 20225, NULL, '2022-01-17 00:00:00.000', 'In Process', 'Email sent to: Karla.Claunch@dchstx.org  Subject: Re: FW: FW: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  Greetings!  Any updates on the previously mentioned request.  Thanks, Hammad Ahmed.', NULL, NULL, '2022-01-09 22:22:41', '2022-01-09 22:22:41'),
(13680, 19067, 20225, NULL, '2022-01-17 00:00:00.000', 'In Process', 'Email received from: Karla.Claunch@dchstx.org  Subject: Re: FW: FW: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||    Good morning,  I sent the welcome packet and contract 12/28/2021 to the credentialing contact email we have on file.  I have attached everything to this email for you.    ', NULL, NULL, '2022-01-10 09:24:55', '2022-01-10 09:24:55'),
(13681, 19067, 20225, NULL, '2022-03-08 00:00:00.000', 'In Process', 'Email received from: Christine.Rodriguez@dchstx.org  Subject: Katherine D Paterson, NP    RE:             Katherine D Paterson, NP  NPI #:        1164776548  Tax ID#:     81-1890349     Good Morning,  I am currently working on the INITIAL application for Katherine D Paterson, NP for the Driscoll  Health Plan; and I need some additional  documentation completed.  (see attached)  ·         PAA Agreement  ·         Current Liability Insurance  ·         Page 5 of TSCA needs “Call Coverage” has to match the Supervising Physician  ·         Page 6 of TSCA needs “ Box Check Payable To” completed – Match W-9 form  ·         NP License  ·         Current W-9 form  Please forward all requested information to my attention via email within 5 business days.  Feel free to contact me if you have any questions.     **NOTE**  I have looked on the CAQH portal and the information has not been updated..     Thank you,  Christine S Rodriguez  Credentialing Specialist  4525 Ayers St  Corpus Christi, TX 78415-1401  Office:  (361) 694-4322  Fax: (361) 808-2182  Email: Christine.Rodriguez@dchstx.org  Website: www.driscollhealthplan.com', NULL, NULL, '2022-03-01 17:37:13', '2022-03-01 17:37:13'),
(13682, 19067, 20225, NULL, '2022-03-08 00:00:00.000', 'In Process', 'Email received from: Christine.Rodriguez@dchstx.org  Subject: Katherine D Paterson, NP    Hello,     I also need current ATTESTATIONS pages 11-12 with date/signature', NULL, NULL, '2022-03-01 17:38:01', '2022-03-01 17:38:01'),
(13683, 19067, 20225, NULL, '2022-03-08 00:00:00.000', 'In Process', 'Email sent to: christine.rodriguez@dchstx.org  Subject: Re: FW: Katherine D Paterson, NP   Hi Christine!  Kindly see the attached as per you requested.  Don\'t hesitate to reach me directly if you need any document or information.   Regards, Hammad Ahmed', NULL, NULL, '2022-03-01 17:39:18', '2022-03-01 17:39:18'),
(13684, 19067, 20225, NULL, '2022-03-17 00:00:00.000', 'In Process', 'Email received from: Christine.Rodriguez@dchstx.org  Subject: 2nd REQUEST - FW: Katherine D Paterson, NP    Good Morning.     I noticed you also handle the Credentialing for this provider also.  If you could please  get me the information listed on the email below ASAP.      These application are on a time limit, so if the information is NOT received by Tuesday  March 8, 2022; the application will be WITHDRAWN.         Thank you,  Christine S Rodriguez  Credentialing Specialist  4525 Ayers St  Corpus Christi, TX 78415-1401  Office:  (361) 694-4322  Fax: (361) 808-2182  Email: Christine.Rodriguez@dchstx.org  Website: www.driscollhealthplan.com', NULL, NULL, '2022-03-10 16:12:08', '2022-03-10 16:12:08'),
(13685, 19067, 20225, NULL, '2022-03-17 00:00:00.000', 'In Process', 'Email sent to: christine.rodriguez@dchstx.org  Subject: Re: 2nd REQUEST - FW: Katherine D Paterson, NP   Hi Christine,  Kindly see the attached as per requested  Thanks.', NULL, NULL, '2022-03-10 16:13:01', '2022-03-10 16:13:01'),
(13686, 3046, 20226, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:08:54', '2021-03-12 14:08:54'),
(13687, 3040, 20226, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to: dhpcontracting@dchstx.org  Subject: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned providers in Driscoll  for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you    ', NULL, NULL, '2021-06-07 10:38:04', '2021-06-07 10:38:04'),
(13688, 1006, 20226, NULL, '2021-07-02 00:00:00.000', 'In Process', 'We received the following email from dhpcontracting@dchstx.org:  Sub: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Driscoll ||  \"Good afternoon,  Please complete the attached documents for each provider and email them to dhpcontracting@dchstx.org.  We will also need a current PAA or Collaborative agreement for each of the mid-level practitioners.  Thank you Karla Claunch\"  Requested Ryan to send us copies of the PAA/Collaborative agreement to avoid any delays.   \"Hello Ryan,  We need updated copies of the following documents for the mentioned providers: Mercedita Flynn An updated copy of AANP CertificationFrank Dehnisch An updated copy of Malpractice Also, we would like copies of current PAA or Collaborative agreements for all the mid-level providers, please send these over as soon as you\'re able to. Thank you!\"', NULL, NULL, '2021-06-25 13:48:59', '2021-06-25 13:48:59'),
(13689, 1006, 20226, NULL, '2021-07-21 00:00:00.000', 'In Process', 'Still waiting on Ryan to send us PAA/Collab agreement for all providers to proceed with this request, sent another reminder via hangouts/google chat:  \"Hello Ryan,  I just wanted to ask if it would be possible for you to get us the following information: We need updated copies of the following documents for the mentioned providers:  Mercedita Flynn An updated copy of AANP Certification Frank Dehnisch An updated copy of Malpractice  Also, we would like copies of current PAA or Collaborative agreements for all the mid-level providers, please send these over as soon as you\'re able to.  Thank you!  Also, if you could send us the update CLIA of both CBUC & GWMC\"', NULL, NULL, '2021-07-14 16:27:42', '2021-07-14 16:27:42'),
(13690, 1006, 20226, NULL, '2021-08-02 00:00:00.000', 'Not Eligible', 'The provider is no longer a part of the group as per Ryan. ', NULL, NULL, '2021-07-26 08:59:14', '2021-07-26 08:59:14'),
(13691, 3046, 20227, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:09:58', '2021-03-12 14:09:58'),
(13692, 3040, 20227, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com  Subject: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Health Smart ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in Health Smart for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you  ', NULL, NULL, '2021-06-07 10:57:56', '2021-06-07 10:57:56'),
(13693, 1006, 20227, NULL, '2021-07-01 00:00:00.000', 'In Process', 'Sent f/u email @ Provider Relations - South pr.south@healthsmart.com:  Sub: Enrollment Status - CBUC/GWMC - Health Smart  \"Hello,  I wanted to get an update regarding the enrollment status for the following group and providers and if we need to enroll them then what is required to proceed, their information is as follows:  Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264  Practice Address: 301 S HILLSIDE DR STE 4, Beeville, TX 78102-5324 Secondary Practice Address: 504A Houston Street, George West, TX 78022-3663  Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  Provider Name: Katherine Paterson Provider NPI# 1164776548  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-06-24 16:01:00', '2021-06-24 16:01:00'),
(13694, 1006, 20227, NULL, '2021-07-20 00:00:00.000', 'In Process', 'We received the following update from Provider Relations - South pr.south@healthsmart.com:  Sub: Enrollment Status - CBUC/GWMC - Health Smart  \"Hi,  1. Our system has been updated as requested.  Providers Name Flynn, Mercedita N Tudor, Jennifer M  * The locations below have been added.  2. Below provider not found in the system please fill out the attached CAQH Access form and send W9 so that we can process your request.  *Katherine Paterson  All communication, including requested documents should be sent to pr.south@healthsmart.com. Please do not submit to MDIPR@healthsmart.com  (Inventory Log ID : 81433)  Thanks Healthsmart Provider Relations.\"  Sent reply:  \"Hello,   I appreciate the update, can you please let me know what the effective dates are for the following providers:  Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4, Beeville, TX 78102-5324 Secondary Practice Address: 504A Houston Street, George West, TX 78022-3663  Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  Thank you. \"', NULL, NULL, '2021-07-13 17:10:36', '2021-07-13 17:10:36'),
(13695, 11056, 20227, NULL, '2021-08-25 00:00:00.000', 'In Process', 'Email sent to : pr.south@healthsmart.com  Sub : Enrollment Status Updates - CBUC/GWMC - Health Smart  Good morning!  Hope all is well. Could you please provide me the effective dates and welcome or approval letter for the following providers and practice soon.  Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# : 81-1890349 Practice NPI# : 1427509264 Practice Address: 301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Address: 504A Houston Street, George West, TX 78022-3663  Provider Details: Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Katherine Paterson Provider NPI# 1164776548  If you need any documents or information regarding this feel free to contact me.  Thank you! Have a great day!', NULL, NULL, '2021-08-18 13:47:53', '2021-08-18 13:47:53'),
