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
(36751, 3040, 28496, NULL, '2021-05-13 00:00:00.000', 'In Process', 'Email sent to: SWHPEXPEDITES@bswhealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Scott & White ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in Scott & White for our group Valley Med Urgent Care PLLC under all three 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  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-06 16:09:11', '2021-05-06 16:09:11'),
(36752, 3040, 28496, NULL, '2021-06-07 00:00:00.000', 'In Process', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-05-31 10:26:55', '2021-05-31 10:26:55'),
(36753, 3040, 28496, NULL, '2021-06-24 00:00:00.000', 'On Hold', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-06-17 12:06:14', '2021-06-17 12:06:14'),
(36754, 3040, 28496, NULL, '2021-07-13 00:00:00.000', 'Approved', 'Group has an ancillary contract. No need to add individual providers. For more details please see group task.  ', NULL, NULL, '2021-07-06 08:28:10', '2021-07-06 08:28:10'),
(36755, 3040, 28497, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-06 16:03:45', '2021-05-06 16:03:45'),
(36756, 3040, 28497, NULL, '2021-05-13 00:00:00.000', 'In Process', 'Email sent to: SWHPEXPEDITES@bswhealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Scott & White ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in Scott & White for our group Valley Med Urgent Care PLLC under all three 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  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-06 16:09:15', '2021-05-06 16:09:15'),
(36757, 3040, 28497, NULL, '2021-06-07 00:00:00.000', 'In Process', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-05-31 10:26:58', '2021-05-31 10:26:58'),
(36758, 3040, 28497, NULL, '2021-06-24 00:00:00.000', 'On Hold', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-06-17 12:06:20', '2021-06-17 12:06:20'),
(36759, 3040, 28497, NULL, '2021-07-13 00:00:00.000', 'Approved', 'Group has an ancillary contract. No need to add individual providers. For more details please see group task.  ', NULL, NULL, '2021-07-06 08:28:15', '2021-07-06 08:28:15'),
(36760, 3040, 28498, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-06 16:03:45', '2021-05-06 16:03:45'),
(36761, 3040, 28498, NULL, '2021-05-13 00:00:00.000', 'In Process', 'Email sent to: SWHPEXPEDITES@bswhealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Scott & White ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in Scott & White for our group Valley Med Urgent Care PLLC under all three 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  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-06 16:09:19', '2021-05-06 16:09:19'),
(36762, 3040, 28498, NULL, '2021-06-07 00:00:00.000', 'In Process', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-05-31 10:27:03', '2021-05-31 10:27:03'),
(36763, 3040, 28498, NULL, '2021-06-24 00:00:00.000', 'On Hold', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-06-17 12:06:24', '2021-06-17 12:06:24'),
(36764, 3040, 28498, NULL, '2021-07-13 00:00:00.000', 'Approved', 'Group has an ancillary contract. No need to add individual providers. For more details please see group task.  ', NULL, NULL, '2021-07-06 08:28:20', '2021-07-06 08:28:20'),
(36765, 3040, 28499, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-06 16:03:45', '2021-05-06 16:03:45'),
(36766, 3040, 28499, NULL, '2021-05-13 00:00:00.000', 'In Process', 'Email sent to: SWHPEXPEDITES@bswhealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Scott & White ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in Scott & White for our group Valley Med Urgent Care PLLC under all three 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  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-06 16:09:23', '2021-05-06 16:09:23'),
(36767, 3040, 28499, NULL, '2021-06-07 00:00:00.000', 'In Process', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-05-31 10:27:07', '2021-05-31 10:27:07'),
(36768, 3040, 28499, NULL, '2021-06-24 00:00:00.000', 'On Hold', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-06-17 12:06:29', '2021-06-17 12:06:29'),
(36769, 3040, 28499, NULL, '2021-07-13 00:00:00.000', 'Approved', 'Group has an ancillary contract. No need to add individual providers. For more details please see group task.  ', NULL, NULL, '2021-07-06 08:28:24', '2021-07-06 08:28:24'),
(36770, 3040, 28500, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-06 16:03:45', '2021-05-06 16:03:45'),
(36771, 3040, 28500, NULL, '2021-05-13 00:00:00.000', 'In Process', 'Email sent to: SWHPEXPEDITES@bswhealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Scott & White ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in Scott & White for our group Valley Med Urgent Care PLLC under all three 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  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-06 16:09:29', '2021-05-06 16:09:29'),
(36772, 3040, 28500, NULL, '2021-06-07 00:00:00.000', 'In Process', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-05-31 10:27:10', '2021-05-31 10:27:10'),
(36773, 3040, 28500, NULL, '2021-06-24 00:00:00.000', 'On Hold', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-06-17 12:06:36', '2021-06-17 12:06:36'),
(36774, 3040, 28500, NULL, '2021-07-13 00:00:00.000', 'Approved', 'Group has an ancillary contract. No need to add individual providers. For more details please see group task.  ', NULL, NULL, '2021-07-06 08:28:29', '2021-07-06 08:28:29'),
(36775, 3040, 28501, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-06 16:03:45', '2021-05-06 16:03:45'),
(36776, 3040, 28501, NULL, '2021-05-13 00:00:00.000', 'In Process', 'Email sent to: SWHPEXPEDITES@bswhealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Scott & White ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in Scott & White for our group Valley Med Urgent Care PLLC under all three 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  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-06 16:09:34', '2021-05-06 16:09:34'),
(36777, 3040, 28501, NULL, '2021-06-07 00:00:00.000', 'In Process', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-05-31 10:27:14', '2021-05-31 10:27:14'),
(36778, 3040, 28501, NULL, '2021-06-24 00:00:00.000', 'On Hold', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-06-17 12:06:41', '2021-06-17 12:06:41'),
(36779, 3040, 28501, NULL, '2021-07-13 00:00:00.000', 'Approved', 'Group has an ancillary contract. No need to add individual providers. For more details please see group task.  ', NULL, NULL, '2021-07-06 08:28:34', '2021-07-06 08:28:34'),
(36780, 3040, 28502, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-06 16:03:45', '2021-05-06 16:03:45'),
(36781, 3040, 28502, NULL, '2021-05-13 00:00:00.000', 'In Process', 'Email sent to: SWHPEXPEDITES@bswhealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Scott & White ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in Scott & White for our group Valley Med Urgent Care PLLC under all three 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  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-06 16:09:38', '2021-05-06 16:09:38'),
(36782, 3040, 28502, NULL, '2021-06-07 00:00:00.000', 'In Process', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-05-31 10:27:18', '2021-05-31 10:27:18'),
(36783, 3040, 28502, NULL, '2021-06-24 00:00:00.000', 'On Hold', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-06-17 12:06:46', '2021-06-17 12:06:46'),
(36784, 3040, 28502, NULL, '2021-07-13 00:00:00.000', 'Approved', 'Group has an ancillary contract. No need to add individual providers. For more details please see group task.  ', NULL, NULL, '2021-07-06 08:28:39', '2021-07-06 08:28:39'),
(36785, 3040, 28503, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-06 16:03:45', '2021-05-06 16:03:45'),
(36786, 3040, 28503, NULL, '2021-05-13 00:00:00.000', 'In Process', 'Email sent to: SWHPEXPEDITES@bswhealth.org  Subject: Group & Providers || Valley Med Urgent Care PLLC || Group & Providers || Scott & White ||  Greetings,  Hope you are doing well. I wanted to enroll the below mentioned group and providers in Scott & White for our group Valley Med Urgent Care PLLC under all three 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  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-06 16:09:43', '2021-05-06 16:09:43'),
(36787, 3040, 28503, NULL, '2021-06-07 00:00:00.000', 'In Process', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-05-31 10:27:22', '2021-05-31 10:27:22'),
(36788, 3040, 28503, NULL, '2021-06-24 00:00:00.000', 'On Hold', 'Group has an ancillary contract. No need to add individual provides. Location addition request was sent out its still in process. Once location added under the group we will approved the providers task. For details please see group task.  ', NULL, NULL, '2021-06-17 12:06:53', '2021-06-17 12:06:53'),
(36789, 3040, 28503, NULL, '2021-07-13 00:00:00.000', 'Approved', 'Group has an ancillary contract. No need to add individual providers. For more details please see group task.  ', NULL, NULL, '2021-07-06 08:28:44', '2021-07-06 08:28:44'),
(36790, 3040, 29267, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 07:13:50', '2021-05-10 07:13:50'),
(36791, 3040, 29267, NULL, '2021-06-07 00:00:00.000', 'In Process', 'Email sent to: pr.south@healthsmart.com  Subject: Enroll Group & Providers || Columbus Urgent Care PA || Group & Providers || Anci Care ||  Greetings,   Hope you are doing well. I wanted to enroll the below mentioned practice and providers in Ancicare under the below location.  Practice Details: Practice Name: Columbus Urgent Care PA  Practice Tax ID# 47-1914151 Practice NPI# 1215330501 Practice Address: 926 Walnut St, Columbus , TX 78934-2215  Provider 1: Provider Name: Rauf., Abdur Provider NPI# 1497726202   Provider 2:   Provider Name: Stephen, Ani Provider NPI# 1588959118  Provider 3: Provider Name: Brown, Brittany Provider NPI# 1275163537  Provider 4: Provider Name: Thomas, Cini Provider NPI# 1134777238  Provider 5: Provider Name: Fernandus, Limy Provider NPI# 1972005189  Provider 6: Provider Name: Abraham, Glory Provider NPI# 1194206490  Provider 7: Provider Name: Jacob, Jaya Provider NPI# 1194336149  Provider 8: Provider Name: Piccione JR, James M Provider NPI# 1356321509  Provider 9: Provider Name: George, Jeemol Provider NPI# 1497219067  Provider 10: Provider Name: Abraham, Jeena Provider NPI# 1467901587  Provider 11: Provider Name: Joseph, Vibitha Provider NPI# 1952931560  Provider 12: Provider Name: Jose, Julie Provider NPI# 1447883061  Provider 13: Provider Name: Chennemkara, Mini Philip Provider NPI# 1841755956  Provider 14: Provider Name: Kourouma , Odette Tiranke Provider NPI# 1134525868  Provider 15: Provider Name: PAUL, SIGI Provider NPI# 1033623616  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you  ', NULL, NULL, '2021-05-31 16:44:26', '2021-05-31 16:44:26'),
(36792, 1006, 29267, NULL, '2021-06-08 00:00:00.000', 'In Process', 'Sent f/u email @ Jennifer Maligaya Jennifer.Maligaya@healthsmart.com:  Sub: Enrollment Status - CUCC - Anci-Care  \"Hello Jennifer, I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the following group and providers with Anci-Care:  Group Name: Columbus Urgent Care PA NPI# 1215330501TIN# 47-1914151 Provider 1: Provider Name: George, Jeemol Provider NPI# 1497219067  Provider 2:   Provider Name: Jose, Julie Provider NPI# 1447883061  Provider 3:   Provider Name: Stephen, Ani Provider NPI# 1588959118  Provider 4:   Provider Name: Piccione JR, James M Provider NPI# 1356321509  Provider 5:   Provider Name: Brown, Brittany Provider NPI# 1275163537  Provider 6:   Provider Name: Chennemkara, Mini Philip Provider NPI# 1841755956  Provider 7:   Provider Name: Abraham, Glory Provider NPI# 1194206490  Provider 8:   Provider Name: Fernandus, Limy Provider NPI# 1972005189  Provider 9:   Provider Name: Rauf, Abdur Provider NPI# 1497726202  Provider 10:   Provider Name: Kourouma , Odette Tiranke Provider NPI# 1134525868  Provider 11:   Provider Name: Joseph, Vibitha Provider NPI# 1952931560  Provider 12:   Provider Name: Thomas, Cini Provider NPI# 1134777238  Provider 13:   Provider Name: Abraham, Jeena Provider NPI# 1467901587  Provider 14:   Provider Name: PAUL, SIGI Provider NPI# 1033623616  Provider 15:   Provider Name: Jacob, Jaya Provider NPI# 1194336149  Please get back to me as soon as you\'re able to.  Thank you. \"', NULL, NULL, '2021-06-01 11:19:25', '2021-06-01 11:19:25'),
(36793, 3040, 29267, NULL, '2021-06-25 00:00:00.000', 'Approved', 'Group has an ancillary contract. No need to add individual providers. ', NULL, NULL, '2021-06-18 17:00:32', '2021-06-18 17:00:32'),
(36794, 1006, 29268, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:00', '2021-05-10 12:25:00'),
(36795, 9057, 29268, NULL, '2021-06-04 00:00:00.000', 'Not Eligible', 'Nueces Count is not covered by the Community Health Choice.  https://www.communityhealthchoice.org/medicare/medicare-hmo-d-snp/service-area/ Please find attached link for the reference. ', NULL, NULL, '2021-05-27 15:31:47', '2021-05-27 15:31:47'),
(36796, 1006, 29269, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:00', '2021-05-10 12:25:00'),
(36797, 9057, 29269, NULL, '2021-06-05 00:00:00.000', 'In Process', 'We sent an email to TXMAContracting@Cigna.com Sub: Enrollment Request - BAQC - Cigna Healthspring   Hello, We wish to enroll our group and providers, please find the attached forms.  Waiting for your response.  Thank you', NULL, NULL, '2021-05-28 17:22:02', '2021-05-28 17:22:02'),
(36798, 1006, 29269, NULL, '2021-06-23 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@Cigna.com & txgqproviderrelations@healthspring.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello,   I want to get an update regarding the status of enrollment for the following group and providers:   Group Name: Bay Area Quick Care LLC NPI# 1437481421TIN# 27-1702009  Provider Name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-06-16 12:02:43', '2021-06-16 12:02:43'),
(36799, 1006, 29269, NULL, '2021-06-23 00:00:00.000', 'In Process', 'We received the following reply from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"HI Brad,  Did you recently submit a letter of interest form for this group to be credentialed?  Thank you,  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092\"  Sent following reply:   \"Hello Jennifer,   We filled out and submitted a facility network interest form to TXMAContracting@cigna.com back on the 28th of May, I just wanted to confirm if that had been received and was being worked on?  Thank you!\"', NULL, NULL, '2021-06-16 16:28:46', '2021-06-16 16:28:46'),
(36800, 1006, 29269, NULL, '2021-06-28 00:00:00.000', 'In Process', 'We received the following email from \"PEREZ, JENNIFER (JEN) 866\" JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"HI Brad,  I have not seen it come through. I noticed you sent another inquiry for Right Step Medical Center, if you send me both letter of interest forms I can place it on file\"  Sent following reply to her:   \"Hello Jennifer, Here are the facility interest forms for both groups. Please let me know if anything else is required. Thank you!\"', NULL, NULL, '2021-06-21 13:36:40', '2021-06-21 13:36:40'),
(36801, 11056, 29269, NULL, '2021-07-14 00:00:00.000', 'In Process', 'Email received from : JENNIFER.PEREZ@cigna.com  Sub : Enrollment Status - BAQC - Cigna Healthspring  Thank you Brad! I will provide these to the Network committee, where they will review at our next meeting. Once reviewed, I will get back in touch with you to inform you of their decision.  Thank you,  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092', NULL, NULL, '2021-07-06 15:58:22', '2021-07-06 15:58:22'),
(36802, 1006, 29269, NULL, '2021-07-15 00:00:00.000', 'In Process', 'We received the following reply from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Thank you Brad! I will provide these to the Network committee, where they will review at our next meeting. Once reviewed, I will get back in touch with you to inform you of their decision.\"  Sent f/u email:  \"Hello Jennifer,   I hope you\'re doing well, I wanted to get an update regarding the enrollment request for both of our groups, could you please get back to me as soon as possible?  Thank you.\"', NULL, NULL, '2021-07-08 13:07:00', '2021-07-08 13:07:00'),
(36803, 1006, 29269, NULL, '2021-07-19 00:00:00.000', 'In Process', 'We received the following update from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hi Brad,  I sent an updated denial letter for Right Steps Medical Center on behalf of the network committee, however we will be extending a contract for Bay Area Quick Care. I will work on this contract and send it to you once it’s been approved.\"', NULL, NULL, '2021-07-12 10:15:53', '2021-07-12 10:15:53'),
(36804, 1006, 29269, NULL, '2021-08-03 00:00:00.000', 'In Process', 'Sent f/u email @ \"PEREZ, JENNIFER (JEN) 866\" JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello Jennifer,  I hope you\'re doing well, can you please let me know if there have been any updates on this request?  Thank you.\"', NULL, NULL, '2021-07-27 16:42:33', '2021-07-27 16:42:33'),
(36805, 1006, 29269, NULL, '2021-08-17 00:00:00.000', 'In Process', 'Sent f/u email @ JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello Jennifer,   Is there any update regarding the enrollment status for Bay Area Quick Care for either Cigna Healthspring or Renaissance Physicians?  Thanks. \"', NULL, NULL, '2021-08-10 13:54:42', '2021-08-10 13:54:42'),
(36806, 11056, 29269, NULL, '2021-08-27 00:00:00.000', 'In Process', 'Email received from : JENNIFER.PEREZ@cigna.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Hi Brad,        May you please email TXGQProviderRelations@healthspring.com for a status update with Renaissance Physicians in the title of the email. The correct representative will reach out to you and will be able to assist you further.', NULL, NULL, '2021-08-20 10:57:14', '2021-08-20 10:57:14'),
(36807, 11056, 29269, NULL, '2021-09-06 00:00:00.000', 'In Process', 'Email sent to : JENNIFER.PEREZ@cigna.com  & TXGQProviderRelations@healthspring.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Good morning!  Hope this email finds you well.This is just a follow-up email related to the Cigna Healthspring. I wanted to get the latest updates regarding the enrollment status of the following providers and practice.  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI# 1437481421 Practice TIN# 27-1702009 Practice Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418-5148  Provider Details: Provider name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  If you have any questions or need documents please let me know. Waiting for your response.  Thank you! Have a great week ahead!', NULL, NULL, '2021-08-30 10:49:33', '2021-08-30 10:49:33'),
(36808, 11056, 29269, NULL, '2021-10-01 00:00:00.000', 'In Process', 'Email sent to : TXGQProviderRelations@healthspring.com, TX.AncillaryContracting@healthspring.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Good morning!  Hope all is well with you. We still have not received any updates regarding the status of enrollment process of the below mentioned providers and practice with Cigna Healthspring. Please let me know how long it will take to just get an update from your side regarding the credentialing process.   Group Name	Bay Area Quick Care PLLC Tax ID	27-1702009 Group NPI	1437481421 Primary Location	9929 South Padre Island Drive, Suite 109, Corpus Christi , TX 78418-5148  Provider Name	NPI William Francis	1457994436 Kynda Orsak	1528553724 Cynthia Malowitz	  1336173244 Melissa Ramsden	1194376228    In the meantime, please do not hesitate to reach out if you have any questions or concerns. Eagerly, Waiting to hear from you soon.  Thank you! Have a great day!  Also have left out voice mails at 877-653-0331& 956-364-3331 for the enrollment updates.', NULL, NULL, '2021-09-24 10:08:18', '2021-09-24 10:08:18'),
(36809, 11056, 29269, NULL, '2021-10-18 00:00:00.000', 'Not Eligible', 'Email received from : JENNIFER.PEREZ@cigna.com & cresta.smith@careallies.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Hey Ahmed,  Thanks for following up! Based on Crestas previous email, they are currently not in the Corpus area.   Crestas Last email :   We don’t have a network in that area, as such the provider aren’t in network nor have the ability to be.    Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092   Confirm  from Rep : Oscar S & Banjie N COntact no. :  877-653-0331 ', NULL, NULL, '2021-10-11 09:49:43', '2021-10-11 09:49:43'),
(36810, 1006, 29270, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:00', '2021-05-10 12:25:00'),
(36811, 9057, 29270, NULL, '2021-06-04 00:00:00.000', 'Not Eligible', ' Paramount does not cover Texas as it is an Ohio only plan, please find attached link for reference: https://www.paramounthealthcare.com/news/paramount-advantage-service-area-changes ', NULL, NULL, '2021-05-27 16:36:00', '2021-05-27 16:36:00'),
(36812, 1006, 29276, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:00', '2021-05-10 12:25:00'),
(36813, 9057, 29276, NULL, '2021-06-08 00:00:00.000', 'Initiated', 'We sent an email to: providerservices@renaissancefamily.com Sub: Requisition of Enrollment - BAQC - Renaissance Physicians Hello, Hope you are doing well, We wish to enroll our group and providers, find details given below.   Group Name: Bay Area Quick Care LLC NPI: 1437481421 TIN# 27-1702009 Main Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda NPI# 1528553724  Provider Name: Malowitz, Cynthia NPI# 1336173244  Provider Name: Ramsden, Melissa NPI# 1194376228  Provider Name: Francis, William: NPI# 1457994436  If you need any more details, please let me know.  Thank you ', NULL, NULL, '2021-06-01 08:52:18', '2021-06-01 08:52:18'),
(36814, 11056, 29276, NULL, '2021-06-28 00:00:00.000', 'In Process', '	 Email sent to : providerservices@renaissancefamily.com  Sub : Requisition of Enrollment - BAQC - Renaissance Physicians  Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 12:38:50', '2021-06-21 12:38:50'),
(36815, 11056, 29276, NULL, '2021-07-14 00:00:00.000', 'In Process', 'Email sent to : 	providerservices@renaissancefamily.com  Sub :  Enrollment Requisition - BAQC - Renaissance Physicians  Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-07-06 16:14:29', '2021-07-06 16:14:29'),
(36816, 1006, 29276, NULL, '2021-07-30 00:00:00.000', 'In Process', 'Sent f/u email at corrected email @ txgqproviderrelations@healthspring.com:  Sub: Enrollment Requisition - BAQC - Renaissance Physicians  \"Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!\"', NULL, NULL, '2021-07-23 16:32:08', '2021-07-23 16:32:08'),
(36817, 1006, 29276, NULL, '2021-08-02 00:00:00.000', 'In Process', 'We received the following update from JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Requisition - BAQC - Renaissance Physicians  \"HI Brad,  I will be sending this contract this week, they’ve been approved to be submitted for credentialing. May you send me a roster in a word/PDF document with their Name, NPI,  and Specialty.  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092  cid:image002.png@01D6F326.EEB674D0 Confidential, unpublished property of Cigna Do not duplicate or distribute Use and distribution limited solely to authorized personnel.\"  Replied with roster: \"Hello Jennifer,   I appreciate the update, please find the attached roster. Do let me know if anything else is required.  Thank you!\"', NULL, NULL, '2021-07-26 10:52:12', '2021-07-26 10:52:12'),
(36818, 1006, 29276, NULL, '2021-08-09 00:00:00.000', 'In Process', 'We received the following update from JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Thank you for the clarification. The letter of interest you previously sent, was for Cigna-Medicare through our independent network. However If you wish to be a part of Renaissance Physicians, you will need to fill out a different form as they have their own network. The renaissance physician process is similar, as they will review your form and decide if there is a network need for your group.  Please let me which network you are seeking and I will lead you to the next step.\"  Replied:  \"Hello Jennifer,   I apologize for the delay but as stated before, we want to enroll under both insurances. Here\'s the form for all of the providers.   Please let me know if anything else is required. \"', NULL, NULL, '2021-08-02 14:18:47', '2021-08-02 14:18:47'),
(36819, 1006, 29276, NULL, '2021-08-19 00:00:00.000', 'In Process', 'Sent a f/u email @ TXGQProviderRelations@healthspring.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the credentialing status for the following group and providers:   Practice Name: Bay Area Quick Care LLC Practice NPI: 1437481421 Practice TIN: 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-12 16:19:07', '2021-08-12 16:19:07'),
(36820, 11056, 29276, NULL, '2021-08-27 00:00:00.000', 'In Process', 'Email sent to : TXGQProviderRelations@healthspring.com  Sub  : Enrollment Status - BAQC - Renaissance Physicians  Good morning!  I hope you\'re doing well, I wanted to get an update regarding the credentialing status for the following group and providers:  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI: 1437481421 Practice TIN: 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Details: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  Please get back to me as soon as possible. Waiting for your response.  Thank you! Have a great weekend!', NULL, NULL, '2021-08-20 10:53:19', '2021-08-20 10:53:19'),
(36821, 11056, 29276, NULL, '2021-09-06 00:00:00.000', 'In Process', 'Email sent to : 	TXGQProviderRelations@healthspring.com, providerservices@renaissancefamily.com  Sub : Enrollment Status - BAQC - Renaissance Physicians  Good morning!  Hope this email finds you well.This is just a follow-up email related to the Renaissance Physicians. I wanted to get the latest updates regarding the enrollment status of the following providers and practice.  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI# 1437481421 Practice TIN# 27-1702009 Practice Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418-5148  Provider Details: Provider name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  If you have any questions or need documents please let me know. Waiting for your response.  Thank you! Have a great week ahead!', NULL, NULL, '2021-08-30 10:57:48', '2021-08-30 10:57:48'),
(36822, 11056, 29276, NULL, '2021-09-06 00:00:00.000', 'Not Eligible', 'Email received from : cresta.smith@careallies.com  Sub : Enrollment Status - BAQC - Renaissance Physicians  1st time : Renaissance is not in the Corpus Christi area.     Thank you for your interest.     Cresta Smith   For confirmation:   Renaissance physicians organization is not in corpus Christi, we don’t have a network in that area, as such the provider aren’t in network nor have the ability to be.     I responded with this information last week.     Thanks,  Cresta', NULL, NULL, '2021-08-30 12:21:23', '2021-08-30 12:21:23'),
(36823, 1006, 29277, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:00', '2021-05-10 12:25:00'),
(36824, 9057, 29277, NULL, '2021-06-08 00:00:00.000', 'Initiated', 'We sent an email to: Juliana.Mata@molinahealthcare.com  Sub: Requisition for Enrollment - BAQC - Molina Health Care  Hello, Hope you are doing well, We wish to enroll our below mentioned providers, under the following group. Group Name: Bay Area Quick Care LLC NPI: 1437481421 TIN# 27-1702009 Main Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda NPI# 1528553724  Provider Name: Malowitz, Cynthia NPI# 1336173244  Provider Name: Ramsden, Melissa NPI# 1194376228  Provider Name: Francis, William: NPI# 1457994436  If you need any more details, please let me know.  Thank you', NULL, NULL, '2021-06-01 10:41:37', '2021-06-01 10:41:37'),
(36825, 11056, 29277, NULL, '2021-06-28 00:00:00.000', 'On Hold', 'Request is in process in main Molina Task.', NULL, NULL, '2021-06-21 12:15:00', '2021-06-21 12:15:00'),
(36826, 1006, 29277, NULL, '2021-08-25 00:00:00.000', 'Approved', 'Approval email received from @ Mata, Juliana Juliana.Mata@molinahealthcare.com:  Sub: Enrollment Status - BAQC - Molina  \"Good morning,  Happy Friday!!  Hope you are doing well.  per information on our system, facility Bay Area Quick Care is loaded into network billing system with effective date 9/1/2020, Molina does not contract individual providers to urgent care, Molina contracts facility itself.  Thank you  Juliana Mata | Associate Specialist Provider Contracts Molina Healthcare Of Texas Molina Healthcare Of Texas, Inc Juliana.Mata@Molinahealthcare.com 1660 Westridge Circle N. Irving, TX 75038 \'(888) 562-5442 ext 200249\" ', NULL, NULL, '2021-08-18 11:08:06', '2021-08-18 11:08:06'),
(36827, 1006, 29278, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:01', '2021-05-10 12:25:01'),
(36828, 9057, 29278, NULL, '2021-06-04 00:00:00.000', 'Not Eligible', 'Nueces Count is not covered by the Community Health Choice.  https://www.communityhealthchoice.org/medicare/medicare-hmo-d-snp/service-area/ Please find attached link for the reference. ', NULL, NULL, '2021-05-27 15:32:24', '2021-05-27 15:32:24'),
(36829, 1006, 29279, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:01', '2021-05-10 12:25:01'),
(36830, 9057, 29279, NULL, '2021-06-05 00:00:00.000', 'In Process', 'We sent an email to TXMAContracting@Cigna.com Sub: Enrollment Request - BAQC - Cigna Healthspring   Hello, We wish to enroll our group and providers, please find the attached forms.  Waiting for your response.  Thank you', NULL, NULL, '2021-05-28 17:21:26', '2021-05-28 17:21:26'),
(36831, 1006, 29279, NULL, '2021-06-23 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@Cigna.com & txgqproviderrelations@healthspring.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello,   I want to get an update regarding the status of enrollment for the following group and providers:   Group Name: Bay Area Quick Care LLC NPI# 1437481421TIN# 27-1702009  Provider Name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-06-16 12:02:39', '2021-06-16 12:02:39'),
(36832, 1006, 29279, NULL, '2021-06-23 00:00:00.000', 'In Process', 'We received the following reply from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"HI Brad,  Did you recently submit a letter of interest form for this group to be credentialed?  Thank you,  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092\"  Sent following reply:   \"Hello Jennifer,   We filled out and submitted a facility network interest form to TXMAContracting@cigna.com back on the 28th of May, I just wanted to confirm if that had been received and was being worked on?  Thank you!\"', NULL, NULL, '2021-06-16 16:28:42', '2021-06-16 16:28:42'),
(36833, 1006, 29279, NULL, '2021-06-28 00:00:00.000', 'In Process', 'We received the following email from \"PEREZ, JENNIFER (JEN) 866\" JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"HI Brad,  I have not seen it come through. I noticed you sent another inquiry for Right Step Medical Center, if you send me both letter of interest forms I can place it on file\"  Sent following reply to her:   \"Hello Jennifer, Here are the facility interest forms for both groups. Please let me know if anything else is required. Thank you!\"', NULL, NULL, '2021-06-21 13:36:36', '2021-06-21 13:36:36'),
(36834, 11056, 29279, NULL, '2021-07-14 00:00:00.000', 'In Process', 'Email received from : JENNIFER.PEREZ@cigna.com  Sub : Enrollment Status - BAQC - Cigna Healthspring  Thank you Brad! I will provide these to the Network committee, where they will review at our next meeting. Once reviewed, I will get back in touch with you to inform you of their decision.  Thank you,  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092', NULL, NULL, '2021-07-06 15:58:15', '2021-07-06 15:58:15');
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
(36835, 1006, 29279, NULL, '2021-07-15 00:00:00.000', 'In Process', 'We received the following reply from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Thank you Brad! I will provide these to the Network committee, where they will review at our next meeting. Once reviewed, I will get back in touch with you to inform you of their decision.\"  Sent f/u email:  \"Hello Jennifer,   I hope you\'re doing well, I wanted to get an update regarding the enrollment request for both of our groups, could you please get back to me as soon as possible?  Thank you.\"', NULL, NULL, '2021-07-08 13:06:57', '2021-07-08 13:06:57'),
(36836, 1006, 29279, NULL, '2021-07-19 00:00:00.000', 'In Process', 'We received the following update from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hi Brad,  I sent an updated denial letter for Right Steps Medical Center on behalf of the network committee, however we will be extending a contract for Bay Area Quick Care. I will work on this contract and send it to you once it’s been approved.\"', NULL, NULL, '2021-07-12 10:15:50', '2021-07-12 10:15:50'),
(36837, 1006, 29279, NULL, '2021-08-03 00:00:00.000', 'In Process', 'Sent f/u email @ \"PEREZ, JENNIFER (JEN) 866\" JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello Jennifer,  I hope you\'re doing well, can you please let me know if there have been any updates on this request?  Thank you.\"', NULL, NULL, '2021-07-27 16:42:29', '2021-07-27 16:42:29'),
(36838, 1006, 29279, NULL, '2021-08-17 00:00:00.000', 'In Process', 'Sent f/u email @ JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello Jennifer,   Is there any update regarding the enrollment status for Bay Area Quick Care for either Cigna Healthspring or Renaissance Physicians?  Thanks. \"', NULL, NULL, '2021-08-10 13:54:38', '2021-08-10 13:54:38'),
(36839, 11056, 29279, NULL, '2021-08-27 00:00:00.000', 'In Process', 'Email received from : JENNIFER.PEREZ@cigna.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Hi Brad,        May you please email TXGQProviderRelations@healthspring.com for a status update with Renaissance Physicians in the title of the email. The correct representative will reach out to you and will be able to assist you further.', NULL, NULL, '2021-08-20 10:57:06', '2021-08-20 10:57:06'),
(36840, 11056, 29279, NULL, '2021-09-06 00:00:00.000', 'In Process', 'Email sent to : JENNIFER.PEREZ@cigna.com  & TXGQProviderRelations@healthspring.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Good morning!  Hope this email finds you well.This is just a follow-up email related to the Cigna Healthspring. I wanted to get the latest updates regarding the enrollment status of the following providers and practice.  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI# 1437481421 Practice TIN# 27-1702009 Practice Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418-5148  Provider Details: Provider name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  If you have any questions or need documents please let me know. Waiting for your response.  Thank you! Have a great week ahead!', NULL, NULL, '2021-08-30 10:49:27', '2021-08-30 10:49:27'),
(36841, 11056, 29279, NULL, '2021-10-01 00:00:00.000', 'In Process', 'Email sent to : TXGQProviderRelations@healthspring.com, TX.AncillaryContracting@healthspring.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Good morning!  Hope all is well with you. We still have not received any updates regarding the status of enrollment process of the below mentioned providers and practice with Cigna Healthspring. Please let me know how long it will take to just get an update from your side regarding the credentialing process.   Group Name	Bay Area Quick Care PLLC Tax ID	27-1702009 Group NPI	1437481421 Primary Location	9929 South Padre Island Drive, Suite 109, Corpus Christi , TX 78418-5148  Provider Name	NPI William Francis	1457994436 Kynda Orsak	1528553724 Cynthia Malowitz	  1336173244 Melissa Ramsden	1194376228    In the meantime, please do not hesitate to reach out if you have any questions or concerns. Eagerly, Waiting to hear from you soon.  Thank you! Have a great day!  Also have left out voice mails at 877-653-0331& 956-364-3331 for the enrollment updates.', NULL, NULL, '2021-09-24 10:08:04', '2021-09-24 10:08:04'),
(36842, 11056, 29279, NULL, '2021-10-18 00:00:00.000', 'Not Eligible', 'Email received from : JENNIFER.PEREZ@cigna.com & cresta.smith@careallies.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Hey Ahmed,  Thanks for following up! Based on Crestas previous email, they are currently not in the Corpus area.   Crestas Last email :   We don’t have a network in that area, as such the provider aren’t in network nor have the ability to be.    Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092   Confirm  from Rep : Oscar S & Banjie N COntact no. :  877-653-0331 ', NULL, NULL, '2021-10-11 09:49:37', '2021-10-11 09:49:37'),
(36843, 1006, 29280, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:01', '2021-05-10 12:25:01'),
(36844, 9057, 29280, NULL, '2021-06-04 00:00:00.000', 'Not Eligible', ' Paramount does not cover Texas as it is an Ohio only plan, please find attached link for reference: https://www.paramounthealthcare.com/news/paramount-advantage-service-area-changes ', NULL, NULL, '2021-05-27 16:35:33', '2021-05-27 16:35:33'),
(36845, 1006, 29286, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:01', '2021-05-10 12:25:01'),
(36846, 9057, 29286, NULL, '2021-06-08 00:00:00.000', 'Initiated', 'We sent an email to: providerservices@renaissancefamily.com Sub: Requisition of Enrollment - BAQC - Renaissance Physicians Hello, Hope you are doing well, We wish to enroll our group and providers, find details given below.   Group Name: Bay Area Quick Care LLC NPI: 1437481421 TIN# 27-1702009 Main Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda NPI# 1528553724  Provider Name: Malowitz, Cynthia NPI# 1336173244  Provider Name: Ramsden, Melissa NPI# 1194376228  Provider Name: Francis, William: NPI# 1457994436  If you need any more details, please let me know.  Thank you ', NULL, NULL, '2021-06-01 08:52:06', '2021-06-01 08:52:06'),
(36847, 11056, 29286, NULL, '2021-06-28 00:00:00.000', 'In Process', '	 Email sent to : providerservices@renaissancefamily.com  Sub : Requisition of Enrollment - BAQC - Renaissance Physicians  Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 12:38:38', '2021-06-21 12:38:38'),
(36848, 11056, 29286, NULL, '2021-07-14 00:00:00.000', 'In Process', 'Email sent to : 	providerservices@renaissancefamily.com  Sub :  Enrollment Requisition - BAQC - Renaissance Physicians  Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-07-06 16:14:23', '2021-07-06 16:14:23'),
(36849, 1006, 29286, NULL, '2021-07-30 00:00:00.000', 'In Process', 'Sent f/u email at corrected email @ txgqproviderrelations@healthspring.com:  Sub: Enrollment Requisition - BAQC - Renaissance Physicians  \"Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!\"', NULL, NULL, '2021-07-23 16:32:05', '2021-07-23 16:32:05'),
(36850, 1006, 29286, NULL, '2021-08-02 00:00:00.000', 'In Process', 'We received the following update from JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Requisition - BAQC - Renaissance Physicians  \"HI Brad,  I will be sending this contract this week, they’ve been approved to be submitted for credentialing. May you send me a roster in a word/PDF document with their Name, NPI,  and Specialty.  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092  cid:image002.png@01D6F326.EEB674D0 Confidential, unpublished property of Cigna Do not duplicate or distribute Use and distribution limited solely to authorized personnel.\"  Replied with roster: \"Hello Jennifer,   I appreciate the update, please find the attached roster. Do let me know if anything else is required.  Thank you!\"', NULL, NULL, '2021-07-26 10:52:08', '2021-07-26 10:52:08'),
(36851, 1006, 29286, NULL, '2021-08-09 00:00:00.000', 'In Process', 'We received the following update from JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Thank you for the clarification. The letter of interest you previously sent, was for Cigna-Medicare through our independent network. However If you wish to be a part of Renaissance Physicians, you will need to fill out a different form as they have their own network. The renaissance physician process is similar, as they will review your form and decide if there is a network need for your group.  Please let me which network you are seeking and I will lead you to the next step.\"  Replied:  \"Hello Jennifer,   I apologize for the delay but as stated before, we want to enroll under both insurances. Here\'s the form for all of the providers.   Please let me know if anything else is required. \"', NULL, NULL, '2021-08-02 14:18:44', '2021-08-02 14:18:44'),
(36852, 1006, 29286, NULL, '2021-08-19 00:00:00.000', 'In Process', 'Sent a f/u email @ TXGQProviderRelations@healthspring.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the credentialing status for the following group and providers:   Practice Name: Bay Area Quick Care LLC Practice NPI: 1437481421 Practice TIN: 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-12 16:18:53', '2021-08-12 16:18:53'),
(36853, 11056, 29286, NULL, '2021-08-27 00:00:00.000', 'In Process', 'Email sent to : TXGQProviderRelations@healthspring.com  Sub  : Enrollment Status - BAQC - Renaissance Physicians  Good morning!  I hope you\'re doing well, I wanted to get an update regarding the credentialing status for the following group and providers:  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI: 1437481421 Practice TIN: 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Details: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  Please get back to me as soon as possible. Waiting for your response.  Thank you! Have a great weekend!', NULL, NULL, '2021-08-20 10:53:12', '2021-08-20 10:53:12'),
(36854, 11056, 29286, NULL, '2021-09-06 00:00:00.000', 'In Process', 'Email sent to : 	TXGQProviderRelations@healthspring.com, providerservices@renaissancefamily.com  Sub : Enrollment Status - BAQC - Renaissance Physicians  Good morning!  Hope this email finds you well.This is just a follow-up email related to the Renaissance Physicians. I wanted to get the latest updates regarding the enrollment status of the following providers and practice.  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI# 1437481421 Practice TIN# 27-1702009 Practice Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418-5148  Provider Details: Provider name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  If you have any questions or need documents please let me know. Waiting for your response.  Thank you! Have a great week ahead!', NULL, NULL, '2021-08-30 10:57:43', '2021-08-30 10:57:43'),
(36855, 11056, 29286, NULL, '2021-09-06 00:00:00.000', 'Not Eligible', 'Email received from : cresta.smith@careallies.com  Sub : Enrollment Status - BAQC - Renaissance Physicians  1st time : Renaissance is not in the Corpus Christi area.     Thank you for your interest.     Cresta Smith   For confirmation:   Renaissance physicians organization is not in corpus Christi, we don’t have a network in that area, as such the provider aren’t in network nor have the ability to be.     I responded with this information last week.     Thanks,  Cresta', NULL, NULL, '2021-08-30 12:21:17', '2021-08-30 12:21:17'),
(36856, 1006, 29287, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:01', '2021-05-10 12:25:01'),
(36857, 9057, 29287, NULL, '2021-06-08 00:00:00.000', 'Initiated', 'We sent an email to: Juliana.Mata@molinahealthcare.com  Sub: Requisition for Enrollment - BAQC - Molina Health Care  Hello, Hope you are doing well, We wish to enroll our below mentioned providers, under the following group. Group Name: Bay Area Quick Care LLC NPI: 1437481421 TIN# 27-1702009 Main Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda NPI# 1528553724  Provider Name: Malowitz, Cynthia NPI# 1336173244  Provider Name: Ramsden, Melissa NPI# 1194376228  Provider Name: Francis, William: NPI# 1457994436  If you need any more details, please let me know.  Thank you', NULL, NULL, '2021-06-01 10:41:24', '2021-06-01 10:41:24'),
(36858, 11056, 29287, NULL, '2021-06-28 00:00:00.000', 'On Hold', 'Request is in process in main Molina Task.', NULL, NULL, '2021-06-21 12:13:00', '2021-06-21 12:13:00'),
(36859, 1006, 29287, NULL, '2021-08-25 00:00:00.000', 'Approved', 'Approval email received from @ Mata, Juliana Juliana.Mata@molinahealthcare.com:  Sub: Enrollment Status - BAQC - Molina  \"Good morning,  Happy Friday!!  Hope you are doing well.  per information on our system, facility Bay Area Quick Care is loaded into network billing system with effective date 9/1/2020, Molina does not contract individual providers to urgent care, Molina contracts facility itself.  Thank you  Juliana Mata | Associate Specialist Provider Contracts Molina Healthcare Of Texas Molina Healthcare Of Texas, Inc Juliana.Mata@Molinahealthcare.com 1660 Westridge Circle N. Irving, TX 75038 \'(888) 562-5442 ext 200249\" ', NULL, NULL, '2021-08-18 11:08:03', '2021-08-18 11:08:03'),
(36860, 1006, 29288, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:01', '2021-05-10 12:25:01'),
(36861, 9057, 29288, NULL, '2021-06-04 00:00:00.000', 'Not Eligible', 'Nueces Count is not covered by the Community Health Choice.  https://www.communityhealthchoice.org/medicare/medicare-hmo-d-snp/service-area/ Please find attached link for the reference. ', NULL, NULL, '2021-05-27 15:32:58', '2021-05-27 15:32:58'),
(36862, 1006, 29289, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:01', '2021-05-10 12:25:01'),
(36863, 9057, 29289, NULL, '2021-06-05 00:00:00.000', 'New/Not Initiated', 'We sent an email to TXMAContracting@Cigna.com Sub: Enrollment Request - BAQC - Cigna Healthspring   Hello, We wish to enroll our group and providers, please find the attached forms.  Waiting for your response.  Thank you', NULL, NULL, '2021-05-28 17:17:15', '2021-05-28 17:17:15'),
(36864, 9057, 29289, NULL, '2021-06-05 00:00:00.000', 'In Process', '', NULL, NULL, '2021-05-28 17:18:11', '2021-05-28 17:18:11'),
(36865, 1006, 29289, NULL, '2021-06-23 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@Cigna.com & txgqproviderrelations@healthspring.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello,   I want to get an update regarding the status of enrollment for the following group and providers:   Group Name: Bay Area Quick Care LLC NPI# 1437481421TIN# 27-1702009  Provider Name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-06-16 12:02:35', '2021-06-16 12:02:35'),
(36866, 1006, 29289, NULL, '2021-06-23 00:00:00.000', 'In Process', 'We received the following reply from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"HI Brad,  Did you recently submit a letter of interest form for this group to be credentialed?  Thank you,  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092\"  Sent following reply:   \"Hello Jennifer,   We filled out and submitted a facility network interest form to TXMAContracting@cigna.com back on the 28th of May, I just wanted to confirm if that had been received and was being worked on?  Thank you!\"', NULL, NULL, '2021-06-16 16:28:39', '2021-06-16 16:28:39'),
(36867, 1006, 29289, NULL, '2021-06-28 00:00:00.000', 'In Process', 'We received the following email from \"PEREZ, JENNIFER (JEN) 866\" JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"HI Brad,  I have not seen it come through. I noticed you sent another inquiry for Right Step Medical Center, if you send me both letter of interest forms I can place it on file\"  Sent following reply to her:   \"Hello Jennifer, Here are the facility interest forms for both groups. Please let me know if anything else is required. Thank you!\"', NULL, NULL, '2021-06-21 13:36:32', '2021-06-21 13:36:32'),