(13696, 11056, 20227, NULL, '2021-08-31 00:00:00.000', 'In Process', 'Email sent to : pr.south@healthsmart.com & mdiprsupport@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart   Good morning!  Hope all is well. Could you please provide me the effective dates and welcome or approval letter for the following providers and practice soon.  Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# : 81-1890349 Practice NPI# : 1427509264 Practice Address: 301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Address: 504A Houston Street, George West, TX 78022-3663  Provider Details: Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Katherine Paterson Provider NPI# 1164776548  Provider Name: Monica Gonzalez Provider NPI# 1871132811  If you need any documents or information regarding this feel free to contact me. Waiting to hear from you soon.  Thank you! Have a great day!', NULL, NULL, '2021-08-24 09:36:02', '2021-08-24 09:36:02'),
(13697, 11056, 20227, NULL, '2021-09-09 00:00:00.000', 'In Process', 'Email received from : mdiprsupport@healthsmart.com    Sub : Enrollment Status Updates - CBUC/GWMC - Health Smart  & Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Hi,  1. Our system has been updated as requested.  * The locations below have been added.  Provider \"FLYNN, MERCEDITA N\" effective date is \" 09/01/2017 \".  2. Below provider not found in the system please fill out the attached CAQH Access form and send W9 so that we can process your request.   * Katherine Paterson.  3. Provider \" Gonzalez, Monica Del Bosque NP \" is currently in the credentialing process.  All communication, including requested documents should be sent to pr.south@healthsmart.com. Please do not submit to MDIPR@healthsmart.com  (Inventory Log ID :85450)  Thanks Healthsmart Provider Relations.', NULL, NULL, '2021-09-01 14:55:34', '2021-09-01 14:55:34'),
(13698, 11056, 20227, NULL, '2021-09-21 00:00:00.000', 'In Process', 'Email received from : mdiprsupport@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Hi,  -Thank you for your submission. The application has been forwarded to credentialing. Please follow up in 30 days for a status Paterson, Katherine D NP  -Provider \" Gonzalez, Monica Del Bosque NP \" is currently in the credentialing process.  All communication, including requested documents should be sent to pr.south@healthSmart.com. Please do not submit to MDIPR@healthsmart.com  (Inventory Log ID : 81433)  Thanks HealthSmart Provider Relations.', NULL, NULL, '2021-09-14 12:37:49', '2021-09-14 12:37:49'),
(13699, 11056, 20227, NULL, '2021-10-04 00:00:00.000', 'In Process', 'Email received from : mdiprsupport@healthsmart.com  Sub : fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart   Hi,  01- Provider \" Monica D Gonzalez, NP \" is effective date \" 10/01/2021 \".  02- Provider \" Paterson, Katherine D NP \" is currently in the credentialing process.  All communication, including requested documents should be sent to pr.south@healthsmart.com. Please do not submit to MDIPR@healthsmart.com  (Inventory Log ID : 85450)  Thanks Healthsmart Provider Relations.', NULL, NULL, '2021-09-27 10:48:56', '2021-09-27 10:48:56'),
(13700, 11056, 20227, NULL, '2021-10-13 00:00:00.000', 'In Process', 'Email sent to : pr.south@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Good morning!  Hope you had a great and safe weekend. Please assist with the below at your earliest opportunity.  (Inventory Log ID : 85450)  01- Provider \" Monica D Gonzalez, NP \" is effective date \" 10/01/2021 \": Please provide us with the welcome letter for the provider  02- Provider \" Paterson, Katherine D NP \" : Provide the latest updates on the credentialing process of the provider.  If you need any documents or information or have any concerns please do not hesitate to contact me.   Thank you! Have a blessed day!', NULL, NULL, '2021-10-06 14:39:45', '2021-10-06 14:39:45'),
(13701, 11056, 20227, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email sent to : mdiprsupport@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart   Good morning!  Hope you had a great and safe weekend. Please assist with the below at your earliest opportunity.  (Inventory Log ID : 85450)  01- Provider \" Monica D Gonzalez, NP \" is effective date \" 10/01/2021 \": Please provide us with the welcome letter for the provider  02- Provider \" Paterson, Katherine D NP \" : Provide the latest updates on the credentialing process of the provider.  If you need any documents or information or have any concerns please do not hesitate to contact me.   Thank you! Have a blessed day!', NULL, NULL, '2021-10-14 14:49:52', '2021-10-14 14:49:52'),
(13702, 11056, 20227, NULL, '2021-10-29 00:00:00.000', 'In Process', 'Email received from : pr.south@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Welcome letters have not been completed for the providers effective 10/1. Please allow 2-3 weeks.    Diamond Lucero |Sr. Provider Relations  HealthSmart | Network Solutions 6303 Commerce Drive | Suite 180 | Irving, TX 75039 pr.south@healthsmart.com | www.HealthSmart.com ', NULL, NULL, '2021-10-22 09:07:20', '2021-10-22 09:07:20'),
(13703, 11056, 20227, NULL, '2021-11-16 00:00:00.000', 'In Process', 'Email received from : pr.south@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Welcome letters will be generated and go out this week.     Diamond Lucero |Sr. Provider Relations  HealthSmart | Network Solutions  222 W Las Colinas Blvd | Suite 500N | Irving, TX 75039', NULL, NULL, '2021-11-09 14:02:03', '2021-11-09 14:02:03'),
(13704, 11056, 20227, NULL, '2021-12-01 00:00:00.000', 'In Process', 'Email sent to:   pr.south@healthsmart.com  Sub:  Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Good afternoon!  Hope this email finds you well. Kindly, provide updates on the credentialing application of the provider, Katherine Paterson.  Please do not hesitate to contact me directly, if you have any questions or concerns I am happy to help  Thank you! Have a wonderful day!', NULL, NULL, '2021-11-24 10:32:48', '2021-11-24 10:32:48'),
(13705, 11056, 20227, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email received from: mdiprsupport@healthsmart.com  Sub: Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart   Hi,  Provider \" Paterson, Katherine D NP \" is currently in the credentialing process.  All communication, including requested documents, should be sent to pr.south@healthsmart.com. Please do not submit to MDIPR@healthsmart.com  Thanks Healthsmart Provider Relations.', NULL, NULL, '2021-12-06 15:47:26', '2021-12-06 15:47:26'),
(13706, 11056, 20227, NULL, '2021-12-24 00:00:00.000', 'In Process', 'Email sent to: mdiprsupport@healthsmart.com  Sub:  Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Good afternoon!  Hope all is well with you. I want to get the latest updates on the credentialing process of the provider, Katherine Paterson. ( NPI: 1164776548 )  If you require any information or documents or have any queries, I will be at your service.  Thank you! Have a great day!', NULL, NULL, '2021-12-17 15:56:37', '2021-12-17 15:56:37'),
(13707, 11056, 20227, NULL, '2021-12-29 00:00:00.000', 'In Process', 'Email received from : pr.south@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Welcome letters have not been completed for the providers effective 10/1. Please allow 2-3 weeks.    Diamond Lucero |Sr. Provider Relations  HealthSmart | Network Solutions 6303 Commerce Drive | Suite 180 | Irving, TX 75039 pr.south@healthsmart.com | www.HealthSmart.com ', NULL, NULL, '2021-12-22 11:00:14', '2021-12-22 11:00:14'),
(13708, 19067, 20227, NULL, '2022-01-06 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com, mdiprsupport@healthsmart.com  Subject: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||   Hello!  Hope you are doing well.  I would like to know the enrollment status of the following Groups.  Group Name	Beeville Medical Clinic Tax ID	81-1890349 Group NPI	1427509264 Primary Location	301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Location	504A Houston Street, Live Oak County, George West, TX 78022-3663   Thanks & Regards, Ahmed, Hammad.', NULL, NULL, '2021-12-30 13:44:52', '2021-12-30 13:44:52'),
(13709, 19067, 20227, NULL, '2022-01-10 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com, pr.south@healthsmart.com  Subject: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||   Hello!  Hope you are doing well.  I would like to know the enrollment status of the following Groups.  Group Name	Beeville Medical Clinic Tax ID	81-1890349 Group NPI	1427509264 Primary Location	301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Location	504A Houston Street, Live Oak County, George West, TX 78022-3663   Thanks & Regards, Ahmed, Hammad.', NULL, NULL, '2022-01-03 09:50:22', '2022-01-03 09:50:22'),
(13710, 19067, 20227, NULL, '2022-01-10 00:00:00.000', 'In Process', 'Email received from: mdiprsupport@healthsmart.com  Subject: Fw: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||    Hi,  Please send the list of providers affected by this update,  Provider Name Provider NPI #  All communication, including requested documents should be sent to pr.south@healthSmart.com. Please do not submit to MDIPR@healthsmart.com  Thanks HealthSmart Provider Relations.', NULL, NULL, '2022-01-03 09:53:37', '2022-01-03 09:53:37'),
(13711, 19067, 20227, NULL, '2022-01-10 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com  Subject: Re: Fw: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||   Good Morning!  I hope you enjoyed the holidays and having a great new year!  I would like to know the enrollment status of the following Group.  Group Name	Beeville Medical Clinic Tax ID	81-1890349 Group NPI	1427509264 Primary Location	301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Location	504A Houston Street, George West, TX 78022-3663  Provider Name	NPI Katherine Paterson	1164776548 Mercedita Flynn	1619166188 Monica Gonzalez	1871132811 Leticia Ann Aleman-Listenbee	1154999654 Frank Dehnsich	1952376345 Jennifer Tudor	1720455835    Thanks & Regards, Ahmed, Hammad.', NULL, NULL, '2022-01-03 10:01:19', '2022-01-03 10:01:19'),