(36868, 11056, 29289, NULL, '2021-07-14 00:00:00.000', 'In Process', 'Email received from : JENNIFER.PEREZ@cigna.com  Sub : Enrollment Status - BAQC - Cigna Healthspring  Thank you Brad! I will provide these to the Network committee, where they will review at our next meeting. Once reviewed, I will get back in touch with you to inform you of their decision.  Thank you,  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092', NULL, NULL, '2021-07-06 15:58:05', '2021-07-06 15:58:05'),
(36869, 1006, 29289, NULL, '2021-07-15 00:00:00.000', 'In Process', 'We received the following reply from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Thank you Brad! I will provide these to the Network committee, where they will review at our next meeting. Once reviewed, I will get back in touch with you to inform you of their decision.\"  Sent f/u email:  \"Hello Jennifer,   I hope you\'re doing well, I wanted to get an update regarding the enrollment request for both of our groups, could you please get back to me as soon as possible?  Thank you.\"', NULL, NULL, '2021-07-08 13:06:53', '2021-07-08 13:06:53'),
(36870, 1006, 29289, NULL, '2021-07-19 00:00:00.000', 'In Process', 'We received the following update from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hi Brad,  I sent an updated denial letter for Right Steps Medical Center on behalf of the network committee, however we will be extending a contract for Bay Area Quick Care. I will work on this contract and send it to you once it’s been approved.\"', NULL, NULL, '2021-07-12 10:15:45', '2021-07-12 10:15:45'),
(36871, 1006, 29289, NULL, '2021-08-03 00:00:00.000', 'In Process', 'Sent f/u email @ \"PEREZ, JENNIFER (JEN) 866\" JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello Jennifer,  I hope you\'re doing well, can you please let me know if there have been any updates on this request?  Thank you.\"', NULL, NULL, '2021-07-27 16:42:22', '2021-07-27 16:42:22'),
(36872, 1006, 29289, NULL, '2021-08-17 00:00:00.000', 'In Process', 'Sent f/u email @ JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello Jennifer,   Is there any update regarding the enrollment status for Bay Area Quick Care for either Cigna Healthspring or Renaissance Physicians?  Thanks. \"', NULL, NULL, '2021-08-10 13:54:36', '2021-08-10 13:54:36'),
(36873, 11056, 29289, NULL, '2021-08-27 00:00:00.000', 'In Process', 'Email received from : JENNIFER.PEREZ@cigna.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Hi Brad,        May you please email TXGQProviderRelations@healthspring.com for a status update with Renaissance Physicians in the title of the email. The correct representative will reach out to you and will be able to assist you further.', NULL, NULL, '2021-08-20 10:56:54', '2021-08-20 10:56:54'),
(36874, 11056, 29289, NULL, '2021-08-27 00:00:00.000', 'In Process', 'Email received from : JENNIFER.PEREZ@cigna.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Hi Brad,        May you please email TXGQProviderRelations@healthspring.com for a status update with Renaissance Physicians in the title of the email. The correct representative will reach out to you and will be able to assist you further.', NULL, NULL, '2021-08-20 10:56:54', '2021-08-20 10:56:54'),
(36875, 11056, 29289, NULL, '2021-09-06 00:00:00.000', 'In Process', 'Email sent to : JENNIFER.PEREZ@cigna.com  & TXGQProviderRelations@healthspring.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Good morning!  Hope this email finds you well.This is just a follow-up email related to the Cigna Healthspring. I wanted to get the latest updates regarding the enrollment status of the following providers and practice.  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI# 1437481421 Practice TIN# 27-1702009 Practice Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418-5148  Provider Details: Provider name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  If you have any questions or need documents please let me know. Waiting for your response.  Thank you! Have a great week ahead!', NULL, NULL, '2021-08-30 10:49:09', '2021-08-30 10:49:09'),
(36876, 11056, 29289, NULL, '2021-10-01 00:00:00.000', 'In Process', 'Email sent to : TXGQProviderRelations@healthspring.com, TX.AncillaryContracting@healthspring.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Good morning!  Hope all is well with you. We still have not received any updates regarding the status of enrollment process of the below mentioned providers and practice with Cigna Healthspring. Please let me know how long it will take to just get an update from your side regarding the credentialing process.   Group Name	Bay Area Quick Care PLLC Tax ID	27-1702009 Group NPI	1437481421 Primary Location	9929 South Padre Island Drive, Suite 109, Corpus Christi , TX 78418-5148  Provider Name	NPI William Francis	1457994436 Kynda Orsak	1528553724 Cynthia Malowitz	  1336173244 Melissa Ramsden	1194376228    In the meantime, please do not hesitate to reach out if you have any questions or concerns. Eagerly, Waiting to hear from you soon.  Thank you! Have a great day!  Also have left out voice mails at 877-653-0331& 956-364-3331 for the enrollment updates.', NULL, NULL, '2021-09-24 10:07:57', '2021-09-24 10:07:57'),
(36877, 11056, 29289, NULL, '2021-10-18 00:00:00.000', 'Not Eligible', 'Email received from : JENNIFER.PEREZ@cigna.com & cresta.smith@careallies.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Hey Ahmed,  Thanks for following up! Based on Crestas previous email, they are currently not in the Corpus area.   Crestas Last email :   We don’t have a network in that area, as such the provider aren’t in network nor have the ability to be.    Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092   Confirm  from Rep : Oscar S & Banjie N COntact no. :  877-653-0331 ', NULL, NULL, '2021-10-11 09:49:30', '2021-10-11 09:49:30'),
(36878, 1006, 29290, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:01', '2021-05-10 12:25:01'),
(36879, 9057, 29290, NULL, '2021-06-04 00:00:00.000', 'Not Eligible', ' Paramount does not cover Texas as it is an Ohio only plan, please find attached link for reference: https://www.paramounthealthcare.com/news/paramount-advantage-service-area-changes ', NULL, NULL, '2021-05-27 16:34:30', '2021-05-27 16:34:30'),
(36880, 1006, 29296, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:02', '2021-05-10 12:25:02'),
(36881, 9057, 29296, NULL, '2021-06-08 00:00:00.000', 'Initiated', 'We sent an email to: providerservices@renaissancefamily.com Sub: Requisition of Enrollment - BAQC - Renaissance Physicians Hello, Hope you are doing well, We wish to enroll our group and providers, find details given below.   Group Name: Bay Area Quick Care LLC NPI: 1437481421 TIN# 27-1702009 Main Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda NPI# 1528553724  Provider Name: Malowitz, Cynthia NPI# 1336173244  Provider Name: Ramsden, Melissa NPI# 1194376228  Provider Name: Francis, William: NPI# 1457994436  If you need any more details, please let me know.  Thank you ', NULL, NULL, '2021-06-01 08:51:46', '2021-06-01 08:51:46'),
(36882, 11056, 29296, NULL, '2021-06-28 00:00:00.000', 'In Process', '	 Email sent to : providerservices@renaissancefamily.com  Sub : Requisition of Enrollment - BAQC - Renaissance Physicians  Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 12:38:21', '2021-06-21 12:38:21'),
(36883, 11056, 29296, NULL, '2021-07-14 00:00:00.000', 'In Process', 'Email sent to : 	providerservices@renaissancefamily.com  Sub :  Enrollment Requisition - BAQC - Renaissance Physicians  Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-07-06 16:14:18', '2021-07-06 16:14:18'),
(36884, 1006, 29296, NULL, '2021-07-30 00:00:00.000', 'In Process', 'Sent f/u email at corrected email @ txgqproviderrelations@healthspring.com:  Sub: Enrollment Requisition - BAQC - Renaissance Physicians  \"Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!\"', NULL, NULL, '2021-07-23 16:32:02', '2021-07-23 16:32:02'),
(36885, 1006, 29296, NULL, '2021-08-02 00:00:00.000', 'In Process', 'We received the following update from JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Requisition - BAQC - Renaissance Physicians  \"HI Brad,  I will be sending this contract this week, they’ve been approved to be submitted for credentialing. May you send me a roster in a word/PDF document with their Name, NPI,  and Specialty.  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092  cid:image002.png@01D6F326.EEB674D0 Confidential, unpublished property of Cigna Do not duplicate or distribute Use and distribution limited solely to authorized personnel.\"  Replied with roster: \"Hello Jennifer,   I appreciate the update, please find the attached roster. Do let me know if anything else is required.  Thank you!\"', NULL, NULL, '2021-07-26 10:52:04', '2021-07-26 10:52:04'),
(36886, 1006, 29296, NULL, '2021-08-09 00:00:00.000', 'In Process', 'We received the following update from JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Thank you for the clarification. The letter of interest you previously sent, was for Cigna-Medicare through our independent network. However If you wish to be a part of Renaissance Physicians, you will need to fill out a different form as they have their own network. The renaissance physician process is similar, as they will review your form and decide if there is a network need for your group.  Please let me which network you are seeking and I will lead you to the next step.\"  Replied:  \"Hello Jennifer,   I apologize for the delay but as stated before, we want to enroll under both insurances. Here\'s the form for all of the providers.   Please let me know if anything else is required. \"', NULL, NULL, '2021-08-02 14:18:41', '2021-08-02 14:18:41'),
(36887, 1006, 29296, NULL, '2021-08-19 00:00:00.000', 'In Process', 'Sent a f/u email @ TXGQProviderRelations@healthspring.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the credentialing status for the following group and providers:   Practice Name: Bay Area Quick Care LLC Practice NPI: 1437481421 Practice TIN: 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-12 16:18:16', '2021-08-12 16:18:16'),
(36888, 11056, 29296, NULL, '2021-08-27 00:00:00.000', 'In Process', 'Email sent to : TXGQProviderRelations@healthspring.com  Sub  : Enrollment Status - BAQC - Renaissance Physicians  Good morning!  I hope you\'re doing well, I wanted to get an update regarding the credentialing status for the following group and providers:  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI: 1437481421 Practice TIN: 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Details: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  Please get back to me as soon as possible. Waiting for your response.  Thank you! Have a great weekend!', NULL, NULL, '2021-08-20 10:53:04', '2021-08-20 10:53:04'),
(36889, 11056, 29296, NULL, '2021-09-06 00:00:00.000', 'In Process', 'Email sent to : 	TXGQProviderRelations@healthspring.com, providerservices@renaissancefamily.com  Sub : Enrollment Status - BAQC - Renaissance Physicians  Good morning!  Hope this email finds you well.This is just a follow-up email related to the Renaissance Physicians. I wanted to get the latest updates regarding the enrollment status of the following providers and practice.  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI# 1437481421 Practice TIN# 27-1702009 Practice Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418-5148  Provider Details: Provider name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  If you have any questions or need documents please let me know. Waiting for your response.  Thank you! Have a great week ahead!', NULL, NULL, '2021-08-30 10:57:36', '2021-08-30 10:57:36'),
(36890, 11056, 29296, NULL, '2021-09-06 00:00:00.000', 'Not Eligible', 'Email received from : cresta.smith@careallies.com  Sub : Enrollment Status - BAQC - Renaissance Physicians  1st time : Renaissance is not in the Corpus Christi area.     Thank you for your interest.     Cresta Smith   For confirmation:   Renaissance physicians organization is not in corpus Christi, we don’t have a network in that area, as such the provider aren’t in network nor have the ability to be.     I responded with this information last week.     Thanks,  Cresta', NULL, NULL, '2021-08-30 12:21:08', '2021-08-30 12:21:08'),
(36891, 1006, 29297, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:02', '2021-05-10 12:25:02'),
(36892, 9057, 29297, NULL, '2021-06-08 00:00:00.000', 'Initiated', 'We sent an email to: Juliana.Mata@molinahealthcare.com  Sub: Requisition for Enrollment - BAQC - Molina Health Care  Hello, Hope you are doing well, We wish to enroll our below mentioned providers, under the following group. Group Name: Bay Area Quick Care LLC NPI: 1437481421 TIN# 27-1702009 Main Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda NPI# 1528553724  Provider Name: Malowitz, Cynthia NPI# 1336173244  Provider Name: Ramsden, Melissa NPI# 1194376228  Provider Name: Francis, William: NPI# 1457994436  If you need any more details, please let me know.  Thank you', NULL, NULL, '2021-06-01 10:41:03', '2021-06-01 10:41:03'),
(36893, 11056, 29297, NULL, '2021-06-28 00:00:00.000', 'On Hold', 'Request is in process in main Molina Task.', NULL, NULL, '2021-06-21 12:12:43', '2021-06-21 12:12:43'),
(36894, 1006, 29297, NULL, '2021-08-25 00:00:00.000', 'Approved', 'Approval email received from @ Mata, Juliana Juliana.Mata@molinahealthcare.com:  Sub: Enrollment Status - BAQC - Molina  \"Good morning,  Happy Friday!!  Hope you are doing well.  per information on our system, facility Bay Area Quick Care is loaded into network billing system with effective date 9/1/2020, Molina does not contract individual providers to urgent care, Molina contracts facility itself.  Thank you  Juliana Mata | Associate Specialist Provider Contracts Molina Healthcare Of Texas Molina Healthcare Of Texas, Inc Juliana.Mata@Molinahealthcare.com 1660 Westridge Circle N. Irving, TX 75038 \'(888) 562-5442 ext 200249\" ', NULL, NULL, '2021-08-18 11:08:00', '2021-08-18 11:08:00'),
(36895, 1006, 29298, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:02', '2021-05-10 12:25:02'),
(36896, 9057, 29298, NULL, '2021-06-04 00:00:00.000', 'Not Eligible', 'Nueces Count is not covered by the Community Health Choice.  https://www.communityhealthchoice.org/medicare/medicare-hmo-d-snp/service-area/ Please find attached link for the reference. ', NULL, NULL, '2021-05-27 15:33:28', '2021-05-27 15:33:28'),
(36897, 1006, 29299, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:02', '2021-05-10 12:25:02'),
(36898, 9057, 29299, NULL, '2021-06-05 00:00:00.000', 'In Process', 'We sent an email to TXMAContracting@Cigna.com Sub: Enrollment Request - BAQC - Cigna Healthspring   Hello, We wish to enroll our group and providers, please find the attached forms.  Waiting for your response.  Thank you', NULL, NULL, '2021-05-28 17:20:43', '2021-05-28 17:20:43'),
(36899, 1006, 29299, NULL, '2021-06-23 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@Cigna.com & txgqproviderrelations@healthspring.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello,   I want to get an update regarding the status of enrollment for the following group and providers:   Group Name: Bay Area Quick Care LLC NPI# 1437481421TIN# 27-1702009  Provider Name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-06-16 12:02:30', '2021-06-16 12:02:30'),
(36900, 1006, 29299, NULL, '2021-06-23 00:00:00.000', 'In Process', 'We received the following reply from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"HI Brad,  Did you recently submit a letter of interest form for this group to be credentialed?  Thank you,  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092\"  Sent following reply:   \"Hello Jennifer,   We filled out and submitted a facility network interest form to TXMAContracting@cigna.com back on the 28th of May, I just wanted to confirm if that had been received and was being worked on?  Thank you!\"', NULL, NULL, '2021-06-16 16:28:35', '2021-06-16 16:28:35'),
(36901, 1006, 29299, NULL, '2021-06-28 00:00:00.000', 'In Process', 'We received the following email from \"PEREZ, JENNIFER (JEN) 866\" JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"HI Brad,  I have not seen it come through. I noticed you sent another inquiry for Right Step Medical Center, if you send me both letter of interest forms I can place it on file\"  Sent following reply to her:   \"Hello Jennifer, Here are the facility interest forms for both groups. Please let me know if anything else is required. Thank you!\"', NULL, NULL, '2021-06-21 13:36:29', '2021-06-21 13:36:29'),
(36902, 11056, 29299, NULL, '2021-07-14 00:00:00.000', 'In Process', 'Email received from : JENNIFER.PEREZ@cigna.com  Sub : Enrollment Status - BAQC - Cigna Healthspring  Thank you Brad! I will provide these to the Network committee, where they will review at our next meeting. Once reviewed, I will get back in touch with you to inform you of their decision.  Thank you,  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092', NULL, NULL, '2021-07-06 15:58:28', '2021-07-06 15:58:28'),
(36903, 1006, 29299, NULL, '2021-07-15 00:00:00.000', 'In Process', 'We received the following reply from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Thank you Brad! I will provide these to the Network committee, where they will review at our next meeting. Once reviewed, I will get back in touch with you to inform you of their decision.\"  Sent f/u email:  \"Hello Jennifer,   I hope you\'re doing well, I wanted to get an update regarding the enrollment request for both of our groups, could you please get back to me as soon as possible?  Thank you.\"', NULL, NULL, '2021-07-08 13:06:49', '2021-07-08 13:06:49'),
(36904, 1006, 29299, NULL, '2021-07-19 00:00:00.000', 'In Process', 'We received the following update from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hi Brad,  I sent an updated denial letter for Right Steps Medical Center on behalf of the network committee, however we will be extending a contract for Bay Area Quick Care. I will work on this contract and send it to you once it’s been approved.\"', NULL, NULL, '2021-07-12 10:15:40', '2021-07-12 10:15:40'),
(36905, 1006, 29299, NULL, '2021-08-03 00:00:00.000', 'In Process', 'Sent f/u email @ \"PEREZ, JENNIFER (JEN) 866\" JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello Jennifer,  I hope you\'re doing well, can you please let me know if there have been any updates on this request?  Thank you.\"', NULL, NULL, '2021-07-27 16:42:17', '2021-07-27 16:42:17'),
(36906, 1006, 29299, NULL, '2021-08-17 00:00:00.000', 'In Process', 'Sent f/u email @ JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello Jennifer,   Is there any update regarding the enrollment status for Bay Area Quick Care for either Cigna Healthspring or Renaissance Physicians?  Thanks. \"', NULL, NULL, '2021-08-10 13:54:32', '2021-08-10 13:54:32'),
(36907, 11056, 29299, NULL, '2021-08-27 00:00:00.000', 'In Process', 'Email received from : JENNIFER.PEREZ@cigna.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Hi Brad,        May you please email TXGQProviderRelations@healthspring.com for a status update with Renaissance Physicians in the title of the email. The correct representative will reach out to you and will be able to assist you further.', NULL, NULL, '2021-08-20 10:56:44', '2021-08-20 10:56:44'),
(36908, 11056, 29299, NULL, '2021-09-06 00:00:00.000', 'In Process', 'Email sent to : JENNIFER.PEREZ@cigna.com  & TXGQProviderRelations@healthspring.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Good morning!  Hope this email finds you well.This is just a follow-up email related to the Cigna Healthspring. I wanted to get the latest updates regarding the enrollment status of the following providers and practice.  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI# 1437481421 Practice TIN# 27-1702009 Practice Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418-5148  Provider Details: Provider name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  If you have any questions or need documents please let me know. Waiting for your response.  Thank you! Have a great week ahead!', NULL, NULL, '2021-08-30 10:48:59', '2021-08-30 10:48:59'),
(36909, 11056, 29299, NULL, '2021-10-01 00:00:00.000', 'In Process', 'Email sent to : TXGQProviderRelations@healthspring.com, TX.AncillaryContracting@healthspring.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Good morning!  Hope all is well with you. We still have not received any updates regarding the status of enrollment process of the below mentioned providers and practice with Cigna Healthspring. Please let me know how long it will take to just get an update from your side regarding the credentialing process.   Group Name	Bay Area Quick Care PLLC Tax ID	27-1702009 Group NPI	1437481421 Primary Location	9929 South Padre Island Drive, Suite 109, Corpus Christi , TX 78418-5148  Provider Name	NPI William Francis	1457994436 Kynda Orsak	1528553724 Cynthia Malowitz	  1336173244 Melissa Ramsden	1194376228    In the meantime, please do not hesitate to reach out if you have any questions or concerns. Eagerly, Waiting to hear from you soon.  Thank you! Have a great day!  Also have left out voice mails at 877-653-0331& 956-364-3331 for the enrollment updates.', NULL, NULL, '2021-09-24 10:07:52', '2021-09-24 10:07:52'),
(36910, 11056, 29299, NULL, '2021-10-18 00:00:00.000', 'Not Eligible', 'Email received from : JENNIFER.PEREZ@cigna.com & cresta.smith@careallies.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Hey Ahmed,  Thanks for following up! Based on Crestas previous email, they are currently not in the Corpus area.   Crestas Last email :   We don’t have a network in that area, as such the provider aren’t in network nor have the ability to be.    Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092', NULL, NULL, '2021-10-11 09:47:43', '2021-10-11 09:47:43'),
(36911, 11056, 29299, NULL, '2021-10-18 00:00:00.000', 'Not Eligible', 'Email received from : JENNIFER.PEREZ@cigna.com & cresta.smith@careallies.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Hey Ahmed,  Thanks for following up! Based on Crestas previous email, they are currently not in the Corpus area.   Crestas Last email :   We don’t have a network in that area, as such the provider aren’t in network nor have the ability to be.    Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092   Confirm  from Rep : Oscar S & Banjie N COntact no. :  877-653-0331 ', NULL, NULL, '2021-10-11 09:49:23', '2021-10-11 09:49:23'),
(36912, 1006, 29300, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:02', '2021-05-10 12:25:02'),
(36913, 9057, 29300, NULL, '2021-06-04 00:00:00.000', 'Not Eligible', ' Paramount does not cover Texas as it is an Ohio only plan, please find attached link for reference: https://www.paramounthealthcare.com/news/paramount-advantage-service-area-changes ', NULL, NULL, '2021-05-27 16:34:59', '2021-05-27 16:34:59'),
(36914, 1006, 29306, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:02', '2021-05-10 12:25:02'),
(36915, 9057, 29306, NULL, '2021-06-08 00:00:00.000', 'Initiated', 'We sent an email to: providerservices@renaissancefamily.com Sub: Requisition of Enrollment - BAQC - Renaissance Physicians Hello, Hope you are doing well, We wish to enroll our group and providers, find details given below.   Group Name: Bay Area Quick Care LLC NPI: 1437481421 TIN# 27-1702009 Main Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda NPI# 1528553724  Provider Name: Malowitz, Cynthia NPI# 1336173244  Provider Name: Ramsden, Melissa NPI# 1194376228  Provider Name: Francis, William: NPI# 1457994436  If you need any more details, please let me know.  Thank you ', NULL, NULL, '2021-06-01 08:51:44', '2021-06-01 08:51:44'),