(13712, 19067, 20227, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email received from: mdiprsupport@healthsmart.com  Subject: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||   Hi,  01- Please see the following Providers with effective dates.  Provider Name   Effective Date   Katherine D Paterson, NP   02/01/2022   Mercedita Nening Flynn, NP   09/01/2017   Monica D Gonzalez, NP   10/01/2021   Frank Raymond Dehnisch, Jr, MD   09/01/2017   Jennifer Marrie Tudor, NP   09/01/2017    02- Provider \" Aleman-Listenbee, Leticia A NP \" is currently in the credentialing process.  All communication, including requested documents should be sent to pr.south@healthsmart.com. Please do not submit to MDIPR@healthsmart.com  Thanks HealthSmart Provider Relations.', NULL, NULL, '2022-01-05 11:51:54', '2022-01-05 11:51:54'),
(13713, 19067, 20227, NULL, '2022-01-19 00:00:00.000', 'In Process', 'Email sent to: mdiprsupport@healthsmart.com, pr.south@healthsmart.com  Subject: Re: Fw: Fw: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||   Greetings!  Can you please send the welcome letters?   That would be very helpful.  Regards, Hammad Ahmed.', NULL, NULL, '2022-01-12 13:57:44', '2022-01-12 13:57:44'),
(13714, 19067, 20227, NULL, '2022-02-02 00:00:00.000', 'In Process', 'Email sent to: mdiprsupport@healthsmart.com, pr.south@healthsmart.com  Subject: Re: Fw: Fw: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||   Good Morning!  Hope this email finds you well. Can you please provide us with the welcome kit for the group, Coastal Bend Urgent Care & George West Medical Center.  Waiting for your response.  Regards, Hammad.', NULL, NULL, '2022-01-26 13:15:13', '2022-01-26 13:15:13'),
(13715, 20067, 20227, NULL, '2022-03-14 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com  Sub: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||   Good evening!  Hope you had a great weekend. Can you please help me out with the credentialing status of the listed provider under both locations?  Group Name	Beeville Medical Clinic Tax ID	81-1890349 Group NPI	1427509264 Provider Name	NPI	Location Leticia Aleman-Listenbee	1154999654	301 S HILLSIDE DR STE 4 BEEVILLE, TX 78102-5324 Leticia Aleman-Listenbee	1154999654	504A Houston Street Live Oak County, George West, TX 78022-3663   Thank you, Syed Ahad.', NULL, NULL, '2022-03-07 17:06:02', '2022-03-07 17:06:02'),
(13716, 22077, 20227, NULL, '2022-04-20 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com  Subject: 	Re: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||  Hi,  Any updates on the request mentioned previously?  Thanks. ', NULL, NULL, '2022-04-13 14:36:15', '2022-04-13 14:36:15'),
(13717, 3046, 20228, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:10:14', '2021-03-12 14:10:14'),
(13718, 3040, 20228, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com  Subject: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Health Smart ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in Health Smart for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you  ', NULL, NULL, '2021-06-07 10:58:01', '2021-06-07 10:58:01'),
(13719, 1006, 20228, NULL, '2021-07-01 00:00:00.000', 'In Process', 'Sent f/u email @ Provider Relations - South pr.south@healthsmart.com:  Sub: Enrollment Status - CBUC/GWMC - Health Smart  \"Hello,  I wanted to get an update regarding the enrollment status for the following group and providers and if we need to enroll them then what is required to proceed, their information is as follows:  Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264  Practice Address: 301 S HILLSIDE DR STE 4, Beeville, TX 78102-5324 Secondary Practice Address: 504A Houston Street, George West, TX 78022-3663  Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  Provider Name: Katherine Paterson Provider NPI# 1164776548  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-06-24 16:01:03', '2021-06-24 16:01:03'),
(13720, 1006, 20228, NULL, '2021-07-21 00:00:00.000', 'In Process', 'We received the following update from Provider Relations - South pr.south@healthsmart.com:  Sub: Enrollment Status - CBUC/GWMC - Health Smart  \"Hi,  1. Our system has been updated as requested.  Providers Name Flynn, Mercedita N Tudor, Jennifer M  * The locations below have been added.  2. Below provider not found in the system please fill out the attached CAQH Access form and send W9 so that we can process your request.  *Katherine Paterson  All communication, including requested documents should be sent to pr.south@healthsmart.com. Please do not submit to MDIPR@healthsmart.com  (Inventory Log ID : 81433)  Thanks Healthsmart Provider Relations.\"  Replied with:  \"Hello,   Please find the attached CAQH access form for Katherine Paterson, do let me know if anything else is required to proceed with this request.  Thank you. \"', NULL, NULL, '2021-07-14 10:19:48', '2021-07-14 10:19:48'),
(13721, 11056, 20228, NULL, '2021-08-25 00:00:00.000', 'In Process', 'Email sent to : pr.south@healthsmart.com  Sub : Enrollment Status Updates - CBUC/GWMC - Health Smart  Good morning!  Hope all is well. Could you please provide me the effective dates and welcome or approval letter for the following providers and practice soon.  Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# : 81-1890349 Practice NPI# : 1427509264 Practice Address: 301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Address: 504A Houston Street, George West, TX 78022-3663  Provider Details: Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Katherine Paterson Provider NPI# 1164776548  If you need any documents or information regarding this feel free to contact me.  Thank you! Have a great day!', NULL, NULL, '2021-08-18 13:47:25', '2021-08-18 13:47:25'),
(13722, 11056, 20228, NULL, '2021-08-31 00:00:00.000', 'In Process', 'Email sent to : pr.south@healthsmart.com & mdiprsupport@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart   Good morning!  Hope all is well. Could you please provide me the effective dates and welcome or approval letter for the following providers and practice soon.  Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# : 81-1890349 Practice NPI# : 1427509264 Practice Address: 301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Address: 504A Houston Street, George West, TX 78022-3663  Provider Details: Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Katherine Paterson Provider NPI# 1164776548  Provider Name: Monica Gonzalez Provider NPI# 1871132811  If you need any documents or information regarding this feel free to contact me. Waiting to hear from you soon.  Thank you! Have a great day!', NULL, NULL, '2021-08-24 09:35:57', '2021-08-24 09:35:57'),
(13723, 11056, 20228, NULL, '2021-09-09 00:00:00.000', 'In Process', 'Email received from : mdiprsupport@healthsmart.com    Sub : Enrollment Status Updates - CBUC/GWMC - Health Smart  & Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Hi,  1. Our system has been updated as requested.  * The locations below have been added.  Provider \"FLYNN, MERCEDITA N\" effective date is \" 09/01/2017 \".  2. Below provider not found in the system please fill out the attached CAQH Access form and send W9 so that we can process your request.   * Katherine Paterson.  3. Provider \" Gonzalez, Monica Del Bosque NP \" is currently in the credentialing process.  All communication, including requested documents should be sent to pr.south@healthsmart.com. Please do not submit to MDIPR@healthsmart.com  (Inventory Log ID :85450)  Thanks Healthsmart Provider Relations.', NULL, NULL, '2021-09-01 14:55:21', '2021-09-01 14:55:21'),
(13724, 11056, 20228, NULL, '2021-09-21 00:00:00.000', 'In Process', 'Email received from : mdiprsupport@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Hi,  -Thank you for your submission. The application has been forwarded to credentialing. Please follow up in 30 days for a status Paterson, Katherine D NP  -Provider \" Gonzalez, Monica Del Bosque NP \" is currently in the credentialing process.  All communication, including requested documents should be sent to pr.south@healthSmart.com. Please do not submit to MDIPR@healthsmart.com  (Inventory Log ID : 81433)  Thanks HealthSmart Provider Relations.', NULL, NULL, '2021-09-14 12:37:41', '2021-09-14 12:37:41'),
(13725, 11056, 20228, NULL, '2021-10-04 00:00:00.000', 'In Process', 'Email received from : mdiprsupport@healthsmart.com  Sub : fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart   Hi,  01- Provider \" Monica D Gonzalez, NP \" is effective date \" 10/01/2021 \".  02- Provider \" Paterson, Katherine D NP \" is currently in the credentialing process.  All communication, including requested documents should be sent to pr.south@healthsmart.com. Please do not submit to MDIPR@healthsmart.com  (Inventory Log ID : 85450)  Thanks Healthsmart Provider Relations.', NULL, NULL, '2021-09-27 10:48:50', '2021-09-27 10:48:50'),
(13726, 11056, 20228, NULL, '2021-10-13 00:00:00.000', 'In Process', 'Email sent to : pr.south@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Good morning!  Hope you had a great and safe weekend. Please assist with the below at your earliest opportunity.  (Inventory Log ID : 85450)  01- Provider \" Monica D Gonzalez, NP \" is effective date \" 10/01/2021 \": Please provide us with the welcome letter for the provider  02- Provider \" Paterson, Katherine D NP \" : Provide the latest updates on the credentialing process of the provider.  If you need any documents or information or have any concerns please do not hesitate to contact me.   Thank you! Have a blessed day!', NULL, NULL, '2021-10-06 14:39:40', '2021-10-06 14:39:40'),