(36916, 11056, 29306, NULL, '2021-06-28 00:00:00.000', 'In Process', '	 Email sent to : providerservices@renaissancefamily.com  Sub : Requisition of Enrollment - BAQC - Renaissance Physicians  Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 12:38:05', '2021-06-21 12:38:05');
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
(36917, 11056, 29306, NULL, '2021-07-14 00:00:00.000', 'In Process', 'Email sent to : 	providerservices@renaissancefamily.com  Sub :  Enrollment Requisition - BAQC - Renaissance Physicians  Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-07-06 16:14:10', '2021-07-06 16:14:10'),
(36918, 1006, 29306, NULL, '2021-07-30 00:00:00.000', 'In Process', 'Sent f/u email at corrected email @ txgqproviderrelations@healthspring.com:  Sub: Enrollment Requisition - BAQC - Renaissance Physicians  \"Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!\"', NULL, NULL, '2021-07-23 16:31:57', '2021-07-23 16:31:57'),
(36919, 1006, 29306, NULL, '2021-08-02 00:00:00.000', 'In Process', 'We received the following update from JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Requisition - BAQC - Renaissance Physicians  \"HI Brad,  I will be sending this contract this week, they’ve been approved to be submitted for credentialing. May you send me a roster in a word/PDF document with their Name, NPI,  and Specialty.  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092  cid:image002.png@01D6F326.EEB674D0 Confidential, unpublished property of Cigna Do not duplicate or distribute Use and distribution limited solely to authorized personnel.\"  Replied with roster: \"Hello Jennifer,   I appreciate the update, please find the attached roster. Do let me know if anything else is required.  Thank you!\"', NULL, NULL, '2021-07-26 10:52:01', '2021-07-26 10:52:01'),
(36920, 1006, 29306, NULL, '2021-08-09 00:00:00.000', 'In Process', 'We received the following update from JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Thank you for the clarification. The letter of interest you previously sent, was for Cigna-Medicare through our independent network. However If you wish to be a part of Renaissance Physicians, you will need to fill out a different form as they have their own network. The renaissance physician process is similar, as they will review your form and decide if there is a network need for your group.  Please let me which network you are seeking and I will lead you to the next step.\"  Replied:  \"Hello Jennifer,   I apologize for the delay but as stated before, we want to enroll under both insurances. Here\'s the form for all of the providers.   Please let me know if anything else is required. \"', NULL, NULL, '2021-08-02 14:18:37', '2021-08-02 14:18:37'),
(36921, 1006, 29306, NULL, '2021-08-19 00:00:00.000', 'In Process', 'Sent a f/u email @ TXGQProviderRelations@healthspring.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the credentialing status for the following group and providers:   Practice Name: Bay Area Quick Care LLC Practice NPI: 1437481421 Practice TIN: 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-12 16:18:10', '2021-08-12 16:18:10'),
(36922, 11056, 29306, NULL, '2021-08-27 00:00:00.000', 'In Process', 'Email sent to : TXGQProviderRelations@healthspring.com  Sub  : Enrollment Status - BAQC - Renaissance Physicians  Good morning!  I hope you\'re doing well, I wanted to get an update regarding the credentialing status for the following group and providers:  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI: 1437481421 Practice TIN: 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Details: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  Please get back to me as soon as possible. Waiting for your response.  Thank you! Have a great weekend!', NULL, NULL, '2021-08-20 10:52:57', '2021-08-20 10:52:57'),
(36923, 11056, 29306, NULL, '2021-09-06 00:00:00.000', 'In Process', 'Email sent to : 	TXGQProviderRelations@healthspring.com, providerservices@renaissancefamily.com  Sub : Enrollment Status - BAQC - Renaissance Physicians  Good morning!  Hope this email finds you well.This is just a follow-up email related to the Renaissance Physicians. I wanted to get the latest updates regarding the enrollment status of the following providers and practice.  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI# 1437481421 Practice TIN# 27-1702009 Practice Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418-5148  Provider Details: Provider name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  If you have any questions or need documents please let me know. Waiting for your response.  Thank you! Have a great week ahead!', NULL, NULL, '2021-08-30 10:57:28', '2021-08-30 10:57:28'),
(36924, 11056, 29306, NULL, '2021-09-06 00:00:00.000', 'Not Eligible', 'Email received from : cresta.smith@careallies.com  Sub : Enrollment Status - BAQC - Renaissance Physicians  1st time : Renaissance is not in the Corpus Christi area.     Thank you for your interest.     Cresta Smith   For confirmation:   Renaissance physicians organization is not in corpus Christi, we don’t have a network in that area, as such the provider aren’t in network nor have the ability to be.     I responded with this information last week.     Thanks,  Cresta', NULL, NULL, '2021-08-30 12:21:01', '2021-08-30 12:21:01'),
(36925, 1006, 29307, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:02', '2021-05-10 12:25:02'),
(36926, 9057, 29307, NULL, '2021-06-08 00:00:00.000', 'Initiated', 'We sent an email to: Juliana.Mata@molinahealthcare.com  Sub: Requisition for Enrollment - BAQC - Molina Health Care  Hello, Hope you are doing well, We wish to enroll our below mentioned providers, under the following group. Group Name: Bay Area Quick Care LLC NPI: 1437481421 TIN# 27-1702009 Main Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda NPI# 1528553724  Provider Name: Malowitz, Cynthia NPI# 1336173244  Provider Name: Ramsden, Melissa NPI# 1194376228  Provider Name: Francis, William: NPI# 1457994436  If you need any more details, please let me know.  Thank you', NULL, NULL, '2021-06-01 10:41:13', '2021-06-01 10:41:13'),
(36927, 11056, 29307, NULL, '2021-06-28 00:00:00.000', 'On Hold', 'Request is in process in main Molina Task.', NULL, NULL, '2021-06-21 12:12:07', '2021-06-21 12:12:07'),
(36928, 1006, 29307, NULL, '2021-08-25 00:00:00.000', 'Approved', 'Approval email received from @ Mata, Juliana Juliana.Mata@molinahealthcare.com:  Sub: Enrollment Status - BAQC - Molina  \"Good morning,  Happy Friday!!  Hope you are doing well.  per information on our system, facility Bay Area Quick Care is loaded into network billing system with effective date 9/1/2020, Molina does not contract individual providers to urgent care, Molina contracts facility itself.  Thank you  Juliana Mata | Associate Specialist Provider Contracts Molina Healthcare Of Texas Molina Healthcare Of Texas, Inc Juliana.Mata@Molinahealthcare.com 1660 Westridge Circle N. Irving, TX 75038 \'(888) 562-5442 ext 200249\" ', NULL, NULL, '2021-08-18 11:07:56', '2021-08-18 11:07:56'),
(36929, 1006, 29308, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:06', '2021-05-10 12:25:06'),
(36930, 9057, 29308, NULL, '2021-06-04 00:00:00.000', 'On Hold', 'Nueces Count is not covered by the Community Health Choice.  https://www.communityhealthchoice.org/medicare/medicare-hmo-d-snp/service-area/ Please find attached link for the reference. ', NULL, NULL, '2021-05-27 15:30:15', '2021-05-27 15:30:15'),
(36931, 9057, 29308, NULL, '2021-06-04 00:00:00.000', 'Not Eligible', '', NULL, NULL, '2021-05-27 15:30:58', '2021-05-27 15:30:58'),
(36932, 1006, 29309, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:06', '2021-05-10 12:25:06'),
(36933, 9057, 29309, NULL, '2021-06-05 00:00:00.000', 'In Process', 'We sent an email to TXMAContracting@Cigna.com Sub: Enrollment Request - BAQC - Cigna Healthspring   Hello, We wish to enroll our group and providers, please find the attached forms.  Waiting for your response.  Thank you', NULL, NULL, '2021-05-28 17:22:42', '2021-05-28 17:22:42'),
(36934, 1006, 29309, NULL, '2021-06-23 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@Cigna.com & txgqproviderrelations@healthspring.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello,   I want to get an update regarding the status of enrollment for the following group and providers:   Group Name: Bay Area Quick Care LLC NPI# 1437481421TIN# 27-1702009  Provider Name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-06-16 12:00:03', '2021-06-16 12:00:03'),
(36935, 1006, 29309, NULL, '2021-06-23 00:00:00.000', 'In Process', 'We received the following reply from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"HI Brad,  Did you recently submit a letter of interest form for this group to be credentialed?  Thank you,  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092\"  Sent following reply:   \"Hello Jennifer,   We filled out and submitted a facility network interest form to TXMAContracting@cigna.com back on the 28th of May, I just wanted to confirm if that had been received and was being worked on?  Thank you!\"', NULL, NULL, '2021-06-16 16:28:28', '2021-06-16 16:28:28'),
(36936, 1006, 29309, NULL, '2021-06-28 00:00:00.000', 'In Process', 'We received the following email from \"PEREZ, JENNIFER (JEN) 866\" JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"HI Brad,  I have not seen it come through. I noticed you sent another inquiry for Right Step Medical Center, if you send me both letter of interest forms I can place it on file\"  Sent following reply to her:   \"Hello Jennifer, Here are the facility interest forms for both groups. Please let me know if anything else is required. Thank you!\"', NULL, NULL, '2021-06-21 13:36:06', '2021-06-21 13:36:06'),
(36937, 11056, 29309, NULL, '2021-07-14 00:00:00.000', 'In Process', 'Email received from : JENNIFER.PEREZ@cigna.com  Sub : Enrollment Status - BAQC - Cigna Healthspring  Thank you Brad! I will provide these to the Network committee, where they will review at our next meeting. Once reviewed, I will get back in touch with you to inform you of their decision.  Thank you,  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092', NULL, NULL, '2021-07-06 15:57:18', '2021-07-06 15:57:18'),
(36938, 1006, 29309, NULL, '2021-07-15 00:00:00.000', 'In Process', 'We received the following reply from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Thank you Brad! I will provide these to the Network committee, where they will review at our next meeting. Once reviewed, I will get back in touch with you to inform you of their decision.\"  Sent f/u email:  \"Hello Jennifer,   I hope you\'re doing well, I wanted to get an update regarding the enrollment request for both of our groups, could you please get back to me as soon as possible?  Thank you.\"', NULL, NULL, '2021-07-08 13:06:42', '2021-07-08 13:06:42'),
(36939, 1006, 29309, NULL, '2021-07-19 00:00:00.000', 'In Process', 'We received the following update from PEREZ, JENNIFER (JEN) 866 JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hi Brad,  I sent an updated denial letter for Right Steps Medical Center on behalf of the network committee, however we will be extending a contract for Bay Area Quick Care. I will work on this contract and send it to you once it’s been approved.\"', NULL, NULL, '2021-07-12 10:15:34', '2021-07-12 10:15:34'),
(36940, 1006, 29309, NULL, '2021-08-03 00:00:00.000', 'In Process', 'Sent f/u email @ \"PEREZ, JENNIFER (JEN) 866\" JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello Jennifer,  I hope you\'re doing well, can you please let me know if there have been any updates on this request?  Thank you.\"', NULL, NULL, '2021-07-27 16:41:50', '2021-07-27 16:41:50'),
(36941, 1006, 29309, NULL, '2021-08-03 00:00:00.000', 'In Process', 'Sent f/u email @ \"PEREZ, JENNIFER (JEN) 866\" JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello Jennifer,  I hope you\'re doing well, can you please let me know if there have been any updates on this request?  Thank you.\"', NULL, NULL, '2021-07-27 16:42:05', '2021-07-27 16:42:05'),
(36942, 1006, 29309, NULL, '2021-08-17 00:00:00.000', 'In Process', 'Sent f/u email @ JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello Jennifer,   Is there any update regarding the enrollment status for Bay Area Quick Care for either Cigna Healthspring or Renaissance Physicians?  Thanks. \"', NULL, NULL, '2021-08-10 13:54:29', '2021-08-10 13:54:29'),
(36943, 11056, 29309, NULL, '2021-08-27 00:00:00.000', 'In Process', 'Email received from : JENNIFER.PEREZ@cigna.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Hi Brad,        May you please email TXGQProviderRelations@healthspring.com for a status update with Renaissance Physicians in the title of the email. The correct representative will reach out to you and will be able to assist you further.', NULL, NULL, '2021-08-20 10:55:36', '2021-08-20 10:55:36'),
(36944, 11056, 29309, NULL, '2021-09-06 00:00:00.000', 'In Process', 'Email sent to : JENNIFER.PEREZ@cigna.com  & TXGQProviderRelations@healthspring.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Good morning!  Hope this email finds you well.This is just a follow-up email related to the Cigna Healthspring. I wanted to get the latest updates regarding the enrollment status of the following providers and practice.  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI# 1437481421 Practice TIN# 27-1702009 Practice Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418-5148  Provider Details: Provider name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  If you have any questions or need documents please let me know. Waiting for your response.  Thank you! Have a great week ahead!', NULL, NULL, '2021-08-30 10:48:33', '2021-08-30 10:48:33'),
(36945, 11056, 29309, NULL, '2021-10-01 00:00:00.000', 'In Process', 'Email sent to : TXGQProviderRelations@healthspring.com, TX.AncillaryContracting@healthspring.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Good morning!  Hope all is well with you. We still have not received any updates regarding the status of enrollment process of the below mentioned providers and practice with Cigna Healthspring. Please let me know how long it will take to just get an update from your side regarding the credentialing process.   Group Name	Bay Area Quick Care PLLC Tax ID	27-1702009 Group NPI	1437481421 Primary Location	9929 South Padre Island Drive, Suite 109, Corpus Christi , TX 78418-5148  Provider Name	NPI William Francis	1457994436 Kynda Orsak	1528553724 Cynthia Malowitz	  1336173244 Melissa Ramsden	1194376228    In the meantime, please do not hesitate to reach out if you have any questions or concerns. Eagerly, Waiting to hear from you soon.  Thank you! Have a great day!  Also have left out voice mails at 877-653-0331& 956-364-3331 for the enrollment updates.', NULL, NULL, '2021-09-24 10:07:33', '2021-09-24 10:07:33'),
(36946, 11056, 29309, NULL, '2021-10-18 00:00:00.000', 'In Process', 'Email received from : JENNIFER.PEREZ@cigna.com & cresta.smith@careallies.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Hey Ahmed,  Thanks for following up! Based on Crestas previous email, they are currently not in the Corpus area.   Crestas Last email :   We don’t have a network in that area, as such the provider aren’t in network nor have the ability to be.    Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092', NULL, NULL, '2021-10-11 09:47:22', '2021-10-11 09:47:22'),
(36947, 11056, 29309, NULL, '2021-10-18 00:00:00.000', 'Not Eligible', 'Email received from : JENNIFER.PEREZ@cigna.com & cresta.smith@careallies.com  Sub : Fwd: [External] Enrollment Status - BAQC - Cigna Healthspring  Hey Ahmed,  Thanks for following up! Based on Crestas previous email, they are currently not in the Corpus area.   Crestas Last email :   We don’t have a network in that area, as such the provider aren’t in network nor have the ability to be.    Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092   Confirm  from Rep : Oscar S & Banjie N COntact no. :  877-653-0331 ', NULL, NULL, '2021-10-11 09:49:06', '2021-10-11 09:49:06'),
(36948, 1006, 29310, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:06', '2021-05-10 12:25:06'),
(36949, 9057, 29310, NULL, '2021-06-04 00:00:00.000', 'Not Eligible', ' Paramount does not cover Texas as it is an Ohio only plan, please find attached link for reference: https://www.paramounthealthcare.com/news/paramount-advantage-service-area-changes ', NULL, NULL, '2021-05-27 16:36:29', '2021-05-27 16:36:29'),
(36950, 1006, 29316, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:07', '2021-05-10 12:25:07'),
(36951, 9057, 29316, NULL, '2021-06-08 00:00:00.000', 'Initiated', 'We sent an email to: providerservices@renaissancefamily.com Sub: Requisition of Enrollment - BAQC - Renaissance Physicians Hello, Hope you are doing well, We wish to enroll our group and providers, find details given below.   Group Name: Bay Area Quick Care LLC NPI: 1437481421 TIN# 27-1702009 Main Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda NPI# 1528553724  Provider Name: Malowitz, Cynthia NPI# 1336173244  Provider Name: Ramsden, Melissa NPI# 1194376228  Provider Name: Francis, William: NPI# 1457994436  If you need any more details, please let me know.  Thank you ', NULL, NULL, '2021-06-01 08:52:33', '2021-06-01 08:52:33'),
(36952, 11056, 29316, NULL, '2021-06-28 00:00:00.000', 'In Process', 'Email sent to : providerservices@renaissancefamily.com  Sub : Requisition of Enrollment - BAQC - Renaissance Physicians  Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 12:37:30', '2021-06-21 12:37:30'),
(36953, 11056, 29316, NULL, '2021-07-14 00:00:00.000', 'In Process', 'Email sent to : 	providerservices@renaissancefamily.com  Sub :  Enrollment Requisition - BAQC - Renaissance Physicians  Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-07-06 16:13:40', '2021-07-06 16:13:40'),
(36954, 1006, 29316, NULL, '2021-07-30 00:00:00.000', 'In Process', 'Sent f/u email at corrected email @ txgqproviderrelations@healthspring.com:  Sub: Enrollment Requisition - BAQC - Renaissance Physicians  \"Greetings,  Hope you are doing well, We wish to enroll our group and providers, find details given below.  Practice: Practice Name: Bay Area Quick Care LLC Practice NPI : 1437481421 Practice TIN : 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Names enlisted below:-  Providers: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you!\"', NULL, NULL, '2021-07-23 16:31:48', '2021-07-23 16:31:48'),
(36955, 1006, 29316, NULL, '2021-08-02 00:00:00.000', 'In Process', 'We received the following update from JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Requisition - BAQC - Renaissance Physicians  \"HI Brad,  I will be sending this contract this week, they’ve been approved to be submitted for credentialing. May you send me a roster in a word/PDF document with their Name, NPI,  and Specialty.  Jennifer Perez Network Operations Senior Analyst | Cigna-Medicare 2800 North Loop West, Suite 400 | Houston, Texas 77092  cid:image002.png@01D6F326.EEB674D0 Confidential, unpublished property of Cigna Do not duplicate or distribute Use and distribution limited solely to authorized personnel.\"  Replied with roster: \"Hello Jennifer,   I appreciate the update, please find the attached roster. Do let me know if anything else is required.  Thank you!\"', NULL, NULL, '2021-07-26 10:51:56', '2021-07-26 10:51:56'),
(36956, 1006, 29316, NULL, '2021-08-09 00:00:00.000', 'In Process', 'We received the following update from JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Thank you for the clarification. The letter of interest you previously sent, was for Cigna-Medicare through our independent network. However If you wish to be a part of Renaissance Physicians, you will need to fill out a different form as they have their own network. The renaissance physician process is similar, as they will review your form and decide if there is a network need for your group.  Please let me which network you are seeking and I will lead you to the next step.\"  Replied:  \"Hello Jennifer,   I apologize for the delay but as stated before, we want to enroll under both insurances. Here\'s the form for all of the providers.   Please let me know if anything else is required. \"', NULL, NULL, '2021-08-02 14:18:26', '2021-08-02 14:18:26'),
(36957, 1006, 29316, NULL, '2021-08-19 00:00:00.000', 'In Process', 'Sent a f/u email @ TXGQProviderRelations@healthspring.com:  Sub: Enrollment Status - BAQC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the credentialing status for the following group and providers:   Practice Name: Bay Area Quick Care LLC Practice NPI: 1437481421 Practice TIN: 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-12 16:17:27', '2021-08-12 16:17:27'),
(36958, 11056, 29316, NULL, '2021-08-27 00:00:00.000', 'In Process', 'Email sent to : TXGQProviderRelations@healthspring.com  Sub  : Enrollment Status - BAQC - Renaissance Physicians  Good morning!  I hope you\'re doing well, I wanted to get an update regarding the credentialing status for the following group and providers:  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI: 1437481421 Practice TIN: 27-1702009 Practice  Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418  Provider Details: Provider name: Orsak, Kynda Provider NPI# :1528553724  Provider Name: Malowitz, Cynthia Provider  NPI# :1336173244  Provider Name: Ramsden, Melissa Provider NPI# : 1194376228  Provider Name: Francis, William: Provider NPI# :1457994436  Please get back to me as soon as possible. Waiting for your response.  Thank you! Have a great weekend!', NULL, NULL, '2021-08-20 10:51:39', '2021-08-20 10:51:39'),
(36959, 11056, 29316, NULL, '2021-09-06 00:00:00.000', 'In Process', 'Email sent to : 	TXGQProviderRelations@healthspring.com, providerservices@renaissancefamily.com  Sub : Enrollment Status - BAQC - Renaissance Physicians  Good morning!  Hope this email finds you well.This is just a follow-up email related to the Renaissance Physicians. I wanted to get the latest updates regarding the enrollment status of the following providers and practice.  Practice Details: Practice Name: Bay Area Quick Care LLC Practice NPI# 1437481421 Practice TIN# 27-1702009 Practice Address: 9929 South Padre Island Drive, Suite 109, Corpus Christi, TX 78418-5148  Provider Details: Provider name: Cynthia Malowitz NPI# 1336173244  Provider Name: Kynda Orsak NPI# 1528553724  Provider Name: William Francis NPI# 1457994436  Provider Name: Melissa Ramsden NPI# 1194376228  If you have any questions or need documents please let me know. Waiting for your response.  Thank you! Have a great week ahead!', NULL, NULL, '2021-08-30 10:57:08', '2021-08-30 10:57:08'),
(36960, 11056, 29316, NULL, '2021-09-06 00:00:00.000', 'Not Eligible', 'Email received from : cresta.smith@careallies.com  Sub : Enrollment Status - BAQC - Renaissance Physicians  1st time : Renaissance is not in the Corpus Christi area.     Thank you for your interest.     Cresta Smith   For confirmation:   Renaissance physicians organization is not in corpus Christi, we don’t have a network in that area, as such the provider aren’t in network nor have the ability to be.     I responded with this information last week.     Thanks,  Cresta', NULL, NULL, '2021-08-30 12:20:34', '2021-08-30 12:20:34'),
(36961, 1006, 29317, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:25:07', '2021-05-10 12:25:07'),
(36962, 1006, 29317, NULL, '2021-06-14 00:00:00.000', 'Approved', 'The group is already enrolled with Molina Marketplace, executed contract and welcome letter are attached for reference. ', NULL, NULL, '2021-06-07 08:53:23', '2021-06-07 08:53:23'),
(36963, 1006, 29318, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:27:36', '2021-05-10 12:27:36'),
(36964, 3040, 29318, NULL, '2021-06-01 00:00:00.000', 'New/Not Initiated', 'Email sent to: providerservices@memorialhermann.org, enterprise.credentialing@memorialhermann.org  Subject: Enroll Group & Providers || Right Step Medical Center LLC || Memorial Hermann ||   Greetings,  Hope you are doing well, I wanted to enroll the below mentioned group & providers in Memorial Hermann for our group Right Step Medical Center LLC under the below location.   Practice Details: Practice Name: Right Step Medical Center LLC Practice Tax ID# 85-3252700 Practice NPI# 1063008084 Practice Address: 11925 Southwest Freeway,  Suite 12  Stafford , TX 77477  Provider 1: Provider Name: Belakere, Ramegowda Provider NPI# 1235166687  Provider 2:   Provider Name: Abraham, Glory Provider NPI# 1194206490  Provider 3:   Provider Name: VARGHESE, SHYBI Peniyel Provider NPI# 1285270991  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-25 10:19:40', '2021-05-25 10:19:40'),
(36965, 1006, 29318, NULL, '2021-06-02 00:00:00.000', 'In Process', '', NULL, NULL, '2021-05-26 09:07:47', '2021-05-26 09:07:47'),
(36966, 1006, 29318, NULL, '2021-06-18 00:00:00.000', 'In Process', 'We received the following reply from Enterprise Credentialing Enterprise.Credentialing@memorialhermann.org:  Sub: Enroll Group & Providers || Right Step Medical Center LLC || Memorial Hermann ||  \"Thank you for your interest in Memorial Hermann Health System and/or its affiliates. Before an application can be released, you must first complete a Request for Application form.  CLICK HERE to access and complete the Request for Application form for Memorial Hermann hospitals, affiliated hospitals, surgery centers, MHMD membership or Health Plan participation. To avoid any delays, please submit the form in its entirety (via link above) or email the form to enterprise.credentialing@memorialhermann.org. If the pre-screening qualifications are met, you should receive both your eCredentialing Portal and application username and password via email or additional communication within 3 business days.    If you have any questions, please contact us at enterprise.credentialing@memorialhermann.org.  Memorial Hermann Central Credentialing Team\"  Form was filled out and sent. Attached in the main group task for reference as it is an ancillary request. ', NULL, NULL, '2021-06-11 13:58:26', '2021-06-11 13:58:26'),
(36967, 1006, 29318, NULL, '2021-07-07 00:00:00.000', 'In Process', 'Email sent to: Enterprise.Credentialing@memorialhermann.org  Sub : Enrollment Status Query - Right Step Medical Center LLC - Memorial Hermann -  Greetings,  Hope you are doing well. I want to inquire about the enrollment status of the providers and group mentioned below. The enrollment form has been submitted in the last email already.  Practice Details: Practice Name: Right Step Medical Center LLC Practice Tax ID# 85-3252700 Practice NPI# 1063008084 Practice Address: 11925 Southwest Freeway,  Suite 12  Stafford , TX 77477  Provider 1: Provider Name: Belakere, Ramegowda Provider NPI# 1235166687  Provider 2:   Provider Name: Abraham, Glory Provider NPI# 1194206490  Provider 3:   Provider Name: VARGHESE, SHYBI Peniyel Provider NPI# 1285270991  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you!', NULL, NULL, '2021-06-30 16:37:40', '2021-06-30 16:37:40'),
(36968, 3040, 29318, NULL, '2021-07-07 00:00:00.000', 'In Process', 'Email sent to: Enterprise.Credentialing@memorialhermann.org  Subject: Enrollment Status Group & Providers || Right Step Medical Center LLC || Memorial Hermann ||  Greetings,  Hope you are doing well, I wanted to know the enrollment status for the mentioned group & providers in Memorial Hermann for our group Right Step Medical Center LLC under the below location.  Practice Details: Practice Name: Right Step Medical Center LLC Practice Tax ID# 85-3252700 Practice NPI# 1063008084 Practice Address: 11925 Southwest Freeway,  Suite 12  Stafford , TX 77477  Provider 1: Provider Name: Belakere, Ramegowda Provider NPI# 1235166687  Provider 2:   Provider Name: Abraham, Glory Provider NPI# 1194206490  Provider 3:   Provider Name: VARGHESE, SHYBI Peniyel Provider NPI# 1285270991  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you  ', NULL, NULL, '2021-06-30 16:37:55', '2021-06-30 16:37:55'),
(36969, 11056, 29318, NULL, '2021-07-08 00:00:00.000', 'In Process', 'Email received from : Enterprise.Credentialing@memorialhermann.org  Sub : Enrollment Status Query - Right Step Medical Center LLC - Memorial Hermann  Good morning,  When did you submit the request for application forms and which email address did you send it to?  Thank you!', NULL, NULL, '2021-07-01 08:29:49', '2021-07-01 08:29:49'),
(36970, 11056, 29318, NULL, '2021-07-08 00:00:00.000', 'In Process', 'Email received from : Enterprise.Credentialing@memorialhermann.org  Sub : Enrollment Status Query - Right Step Medical Center LLC - Memorial Hermann  Good morning,  When did you submit the request for application forms and which email address did you send it to?  Thank you!', NULL, NULL, '2021-07-01 08:29:50', '2021-07-01 08:29:50'),
(36971, 11056, 29318, NULL, '2021-07-08 00:00:00.000', 'In Process', 'Email sent to : Enterprise.Credentialing@memorialhermann.org  Sub : Enrollment Status Query - Right Step Medical Center LLC - Memorial Hermann  Good morning,  Hope all is well. The application forms were submitted on June,11th,2021. Email was sent at enterprise.credentialing@memorialhermann.org.  If further information is needed please let me know.  Thank you! Have a great day!', NULL, NULL, '2021-07-01 08:32:22', '2021-07-01 08:32:22'),
(36972, 1006, 29318, NULL, '2021-07-23 00:00:00.000', 'In Process', 'We received the following update from MHHPContracting@memorialhermann.org:  Sub: Memorial Hermann Health Plan Request to Participate  \"We are in receipt of Right Step Medical Center LLC’s request to become a participating provider with Memorial Hermann Health Plans and need additional information to proceed with your request.  Please provide the following information:  List of services provided ·         Do you provide Virtual Health Services?  Current service area and/or list of locations List of all employed/contracted providers (if applicable) including NPs and PAs (please include individual NPIs) What age population is served? Please list 0-2 years of age; 2-18 years of age; 18+ years Where do you have privileges? Please list all Hospitals, Ambulatory Surgery Centers, etc. Link to website Current W-9 Current quality and outcomes data Any additional information you would like presented to the Network Access and Adequacy Committee   Your participation request will be presented at the next NAAC meeting following receipt of the additional information.  Best Regards, MHHP Network Contracting\"  Replied with:  \"Hello,   Please find the attached answers.  Please provide the following information:  List of services provided  Urgentcare Services  ·         Do you provide Virtual Health Services?   Yes, Telehealth services are offered.   Current service area and/or list of locations  Stafford, TX. List of all employed/contracted providers (if applicable) including NPs and PAs (please include individual NPIs) Ramegowda Belakere, MD. Glory Abraham, NP. Shybi Varghese, NP. What age population is served? Please list 0-2 years of age; 2-18 years of age; 18+ years Age limit: 0~99+  Where do you have privileges? Please list all Hospitals, Ambulatory Surgery Centers, etc. Methodist Hospital  Link to website N/A Current W-9 Attached. Current quality and outcomes data N/A Any additional information you would like presented to the Network Access and Adequacy Committee No. \"', NULL, NULL, '2021-07-16 17:09:29', '2021-07-16 17:09:29'),
(36973, 1006, 29318, NULL, '2021-08-18 00:00:00.000', 'In Process', 'Sent f/u email @ MHHP Contracting MHHPContracting@memorialhermann.org:  Sub: Enrollment Status - RSM - Memorial Hermann  \"Hello,   I wanted to get an update regarding the enrollment status for the following group and providers:  Group Name: Right Step Medical Center LLC TIN# 85-3252700  Provider Name: Ramegowda Belakere NPI# 1235166687  Provider Name: Glory Abraham NPI# 1194206490  Provider Name: Shybi Varghese NPI# 1285270991  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-08-11 16:56:57', '2021-08-11 16:56:57'),
(36974, 1006, 29318, NULL, '2021-08-20 00:00:00.000', 'In Process', 'We received the following update from MHHPContracting@memorialhermann.org:  Sub: Enrollment Status - RSM - Memorial Hermann  \"Good morning Brad. This provider group will be presented to our Network Access and Adequacy Committee this month. Once I receive a response from them, I will let you know.  Thank you. Camilla Paige\"', NULL, NULL, '2021-08-13 10:30:35', '2021-08-13 10:30:35'),
(36975, 1006, 29318, NULL, '2021-09-02 00:00:00.000', 'In Process', 'We received the following email @ MHHPContracting@memorialhermann.org:  Sub: Enrollment Status - RSM - Memorial Herman  \"Hello,  Memorial Hermann Health Plan (MHHP) has accepted your request to participate in our health plan. Please find attached the Provider Agreement. Please have the agreement signed. Please complete the attached Schedule C Tables 1 and 2 and Schedule D, as applicable. Once all items are complete, please return.  Once the completed documents are received, MHHP’s Credentialing Department will send the provider(s) a credentialing application. The agreement will be fully executed by MHHP and a copy sent to you once the provider is approved by the MHHP Credentialing Committee. The effective date will be assigned by MHHP upon approval of the MHHP Credentialing Committee.  We look forward to welcoming you into our network in the near future.  Best Regards, Camilla Paige\"  Contract signed and sent back to them. Attached in the main group task for reference. ', NULL, NULL, '2021-08-26 16:22:34', '2021-08-26 16:22:34'),
(36976, 11056, 29318, NULL, '2021-09-10 00:00:00.000', 'Approved', 'Email received from : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Good morning Brad. Since this is an Urgent Care agreement, could you please re-do Schedule C, Table 2 to only list the Urgent Care Information? Please feel free to only send back that page.     Thank you.     Camilla', NULL, NULL, '2021-09-03 08:31:46', '2021-09-03 08:31:46'),
(36977, 11056, 29318, NULL, '2021-09-10 00:00:00.000', 'Revalidation', 'Please accept my apology. Not approved. In process  Email received from : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Good morning Brad. Since this is an Urgent Care agreement, could you please re-do Schedule C, Table 2 to only list the Urgent Care Information? Please feel free to only send back that page.     Thank you.     Camilla', NULL, NULL, '2021-09-03 08:32:49', '2021-09-03 08:32:49'),
(36978, 11056, 29318, NULL, '2021-09-15 00:00:00.000', 'Revalidation', 'Email sent to : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Hello Camilla,   Here\'s the updated Schedule C. Let me know if anything else is required.  Thank you!  Updated Schedule C sent. And asked for the enrollment updates', NULL, NULL, '2021-09-08 10:30:48', '2021-09-08 10:30:48'),
(36979, 11056, 29318, NULL, '2021-09-24 00:00:00.000', 'Revalidation', 'Email sent to : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann   Good Morning!  Hope this email finds you well. I want to know the enrollment status of the following providers and practice soon. Please update me soon.  Practice Details : Practice Name : Right Step Medical Center LLC Practice TIN # : 85-3252700 Practice NPI # : 1063008084 Practice  Address : 11925 Southwest Freeway, Suite 12, Stafford , TX 77477-2300  Provider Details: Provider Name : Belakere, Ramegowda Provider NPI # : 1235166687  Provider Name: Glory Abraham Provider NPI # : 1194206490  Provider Name: Shybi Varghese Provider NPI # :1285270991  If you need any documents or information feel free to contact me. Waiting to hear from you soon.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-09-17 10:54:20', '2021-09-17 10:54:20'),
(36980, 11056, 29318, NULL, '2021-10-04 00:00:00.000', 'Revalidation', 'Email received from : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Good morning. You should be hearing from our credentialing team soon.   Thank you.  Camilla', NULL, NULL, '2021-09-27 13:35:22', '2021-09-27 13:35:22'),
(36981, 11056, 29318, NULL, '2021-10-11 00:00:00.000', 'Revalidation', 'Email sent to : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Hey Camilia!  Hope this email finds you well. I am still waiting to hear the updates from your credentialing team.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-10-04 12:47:40', '2021-10-04 12:47:40'),
(36982, 11056, 29318, NULL, '2021-10-20 00:00:00.000', 'Revalidation', 'Email sent to : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Hey Camilia!  Hope this email finds you well. I am still waiting to hear the updates from your credentialing team.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-10-13 12:09:10', '2021-10-13 12:09:10'),
(36983, 11056, 29318, NULL, '2021-10-27 00:00:00.000', 'Revalidation', 'Email received from : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann   Good afternoon. Credentialing takes 30-45 days. Once I receive the credentialing approvals, I will send the agreement to my leadership team for full execution.', NULL, NULL, '2021-10-20 15:44:34', '2021-10-20 15:44:34'),
(36984, 11056, 29318, NULL, '2021-11-08 00:00:00.000', 'Revalidation', 'Email received from : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Good morning. No, I have not yet received the credentialing approval yet.', NULL, NULL, '2021-11-01 08:31:57', '2021-11-01 08:31:57'),
(36985, 11056, 29318, NULL, '2021-11-18 00:00:00.000', 'Revalidation', 'Email received from: MHHPContracting@memorialhermann.org  Sub: Enrollment Status - RSM - Memorial Hermann  Good morning. My apologies for the delay. Our credentialing team is working on a huge project for our Annual Enrollment Period which has taken priority. We should be hearing something soon.     Thank you for your patience.', NULL, NULL, '2021-11-11 16:51:16', '2021-11-11 16:51:16'),
(36986, 11056, 29318, NULL, '2021-11-25 00:00:00.000', 'Revalidation', 'Email sent to: MHHPContracting@memorialhermann.org  Sub: Enrollment Status - RSM - Memorial Hermann  Good afternoon!  Hope you had a great and safe weekend. I would appreciate it if you could please let me know the updated credentialing status for the below-mentioned practice and providers soon with Memorial Hermann. Any updates on the agreement & approval letters?  Group Name	Right Step Medical Center LLC Tax ID	85-3252700 Group NPI	1063008084 Primary Location	11925 Southwest Freeway, Suite 12 Stafford , TX 77477-2300 Provider Name	NPI Ramegowda Belakere	1235166687 Glory Abraham	1194206490 Shybi Varghese	1285270991  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, '2021-11-18 10:50:29', '2021-11-18 10:50:29'),
(36987, 11056, 29318, NULL, '2021-12-07 00:00:00.000', 'Revalidation', 'Email received from:   MHHPContracting@memorialhermann.org  Sub:  Enrollment Status - RSM - Memorial Hermann   Good morning. I spoke with our credentialing team yesterday and was informed that they are still waiting on documentation from your team to finish the credentialing process. Please follow-up with your team in that regard. We cannot fully execute the agreement until credentialing is approved.', NULL, NULL, '2021-11-30 17:54:26', '2021-11-30 17:54:26'),
(36988, 11056, 29318, NULL, '2021-12-15 00:00:00.000', 'Revalidation', 'Email sent to:  boyd@symplr.com  Sub:  Request for Participation Memorial Hermann Health Plan/ Facility Application/Right Step Medical Center LLC  Good afternoon!  I hope you are doing great. Please find the Facility Application for the practice below in the attachments.  Furthermore, if any further information is needed or documents are required feel free to contact me.   Thank you! Have a wonderful day!', NULL, NULL, '2021-12-08 10:54:35', '2021-12-08 10:54:35'),
(36989, 11056, 29318, NULL, '2021-12-22 00:00:00.000', 'Revalidation', 'Email received from: jcalderon@symplr.com  Sub: RE: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC Enrollment Status - RSM - Memorial Hermann   Good afternoon,     Your facility credentialing applications for participation with Memorial Hermann Healthplan are being prepared. The following information is needed for all three location to continue the credentialing process on behalf of Memorial Hermann Healthplan:  Business License or Certificate of Occupancy Accreditation (If applicable)    Please reply to this message with the information mentioned above within 15 business days from 1st request. If information is not received by this date, your application will be forwarded to Memorial Hermann Healthplan Medical Director for review and may be closed for failure to meet Memorial Hermann Healthplan administrative criteria.     If you have any questions, please contact me at 516-593-1380 Ext. 287 or JCalderon@symplr.com        Johanna Calderon                            Credentialing Specialist  Work: +1 (516) 593-1380 Ext. 287   Fax: 516-620-3054   Email: jcalderon@symplr.com  Letter of occupancy has been provided. Waiting for accreditation letter from provider side.', NULL, NULL, '2021-12-15 12:51:55', '2021-12-15 12:51:55'),
(36990, 11056, 29318, NULL, '2021-12-29 00:00:00.000', 'Revalidation', 'Email sent to: jcalderon@symplr.com  Sub: RE: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Good afternoon!  Hope you are doing well. You haven\'t responded me back to my queries yet. Please let me know what kind of and for which thing you need a letter of accreditation. Have you received the letter of occupancy?  Any updates on the agreement & approval letters of the credentialing process of the providers?  Thank you! Have a wonderful day!', NULL, NULL, '2021-12-22 14:45:02', '2021-12-22 14:45:02'),
(36991, 1006, 29320, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:27:36', '2021-05-10 12:27:36'),
(36992, 3040, 29320, NULL, '2021-06-01 00:00:00.000', 'In Process', 'Group request submitted online. Please see group task.   Your form was submitted successfully. Thank you for contacting us. A representative will be in contact to discuss your interest in becoming a participating Provider.', NULL, NULL, '2021-05-25 09:22:06', '2021-05-25 09:22:06'),
(36993, 1006, 29320, NULL, '2021-06-02 00:00:00.000', 'In Process', 'We received the following reply from ProspectiveProviderTX ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Dear Provider:  Thank you for your interest in joining our network, please allow 30 Calendar days for us to review your request.  Sincerely, Network Management – Texas | www.wellcare.com\"', NULL, NULL, '2021-05-26 08:18:21', '2021-05-26 08:18:21'),
(36994, 1006, 29320, NULL, '2021-06-24 00:00:00.000', 'In Process', 'Sent f/u email @ .ProspectiveProviderTX ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Hello,   I hope you\'re doing well, I just wanted to check in on the status of my application.  Please get back to me as soon as possible.  Thank you.\"', NULL, NULL, '2021-06-14 11:26:54', '2021-06-14 11:26:54'),
(36995, 1006, 29320, NULL, '2021-07-09 00:00:00.000', 'In Process', 'Sent f/u email again @ \".ProspectiveProviderTX\" ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Hello,   I am still waiting for a response regarding our enrollment request, please get back to me as soon as possible.  Thanks. \"', NULL, NULL, '2021-07-02 16:31:12', '2021-07-02 16:31:12');

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
(37079, 3040, 29331, NULL, '2021-06-01 00:00:00.000', 'On Hold', 'Waiting for the Medicaid approval. ', NULL, NULL, '2021-05-25 09:28:13', '2021-05-25 09:28:13'),
(37080, 1006, 29331, NULL, '2021-06-25 00:00:00.000', 'Initiated', 'Sent enrollment query @ \"Simms, Michal\" michal.simms@christushealth.org:  Sub; Enrollment Request - RSM - Christus Healthplan  \"Hello Michal, I hope you\'re doing great, I wanted to verify what would be required to enroll the following group with Christus Healthplan:   Group Name: Right Step Medical Center LLC NPI# 1063008084 TIN# 85-3252700 Address: 11925 Southwest Freeway, Suite 12, Stafford, TX 77477-2300  Provider Name: Ramegowda Belakere NPI# 1235166687  Provider Name: Glory Abraham NPI# 1194206490  Provider Name: Shybi Varghese NPI# 1285270991  Please get back to me as soon as you\'re able to.  Thank you!\'', NULL, NULL, '2021-06-18 16:26:11', '2021-06-18 16:26:11'),
(37081, 1006, 29331, NULL, '2021-06-29 00:00:00.000', 'In Process', 'We received the following reply from \"CHRISTUS.HP.Credentialing\" CHRISTUS.HP.Credentialing@christushealth.org:  Sub: Prospective Provider Form - RSM  \"Hello Brad,  Please submit your requests on a Prospective Provider Form and submit per instructed.  Your request(s) will then be assigned to the proper representative for handling.  Thank you, Michal  Ms. Michal Simms Network Contractor Senior Nueces Region CHRISTUS Health Plan US Family Health Plan\"  The enrollment form is attached in the main group task, as it\'s an ancillary request.', NULL, NULL, '2021-06-22 15:05:53', '2021-06-22 15:05:53'),
(37082, 1006, 29331, NULL, '2021-07-15 00:00:00.000', 'In Process', 'Sent f/u email @ \"Simms, Michal\" michal.simms@christushealth.org:  Sub: Enrollment Request - RSM - Christus Healthplan  \"Hello Michal,   I hope you\'re doing well, I just wanted to verify if the prospective provider form was received and was being worked on yet or not?  Thank you. \"', NULL, NULL, '2021-07-08 16:23:56', '2021-07-08 16:23:56'),
(37083, 1006, 29331, NULL, '2021-07-19 00:00:00.000', 'In Process', 'We received the following email from CHP.networkdevelopment CHP.networkdevelopment@christushealth.org:  Sub: Enrollment Request - RSM - Christus Healthplan   \"Hello Brad,  Can you  please resend the prospective provider form? When did you send it?  Thank You\"  Replied to them with: \"Hello,   Please find the attached email, the form was sent on the 22nd of June. Please let me know if you have any further questions.  Thank you. \" ', NULL, NULL, '2021-07-12 10:25:39', '2021-07-12 10:25:39'),
(37084, 1006, 29331, NULL, '2021-07-23 00:00:00.000', 'Not Eligible', 'Rejection email received from Hunter Barrett hunter.barrett@christushealth.org:  Sub; Right Step Medical USFHP  \"Brad,  At this time we are unable to enroll the group. We require the providers to admit to an in network hospital.  Thanks,  Hunter Barrett Network Contracting CHRISTUS Health Plan CHRISTUS Health 919 Hidden Ridge | Irving, Texas 75038 (o) 469.282.3113 www.christushealth.org\"', NULL, NULL, '2021-07-16 16:50:42', '2021-07-16 16:50:42'),
(37085, 19067, 29331, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email received from: lisa.horton2@christushealth.org  Subject: RE: Ramegowda Belakere, M.D.   URGENT: 2ND REQUEST     Hello Ahmed,     Please provide a copy of the 2022-2023 Certificate of Insurance for Dr. Ramegowda Belakere, M.D. to meet criteria for Initial credentialing with Christus Health.     At this time the process is pending until we receive the requested information in our office.     Thank you in advance for your promptness in this matter.        Appreciate the blessings of the Lord in 2021,     Lisa Horton  Credentialing Coordinator  CHRISTUS Health  919 Hidden Ridge  Irving, TX 75038  Phone: 469-282-3549  Fax: (210) 766-9564  www.christushealth.org', NULL, NULL, '2022-01-11 13:30:55', '2022-01-11 13:30:55'),
(37086, 19067, 29331, NULL, '2022-01-18 00:00:00.000', 'In Process', 'Email sent to: lisa.horton2@christushealth.org  Subject: RE: Ramegowda Belakere, M.D.   Hello Lisa,  Attached is the Updated copy of COI for Ramegowda Belakere. Let me know if anything else is required.    Regards, Alex', NULL, NULL, '2022-01-11 13:31:26', '2022-01-11 13:31:26'),
(37087, 19067, 29331, NULL, '2022-02-01 00:00:00.000', 'In Process', 'Email sent to: lisa.horton2@christushealth.org  Subject: Re: Ramegowda Belakere, M.D.  Greetings!  Any updates on the below mentioned request?  Regards, Hammad.', NULL, NULL, '2022-01-25 17:56:48', '2022-01-25 17:56:48'),