(13727, 11056, 20228, NULL, '2021-10-21 00:00:00.000', 'In Process', 'Email sent to : mdiprsupport@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart   Good morning!  Hope you had a great and safe weekend. Please assist with the below at your earliest opportunity.  (Inventory Log ID : 85450)  01- Provider \" Monica D Gonzalez, NP \" is effective date \" 10/01/2021 \": Please provide us with the welcome letter for the provider  02- Provider \" Paterson, Katherine D NP \" : Provide the latest updates on the credentialing process of the provider.  If you need any documents or information or have any concerns please do not hesitate to contact me.   Thank you! Have a blessed day!', NULL, NULL, '2021-10-14 14:49:45', '2021-10-14 14:49:45'),
(13728, 11056, 20228, NULL, '2021-10-29 00:00:00.000', 'In Process', 'Email received from : pr.south@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Welcome letters have not been completed for the providers effective 10/1. Please allow 2-3 weeks.    Diamond Lucero |Sr. Provider Relations  HealthSmart | Network Solutions 6303 Commerce Drive | Suite 180 | Irving, TX 75039 pr.south@healthsmart.com | www.HealthSmart.com ', NULL, NULL, '2021-10-22 09:07:13', '2021-10-22 09:07:13'),
(13729, 11056, 20228, NULL, '2021-11-16 00:00:00.000', 'In Process', 'Email received from : pr.south@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Welcome letters will be generated and go out this week.     Diamond Lucero |Sr. Provider Relations  HealthSmart | Network Solutions  222 W Las Colinas Blvd | Suite 500N | Irving, TX 75039', NULL, NULL, '2021-11-09 14:01:57', '2021-11-09 14:01:57');
INSERT INTO `cm_credentialing_task_logs` (`id`, `user_id`, `credentialing_task_id`, `last_follow_up`, `next_follow_up`, `status`, `details`, `image`, `pdf`, `created_at`, `updated_at`) VALUES
(13730, 11056, 20228, NULL, '2021-12-01 00:00:00.000', 'In Process', 'Email sent to:   pr.south@healthsmart.com  Sub:  Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Good afternoon!  Hope this email finds you well. Kindly, provide updates on the credentialing application of the provider, Katherine Paterson.  Please do not hesitate to contact me directly, if you have any questions or concerns I am happy to help  Thank you! Have a wonderful day!', NULL, NULL, '2021-11-24 10:32:43', '2021-11-24 10:32:43'),
(13731, 11056, 20228, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email received from: mdiprsupport@healthsmart.com  Sub: Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart   Hi,  Provider \" Paterson, Katherine D NP \" is currently in the credentialing process.  All communication, including requested documents, should be sent to pr.south@healthsmart.com. Please do not submit to MDIPR@healthsmart.com  Thanks Healthsmart Provider Relations.', NULL, NULL, '2021-12-06 15:47:10', '2021-12-06 15:47:10'),
(13732, 11056, 20228, NULL, '2021-12-24 00:00:00.000', 'In Process', 'Email sent to: mdiprsupport@healthsmart.com  Sub:  Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Good afternoon!  Hope all is well with you. I want to get the latest updates on the credentialing process of the provider, Katherine Paterson. ( NPI: 1164776548 )  If you require any information or documents or have any queries, I will be at your service.  Thank you! Have a great day! ', NULL, NULL, '2021-12-17 15:56:22', '2021-12-17 15:56:22'),
(13733, 11056, 20228, NULL, '2021-12-29 00:00:00.000', 'In Process', 'Email sent to: mdiprsupport@healthsmart.com  Sub: Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart   Good afternoon!  Hope you are doing great. Any updates on the credentialing of the provider, Katherine Paterson? Kindly list both locations under the provider in your systems as well as in the directory.  Please let me know if I can provide further assistance.  Thank you!', NULL, NULL, '2021-12-22 10:59:45', '2021-12-22 10:59:45'),
(13734, 19067, 20228, NULL, '2022-01-06 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com  Subject: Enrollment Query || CBUC & GWMC || Katherine Paterson || Health Smart ||   Hello!  Hope you\'re doing well.  I would like to know the enrollment status of the following provider and if the provider is enrolled provide us with the Welcome pack. That would be very helpful for us.  Group Name	Beeville Medical Clinic Tax ID	81-1890349 Group NPI	1427509264 Provider Name	NPI	Location Katherine Paterson	1164776548	301 S HILLSIDE DR STE 4 BEEVILLE, TX 78102-5324 Katherine Paterson	1164776548	504A Houston Street Live Oak County, George West, TX 78022-3663   Thanks & Regards, Ahmed, Hammad.', NULL, NULL, '2021-12-30 13:36:18', '2021-12-30 13:36:18'),
(13735, 19067, 20228, NULL, '2022-01-10 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com, pr.south@healthsmart.com  Subject: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||   Hello!  Hope you are doing well.  I would like to know the enrollment status of the following Groups.  Group Name	Beeville Medical Clinic Tax ID	81-1890349 Group NPI	1427509264 Primary Location	301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Location	504A Houston Street, Live Oak County, George West, TX 78022-3663   Thanks & Regards, Ahmed, Hammad. ', NULL, NULL, '2022-01-03 09:48:26', '2022-01-03 09:48:26'),
(13736, 19067, 20228, NULL, '2022-01-10 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com, pr.south@healthsmart.com  Subject: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||   Hello!  Hope you are doing well.  I would like to know the enrollment status of the following Groups.  Group Name	Beeville Medical Clinic Tax ID	81-1890349 Group NPI	1427509264 Primary Location	301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Location	504A Houston Street, Live Oak County, George West, TX 78022-3663   Thanks & Regards, Ahmed, Hammad.', NULL, NULL, '2022-01-03 09:50:17', '2022-01-03 09:50:17'),
(13737, 19067, 20228, NULL, '2022-01-10 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com, pr.south@healthsmart.com  Subject: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||   Hello!  Hope you are doing well.  I would like to know the enrollment status of the following Groups.  Group Name	Beeville Medical Clinic Tax ID	81-1890349 Group NPI	1427509264 Primary Location	301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Location	504A Houston Street, Live Oak County, George West, TX 78022-3663   Thanks & Regards, Ahmed, Hammad.', NULL, NULL, '2022-01-03 09:51:13', '2022-01-03 09:51:13'),
(13738, 19067, 20228, NULL, '2022-01-10 00:00:00.000', 'In Process', 'Email received from: mdiprsupport@healthsmart.com  Subject: Fw: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||    Hi,  Please send the list of providers affected by this update,  Provider Name Provider NPI #  All communication, including requested documents should be sent to pr.south@healthSmart.com. Please do not submit to MDIPR@healthsmart.com  Thanks HealthSmart Provider Relations.', NULL, NULL, '2022-01-03 09:53:06', '2022-01-03 09:53:06'),
(13739, 19067, 20228, NULL, '2022-01-10 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com  Subject: Re: Fw: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||   Good Morning!  I hope you enjoyed the holidays and having a great new year!  I would like to know the enrollment status of the following Group.  Group Name	Beeville Medical Clinic Tax ID	81-1890349 Group NPI	1427509264 Primary Location	301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Location	504A Houston Street, George West, TX 78022-3663  Provider Name	NPI Katherine Paterson	1164776548 Mercedita Flynn	1619166188 Monica Gonzalez	1871132811 Leticia Ann Aleman-Listenbee	1154999654 Frank Dehnsich	1952376345 Jennifer Tudor	1720455835    Thanks & Regards, Ahmed, Hammad.', NULL, NULL, '2022-01-03 10:01:13', '2022-01-03 10:01:13'),
(13740, 19067, 20228, NULL, '2022-01-12 00:00:00.000', 'In Process', 'Email received from: mdiprsupport@healthsmart.com  Subject: Enrollment Query || CBUC & GWMC || Groups || Health Smart ||   Hi,  01- Please see the following Providers with effective dates.  Provider Name   Effective Date   Katherine D Paterson, NP   02/01/2022   Mercedita Nening Flynn, NP   09/01/2017   Monica D Gonzalez, NP   10/01/2021   Frank Raymond Dehnisch, Jr, MD   09/01/2017   Jennifer Marrie Tudor, NP   09/01/2017    02- Provider \" Aleman-Listenbee, Leticia A NP \" is currently in the credentialing process.  All communication, including requested documents should be sent to pr.south@healthsmart.com. Please do not submit to MDIPR@healthsmart.com  Thanks HealthSmart Provider Relations.', NULL, NULL, '2022-01-05 11:51:59', '2022-01-05 11:51:59'),
(13741, 19067, 20228, NULL, '2022-01-19 00:00:00.000', 'In Process', 'Email sent to: mdiprsupport@healthsmart.com, pr.south@healthsmart.com  Subject: Re: Enrollment Query || CBUC & GWMC || Leticia Aleman-Listenbee || Health Smart ||  Greetings!  Any updates on mentioned request?  Regards, Hammad Ahmed.', NULL, NULL, '2022-01-12 14:02:48', '2022-01-12 14:02:48'),
(13742, 19067, 20228, NULL, '2022-02-02 00:00:00.000', 'Approved', 'See attachment of Provider\'s Directory as a reference.', NULL, NULL, '2022-01-26 11:27:03', '2022-01-26 11:27:03'),