(37088, 19067, 29331, NULL, '2022-02-15 00:00:00.000', 'In Process', 'Email received from: lisa.horton2@christushealth.org  Subject: RE: Ramegowda Belakere, M.D.   Good morning Hammad,     I have completed the credentialing process of Dr. Ramegowda Belakere, M.D. and he is now awaiting  to go before the Committee next week.     You will receive an email upon the decision of the Committee.     I hope this information helps in some way.', NULL, NULL, '2022-02-08 13:24:02', '2022-02-08 13:24:02'),
(37089, 19067, 29331, NULL, '2022-02-15 00:00:00.000', 'In Process', 'Email sent to: lisa.horton2@christushealth.org  Subject: Re: Ramegowda Belakere, M.D.   Hello!  Has the committee made the decision based on our hope? If so then provide a welcome kit and effective date.  Thanks, Hammad. ', NULL, NULL, '2022-02-08 13:27:59', '2022-02-08 13:27:59'),
(37090, 19067, 29331, NULL, '2022-02-15 00:00:00.000', 'In Process', 'Email received from: lisa.horton2@christushealth.org  Subject: RE: Ramegowda Belakere, M.D.    Hello Hammad,     Dr. Ramegowda Belakere, M.D. was fully credentialed on 01/24/2022 and is awaiting to go before the Committee for a decision. At that time you will receive an email/letter with their decision.     My apologies for the delay in response.        Appreciate the blessings of the Lord in 2022,', NULL, NULL, '2022-02-08 16:15:42', '2022-02-08 16:15:42'),
(37091, 19067, 29331, NULL, '2022-03-23 00:00:00.000', 'Approved', 'Email received from: noreply@christushealth.org, shonterence.adams@christushealth.org  Subject: Important Information from CHRISTUS Health    Greetings -  Please review the important message from CHRISTUS Health.  Thank you for your time!  CHRISTUS Health', NULL, NULL, '2022-03-16 09:41:41', '2022-03-16 09:41:41'),
(37092, 1006, 29332, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:27:37', '2021-05-10 12:27:37'),
(37093, 3040, 29332, NULL, '2021-06-01 00:00:00.000', 'In Process', 'Email sent to: providerservices@memorialhermann.org, enterprise.credentialing@memorialhermann.org  Subject: Enroll Group & Providers || Right Step Medical Center LLC || Memorial Hermann ||   Greetings,  Hope you are doing well, I wanted to enroll the below mentioned group & providers in Memorial Hermann for our group Right Step Medical Center LLC under the below location.   Practice Details: Practice Name: Right Step Medical Center LLC Practice Tax ID# 85-3252700 Practice NPI# 1063008084 Practice Address: 11925 Southwest Freeway,  Suite 12  Stafford , TX 77477  Provider 1: Provider Name: Belakere, Ramegowda Provider NPI# 1235166687  Provider 2:   Provider Name: Abraham, Glory Provider NPI# 1194206490  Provider 3:   Provider Name: VARGHESE, SHYBI Peniyel Provider NPI# 1285270991  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-25 10:19:45', '2021-05-25 10:19:45'),
(37094, 1006, 29332, NULL, '2021-06-18 00:00:00.000', 'In Process', 'We received the following reply from Enterprise Credentialing Enterprise.Credentialing@memorialhermann.org:  Sub: Enroll Group & Providers || Right Step Medical Center LLC || Memorial Hermann ||  \"Thank you for your interest in Memorial Hermann Health System and/or its affiliates. Before an application can be released, you must first complete a Request for Application form.  CLICK HERE to access and complete the Request for Application form for Memorial Hermann hospitals, affiliated hospitals, surgery centers, MHMD membership or Health Plan participation. To avoid any delays, please submit the form in its entirety (via link above) or email the form to enterprise.credentialing@memorialhermann.org. If the pre-screening qualifications are met, you should receive both your eCredentialing Portal and application username and password via email or additional communication within 3 business days.    If you have any questions, please contact us at enterprise.credentialing@memorialhermann.org.  Memorial Hermann Central Credentialing Team\"  Form was filled out and sent. Attached in the main group task for reference as it is an ancillary request. ', NULL, NULL, '2021-06-11 13:58:22', '2021-06-11 13:58:22'),
(37095, 1006, 29332, NULL, '2021-07-07 00:00:00.000', 'In Process', 'Email sent to: Enterprise.Credentialing@memorialhermann.org  Sub : Enrollment Status Query - Right Step Medical Center LLC - Memorial Hermann -  Greetings,  Hope you are doing well. I want to inquire about the enrollment status of the providers and group mentioned below. The enrollment form has been submitted in the last email already.  Practice Details: Practice Name: Right Step Medical Center LLC Practice Tax ID# 85-3252700 Practice NPI# 1063008084 Practice Address: 11925 Southwest Freeway,  Suite 12  Stafford , TX 77477  Provider 1: Provider Name: Belakere, Ramegowda Provider NPI# 1235166687  Provider 2:   Provider Name: Abraham, Glory Provider NPI# 1194206490  Provider 3:   Provider Name: VARGHESE, SHYBI Peniyel Provider NPI# 1285270991  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you!', NULL, NULL, '2021-06-30 16:37:13', '2021-06-30 16:37:13'),
(37096, 3040, 29332, NULL, '2021-07-07 00:00:00.000', 'In Process', 'Email sent to: Enterprise.Credentialing@memorialhermann.org  Subject: Enrollment Status Group & Providers || Right Step Medical Center LLC || Memorial Hermann ||  Greetings,  Hope you are doing well, I wanted to know the enrollment status for the mentioned group & providers in Memorial Hermann for our group Right Step Medical Center LLC under the below location.  Practice Details: Practice Name: Right Step Medical Center LLC Practice Tax ID# 85-3252700 Practice NPI# 1063008084 Practice Address: 11925 Southwest Freeway,  Suite 12  Stafford , TX 77477  Provider 1: Provider Name: Belakere, Ramegowda Provider NPI# 1235166687  Provider 2:   Provider Name: Abraham, Glory Provider NPI# 1194206490  Provider 3:   Provider Name: VARGHESE, SHYBI Peniyel Provider NPI# 1285270991  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you  ', NULL, NULL, '2021-06-30 16:37:51', '2021-06-30 16:37:51'),
(37097, 11056, 29332, NULL, '2021-07-08 00:00:00.000', 'In Process', 'Email received from : Enterprise.Credentialing@memorialhermann.org  Sub : Enrollment Status Query - Right Step Medical Center LLC - Memorial Hermann  Good morning,  When did you submit the request for application forms and which email address did you send it to?  Thank you!', NULL, NULL, '2021-07-01 08:29:14', '2021-07-01 08:29:14'),
(37098, 11056, 29332, NULL, '2021-07-08 00:00:00.000', 'In Process', ' Email sent to : Enterprise.Credentialing@memorialhermann.org  Sub : Enrollment Status Query - Right Step Medical Center LLC - Memorial Hermann  Good morning,  Hope all is well. The application forms were submitted on June,11th,2021. Email was sent at enterprise.credentialing@memorialhermann.org.  If further information is needed please let me know.  Thank you! Have a great day!', NULL, NULL, '2021-07-01 08:31:55', '2021-07-01 08:31:55'),
(37099, 1006, 29332, NULL, '2021-07-23 00:00:00.000', 'In Process', 'We received the following update from MHHPContracting@memorialhermann.org:  Sub: Memorial Hermann Health Plan Request to Participate  \"We are in receipt of Right Step Medical Center LLC’s request to become a participating provider with Memorial Hermann Health Plans and need additional information to proceed with your request.  Please provide the following information:  List of services provided ·         Do you provide Virtual Health Services?  Current service area and/or list of locations List of all employed/contracted providers (if applicable) including NPs and PAs (please include individual NPIs) What age population is served? Please list 0-2 years of age; 2-18 years of age; 18+ years Where do you have privileges? Please list all Hospitals, Ambulatory Surgery Centers, etc. Link to website Current W-9 Current quality and outcomes data Any additional information you would like presented to the Network Access and Adequacy Committee   Your participation request will be presented at the next NAAC meeting following receipt of the additional information.  Best Regards, MHHP Network Contracting\"  Replied with:  \"Hello,   Please find the attached answers.  Please provide the following information:  List of services provided  Urgentcare Services  ·         Do you provide Virtual Health Services?   Yes, Telehealth services are offered.   Current service area and/or list of locations  Stafford, TX. List of all employed/contracted providers (if applicable) including NPs and PAs (please include individual NPIs) Ramegowda Belakere, MD. Glory Abraham, NP. Shybi Varghese, NP. What age population is served? Please list 0-2 years of age; 2-18 years of age; 18+ years Age limit: 0~99+  Where do you have privileges? Please list all Hospitals, Ambulatory Surgery Centers, etc. Methodist Hospital  Link to website N/A Current W-9 Attached. Current quality and outcomes data N/A Any additional information you would like presented to the Network Access and Adequacy Committee No. \"', NULL, NULL, '2021-07-16 17:09:26', '2021-07-16 17:09:26'),
(37100, 1006, 29332, NULL, '2021-08-18 00:00:00.000', 'In Process', 'Sent f/u email @ MHHP Contracting MHHPContracting@memorialhermann.org:  Sub: Enrollment Status - RSM - Memorial Hermann  \"Hello,   I wanted to get an update regarding the enrollment status for the following group and providers:  Group Name: Right Step Medical Center LLC TIN# 85-3252700  Provider Name: Ramegowda Belakere NPI# 1235166687  Provider Name: Glory Abraham NPI# 1194206490  Provider Name: Shybi Varghese NPI# 1285270991  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-08-11 16:56:53', '2021-08-11 16:56:53'),
(37101, 1006, 29332, NULL, '2021-08-20 00:00:00.000', 'In Process', 'We received the following update from MHHPContracting@memorialhermann.org:  Sub: Enrollment Status - RSM - Memorial Hermann  \"Good morning Brad. This provider group will be presented to our Network Access and Adequacy Committee this month. Once I receive a response from them, I will let you know.  Thank you. Camilla Paige\"', NULL, NULL, '2021-08-13 10:30:39', '2021-08-13 10:30:39'),
(37102, 1006, 29332, NULL, '2021-09-02 00:00:00.000', 'In Process', 'We received the following email @ MHHPContracting@memorialhermann.org:  Sub: Enrollment Status - RSM - Memorial Herman  \"Hello,  Memorial Hermann Health Plan (MHHP) has accepted your request to participate in our health plan. Please find attached the Provider Agreement. Please have the agreement signed. Please complete the attached Schedule C Tables 1 and 2 and Schedule D, as applicable. Once all items are complete, please return.  Once the completed documents are received, MHHP’s Credentialing Department will send the provider(s) a credentialing application. The agreement will be fully executed by MHHP and a copy sent to you once the provider is approved by the MHHP Credentialing Committee. The effective date will be assigned by MHHP upon approval of the MHHP Credentialing Committee.  We look forward to welcoming you into our network in the near future.  Best Regards, Camilla Paige\"  Contract signed and sent back to them. Attached in the main group task for reference. ', NULL, NULL, '2021-08-26 16:22:37', '2021-08-26 16:22:37'),
(37103, 11056, 29332, NULL, '2021-09-10 00:00:00.000', 'In Process', 'Email received from : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Good morning Brad. Since this is an Urgent Care agreement, could you please re-do Schedule C, Table 2 to only list the Urgent Care Information? Please feel free to only send back that page.     Thank you.     Camilla', NULL, NULL, '2021-09-03 08:31:40', '2021-09-03 08:31:40'),
(37104, 11056, 29332, NULL, '2021-09-15 00:00:00.000', 'In Process', 'Email sent to : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Hello Camilla,   Here\'s the updated Schedule C. Let me know if anything else is required.  Thank you!  Updated Schedule C sent. And asked for the enrollment updates', NULL, NULL, '2021-09-08 10:32:16', '2021-09-08 10:32:16'),
(37105, 11056, 29332, NULL, '2021-09-24 00:00:00.000', 'In Process', 'Email sent to : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann   Good Morning!  Hope this email finds you well. I want to know the enrollment status of the following providers and practice soon. Please update me soon.  Practice Details : Practice Name : Right Step Medical Center LLC Practice TIN # : 85-3252700 Practice NPI # : 1063008084 Practice  Address : 11925 Southwest Freeway, Suite 12, Stafford , TX 77477-2300  Provider Details: Provider Name : Belakere, Ramegowda Provider NPI # : 1235166687  Provider Name: Glory Abraham Provider NPI # : 1194206490  Provider Name: Shybi Varghese Provider NPI # :1285270991  If you need any documents or information feel free to contact me. Waiting to hear from you soon.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-09-17 10:54:12', '2021-09-17 10:54:12'),
(37106, 11056, 29332, NULL, '2021-10-04 00:00:00.000', 'In Process', 'Email received from : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Good morning. You should be hearing from our credentialing team soon.   Thank you.  Camilla', NULL, NULL, '2021-09-27 13:35:17', '2021-09-27 13:35:17'),
(37107, 11056, 29332, NULL, '2021-10-11 00:00:00.000', 'In Process', 'Email sent to : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Hey Camilia!  Hope this email finds you well. I am still waiting to hear the updates from your credentialing team.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-10-04 12:47:31', '2021-10-04 12:47:31'),
(37108, 11056, 29332, NULL, '2021-10-20 00:00:00.000', 'In Process', 'Email sent to : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Hey Camilia!  Hope this email finds you well. I am still waiting to hear the updates from your credentialing team.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-10-13 12:09:31', '2021-10-13 12:09:31'),
(37109, 11056, 29332, NULL, '2021-10-27 00:00:00.000', 'In Process', 'Email received from : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann   Good afternoon. Credentialing takes 30-45 days. Once I receive the credentialing approvals, I will send the agreement to my leadership team for full execution.', NULL, NULL, '2021-10-20 15:44:29', '2021-10-20 15:44:29'),
(37110, 11056, 29332, NULL, '2021-11-08 00:00:00.000', 'In Process', 'Email received from : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Good morning. No, I have not yet received the credentialing approval yet.', NULL, NULL, '2021-11-01 08:31:53', '2021-11-01 08:31:53'),
(37111, 11056, 29332, NULL, '2021-11-18 00:00:00.000', 'Initiated', 'Email received from: MHHPContracting@memorialhermann.org  Sub: Enrollment Status - RSM - Memorial Hermann  Good morning. My apologies for the delay. Our credentialing team is working on a huge project for our Annual Enrollment Period which has taken priority. We should be hearing something soon.     Thank you for your patience.', NULL, NULL, '2021-11-11 16:51:11', '2021-11-11 16:51:11'),
(37112, 11056, 29332, NULL, '2021-11-18 00:00:00.000', 'In Process', 'Email received from: MHHPContracting@memorialhermann.org  Sub: Enrollment Status - RSM - Memorial Hermann  Good morning. My apologies for the delay. Our credentialing team is working on a huge project for our Annual Enrollment Period which has taken priority. We should be hearing something soon.     Thank you for your patience.', NULL, NULL, '2021-11-11 16:51:40', '2021-11-11 16:51:40'),
(37113, 11056, 29332, NULL, '2021-11-25 00:00:00.000', 'In Process', 'Email sent to: MHHPContracting@memorialhermann.org  Sub: Enrollment Status - RSM - Memorial Hermann  Good afternoon!  Hope you had a great and safe weekend. I would appreciate it if you could please let me know the updated credentialing status for the below-mentioned practice and providers soon with Memorial Hermann. Any updates on the agreement & approval letters?  Group Name	Right Step Medical Center LLC Tax ID	85-3252700 Group NPI	1063008084 Primary Location	11925 Southwest Freeway, Suite 12 Stafford , TX 77477-2300 Provider Name	NPI Ramegowda Belakere	1235166687 Glory Abraham	1194206490 Shybi Varghese	1285270991  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, '2021-11-18 10:50:07', '2021-11-18 10:50:07'),
(37114, 11056, 29332, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email received from:   MHHPContracting@memorialhermann.org  Sub:  Enrollment Status - RSM - Memorial Hermann   Good morning. I spoke with our credentialing team yesterday and was informed that they are still waiting on documentation from your team to finish the credentialing process. Please follow-up with your team in that regard. We cannot fully execute the agreement until credentialing is approved.', NULL, NULL, '2021-11-30 17:54:22', '2021-11-30 17:54:22'),
(37115, 11056, 29332, NULL, '2021-12-22 00:00:00.000', 'In Process', 'Email received from: jcalderon@symplr.com  Sub: RE: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC Enrollment Status - RSM - Memorial Hermann   Good afternoon,     Your facility credentialing applications for participation with Memorial Hermann Healthplan are being prepared. The following information is needed for all three location to continue the credentialing process on behalf of Memorial Hermann Healthplan:  Business License or Certificate of Occupancy Accreditation (If applicable)    Please reply to this message with the information mentioned above within 15 business days from 1st request. If information is not received by this date, your application will be forwarded to Memorial Hermann Healthplan Medical Director for review and may be closed for failure to meet Memorial Hermann Healthplan administrative criteria.     If you have any questions, please contact me at 516-593-1380 Ext. 287 or JCalderon@symplr.com        Johanna Calderon                            Credentialing Specialist  Work: +1 (516) 593-1380 Ext. 287   Fax: 516-620-3054   Email: jcalderon@symplr.com  Letter of occupancy has been provided. Waiting for accreditation letter from provider side.', NULL, NULL, '2021-12-15 12:51:47', '2021-12-15 12:51:47'),
(37116, 11056, 29332, NULL, '2021-12-29 00:00:00.000', 'In Process', 'Email sent to: jcalderon@symplr.com  Sub: RE: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Good afternoon!  Hope you are doing well. You haven\'t responded me back to my queries yet. Please let me know what kind of and for which thing you need a letter of accreditation. Have you received the letter of occupancy?  Any updates on the agreement & approval letters of the credentialing process of the providers?  Thank you! Have a wonderful day!', NULL, NULL, '2021-12-22 14:44:57', '2021-12-22 14:44:57'),
(37117, 19067, 29332, NULL, '2022-01-17 00:00:00.000', 'In Process', 'Email sent to: jcalderon@symplr.com  Subject: Re: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC  Hello!  This is a reminder of the previous request.  Kindly get in touch as soon as you get time.  Thanks & Regards, Hammad Ahmed.', NULL, NULL, '2022-01-09 21:14:21', '2022-01-09 21:14:21'),
(37118, 19067, 29332, NULL, '2022-02-01 00:00:00.000', 'In Process', 'Email sent to: jcalderon@symplr.com  Subject: Re: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Greetings!  Any updates on the mentioned request?   Kindly respond promptly.  Regards, Hammad', NULL, NULL, '2022-01-25 16:04:47', '2022-01-25 16:04:47'),
(37119, 19067, 29332, NULL, '2022-02-18 00:00:00.000', 'In Process', 'Email received from: jcalderon@symplr.com   Subject: RE: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Good afternoon Hammad,     Sorry for my delay in replying to you. Attached you will find the approval letter and the original email notification that went out.     Kind Regards,', NULL, NULL, '2022-02-11 17:12:38', '2022-02-11 17:12:38'),
(37120, 19067, 29332, NULL, '2022-02-18 00:00:00.000', 'In Process', 'Email sent to: jcalderon@symplr.com  Subject: Re: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Hi,  Please advise if it is an Ancillary Plan or a Group Contract and do share the Agreement Letter. That would be of great help!  Regards, Hammad', NULL, NULL, '2022-02-11 17:13:34', '2022-02-11 17:13:34'),
(37121, 19067, 29332, NULL, '2022-02-18 00:00:00.000', 'In Process', 'Email received from: MHHPContracting@memorialhermann.org  Subject: RE: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Good morning Hammad. I am working on getting the Urgent Care agreement fully executed by our leadership team. Once it has been fully executed, I will send you a copy. Please let me know if you have any other questions.  ', NULL, NULL, '2022-02-11 17:14:39', '2022-02-11 17:14:39'),
(37122, 19067, 29332, NULL, '2022-02-23 00:00:00.000', 'In Process', 'Email sent to: mhhpcontracting@memorialhermann.org  Subject: Re: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Good Morning!  Hope this email finds you well. Any updates as of now? Kindly update me.  And don\'t hesitate to reach me if you need anything.   Regards, Hammad Ahmed.', NULL, NULL, '2022-02-16 10:16:31', '2022-02-16 10:16:31'),
(37123, 19067, 29332, NULL, '2022-02-25 00:00:00.000', 'In Process', 'Email received from: MHHPContracting@memorialhermann.org  Subject: RE: [EXTERNAL] Re: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC    Good morning. My apologies for the delay. I am hoping to have this agreement back to you by early next week.     Thank you.     Camilla', NULL, NULL, '2022-02-18 09:57:50', '2022-02-18 09:57:50'),
(37124, 19067, 29332, NULL, '2022-03-18 00:00:00.000', 'In Process', 'Email sent to: mhhpcontracting@memorialhermann.org  Subject: Re: [EXTERNAL] Re: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Hi Camilia!  I haven\'t received the agreement yet. Kindly look into this.  Regards, Hammad Ahmed.', NULL, NULL, '2022-03-11 11:18:53', '2022-03-11 11:18:53'),
(37125, 19067, 29332, NULL, '2022-04-12 00:00:00.000', 'On Hold', 'Provider no longer practices @ RSM', NULL, NULL, '2022-04-05 13:05:11', '2022-04-05 13:05:11'),
(37126, 1006, 29334, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:27:37', '2021-05-10 12:27:37'),
(37127, 3040, 29334, NULL, '2021-06-01 00:00:00.000', 'In Process', 'Group request submitted online. Please see group task.   Your form was submitted successfully. Thank you for contacting us. A representative will be in contact to discuss your interest in becoming a participating Provider.', NULL, NULL, '2021-05-25 09:22:11', '2021-05-25 09:22:11'),
(37128, 1006, 29334, NULL, '2021-06-02 00:00:00.000', 'In Process', 'We received the following reply from ProspectiveProviderTX ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Dear Provider:  Thank you for your interest in joining our network, please allow 30 Calendar days for us to review your request.  Sincerely, Network Management – Texas | www.wellcare.com\"', NULL, NULL, '2021-05-26 08:18:35', '2021-05-26 08:18:35'),
(37129, 1006, 29334, NULL, '2021-06-24 00:00:00.000', 'In Process', 'Sent f/u email @ .ProspectiveProviderTX ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Hello,   I hope you\'re doing well, I just wanted to check in on the status of my application.  Please get back to me as soon as possible.  Thank you.\"', NULL, NULL, '2021-06-14 11:26:47', '2021-06-14 11:26:47'),
(37130, 1006, 29334, NULL, '2021-07-09 00:00:00.000', 'In Process', 'Sent f/u email again @ \".ProspectiveProviderTX\" ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Hello,   I am still waiting for a response regarding our enrollment request, please get back to me as soon as possible.  Thanks. \"', NULL, NULL, '2021-07-02 16:31:08', '2021-07-02 16:31:08'),
(37131, 1006, 29334, NULL, '2021-07-14 00:00:00.000', 'In Process', 'Received reply @ .ProspectiveProviderTX ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Hello,  This group request has been sent to a Contract Negotiator and you will receive an email from them with further information.  Thank you, Network Management Contracts Coordinator, Contracting & Network Development\"', NULL, NULL, '2021-07-07 10:43:29', '2021-07-07 10:43:29'),