(13743, 3046, 20229, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:10:33', '2021-03-12 14:10:33'),
(13744, 3040, 20229, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com  Subject: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || Health Smart ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in Health Smart for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you  ', NULL, NULL, '2021-06-07 10:58:05', '2021-06-07 10:58:05'),
(13745, 1006, 20229, NULL, '2021-07-01 00:00:00.000', 'In Process', 'Sent f/u email @ Provider Relations - South pr.south@healthsmart.com:  Sub: Enrollment Status - CBUC/GWMC - Health Smart  \"Hello,  I wanted to get an update regarding the enrollment status for the following group and providers and if we need to enroll them then what is required to proceed, their information is as follows:  Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264  Practice Address: 301 S HILLSIDE DR STE 4, Beeville, TX 78102-5324 Secondary Practice Address: 504A Houston Street, George West, TX 78022-3663  Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  Provider Name: Katherine Paterson Provider NPI# 1164776548  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-06-24 16:01:05', '2021-06-24 16:01:05'),
(13746, 1006, 20229, NULL, '2021-07-20 00:00:00.000', 'In Process', 'We received the following update from Provider Relations - South pr.south@healthsmart.com:  Sub: Enrollment Status - CBUC/GWMC - Health Smart  \"Hi,  1. Our system has been updated as requested.  Providers Name Flynn, Mercedita N Tudor, Jennifer M  * The locations below have been added.  2. Below provider not found in the system please fill out the attached CAQH Access form and send W9 so that we can process your request.  *Katherine Paterson  All communication, including requested documents should be sent to pr.south@healthsmart.com. Please do not submit to MDIPR@healthsmart.com  (Inventory Log ID : 81433)  Thanks Healthsmart Provider Relations.\"  Sent reply:  \"Hello,   I appreciate the update, can you please let me know what the effective dates are for the following providers:  Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4, Beeville, TX 78102-5324 Secondary Practice Address: 504A Houston Street, George West, TX 78022-3663  Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  Thank you. \"', NULL, NULL, '2021-07-13 17:10:31', '2021-07-13 17:10:31'),
(13747, 11056, 20229, NULL, '2021-08-25 00:00:00.000', 'In Process', 'Email sent to : pr.south@healthsmart.com  Sub : Enrollment Status Updates - CBUC/GWMC - Health Smart  Good morning!  Hope all is well. Could you please provide me the effective dates and welcome or approval letter for the following providers and practice soon.  Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# : 81-1890349 Practice NPI# : 1427509264 Practice Address: 301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Address: 504A Houston Street, George West, TX 78022-3663  Provider Details: Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Katherine Paterson Provider NPI# 1164776548  If you need any documents or information regarding this feel free to contact me.  Thank you! Have a great day!', NULL, NULL, '2021-08-18 13:43:12', '2021-08-18 13:43:12'),
(13748, 11056, 20229, NULL, '2021-08-31 00:00:00.000', 'In Process', 'Email sent to : pr.south@healthsmart.com & mdiprsupport@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart   Good morning!  Hope all is well. Could you please provide me the effective dates and welcome or approval letter for the following providers and practice soon.  Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# : 81-1890349 Practice NPI# : 1427509264 Practice Address: 301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Address: 504A Houston Street, George West, TX 78022-3663  Provider Details: Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Katherine Paterson Provider NPI# 1164776548  Provider Name: Monica Gonzalez Provider NPI# 1871132811  If you need any documents or information regarding this feel free to contact me. Waiting to hear from you soon.  Thank you! Have a great day!', NULL, NULL, '2021-08-24 09:35:37', '2021-08-24 09:35:37'),
(13749, 11056, 20229, NULL, '2021-09-09 00:00:00.000', 'In Process', 'Email received from : mdiprsupport@healthsmart.com   Sub : Enrollment Status Updates - CBUC/GWMC - Health Smart  & Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Hi,  1. Our system has been updated as requested.  * The locations below have been added.  Provider \"FLYNN, MERCEDITA N\" effective date is \" 09/01/2017 \".  2. Below provider not found in the system please fill out the attached CAQH Access form and send W9 so that we can process your request.   * Katherine Paterson.  3. Provider \" Gonzalez, Monica Del Bosque NP \" is currently in the credentialing process.  All communication, including requested documents should be sent to pr.south@healthsmart.com. Please do not submit to MDIPR@healthsmart.com  (Inventory Log ID :85450)  Thanks Healthsmart Provider Relations.', NULL, NULL, '2021-09-01 14:55:12', '2021-09-01 14:55:12'),
(13750, 11056, 20229, NULL, '2021-09-21 00:00:00.000', 'Approved', 'Email received from : mdiprsupport@healthsmart.com  Sub : Fwd: Fw: Enrollment Status - CBUC/GWMC - Health Smart  Hi,  1. Our system has been updated as requested.  * The locations below have been added.  Provider \"FLYNN, MERCEDITA N\" effective date is \" 09/01/2017 \".   Please see the attachment.', NULL, NULL, '2021-09-14 12:25:51', '2021-09-14 12:25:51'),
(13751, 3046, 20230, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:12:35', '2021-03-12 14:12:35'),
(13752, 3040, 20230, NULL, '2021-06-15 00:00:00.000', 'In Process', 'Email sent to: humanahoustonpd@humana.com  Subject: Location Addition || George West Medical Clinic || Group || Humana ||  Greetings,  Hope you are doing well. I wanted to add the below mentioned location in Humana in our group George West Medical Clinic.   Practice Name: George West Medical Clinic Practice NPI# 1427509264 Practice Tax ID# 81-1890349 Practice Address: 504A Houston Street George West , TX 78022-3663  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-06-08 17:12:00', '2021-06-08 17:12:00'),
(13753, 1006, 20230, NULL, '2021-06-16 00:00:00.000', 'In Process', 'Sent f/u email @ HumanaHoustonPD humanahoustonpd@humana.com> & S TX Network Mgmt stxnm@humana.com>:  Sub: Enrollment Query - CBUC/GWMC - Humana  \"Hello,   I wanted to verify if the following group and providers were enrolled under the mentioned addresses with Humana:   Group Name: Coastal Bend Urgent Care, LLC NPI# 1427509264 TIN# 81-1890349  Primary Address: 301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Address: 504A Houston Street, George West, TX 78022-3663  Provider Name: Katherine Paterson NPI# 1164776548  Provider Name: Mercedita Flynn NPI# 1619166188  Provider Name: Jennifer Tudor NPI# 1720455835  Please get back to me as soon as you\'re able.  Thank you.\"', NULL, NULL, '2021-06-09 10:59:17', '2021-06-09 10:59:17'),
(13754, 1006, 20230, NULL, '2021-07-06 00:00:00.000', 'In Process', 'We received the following response from S TX Network Mgmt stxnm@humana.com:  \"Hello Brad,   The provider is not active  on the group contract. I’m unable to locate the original request to add the provider.  Please forward the original email and all documents to further research and/or fill out the attached provider add template.  Thank you Network Operations Coordinator /Provider Contracting South Texas Network Management Humana 8119 Datapoint  Dr. 6th floor / San Antonio, TX 78229 T 800-626-2741 F 855.461.6048 stxnm@humana.com  Learn more about our Bold Goal #MoreHealthyDays #startwithhealthy\"  Sent f/u email @ S TX Network Mgmt stxnm@humana.com:  Sub; APEX Standard Market Roster Template || CBUC & GWMC ||  \"Hello,   I hope you\'re doing well, can you please get back to me on the status of this request?  Thank you. \"', NULL, NULL, '2021-06-29 17:10:21', '2021-06-29 17:10:21'),
(13755, 1006, 20230, NULL, '2021-08-16 00:00:00.000', 'In Process', 'Sent f/u email @ S TX Network Mgmt stxnm@humana.com:  Sub: Enrollment & Location Status - CBUC/GWMC   \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment & location status for the following group and providers:  Group Name: Coastal Bend Urgent Care, LLC NPI# 1427509264 TIN# 81-1890349  Primary Address: 301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Address: 504A Houston Street, George West, TX 78022-3663  Provider Name: Mercedita Flynn NPI# 1619166188 License Number: AP118292  Provider Name: Monica Gonzalez NPI# 1871132811 License Number: AP144421  Are both of the addresses listed under both the group and mentioned providers?  Thank you!\"', NULL, NULL, '2021-08-09 12:03:34', '2021-08-09 12:03:34'),
(13756, 11056, 20230, NULL, '2021-08-26 00:00:00.000', 'In Process', 'Sent f/u email @ S TX Network Mgmt stxnm@humana.com:  Sub: Enrollment & Location Status - CBUC/GWMC   \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment & location status for the following group and providers:  Group Name: Coastal Bend Urgent Care, LLC NPI# 1427509264 TIN# 81-1890349  Primary Address: 301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Secondary Address: 504A Houston Street, George West, TX 78022-3663  Provider Name: Mercedita Flynn NPI# 1619166188 License Number: AP118292  Provider Name: Monica Gonzalez NPI# 1871132811 License Number: AP144421  Are both of the addresses listed under both the group and mentioned providers?  Thank you!\"', NULL, NULL, '2021-08-18 15:29:27', '2021-08-18 15:29:27'),