(37132, 1006, 29334, NULL, '2021-08-03 00:00:00.000', 'In Process', 'Sent f/u email @ \".ProspectiveProviderTX\" ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Hello,  I hope you\'re doing well, we still haven\'t received any response from the contract negotiator. Please get back to me on the status of this request as soon as possible. Thank you.\"', NULL, NULL, '2021-07-27 17:31:39', '2021-07-27 17:31:39'),
(37133, 1006, 29334, NULL, '2021-08-05 00:00:00.000', 'In Process', 'Received the following update from ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Good morning,  The contract is complete and the providers are in the process of being loaded.  We will reach out once the load is complete.  Thanks Network Management – Texas | www.wellcare.com | www.superiorhealthplan.com\"  ', NULL, NULL, '2021-07-29 10:41:31', '2021-07-29 10:41:31'),
(37134, 1006, 29334, NULL, '2021-08-18 00:00:00.000', 'In Process', 'Sent f/u email @ ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the group and providers. Please get back to me as soon as possible.  Thank you.\"', NULL, NULL, '2021-08-11 17:12:36', '2021-08-11 17:12:36'),
(37135, 1006, 29334, NULL, '2021-08-19 00:00:00.000', 'In Process', 'Received the following update from ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Good Morning,  The request to add providers is still with configuration.  We will let you know once the providers are loaded.  Thanks\"', NULL, NULL, '2021-08-12 10:24:35', '2021-08-12 10:24:35'),
(37136, 1006, 29334, NULL, '2021-09-08 00:00:00.000', 'In Process', 'Sent f/u email @ ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the credentialing/contracting status for our group and providers.  Please get back to me as soon as you\'re able to.  Thank you.\"', NULL, NULL, '2021-09-01 12:47:48', '2021-09-01 12:47:48'),
(37137, 11056, 29334, NULL, '2021-09-15 00:00:00.000', 'In Process', 'Email sent to : ProspectiveProviderTX@wellcare.com  Sub : Re: Become A Provider - Unsecured - Right Step - Texas  Good Morning!  Hope this email finds you well. I want to know the enrollment status of the following providers and practice soon. Please update me soon.  Practice Details : Practice Name : Right Step Medical Center LLC Practice TIN # : 85-3252700 Practice NPI # : 1063008084 Practice  Address : 11925 Southwest Freeway, Suite 12, Stafford , TX 77477-2300  Provider Details: Provider Name : Belakere, Ramegowda Provider NPI # : 1235166687  Provider Name: Glory Abraham Provider NPI # : 1194206490  Provider Name: Shybi Varghese Provider NPI # :1285270991  If you need any documents or information feel free to contact me. Waiting to hear from you soon.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-09-08 13:40:34', '2021-09-08 13:40:34'),
(37138, 11056, 29334, NULL, '2021-09-15 00:00:00.000', 'Approved', 'Approval email received from : ProspectiveProviderTX@wellcare.com  Sub : Re: Become A Provider - Unsecured - Right Step - Texas  Hello,   The providers below are PAR effective 5/1/2021. If you need additional providers added to this group please submit your request via Join Our Network website. ', NULL, NULL, '2021-09-08 15:08:07', '2021-09-08 15:08:07'),
(37139, 1006, 29335, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:27:37', '2021-05-10 12:27:37'),
(37140, 3040, 29335, NULL, '2021-06-01 00:00:00.000', 'In Process', 'Email sent to: mflores@trpnppo.com  Subject: Enroll Group & Providers || Right Step Medical Center LLC || TRPN ||  Hello Max,  Hope you are doing well, I wanted to enroll the below mentioned group & providers in TRPN for our group Right Step Medical Center LLC under the below location.   Practice Details: Practice Name: Right Step Medical Center LLC Practice Tax ID# 85-3252700 Practice NPI# 1063008084 Practice Address: 11925 Southwest Freeway,  Suite 12  Stafford , TX 77477  Provider 1: Provider Name: Belakere, Ramegowda Provider NPI# 1235166687  Provider 2:   Provider Name: Abraham, Glory Provider NPI# 1194206490  Provider 3:   Provider Name: VARGHESE, SHYBI Peniyel Provider NPI# 1285270991  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you   --', NULL, NULL, '2021-05-25 08:48:09', '2021-05-25 08:48:09'),
(37141, 1006, 29335, NULL, '2021-06-18 00:00:00.000', 'In Process', 'We received the following reply from Max Flores mflores@trpnppo.com:  Sub: Enroll Group & Providers || Right Step Medical Center LLC || TRPN ||  \"Good morning Adil,  I wanted to take  brief moment to follow up and see if you and your team have had the opportunity to review the proposal and ask if there any questions that you may have? If you would please get back to me when you get an opportunity that would be greatly appreciated. Thank you for your time today, have a great Thursday.  Kind regards, Max Flores Contracting Manager 6970 O’Bannon Drive Las Vegas, Nevada 89117  Phone: (619) 737-9546 Fax: (619) 271-6316 mflores@trpnppo.com www.trpnppo.com\"  Filled out the agreement and sent it back to the rep. Attached for reference in main group task. ', NULL, NULL, '2021-06-11 10:03:22', '2021-06-11 10:03:22'),
(37142, 1006, 29335, NULL, '2021-06-21 00:00:00.000', 'In Process', 'We received the following reply from Max Flores: \"Good afternoon Brad,  Thank you for getting the signed agreement back to me, you can expect to receive your countersigned copy in 2-3 weeks. If you have any questions in the mean time please feel free to contact me directly for assistance.  Kind regards, Max Flores Contracting Manager 6970 O’Bannon Drive  Las Vegas, Nevada 89117 Phone: (619) 737-9546 Fax: (619) 271-6316 mflores@trpnppo.com www.trpnppo.com\"', NULL, NULL, '2021-06-14 15:12:11', '2021-06-14 15:12:11'),
(37143, 1006, 29335, NULL, '2021-07-09 00:00:00.000', 'In Process', 'Sent f/u email @ Max Flores mflores@trpnppo.com:  Sub: Enroll Group & Providers || Right Step Medical Center LLC || TRPN ||  \"Hello Max,   I hope you\'re doing well, I wanted to check in with you on the status of enrollment for our group and providers. Please get back to me as soon as you\'re able to.  Thank you.\"', NULL, NULL, '2021-07-02 16:26:46', '2021-07-02 16:26:46'),
(37144, 1006, 29335, NULL, '2021-08-03 00:00:00.000', 'In Process', 'Response from :mflores@trpnppo.com   \"Good morning Brad,  I apologize for the delay, I was informed that the person who handles the contract executions was out all of last week with Bronchitis and they are returning to the office today. No contract were executed last week, starting today contracts will be executed again and I requested to have yours signed as soon as possible. You should be getting your copy in the next few days, please pardon the delay.\"  Reply:  \"Hello Max,   I appreciate the update, can you please let me know what the status is of the request now?  Thank you.\"', NULL, NULL, '2021-07-27 17:19:26', '2021-07-27 17:19:26'),
(37145, 1006, 29335, NULL, '2021-08-05 00:00:00.000', 'Approved', 'The group and providers have been enrolled with TRPN, attached contract for reference.   Eff: 06/11/2021', NULL, NULL, '2021-07-29 09:56:05', '2021-07-29 09:56:05'),
(37146, 1006, 29336, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:27:37', '2021-05-10 12:27:37'),
(37147, 3040, 29336, NULL, '2021-06-01 00:00:00.000', 'On Hold', 'Waiting for the Medicaid approval. ', NULL, NULL, '2021-05-25 09:35:49', '2021-05-25 09:35:49'),
(37148, 1006, 29336, NULL, '2021-06-25 00:00:00.000', 'Initiated', 'Sent enrollment query @ CSHNproviderrelations@christushealth.org:  Sub; Enrollment Query - RSM - Christus Spohn Health Network  \"Hello,  I hope you\'re doing well, I wanted to verify what the process would be to enroll the following group and providers with Christus Spohn, the information is as follows: Group Name: Right Step Medical Center LLC Address TIN# 85-3252700NPI# 1063008084  Provider Name: Ramegowda Belakere NPI# 1235166687  Provider Name: Glory Abraham NPI# 1194206490  Provider Name: Shybi Varghese NPI# 1285270991  Please get back to me as soon as possible. Thanks.\"', NULL, NULL, '2021-06-18 16:45:45', '2021-06-18 16:45:45'),
(37149, 1006, 29336, NULL, '2021-07-14 00:00:00.000', 'In Process', 'Sent f/u email @ CSHNproviderrelations@christushealth.org:  Sub: Enrollment Query - RSM - Christus Spohn Health Network  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the status of enrollment for providers and groups mentioned in the previous email.  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-07 15:51:51', '2021-07-07 15:51:51'),
(37150, 1006, 29336, NULL, '2021-08-03 00:00:00.000', 'In Process', 'Sent f/u email @ CSHNproviderrelations@christushealth.org', NULL, NULL, '2021-07-27 17:06:25', '2021-07-27 17:06:25'),
(37151, 1006, 29336, NULL, '2021-08-18 00:00:00.000', 'In Process', 'Sent new f/u email @ vicki.guerra@christushealth.org:  Sub: Enrollment Query - RSM - Christus Spohn Health Network  \"Hello Vicki,   I hope you\'re doing well, I wanted to verify what the process would be to enroll the following group and providers with Christus Spohn, the information is as follows:  Group Name: Right Step Medical Center LLC Address TIN# 85-3252700 NPI# 1063008084  Provider Name: Ramegowda Belakere NPI# 1235166687  Provider Name: Glory Abraham NPI# 1194206490  Provider Name: Shybi Varghese NPI# 1285270991  Please get back to me as soon as possible.  Thanks.\" ', NULL, NULL, '2021-08-11 12:43:07', '2021-08-11 12:43:07'),
(37152, 1006, 29336, NULL, '2021-09-01 00:00:00.000', 'In Process', 'We received the following request from hunter.barrett@christushealth.org:  Sub: Enrollment Query - RSM - Christus Spohn Health Network  \"Hunter Barrett Network Contracting CHRISTUS Health Plan CHRISTUS Health 919 Hidden Ridge | Irving, Texas 75038 (o) 469.282.3113 www.christushealth.org   Brad,  What hospital do these providers have admitting privileges?   Thanks,\"  Replied with:  \"Hello Hunter,   Sure, the group has admitting privileges at Christus Spohn Hospital (Beeville, TX).  Please let me know if you have any further questions.  Thank you.\"', NULL, NULL, '2021-08-25 15:49:28', '2021-08-25 15:49:28'),
(37153, 11056, 29336, NULL, '2021-09-10 00:00:00.000', 'In Process', 'Email sent to : vicki.guerra@christushealth.org  Sub :  Re: Enrollment Query - RSM - Christus Spohn Health Network  Hey Vicki!  Hope this email finds you well. The representative hasn\'t reached out to us yet. Please provide us with the latest updates as soon as possible.  Practice Details : Practice Name : Right Step Medical Center LLC Practice TIN # : 85-3252700 Practice NPI # : 1063008084 Practice  Address : 11925 Southwest Freeway, Suite 12, Stafford , TX 77477-2300  Provider Details: Provider Name : Belakere, Ramegowda Provider NPI # : 1235166687  Provider Name: Glory Abraham Provider NPI # : 1194206490  Provider Name: Shybi Varghese Provider NPI # :1285270991  If you need any documents or information feel free to contact me. Waiting to hear from you soon.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-09-02 16:16:13', '2021-09-02 16:16:13'),
(37154, 11056, 29336, NULL, '2021-09-24 00:00:00.000', 'In Process', 'Email sent to : hunter.barrett@christushealth.org  Sub :  Re: Enrollment Query - RSM - Christus Spohn Health Network  Hey Hunter!  Hope you are doing well. Here are the Provider & background forms and the Group agreement for joining the USFHP network. Please find the attachments.  If you need any documents or information feel free to contact me.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-09-17 10:07:18', '2021-09-17 10:07:18'),
(37155, 11056, 29336, NULL, '2021-10-04 00:00:00.000', 'In Process', 'Email sent to : hunter.barrett@christushealth.org  Sub : Re: Enrollment Query - RSM - Christus Spohn Health Network   Good morning Hunter!  Hope this email finds you well. I wanted to check in on the status of the enrollment process & the applications I had submitted to you on 09,Sept,2021. Please let me know how long it will take to be credentialed.  In the meantime, please do not hesitate to reach out if you have any questions or concerns.  Take care!  Thank you! Have a great day!', NULL, NULL, '2021-09-27 14:08:27', '2021-09-27 14:08:27'),
(37156, 11056, 29336, NULL, '2021-10-11 00:00:00.000', 'In Process', 'Email sent to : CHRISTUS.HP.Credentialing@christushealth.org  Sub : Re: Enrollment Query - RSM - Christus Spohn Health Network  Good afternoon!  Hope this email finds you well. I wanted to check in on the status of the enrollment process & the applications I had submitted to you on 09,Sept,2021. Please let me know how long it will take to be credentialed.  Group Name	Right Step Medical Center LLC Tax ID	85-3252700 Group NPI	1063008084 Primary Location	11925 Southwest Freeway, Suite 12 Stafford , TX 77477-2300 Provider Name	NPI Ramegowda Belakere	1235166687 Glory Abraham	1194206490 Shybi Varghese	1285270991  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, '2021-10-04 15:39:18', '2021-10-04 15:39:18'),
(37157, 11056, 29336, NULL, '2021-10-20 00:00:00.000', 'In Process', 'Email received from : hunter.barrett@christushealth.org  Sub : Re: Enrollment Query - RSM - Christus Spohn Health Network  Ahmed,  The contract was just signed and sent to our credentialing team last week. They will assign the effective date once they are complete with the process, please allow them enough time to get to your file before reaching out for an update. They are taking around 6 months to fully process new contract and providers. Please follow up directly with the credentialing department at the email address below.  CHRISTUS.HP.Credentialing CHRISTUS.HP.Credentialing@christushealth.org   Thanks, Hunter Barrett Network Contracting CHRISTUS Health Plan  CHRISTUS Health 919 Hidden Ridge | Irving, Texas 75038 (o) 469.282.3113 www.christushealth.org', NULL, NULL, '2021-10-13 12:52:43', '2021-10-13 12:52:43'),
(37158, 11056, 29336, NULL, '2021-10-27 00:00:00.000', 'In Process', 'Email sent to :  CHRISTUS.HP.Credentialing@christushealth.org,  Sub  : Re: Enrollment Query - RSM - Christus Spohn Health Network   Good afternoon!  Hope this email finds you well. I am still waiting to get an update of the credentialing status of the following providers under the Below mentioned practice & TIN.  Group Name	Right Step Medical Center LLC Tax ID	85-3252700 Group NPI	1063008084 Primary Location	11925 Southwest Freeway, Suite 12 Stafford , TX 77477-2300 Provider Name	NPI Ramegowda Belakere	1235166687 Glory Abraham	1194206490 Shybi Varghese	1285270991  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, '2021-10-20 17:01:23', '2021-10-20 17:01:23'),
(37159, 11056, 29336, NULL, '2021-11-08 00:00:00.000', 'In Process', 'Email sent to : CHRISTUS.HP.Credentialing@christushealth.org, CSHNproviderrelations@christushealth.org  Sub : Re: Enrollment Query - RSM - Christus Spohn Health Network  Good morning!  Hope all is well with you. Kindly don\'t test our patience . It has been a long time that our emails have been ignored and not responded back. Please assist with the below at your earliest opportunity.  I am still waiting to get an update of the credentialing status of the following providers under the Below mentioned practice & TIN.  Group Name	Right Step Medical Center LLC Tax ID	85-3252700 Group NPI	1063008084 Primary Location	11925 Southwest Freeway, Suite 12 Stafford , TX 77477-2300 Provider Name	NPI Ramegowda Belakere	1235166687 Glory Abraham	1194206490 Shybi Varghese	1285270991  Eagerly, waiting to get back from you soon.  Thank you! Have a blessed day!', NULL, NULL, '2021-11-01 08:50:00', '2021-11-01 08:50:00'),
(37160, 11056, 29336, NULL, '2021-11-19 00:00:00.000', 'In Process', 'Email received from: CHRISTUS.HP.Credentialing@christushealth.org  Sub : Re: Enrollment Query - RSM - Christus Spohn Health Network  Good Afternoon        The Credentialing Department has received the provider’s application and it will be assigned to a Credentialing Coordinator for processing. We will make our best effort to credential the application in a timely manner.              Credentialing Verification Unit  CHRISTUS Health Plan - US Family Health Plan  919 Hidden Ridge Irving, TX 75038  Phone: (469)-282-0368  Fax: 210-766-8857  CHRISTUS.HP.Credentialing@christushealth.org', NULL, NULL, '2021-11-12 13:12:14', '2021-11-12 13:12:14'),
(37161, 11056, 29336, NULL, '2021-12-06 00:00:00.000', 'In Process', 'Email sent to:  christus.hp.credentialing@christushealth.org  Sub:   Re: Enrollment Query - RSM - Christus Spohn Health Network  Good morning!  Hope all is well with you. Has the credentialing department assigned a Credentialing Coordinator for processing our provider’s applications?  Also, do provide me the updates on the applications of the providers.  Please get back to me at your earliest convenience.  Thank you! Have a great day!', NULL, NULL, '2021-11-29 13:58:59', '2021-11-29 13:58:59'),
(37162, 11056, 29336, NULL, '2021-12-22 00:00:00.000', 'In Process', 'Rep: Lisa H  Status: Applications have been provided to the designated coordinator.   Glory: received application. Not fully credentialed yet. Coordinator: Angelique   Ramegwoda\'s application is with Lisa   Shybi\'s application is with Tommishia  Emails:  angelique.castro@christushealth.org tommishia.offord@christushealth.org lisa.horton2@christushealth.org  Fwd: Ramegowda Belakere, M.D.', NULL, NULL, '2021-12-15 14:00:21', '2021-12-15 14:00:21'),
(37163, 11056, 29336, NULL, '2021-12-29 00:00:00.000', 'In Process', 'Email sent to: christus.hp.credentialing@christushealth.org  Sub: Re: Enrollment Query - RSM - Christus Spohn Health Network  Fwd: Ramegowda Belakere, M.D.   Good morning!  Hope you are having a wonderful day. Please provide me with the latest updates on the credentialing process of the provider’s application as soon as possible.  Thanking you in advance for your cooperation.  Have a wonderful day!', NULL, NULL, '2021-12-22 14:25:12', '2021-12-22 14:25:12'),
(37164, 19067, 29336, NULL, '2022-01-04 00:00:00.000', 'In Process', 'Email received from: christus.hp.credentialing@christushealth.org, angelique.castro@christushealth.org   Subject: Re: Enrollment Query - RSM - Christus Spohn Health Network  Good afternoon!  Hope this email finds you well. I wanted to check in on the status of the enrollment process & the applications. Please let me know how long it will take to be credentialed.  Group Name	Right Step Medical Center LLC Tax ID	85-3252700 Group NPI	1063008084 Primary Location	11925 Southwest Freeway, Suite 12 Stafford, TX 77477-2300 Provider Name	NPI Ramegowda Belakere	1235166687 Glory Abraham	1194206490 Shybi Varghese	1285270991  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, '2021-12-28 17:29:21', '2021-12-28 17:29:21');


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
(37326, 11056, 29351, NULL, '2021-12-08 00:00:00.000', 'In Process', 'Email sent to: providerservices@triwest.com  Sub:  RE: Enrollment Status - RSM - Triwest  Good evening!  Hope this email finds you well. Any updates on the applications?  Has our request for a contract been reviewed and evaluated yet or not?  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, '2021-12-01 10:30:56', '2021-12-01 10:30:56'),
(37327, 19067, 29351, NULL, '2021-12-15 00:00:00.000', 'In Process', 'Still in review. Rep: Geva Ref# PH-1632349-C6G7G3', NULL, NULL, '2021-12-08 12:34:12', '2021-12-08 12:34:12'),
(37328, 11056, 29351, NULL, '2021-12-15 00:00:00.000', 'In Process', 'Rep: Mark C  Status:  11/1/2021 linked and credentialed under the facility TIN.  Plans:  Aetna Medicare Aetna Medicaid  Refcode: 6062355331 ', NULL, NULL, '2021-12-08 12:38:46', '2021-12-08 12:38:46'),
(37329, 11056, 29351, NULL, '2021-12-15 00:00:00.000', 'In Process', 'Still in review. Rep: Geva Ref# PH-1632349-C6G7G3', NULL, NULL, '2021-12-08 12:40:34', '2021-12-08 12:40:34'),
(37330, 11056, 29351, NULL, '2021-12-22 00:00:00.000', 'In Process', 'Email sent to: providerservices@triwest.com  Sub: RE: Enrollment Status - RSM - Triwest  Good evening!  Hope this email finds you well. Any updates on the applications?  Has our request for a contract been reviewed and evaluated yet or not?  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, '2021-12-15 13:25:02', '2021-12-15 13:25:02'),
(37331, 11056, 29351, NULL, '2021-12-29 00:00:00.000', 'In Process', 'Email sent to: providerservices@triwest.com  & smiguel@triwest.com  Sub: RE: Enrollment Status - RSM - Triwest   Good afternoon!  Hope you are having a blessed day. Please provide me with the welcome letters for the below-mentioned providers under facility TIN.  Group Name	Right Step Medical Center LLC Tax ID	85-3252700 Group NPI	1063008084 Primary Location	11925 Southwest Freeway, Suite 12 Stafford, TX 77477-2300 Provider Name	NPI Ramegowda Belakere  (M.D)	1235166687 Glory Abraham   (FNP)	1194206490 Shybi Varghese   (FNP)	1285270991  Please do not hesitate to reach out if you have any questions or concerns.  Thank you! Have a nice day!', NULL, NULL, '2021-12-22 14:33:05', '2021-12-22 14:33:05'),
(37332, 19067, 29351, NULL, '2022-01-17 00:00:00.000', 'In Process', 'Email sent to: credentialing@triwest.com, smiguel@triwest.com, providerservices@triwest.com  Subject: Request for Welcome Letters || Ramegowda, Glory, Shybi ||RSM || Triwest ||   Hello!  Hope you are having a blessed day. Please provide me with the welcome letters for the below-mentioned providers under facility TIN.  Group Name	Right Step Medical Center LLC Tax ID	85-3252700 Group NPI	1063008084 Primary Location	11925 Southwest Freeway, Suite 12 Stafford, TX 77477-2300 Provider Name	NPI Ramegowda Belakere  (M.D)	1235166687 Glory Abraham   (FNP)	1194206490 Shybi Varghese   (FNP)	1285270991  Please do not hesitate to reach out if you have any questions or concerns.  Thanks & Regards, Hammad Ahmed. ', NULL, NULL, '2022-01-09 20:27:28', '2022-01-09 20:27:28'),
(37333, 19067, 29351, NULL, '2022-02-01 00:00:00.000', 'In Process', 'Email received from: smiguel@triwest.com  Subject: Request for Welcome Letters || Ramegowda, Glory, Shybi ||RSM || Triwest ||     TriWest Classification: Confidential     Hello, I am showing no results for the providers mentioned below.     Shannael Miguel  Provider Credentialing Spec  TriWest Healthcare Alliance  smiguel@triwest.com   www.triwest.com', NULL, NULL, '2022-01-25 16:11:14', '2022-01-25 16:11:14'),
(37334, 19067, 29351, NULL, '2022-02-18 00:00:00.000', 'In Process', 'Email sent to: smiguel@triwest.com   Subject: Re: Request for Welcome Letters || Ramegowda, Glory, Shybi ||RSM || Triwest ||    Hello Shannael!  Hope this email finds you well.  If these providers are not showing up then I would like to enroll them. Please advise the process of enrollment.   Thanks, Hammad.', NULL, NULL, '2022-02-11 17:53:02', '2022-02-11 17:53:02'),
(37335, 19067, 29351, NULL, '2022-02-25 00:00:00.000', 'In Process', 'Email received from: smiguel@triwest.com  Subject: Request for Welcome Letters || Ramegowda, Glory, Shybi ||RSM || Triwest ||    TriWest Classification: Confidential     Hello,     Please complete the attached application for each provider and send to credentialing@triwest.com once completed.', NULL, NULL, '2022-02-18 18:02:34', '2022-02-18 18:02:34'),
(37336, 19067, 29351, NULL, '2022-03-23 00:00:00.000', 'In Process', 'Email sent to: smiguel@triwest.com  Subject: Request for Welcome Letters || Ramegowda, Glory, Shybi ||RSM || Triwest ||    Hello,  Hope this email finds you well.  Kindly see the attached applications as per requested.  Thanks,  Hammad Ahmed', NULL, NULL, '2022-03-16 14:00:52', '2022-03-16 14:00:52'),
(37337, 1006, 29352, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:27:38', '2021-05-10 12:27:38'),
(37338, 1006, 29352, NULL, '2021-06-01 00:00:00.000', 'Not Eligible', 'Paramount is an Ohio specific insurance and is no longer eligible for enrollment as per discussion with the billing team. ', NULL, NULL, '2021-05-25 09:21:53', '2021-05-25 09:21:53'),