(13757, 11056, 20230, NULL, '2021-09-01 00:00:00.000', 'In Process', 'Email sent to : stxnm@humana.com, mduffee@humana.com  Sub : Enrollment & Location Status - CBUC/GWMC  Good morning!  Hope this email finds you well. I want to inquire about the enrollment & location status of the following providers and practice. Are both of the addresses listed under both the group and mentioned providers?  Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice NPI# 1427509264 Practice TIN# 81-1890349 Practice Primary Address: 301 S HILLSIDE DR STE 4, BEEVILLE, TX 78102-5324 Practice Secondary Address: 504A Houston Street, George West, TX 78022-3663  Provider Details: Provider Name: Mercedita Flynn Provider NPI#: 1619166188  Provider Name: Monica Gonzalez Provider NPI#: 1871132811  If you require any further information or documents please let me know. Waiting to hear from you soon.  Thank you! Have a great day!', NULL, NULL, '2021-08-25 08:36:51', '2021-08-25 08:36:51'),
(13758, 11056, 20230, NULL, '2021-09-29 00:00:00.000', 'In Process', 'Rep : Dean L  Ref code : 2000201690399  -Monica out  of network. Roster has been resubmitted at mlacastesantos@humana.com & Hmaleon@humana.com  -Mercedita in network. secondary location is on file and in process for loading  Contact no. : 8006262741', NULL, NULL, '2021-09-22 13:21:37', '2021-09-22 13:21:37'),
(13759, 11056, 20230, NULL, '2021-10-08 00:00:00.000', 'In Process', 'Email sent to : mlacastesantos@humana.com. & 	Hmaleon@humana.com  Sub : MONICA GONZALEZ & test email  Hey Lance!  Hope this email finds you well. You haven\'t responded to my query yet. Please assist with the below at your earliest opportunity.  Group Name	Coastal Bend Urgent Care, LLC Tax ID	81-1890349 Group NPI	1427509264 Primary Location	301 S HILLSIDE DR STE 4, BEEVILLE , TX 78102-5324 Secondary Location	504A Houston Street, George West , TX 78022-3663 Provider Name	NPI & Enrollment Status Monica Gonzalez	1871132811 : with both locations  Mercedita Flynn	1619166188 :  the secondary location listed or not?   If you have any questions or require additional information or documents please let me know.   Thank you! Have a great weekend!', NULL, NULL, '2021-10-01 17:11:55', '2021-10-01 17:11:55'),
(13760, 11056, 20230, NULL, '2021-10-14 00:00:00.000', 'In Process', 'Rep : Jean L  Status : MONICA is in process . This request has been provided to the contractor. 45 days will be needed. The contracting dept will contact us soon.  Ref  code : 2000204032187', NULL, NULL, '2021-10-07 16:56:23', '2021-10-07 16:56:23'),
(13761, 11056, 20230, NULL, '2021-10-25 00:00:00.000', 'In Process', 'Rep : Ritch M  Status :Monica Gonzalez is still out of network. She is gonna to escalate our application to contracting depart.  Ref code: 2000205673540  Contact no. : (800) 626-2741', NULL, NULL, '2021-10-18 16:32:14', '2021-10-18 16:32:14'),
(13762, 11056, 20230, NULL, '2021-11-11 00:00:00.000', 'In Process', 'Rep : Jessie T  Status:  Send them the roster for Monica Gonzalez again. Escalated the request. Going to send us the roster for leticia.  Ref code: 2000208916781  Contact no. : (800) 626-2741', NULL, NULL, '2021-11-04 16:07:04', '2021-11-04 16:07:04'),
(13763, 11056, 20230, NULL, '2021-12-01 00:00:00.000', 'In Process', 'Email received from:  VCervantes2@humana.com  Sub:  Roster for Monica Gonzalez  Good Morning,     Your request was received.  However we are unable to process due to the following reasons:     ·        There cannot be two (2) remit to addresses for one tax ID number. The remit to address listed for your group is:  o   301 Hillside Drive, Suite 4, Beeville, TX 78102     Billing #: (361) 226-1126.     Please resubmit your request with the appropriate remit address.  No additional action can be taken at this time.  This request is now considered closed.     Thank you,     South Texas Network Management  Humana  8119 Datapoint  Dr. 6th floor / San Antonio, TX 78229  T 800-626-2741  F 855.461.6048  stxnm@humana.com     Learn more about our Bold Goal  #MoreHealthyDays  #startwithhealthy   ', NULL, NULL, '2021-11-24 09:53:17', '2021-11-24 09:53:17'),
(13764, 11056, 20230, NULL, '2021-12-13 00:00:00.000', 'In Process', 'Email sent to:  vcervantes2@humana.com  Sub:  Roster for Monica Gonzalez  Good morning!  Hope this email finds you well. Yes, this one is the main and correct address for the billing.  Billing & Primary Address: 301 Hillside Drive, Suite 4, Beeville, TX 78102     Billing #: (361) 226-1126.  Please see the attached roster. The correction has been made.  Thank you! Have a great day!', NULL, NULL, '2021-12-06 16:46:40', '2021-12-06 16:46:40'),
(13765, 11056, 20230, NULL, '2021-12-24 00:00:00.000', 'In Process', 'Rep: Adrian I   Status: Unprocessed yet. An email has been sent for escalation. Delay from the credentialing side of Humana   Refcode: 2000216735787', NULL, NULL, '2021-12-17 17:09:39', '2021-12-17 17:09:39'),
(13766, 11056, 20230, NULL, '2021-12-29 00:00:00.000', 'In Process', 'Email received from: stxnm@humana.com  Sub: Roster for Monica Gonzalez  Your answer to our question was received and is in the queue to be worked on.  Please allow more time for the completion of your requests.   You will receive an email notification once your request has been completed.    Thank you  Network Operations Coordinator – Provider Contracting South Texas Network Management Humana  8119 Datapoint  Dr. 6th floor / San Antonio, TX 78229 F 855.461.6048 stxnm@humana.com', NULL, NULL, '2021-12-22 12:56:11', '2021-12-22 12:56:11'),
(13767, 19067, 20230, NULL, '2022-01-11 00:00:00.000', 'In Process', 'Email sent to: stxnm@humana.com  Subject: Enrollment Query || CBUC & GWMC || Monica & Leticia & Group || Humana ||  Good Morning!  Hope you are having a productive day.  I would like to know the enrollment status of the following Providers and Group.  Group Name	Beeville Medical Clinic Tax ID	81-1890349 Group NPI	1427509264 Provider Name	NPI	Location Monica Gonzalez	1871132811	504A Houston Street, Live Oak County, George West, TX 78022-3663 Monica Gonzalez	1871132811	301 S Hillside, DR STE 4, Beeville, TX 78102-5324 Leticia Aleman-Listenbee	1154999654	504A Houston Street, Live Oak County, George West, TX 78022-3663 Leticia Aleman-Listenbee	1154999654	301 S Hillside, DR STE 4, Beeville, TX 78102-5324    Thanks & Regards, Hammad Ahmed.', NULL, NULL, '2022-01-04 12:48:19', '2022-01-04 12:48:19'),
(13768, 19067, 20230, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email received from: stxnm@humana.com  Subject: Enrollment Query || CBUC & GWMC || Monica & Leticia & Group || Humana ||    Monica Gonzalez was added to the group on 11/22/2021     Leticia Aleman-Listenbee was added to the group on 12/17/2021.   Thank you   Network Operations Coordinator – Provider Contracting     South Texas Network Management  Humana  8119 Datapoint  Dr. 6th floor / San Antonio, TX 78229     F 855.461.6048  stxnm@humana.com', NULL, NULL, '2022-01-11 13:07:32', '2022-01-11 13:07:32'),
(13769, 19067, 20230, NULL, '2022-02-02 00:00:00.000', 'In Process', 'Email sent to: stxnm@humana.com  Subject: Re: Enrollment Query || CBUC & GWMC || Monica & Leticia & Group || Humana ||    Greetings!  I am unable to find these providers on Humana\'s provider directory.  Kindly assist me in this matter.  Regards, Hammad.', NULL, NULL, '2022-01-26 13:33:49', '2022-01-26 13:33:49'),
(13770, 19067, 20230, NULL, '2022-04-20 00:00:00.000', 'In Process', 'Email sent to: stxnm@humana.com  Subject: Enrollment Query || CBUC & GWMC || Monica & Leticia & Group || Humana ||    Hi,  Can we get the executed group agreement for the location: 504A Houston Street Live Oak County? Kindly respond promptly.  Thanks, Hammad Ahmed ', NULL, NULL, '2022-04-13 14:49:17', '2022-04-13 14:49:17'),
(13771, 3040, 20231, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:13:03', '2021-03-12 14:13:03'),
(13772, 3040, 20231, NULL, '2021-04-01 00:00:00.000', 'Approved', '03/25/2021  Valley Med Urgent Care PLLC 2534 Boca Chica Blvd Brownsville, TX. 78521  Case # 7557020  Dear Valley Med Urgent Care PLLC: MultiPlan has received your request to confirm the MultiPlan\'s network(s) in which you participate. Our records indicate that per your network agreement, you are a network provider in the following network(s) for the Tax ID(s) and address(es) noted below:  Network                                    MPI  Contract Effective Date 07/01/2017  Contract Termination Date  12/31/9999  Tax ID  81-5123542  Service Address 2534 Boca Chica Blvd, Brownsville, TX. 78521  800 E Alton Gloor Blvd, Brownsville, TX. 78526  101 E Expwy 83 Ste 170, McAllen, TX. 78501   Network                                    PHCS  Contract Effective Date 07/01/2017  Contract Termination Date  12/31/9999', NULL, NULL, '2021-03-25 15:04:13', '2021-03-25 15:04:13'),
(13773, 3046, 20232, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:13:15', '2021-03-12 14:13:15'),
(13774, 3040, 20232, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to: info@usamco.com  Subject: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || MCO ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in MCO for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-06-07 12:10:50', '2021-06-07 12:10:50'),
(13775, 1006, 20232, NULL, '2021-07-01 00:00:00.000', 'In Process', 'Sent f/u email @ info@usamco.com:  Sub: Enrollment Status/Request - CBUC/GWMC - MCO  \"Hello,  I hope you\'re doing well, we wanted to verify if the following group and providers were enrolled under MCO and if not what the procedure would be to enroll them, the information is as follows:  Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4, Beeville, TX 78102-5324 Secondary Practice Address: 504A Houston Street, George West, TX 78022-3663 Provider Name: Katherine PatersonProvider NPI# 1164776548  Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  Please get back to me as soon as possible.   Thank you!\"', NULL, NULL, '2021-06-24 16:40:48', '2021-06-24 16:40:48'),
(13776, 1006, 20232, NULL, '2021-07-20 00:00:00.000', 'In Process', 'We received the following email from ProviderMarketingInfo ProviderMarketingInfo@usamco.com:   Sub: Enrollment Status/Request - CBUC/GWMC - MCO  \"Hi Brad,  I show that there is an active agreement with TIN 81-1890349 since 2/22/17 under the name Beeville Medical Clinic and the two DBA’s Coastal Bend Urgent Care LLC and Coastal Bend Long Term Care.  I show two addresses under this agreement, 600 S Hillside Dr and 301 S Hillside Dr Ste 4.  I have CC’ed our Provider Relations department on this email and they will be able to add the 504 A Houston St address below.  With regards to the providers, as the agreement is as an Ancillary group, you do not need to add/credential new providers. Any provider billing under the TIN and one of the addresses on file will be counted as in-network.  Please let me know if you have any further questions.  Sarah Cozzetto Lead Network Development Coordinator\"  Replied:   \"Hello Sarah,   I appreciate the update. I just wanted to know if anything else was required to add the secondary location to the contract?  Thank you. \"', NULL, NULL, '2021-07-13 17:17:26', '2021-07-13 17:17:26'),
(13777, 1006, 20232, NULL, '2021-07-23 00:00:00.000', 'In Process', 'Received the following query from LaNetrice Myart MyartL@usamco.com:  Sub: Need Phone Number RE: FW: [External]Enrollment Status/Request - CBUC/GWMC - MCO  \"Good morning Brad,  Can you send over the phone number for the new location.  504A Houston Street, George West, TX 78022-3663  Need Phone Number  Thank you,  Thank You  LaNetrice Myart PNA Director\"  Replied with:  \"Hello LaNetrice,   The phone number for the secondary address is 361-226-1219. Please let me know if you need any other information.  Thank you.\"', NULL, NULL, '2021-07-16 16:45:55', '2021-07-16 16:45:55'),
(13778, 1006, 20232, NULL, '2021-07-27 00:00:00.000', 'Approved', 'We received the following approval confirmation from LaNetrice Myart MyartL@usamco.com:  Sub: Need Phone Number RE: FW: [External]Enrollment Status/Request - CBUC/GWMC - MCO  \"Good morning Brad,  Thank you for the phone number.  The location has been added to our system. 504A Houston Street, George West, TX 78022-3663   If you have any questions please feel free to give me a call.\"  &  \"You are very welcome, yes effective 7/16/2021.   Let me know if you have any other questions.\"  ', NULL, NULL, '2021-07-20 09:57:08', '2021-07-20 09:57:08'),
(13779, 3046, 20233, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:13:20', '2021-03-12 14:13:20'),
(13780, 3040, 20233, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to: info@usamco.com  Subject: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || MCO ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in MCO for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-06-07 12:10:54', '2021-06-07 12:10:54'),
(13781, 1006, 20233, NULL, '2021-07-01 00:00:00.000', 'In Process', 'Sent f/u email @ info@usamco.com:  Sub: Enrollment Status/Request - CBUC/GWMC - MCO  \"Hello,  I hope you\'re doing well, we wanted to verify if the following group and providers were enrolled under MCO and if not what the procedure would be to enroll them, the information is as follows:  Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4, Beeville, TX 78102-5324 Secondary Practice Address: 504A Houston Street, George West, TX 78022-3663 Provider Name: Katherine PatersonProvider NPI# 1164776548  Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  Please get back to me as soon as possible.   Thank you!\"', NULL, NULL, '2021-06-24 16:40:45', '2021-06-24 16:40:45'),
(13782, 1006, 20233, NULL, '2021-07-20 00:00:00.000', 'In Process', 'We received the following email from ProviderMarketingInfo ProviderMarketingInfo@usamco.com:   Sub: Enrollment Status/Request - CBUC/GWMC - MCO  \"Hi Brad,  I show that there is an active agreement with TIN 81-1890349 since 2/22/17 under the name Beeville Medical Clinic and the two DBA’s Coastal Bend Urgent Care LLC and Coastal Bend Long Term Care.  I show two addresses under this agreement, 600 S Hillside Dr and 301 S Hillside Dr Ste 4.  I have CC’ed our Provider Relations department on this email and they will be able to add the 504 A Houston St address below.  With regards to the providers, as the agreement is as an Ancillary group, you do not need to add/credential new providers. Any provider billing under the TIN and one of the addresses on file will be counted as in-network.  Please let me know if you have any further questions.  Sarah Cozzetto Lead Network Development Coordinator\"  Replied:   \"Hello Sarah,   I appreciate the update. I just wanted to know if anything else was required to add the secondary location to the contract?  Thank you. \"', NULL, NULL, '2021-07-13 17:17:23', '2021-07-13 17:17:23'),
(13783, 1006, 20233, NULL, '2021-07-23 00:00:00.000', 'In Process', 'Received the following query from LaNetrice Myart MyartL@usamco.com:  Sub: Need Phone Number RE: FW: [External]Enrollment Status/Request - CBUC/GWMC - MCO  \"Good morning Brad,  Can you send over the phone number for the new location.  504A Houston Street, George West, TX 78022-3663  Need Phone Number  Thank you,  Thank You  LaNetrice Myart PNA Director\"  Replied with:  \"Hello LaNetrice,   The phone number for the secondary address is 361-226-1219. Please let me know if you need any other information.  Thank you.\"', NULL, NULL, '2021-07-16 16:45:59', '2021-07-16 16:45:59'),
(13784, 1006, 20233, NULL, '2021-07-27 00:00:00.000', 'Approved', 'We received the following approval confirmation from LaNetrice Myart MyartL@usamco.com:  Sub: Need Phone Number RE: FW: [External]Enrollment Status/Request - CBUC/GWMC - MCO  \"Good morning Brad,  Thank you for the phone number.  The location has been added to our system. 504A Houston Street, George West, TX 78022-3663   If you have any questions please feel free to give me a call.\"  &  \"You are very welcome, yes effective 7/16/2021.   Let me know if you have any other questions.\"  ', NULL, NULL, '2021-07-20 09:56:56', '2021-07-20 09:56:56'),
(13785, 3040, 20234, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:13:37', '2021-03-12 14:13:37'),
(13786, 3040, 20234, NULL, '2021-04-01 00:00:00.000', 'Approved', 'Provider enrolled with Multiplan. ', NULL, NULL, '2021-03-25 13:51:16', '2021-03-25 13:51:16'),
(13787, 3040, 20235, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:13:54', '2021-03-12 14:13:54'),
(13788, 3040, 20235, NULL, '2021-04-01 00:00:00.000', 'Approved', 'Provider enrolled with Multiplan. See attachment.', NULL, NULL, '2021-03-25 13:55:22', '2021-03-25 13:55:22'),
(13789, 3040, 20236, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:14:12', '2021-03-12 14:14:12'),
(13790, 3040, 20236, NULL, '2021-04-01 00:00:00.000', 'Approved', 'Provider enrolled with Multiplan. See attachment.  ', NULL, NULL, '2021-03-25 14:06:56', '2021-03-25 14:06:56'),
(13791, 3046, 20237, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:14:30', '2021-03-12 14:14:30'),
(13792, 3040, 20237, NULL, '2021-06-14 00:00:00.000', 'In Process', 'Email sent to: info@usamco.com  Subject: Enroll Group & Providers || Coastal Bend Urgent Care & George West Medical Clinic || Group & Providers || MCO ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in MCO for our group under the below locations.   Practice Details: Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4 BEEVILLE , TX 78102-5324  Practice Name: George West Medical Clinic Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 504A Houston Street George West , TX 78022-3663  Provider 1: Provider Name: Rabagos, Katherine Provider NPI# 1134415631  Provider 2:   Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider 3:   Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-06-07 12:10:57', '2021-06-07 12:10:57'),
(13793, 1006, 20237, NULL, '2021-07-01 00:00:00.000', 'In Process', 'Sent f/u email @ info@usamco.com:  Sub: Enrollment Status/Request - CBUC/GWMC - MCO  \"Hello,  I hope you\'re doing well, we wanted to verify if the following group and providers were enrolled under MCO and if not what the procedure would be to enroll them, the information is as follows:  Practice Name: Coastal Bend Urgent Care, LLC Practice Tax ID# 81-1890349 Practice NPI# 1427509264 Practice Address: 301 S HILLSIDE DR STE 4, Beeville, TX 78102-5324 Secondary Practice Address: 504A Houston Street, George West, TX 78022-3663 Provider Name: Katherine PatersonProvider NPI# 1164776548  Provider Name: Flynn, Mercedita N Provider NPI# 1619166188  Provider Name: Tudor, Jennifer M Provider NPI# 1720455835  Please get back to me as soon as possible.   Thank you!\"', NULL, NULL, '2021-06-24 16:40:42', '2021-06-24 16:40:42'),
(13794, 1006, 20237, NULL, '2021-07-20 00:00:00.000', 'In Process', 'We received the following email from ProviderMarketingInfo ProviderMarketingInfo@usamco.com:   Sub: Enrollment Status/Request - CBUC/GWMC - MCO  \"Hi Brad,  I show that there is an active agreement with TIN 81-1890349 since 2/22/17 under the name Beeville Medical Clinic and the two DBA’s Coastal Bend Urgent Care LLC and Coastal Bend Long Term Care.  I show two addresses under this agreement, 600 S Hillside Dr and 301 S Hillside Dr Ste 4.  I have CC’ed our Provider Relations department on this email and they will be able to add the 504 A Houston St address below.  With regards to the providers, as the agreement is as an Ancillary group, you do not need to add/credential new providers. Any provider billing under the TIN and one of the addresses on file will be counted as in-network.  Please let me know if you have any further questions.  Sarah Cozzetto Lead Network Development Coordinator\"  Replied:   \"Hello Sarah,   I appreciate the update. I just wanted to know if anything else was required to add the secondary location to the contract?  Thank you. \"', NULL, NULL, '2021-07-13 17:17:20', '2021-07-13 17:17:20'),
(13795, 1006, 20237, NULL, '2021-07-23 00:00:00.000', 'In Process', 'Received the following query from LaNetrice Myart MyartL@usamco.com:  Sub: Need Phone Number RE: FW: [External]Enrollment Status/Request - CBUC/GWMC - MCO  \"Good morning Brad,  Can you send over the phone number for the new location.  504A Houston Street, George West, TX 78022-3663  Need Phone Number  Thank you,  Thank You  LaNetrice Myart PNA Director\"  Replied with:  \"Hello LaNetrice,   The phone number for the secondary address is 361-226-1219. Please let me know if you need any other information.  Thank you.\"', NULL, NULL, '2021-07-16 16:46:02', '2021-07-16 16:46:02'),
(13796, 1006, 20237, NULL, '2021-07-27 00:00:00.000', 'Approved', 'We received the following approval confirmation from LaNetrice Myart MyartL@usamco.com:  Sub: Need Phone Number RE: FW: [External]Enrollment Status/Request - CBUC/GWMC - MCO  \"Good morning Brad,  Thank you for the phone number.  The location has been added to our system. 504A Houston Street, George West, TX 78022-3663   If you have any questions please feel free to give me a call.\"  &  \"You are very welcome, yes effective 7/16/2021.   Let me know if you have any other questions.\"  ', NULL, NULL, '2021-07-20 09:56:35', '2021-07-20 09:56:35'),
(13797, 3040, 20238, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:14:34', '2021-03-12 14:14:34'),
(13798, 3040, 20238, NULL, '2021-04-01 00:00:00.000', 'Initiated', 'Email sent to: registrar@multiplan.com  Subject: Add Location || Valley Med Urgent Care PLLC || Saavedra, Teresa & Naranjo, Diego || Multiplan ||  Greetings,   Hope you are doing well. Please find the attached Letter of interest to add the locations for below mentioned providers for our group Valley Med Urgent Care PLLC.  Provider 1: Provider Name: Saavedra, Teresa Provider NPI#  1255676151  Provider 2: Provider Name: Naranjo, Diego Provider NPI#  1568929800  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you  ', NULL, NULL, '2021-03-25 16:23:45', '2021-03-25 16:23:45'),
(13799, 3040, 20238, NULL, '2021-04-23 00:00:00.000', 'In Process', 'I had a word with (Jenifer) Multiplan representative and she said they received the request on 04/07/2021 for addition the location. The process time will take 10 business days.   Case # 7579953', NULL, NULL, '2021-04-16 10:07:38', '2021-04-16 10:07:38'),
(13800, 3040, 20238, NULL, '2021-05-12 00:00:00.000', 'Approved', 'I had a word with (Ann) Multiplan representative and she said the request for additional location is completed and now provider is participating under all three location.   Case# 7579953 ', NULL, NULL, '2021-05-05 08:01:11', '2021-05-05 08:01:11'),
(13801, 3046, 20239, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:15:58', '2021-03-12 14:15:58'),
(13802, 1005, 20239, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approval confirmation attached.', NULL, NULL, '2021-06-03 13:15:37', '2021-06-03 13:15:37'),
(13803, 3046, 20240, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:16:00', '2021-03-12 14:16:00'),
(13804, 1005, 20240, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approval confirmation attached.', NULL, NULL, '2021-06-03 13:18:38', '2021-06-03 13:18:38'),
(13805, 3040, 20241, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:16:04', '2021-03-12 14:16:04'),
(13806, 3040, 20241, NULL, '2021-04-01 00:00:00.000', 'Approved', 'Mr. Moses Campos Valley Med Urgent Care PLLC 2534 Boca Chica Blvd Brownsville TX 78521  Dear Provider:  Welcome! Your application has been processed, effective 2/4/2021 and we are pleased to have you join MultiPlan as a participating provider in our provider networks. Please see your provider agreement(s) and/or amendment(s) for specific network participation.', NULL, NULL, '2021-03-25 14:23:39', '2021-03-25 14:23:39'),
(13807, 3040, 20242, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:16:15', '2021-03-12 14:16:15'),
(13808, 3040, 20242, NULL, '2021-04-01 00:00:00.000', 'Initiated', NULL, NULL, NULL, '2021-03-25 14:30:52', '2021-03-25 14:30:52'),
(13809, 3040, 20242, NULL, '2021-04-07 00:00:00.000', 'Approved', '3/23/2021 Ms. Deborah Potter Valley Med Urgent Care PLLC 2534 Boca Chica Blvd Brownsville TX 78521  Dear Provider: Welcome! Your application has been processed, effective 2/4/2021 and we are pleased to have you join MultiPlan as a participating provider in our provider networks. Please see your provider agreement(s) and/or amendment(s) for specific network participation.', NULL, NULL, '2021-03-31 16:42:48', '2021-03-31 16:42:48'),
(13810, 3040, 20243, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:17:38', '2021-03-12 14:17:38'),
(13811, 3040, 20243, NULL, '2021-04-01 00:00:00.000', 'Approved', '03/25/2021  Valley Med Urgent Care PLLC 2534 Boca Chica Blvd Brownsville, TX. 78521  Case # 7557020  Dear Valley Med Urgent Care PLLC: MultiPlan has received your request to confirm the MultiPlan\'s network(s) in which you participate. Our records indicate that per your network agreement, you are a network provider in the following network(s) for the Tax ID(s) and address(es) noted below:  Network                                    MPI  Contract Effective Date 07/01/2017  Contract Termination Date  12/31/9999  Tax ID  81-5123542  Service Address 2534 Boca Chica Blvd, Brownsville, TX. 78521  800 E Alton Gloor Blvd, Brownsville, TX. 78526  101 E Expwy 83 Ste 170, McAllen, TX. 78501   Network                                    PHCS  Contract Effective Date 07/01/2017  Contract Termination Date  12/31/9999', NULL, NULL, '2021-03-25 15:04:07', '2021-03-25 15:04:07'),
(13812, 3040, 20244, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:17:55', '2021-03-12 14:17:55'),
(13813, 3040, 20244, NULL, '2021-04-01 00:00:00.000', 'Approved', '4/6/2019 Ms. Angiollet Escobar Valley Med Urgent Care PLLC 2534 Boca Chica Blvd Brownsville TX 78521 Dear Provider: Welcome! Your application has been processed, effective 4/5/2019 and we are pleased to have you join MultiPlan as a participating provider in our provider networks. Please see your provider agreement(s) and/or amendment(s) for specific network participation. (Note that you may participate with MultiPlan under multiple agreements.)', NULL, NULL, '2021-03-25 13:30:54', '2021-03-25 13:30:54'),
(13814, 3040, 20245, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:18:10', '2021-03-12 14:18:10'),
(13815, 3040, 20245, NULL, '2021-04-01 00:00:00.000', 'Approved', '11/2/2018 Mr. Homero Garcia Valley Med Urgent Care PLLC 2534 Boca Chica Blvd Brownsville TX 78521 Dear Provider: Welcome! Your application has been processed, effective 11/1/2018 and we are pleased to have you join MultiPlan as a participating provider in our provider networks. Please see your provider agreement(s) and/or amendment(s) for specific network participation.', NULL, NULL, '2021-03-25 13:39:14', '2021-03-25 13:39:14'),
(13816, 3040, 20246, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:18:33', '2021-03-12 14:18:33'),
(13817, 3040, 20246, NULL, '2021-04-01 00:00:00.000', 'Approved', 'Provider enrolled with Multiplan. ', NULL, NULL, '2021-03-25 13:51:22', '2021-03-25 13:51:22'),
(13818, 3040, 20247, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:18:50', '2021-03-12 14:18:50'),
(13819, 3040, 20247, NULL, '2021-04-01 00:00:00.000', 'Initiated', 'Email sent to: registrar@multiplan.com  Subject: Add Location || Valley Med Urgent Care PLLC || Saavedra, Teresa & Naranjo, Diego || Multiplan ||  Greetings,   Hope you are doing well. Please find the attached Letter of interest to add the locations for below mentioned providers for our group Valley Med Urgent Care PLLC.  Provider 1: Provider Name: Saavedra, Teresa Provider NPI#  1255676151  Provider 2: Provider Name: Naranjo, Diego Provider NPI#  1568929800  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you  ', NULL, NULL, '2021-03-25 16:23:48', '2021-03-25 16:23:48'),
(13820, 3040, 20247, NULL, '2021-04-23 00:00:00.000', 'In Process', 'I had a word with (Jenifer) Multiplan representative and she said they received the request on 04/07/2021 for addition the location. The process time will take 10 business days.   Case # 7579953', NULL, NULL, '2021-04-16 10:07:03', '2021-04-16 10:07:03'),
(13821, 3040, 20247, NULL, '2021-05-12 00:00:00.000', 'Approved', 'I had a word with (Ann) Multiplan representative and she said the request for additional location is completed and now provider is participating under all three location.   Case# 7579953 ', NULL, NULL, '2021-05-05 08:00:52', '2021-05-05 08:00:52'),
(13822, 3040, 20248, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:19:03', '2021-03-12 14:19:03'),
(13823, 3040, 20248, NULL, '2021-04-01 00:00:00.000', 'Approved', 'Provider enrolled with Multiplan. See attachment.  ', NULL, NULL, '2021-03-25 14:07:01', '2021-03-25 14:07:01'),
(13824, 3040, 20249, NULL, NULL, 'New/Not Initiated', NULL, NULL, NULL, '2021-03-12 14:19:25', '2021-03-12 14:19:25');