(37339, 1006, 29357, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:27:38', '2021-05-10 12:27:38'),
(37340, 3040, 29357, NULL, '2021-06-01 00:00:00.000', 'Not Eligible', 'Renaissance Physicians does not cover Stafford , we are unable to enroll with them.   Please take a look at the cities listed here @ https://myrpo.com/providers/how-to-join', NULL, NULL, '2021-05-25 08:36:38', '2021-05-25 08:36:38'),
(37341, 1006, 29358, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:27:38', '2021-05-10 12:27:38'),
(37342, 1006, 29358, NULL, '2021-06-01 00:00:00.000', 'On Hold', 'The task is pending due to Medicaid enrollment. ', NULL, NULL, '2021-05-25 10:18:40', '2021-05-25 10:18:40'),
(37343, 1006, 29358, NULL, '2021-06-21 00:00:00.000', 'In Process', 'The request is in process in the main Molina task. Need to allow more time. ', NULL, NULL, '2021-06-14 15:09:19', '2021-06-14 15:09:19'),
(37344, 1006, 29358, NULL, '2021-07-09 00:00:00.000', 'In Process', 'Sent corrected email & form @ MHTContractrequest mhtcontractrequest@molinahealthcare.com:  Sub: Enrollment Request - RSM - Molina Health  \"Hello,   Please find the attached provider contract request form with the W9 attached, please let me know if anything else is required.   Thank you. \"  The form is attached in main group task for reference.  ', NULL, NULL, '2021-07-02 16:20:12', '2021-07-02 16:20:12'),
(37345, 1006, 29358, NULL, '2021-08-03 00:00:00.000', 'In Process', 'Received the following update from MHTContractrequest MHTContractrequest@molinahealthcare.com:  Sub: Molina Provider Contract - Ramegowda Belakere  \"Good Afternoon,  Thank you again for your patience. Thank you for taking the first step to becoming a part of the Molina Healthcare Family. I have received your application for (Ramegowda Belakere ) to contract under TAX ID number (85-3252700).  I am pleased to inform you that I have verified and placed your application in process and it is now with your designated coordinator.  Your designated coordinator will be your source of information for any questions you may have or for status checks. Every Coordinator services certain areas, based on the address information provided on the application; I have provided your Coordinators information.  Also, for an alternative route of provider/facility information, email TexasExpansionContracting@MolinaHealthcare.com Please see your designated Coordinators information below: JEFFERSON Evelin Suazo Evelin.Suazo@molinahealthcare.com 888-562-5442 x207438   Have a wonderful day! Thank you,  Tyhesha Price MHT| Provider Contracts Molina Healthcare of Texas, Inc. 1660 Westridge Circle N Irving, TX 75038 Mhtcontractrequest@Molinahealthcare.com\"  Sent f/u email @ \"Suazo, Evelin\" Evelin.Suazo@molinahealthcare.com:  \"Hello,   I wanted to get an update regarding the enrollment status for the following group and providers:  Group Name: Right Step Medical Center LLC NPI# 1063008084 TIN# 85-3252700  Provider Name: Ramegowda Belakere NPI# 1235166687 Provider Name: Glory Abraham NPI# 1194206490 Provider Name: Shybi Varghese NPI# 1285270991  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-07-27 17:16:59', '2021-07-27 17:16:59'),
(37346, 1006, 29358, NULL, '2021-08-18 00:00:00.000', 'In Process', 'We received the following update from Evelin.Suazo@molinahealthcare.com:  Sub: RE: Enrollment Status - RSM - Molina Health PDL 180032  \"Good Morning Brad,  Yes, please go ahead and submit the contract request for the other two providers, also could please kindly sent me the additional forms to resume the contracting process, still missing the sample claim and data collection. Thank you  Evelin Suazo Associate Specialist,Provider Contracts Molina Healthcare of Texas, Inc. evelin.suazo@molinahealthcare.com 1660 Westridge Circle N Irving, Texas, 75038 1888-562-5442 Ext. 207438 www.MolinaHealthcare.com Your Extended Family\"  Replied with the information requested:  \"Hello Evelin,  Please find the attached information, let me know if anything else is required.  Thank you. \" ', NULL, NULL, '2021-08-11 17:00:59', '2021-08-11 17:00:59'),
(37347, 1006, 29358, NULL, '2021-09-07 00:00:00.000', 'In Process', 'Sent f/u email @ Evelin.Suazo@molinahealthcare.com;  Sub: RE: Enrollment Status - RSM - Molina Health PDL 180032  \"Hello Evelin,   I hope you\'re doing well, I wanted to get an update regarding the credentialing/contracting status for our group and providers.  Thank you. \"', NULL, NULL, '2021-08-31 14:46:56', '2021-08-31 14:46:56'),
(37348, 11056, 29358, NULL, '2021-09-15 00:00:00.000', 'In Process', 'Email sent to : Evelin.Suazo@molinahealthcare.com  Sub : RE: Enrollment Status - RSM - Molina Health PDL 180032  Good Morning!  Hope this email finds you well. I want to know an update regarding the credentialing & contracting status of the following providers and practice soon. Please provide me with the latest updates soon.  Practice Details : Practice Name : Right Step Medical Center LLC Practice TIN # : 85-3252700 Practice NPI # : 1063008084 Practice  Address : 11925 Southwest Freeway, Suite 12, Stafford , TX 77477-2300  Provider Details: Provider Name : Belakere, Ramegowda Provider NPI # : 1235166687  Provider Name: Glory Abraham Provider NPI # : 1194206490  Provider Name: Shybi Varghese Provider NPI # :1285270991  If you need any documents or information feel free to contact me. Waiting to hear from you soon.  Thank you! Have a wonderful week ahead!    Left out a voice mail regarding the enrollment status too!', NULL, NULL, '2021-09-08 13:45:42', '2021-09-08 13:45:42'),
(37349, 11056, 29358, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Email sent to : evelin.suazo@molinahealthcare.com, mhtxproviderservices@molinahealthcare.com  Sub : Re: Enrollment Issue | Group & Providers | RSM | Molina 2nd ATTEMPT  Hello, I need an update on the applications of our providers and group for enrollment, with Molina as it has been while our applications are pending with Molina Credentialing/Contracting Dept, as of today we have entertain 100+ patients of Molina, as we are an Urgent care and we have to see the patients as its in emergency situation, due to Covid so if someone can get back to discuss on this issue, if there is a way we can get reimburse for our claims, or if we can get authorization from Molina to see those patients unless we are fully credentialed as it is impacting our financials now. Below are the details you can reach me at   Group: Right Step Medical Center LLC Tax ID: 853252700 NPI: 1063008084 Phone: (713) 893-6214    Regards, Alex Garrett', NULL, NULL, '2021-09-21 11:03:41', '2021-09-21 11:03:41'),
(37350, 11056, 29358, NULL, '2021-10-05 00:00:00.000', 'In Process', 'Email received from : evelin.suazo@molinahealthcare.com  Sub : [SEND SECURE] FW: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021  Good Afternoon,  Please find the status of your requested providers:  Ramegowda Belakere Provider is officially loaded please find a copy of the welcome letter along with a copy of the executed contract and effective date  Glory Abraham Provider is on the last step of contracting I am just waiting to received the notification that provider is officially loaded  Shybi Varghese Provider is on the first step of contracting with our credentialing department, request was recently received, please check status again within 30 days.  Thank you for doing Business with Molina Healthcare of Texas.   Group: Right Step Medical Center LLC Tax ID: 853252700 NPI: 1063008084  Evelin Suazo Associate Specialist,Provider Contracts Molina Healthcare of Texas, Inc.  evelin.suazo@molinahealthcare.com 1660 Westridge Circle N Irving, Texas, 75038 1888-562-5442 Ext. 207438  www.MolinaHealthcare.com Your Extended Family   Agreement has been received and attached in the group task.', NULL, NULL, '2021-09-28 08:31:22', '2021-09-28 08:31:22'),
(37351, 11056, 29358, NULL, '2021-10-11 00:00:00.000', 'In Process', 'Email sent to : Evelin.Suazo@molinahealthcare.com  Sub : RE: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021 Good afternoon!  Hope all is well with you. Please provide me with the latest updates of enrollment status on the below mentioned providers and facility with Molina Health & Marketplace.   Group Name	Right Step Medical Center LLC Tax ID	85-3252700 Group NPI	1063008084 Primary Location	11925 Southwest Freeway, Suite 12 Stafford , TX 77477-2300 Provider Name	NPI Shybi Varghese	1285270991 Glory Abraham	1194206490   If you have any questions or concerns feel free to reach out to me. Waiting to hear from you soon.  Thank you! Have a great day!', NULL, NULL, '2021-10-04 14:39:18', '2021-10-04 14:39:18'),
(37352, 11056, 29358, NULL, '2021-10-20 00:00:00.000', 'In Process', 'Email received from : Evelin.Suazo@molinahealthcare.com  Sub : RE: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021  Good Afternoon,  Please find the status of your requested providers:  Shybi Varghese  1285270991 The provider is on the last step of contracting with our loading department please kindly check status with me again within 30 days.  Glory Abraham 1194206490 provider still not loaded but check status again within 2 weeks. Thank you   Evelin Suazo  Associate Specialist,Provider Contracts Molina Healthcare of Texas, Inc. evelin.suazo@molinahealthcare.com 1660 Westridge Circle N Irving, Texas, 75038 1888-562-5442 Ext. 207438 www.MolinaHealthcare.com Your Extended Family', NULL, NULL, '2021-10-13 10:32:48', '2021-10-13 10:32:48'),
(37353, 11056, 29358, NULL, '2021-10-27 00:00:00.000', 'In Process', 'Email sent to : Evelin.Suazo@molinahealthcare.com  Sub : RE: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021  Good morning Evelin!  Hope this email finds you well. Any update on the provider Glory Abraham - 1194206490? Please respond to me soon.  Thank you! Have a wonderful day!', NULL, NULL, '2021-10-20 14:45:01', '2021-10-20 14:45:01'),
(37354, 11056, 29358, NULL, '2021-11-08 00:00:00.000', 'In Process', 'Email sent to : Evelin.Suazo@molinahealthcare.com  Sub : RE: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021  Good afternoon Evelin!  Hope you are doing great. Please provide me with the latest updates credentialing process of the following providers with the Molina Health & Marketplace soon.  Glory Abraham - 1194206490 =  Shybi Varghese  1285270991 =  Please get back to my query soon.  Thank you! Have a great day!', NULL, NULL, '2021-11-01 08:21:02', '2021-11-01 08:21:02'),
(37355, 11056, 29358, NULL, '2021-11-18 00:00:00.000', 'In Process', 'Email sent to: Michele.Thomas-Martin@molinahealthcare.com  Sub: RE: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021  Good morning!  Hope this email finds you well. Please provide me with the latest updates on the below-mentioned providers at your earliest convenience. Kindly, just do respond timely to our queries.  Group Name	Right Step Medical Center LLC Tax ID	85-3252700 Group NPI	1063008084 Primary Location	11925 Southwest Freeway, Suite 12 Stafford , TX 77477-2300 Provider Name	NPI Glory Abraham  	1194206490  Varghese	1285270991     In the meantime, please do not hesitate to reach out if you have any questions or concerns. Eagerly, waiting for the updates and response.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-11-11 17:50:50', '2021-11-11 17:50:50'),
(37356, 11056, 29358, NULL, '2021-11-23 00:00:00.000', 'Approved', 'Email received from:  Evelin.Suazo@molinahealthcare.com  Sub : RE: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021  Good Morning,   Please find the copy of the welcome letter for your requested providers along with the effective date. Thank you  The effective date for each provider is listed on the welcome letter, please kindly refer to them. Provider were loaded for all lines of business including Marketplace. Please find a copy of your executed contract.  Thank you    Evelin Suazo Associate Specialist,Provider Contracts Molina Healthcare of Texas, Inc. evelin.suazo@molinahealthcare.com  1660 Westridge Circle N Irving, Texas, 75038 1888-562-5442 Ext. 207438 www.MolinaHealthcare.com  Your Extended Family  Please see the attachment.', NULL, NULL, '2021-11-16 15:53:31', '2021-11-16 15:53:31'),
(37357, 1006, 29359, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:27:39', '2021-05-10 12:27:39'),
(37358, 3040, 29359, NULL, '2021-06-01 00:00:00.000', 'On Hold', 'Waiting for the Medicaid approval. ', NULL, NULL, '2021-05-25 09:28:11', '2021-05-25 09:28:11'),
(37359, 1006, 29359, NULL, '2021-06-25 00:00:00.000', 'In Process', 'Sent enrollment query @ \"Simms, Michal\" michal.simms@christushealth.org:  Sub; Enrollment Request - RSM - Christus Healthplan  \"Hello Michal, I hope you\'re doing great, I wanted to verify what would be required to enroll the following group with Christus Healthplan:   Group Name: Right Step Medical Center LLC NPI# 1063008084 TIN# 85-3252700 Address: 11925 Southwest Freeway, Suite 12, Stafford, TX 77477-2300  Provider Name: Ramegowda Belakere NPI# 1235166687  Provider Name: Glory Abraham NPI# 1194206490  Provider Name: Shybi Varghese NPI# 1285270991  Please get back to me as soon as you\'re able to.  Thank you!\'', NULL, NULL, '2021-06-18 16:26:05', '2021-06-18 16:26:05'),
(37360, 1006, 29359, NULL, '2021-06-25 00:00:00.000', 'Initiated', '', NULL, NULL, '2021-06-18 16:26:25', '2021-06-18 16:26:25'),
(37361, 1006, 29359, NULL, '2021-06-29 00:00:00.000', 'In Process', 'We received the following reply from \"CHRISTUS.HP.Credentialing\" CHRISTUS.HP.Credentialing@christushealth.org:  Sub: Prospective Provider Form - RSM  \"Hello Brad,  Please submit your requests on a Prospective Provider Form and submit per instructed.  Your request(s) will then be assigned to the proper representative for handling.  Thank you, Michal  Ms. Michal Simms Network Contractor Senior Nueces Region CHRISTUS Health Plan US Family Health Plan\"  The enrollment form is attached in the main group task, as it\'s an ancillary request.', NULL, NULL, '2021-06-22 15:05:40', '2021-06-22 15:05:40'),
(37362, 1006, 29359, NULL, '2021-07-15 00:00:00.000', 'In Process', 'Sent f/u email @ \"Simms, Michal\" michal.simms@christushealth.org:  Sub: Enrollment Request - RSM - Christus Healthplan  \"Hello Michal,   I hope you\'re doing well, I just wanted to verify if the prospective provider form was received and was being worked on yet or not?  Thank you. \"', NULL, NULL, '2021-07-08 16:23:49', '2021-07-08 16:23:49'),
(37363, 1006, 29359, NULL, '2021-07-19 00:00:00.000', 'In Process', 'We received the following email from CHP.networkdevelopment CHP.networkdevelopment@christushealth.org:  Sub: Enrollment Request - RSM - Christus Healthplan   \"Hello Brad,  Can you  please resend the prospective provider form? When did you send it?  Thank You\"  Replied to them with: \"Hello,   Please find the attached email, the form was sent on the 22nd of June. Please let me know if you have any further questions.  Thank you. \" ', NULL, NULL, '2021-07-12 10:25:32', '2021-07-12 10:25:32'),
(37364, 1006, 29359, NULL, '2021-07-23 00:00:00.000', 'Not Eligible', 'Rejection email received from Hunter Barrett hunter.barrett@christushealth.org:  Sub; Right Step Medical USFHP  \"Brad,  At this time we are unable to enroll the group. We require the providers to admit to an in network hospital.  Thanks,  Hunter Barrett Network Contracting CHRISTUS Health Plan CHRISTUS Health 919 Hidden Ridge | Irving, Texas 75038 (o) 469.282.3113 www.christushealth.org\"', NULL, NULL, '2021-07-16 16:50:35', '2021-07-16 16:50:35'),
(37365, 1006, 29360, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:27:41', '2021-05-10 12:27:41'),
(37366, 3040, 29360, NULL, '2021-06-01 00:00:00.000', 'In Process', 'Email sent to: providerservices@memorialhermann.org, enterprise.credentialing@memorialhermann.org  Subject: Enroll Group & Providers || Right Step Medical Center LLC || Memorial Hermann ||   Greetings,  Hope you are doing well, I wanted to enroll the below mentioned group & providers in Memorial Hermann for our group Right Step Medical Center LLC under the below location.   Practice Details: Practice Name: Right Step Medical Center LLC Practice Tax ID# 85-3252700 Practice NPI# 1063008084 Practice Address: 11925 Southwest Freeway,  Suite 12  Stafford , TX 77477  Provider 1: Provider Name: Belakere, Ramegowda Provider NPI# 1235166687  Provider 2:   Provider Name: Abraham, Glory Provider NPI# 1194206490  Provider 3:   Provider Name: VARGHESE, SHYBI Peniyel Provider NPI# 1285270991  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you ', NULL, NULL, '2021-05-25 10:19:52', '2021-05-25 10:19:52'),
(37367, 1006, 29360, NULL, '2021-06-18 00:00:00.000', 'In Process', 'We received the following reply from Enterprise Credentialing Enterprise.Credentialing@memorialhermann.org:  Sub: Enroll Group & Providers || Right Step Medical Center LLC || Memorial Hermann ||  \"Thank you for your interest in Memorial Hermann Health System and/or its affiliates. Before an application can be released, you must first complete a Request for Application form.  CLICK HERE to access and complete the Request for Application form for Memorial Hermann hospitals, affiliated hospitals, surgery centers, MHMD membership or Health Plan participation. To avoid any delays, please submit the form in its entirety (via link above) or email the form to enterprise.credentialing@memorialhermann.org. If the pre-screening qualifications are met, you should receive both your eCredentialing Portal and application username and password via email or additional communication within 3 business days.    If you have any questions, please contact us at enterprise.credentialing@memorialhermann.org.  Memorial Hermann Central Credentialing Team\"  Form was filled out and sent. Attached in the main group task for reference as it is an ancillary request. ', NULL, NULL, '2021-06-11 13:58:05', '2021-06-11 13:58:05'),
(37368, 1006, 29360, NULL, '2021-07-07 00:00:00.000', 'In Process', 'Email sent to : Enterprise.Credentialing@memorialhermann.org  Sub : Enrollment Status Query - Right Step Medical Center LLC - Memorial Hermann -  Greetings,  Hope you are doing well. I want to inquire about the enrollment status of the providers and group mentioned below. The enrollment form has been submitted in the last email already.  Practice Details: Practice Name: Right Step Medical Center LLC Practice Tax ID# 85-3252700 Practice NPI# 1063008084 Practice Address: 11925 Southwest Freeway,  Suite 12  Stafford , TX 77477  Provider 1: Provider Name: Belakere, Ramegowda Provider NPI# 1235166687  Provider 2:   Provider Name: Abraham, Glory Provider NPI# 1194206490  Provider 3:   Provider Name: VARGHESE, SHYBI Peniyel Provider NPI# 1285270991  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.   Thank you!', NULL, NULL, '2021-06-30 16:36:27', '2021-06-30 16:36:27'),
(37369, 3040, 29360, NULL, '2021-07-07 00:00:00.000', 'In Process', 'Email sent to: Enterprise.Credentialing@memorialhermann.org  Subject: Enrollment Status Group & Providers || Right Step Medical Center LLC || Memorial Hermann ||  Greetings,  Hope you are doing well, I wanted to know the enrollment status for the mentioned group & providers in Memorial Hermann for our group Right Step Medical Center LLC under the below location.  Practice Details: Practice Name: Right Step Medical Center LLC Practice Tax ID# 85-3252700 Practice NPI# 1063008084 Practice Address: 11925 Southwest Freeway,  Suite 12  Stafford , TX 77477  Provider 1: Provider Name: Belakere, Ramegowda Provider NPI# 1235166687  Provider 2:   Provider Name: Abraham, Glory Provider NPI# 1194206490  Provider 3:   Provider Name: VARGHESE, SHYBI Peniyel Provider NPI# 1285270991  If you need any additional information please feel free to call or email me. Waiting to hear from you soon.  Thank you  ', NULL, NULL, '2021-06-30 16:37:40', '2021-06-30 16:37:40'),
(37370, 11056, 29360, NULL, '2021-07-08 00:00:00.000', 'In Process', 'Email received from : Enterprise.Credentialing@memorialhermann.org  Sub : Enrollment Status Query - Right Step Medical Center LLC - Memorial Hermann  Good morning,  When did you submit the request for application forms and which email address did you send it to?  Thank you!', NULL, NULL, '2021-07-01 08:30:04', '2021-07-01 08:30:04'),
(37371, 11056, 29360, NULL, '2021-07-08 00:00:00.000', 'In Process', 'Email sent to : Enterprise.Credentialing@memorialhermann.org  Sub : Enrollment Status Query - Right Step Medical Center LLC - Memorial Hermann  Good morning,  Hope all is well. The application forms were submitted on June,11th,2021. Email was sent at enterprise.credentialing@memorialhermann.org.  If further information is needed please let me know.  Thank you! Have a great day!', NULL, NULL, '2021-07-01 08:33:04', '2021-07-01 08:33:04'),
(37372, 11056, 29360, NULL, '2021-07-08 00:00:00.000', 'In Process', 'Email sent to : Enterprise.Credentialing@memorialhermann.org  Sub : Enrollment Status Query - Right Step Medical Center LLC - Memorial Hermann  Good morning,  Hope all is well. The application forms were submitted on June,11th,2021. Email was sent at enterprise.credentialing@memorialhermann.org.  If further information is needed please let me know.  Thank you! Have a great day!', NULL, NULL, '2021-07-01 08:33:05', '2021-07-01 08:33:05'),
(37373, 1006, 29360, NULL, '2021-07-23 00:00:00.000', 'In Process', 'We received the following update from MHHPContracting@memorialhermann.org:  Sub: Memorial Hermann Health Plan Request to Participate  \"We are in receipt of Right Step Medical Center LLC’s request to become a participating provider with Memorial Hermann Health Plans and need additional information to proceed with your request.  Please provide the following information:  List of services provided ·         Do you provide Virtual Health Services?  Current service area and/or list of locations List of all employed/contracted providers (if applicable) including NPs and PAs (please include individual NPIs) What age population is served? Please list 0-2 years of age; 2-18 years of age; 18+ years Where do you have privileges? Please list all Hospitals, Ambulatory Surgery Centers, etc. Link to website Current W-9 Current quality and outcomes data Any additional information you would like presented to the Network Access and Adequacy Committee   Your participation request will be presented at the next NAAC meeting following receipt of the additional information.  Best Regards, MHHP Network Contracting\"  Replied with:  \"Hello,   Please find the attached answers.  Please provide the following information:  List of services provided  Urgentcare Services  ·         Do you provide Virtual Health Services?   Yes, Telehealth services are offered.   Current service area and/or list of locations  Stafford, TX. List of all employed/contracted providers (if applicable) including NPs and PAs (please include individual NPIs) Ramegowda Belakere, MD. Glory Abraham, NP. Shybi Varghese, NP. What age population is served? Please list 0-2 years of age; 2-18 years of age; 18+ years Age limit: 0~99+  Where do you have privileges? Please list all Hospitals, Ambulatory Surgery Centers, etc. Methodist Hospital  Link to website N/A Current W-9 Attached. Current quality and outcomes data N/A Any additional information you would like presented to the Network Access and Adequacy Committee No. \"', NULL, NULL, '2021-07-16 17:09:15', '2021-07-16 17:09:15'),
(37374, 1006, 29360, NULL, '2021-08-18 00:00:00.000', 'In Process', 'Sent f/u email @ MHHP Contracting MHHPContracting@memorialhermann.org:  Sub: Enrollment Status - RSM - Memorial Hermann  \"Hello,   I wanted to get an update regarding the enrollment status for the following group and providers:  Group Name: Right Step Medical Center LLC TIN# 85-3252700  Provider Name: Ramegowda Belakere NPI# 1235166687  Provider Name: Glory Abraham NPI# 1194206490  Provider Name: Shybi Varghese NPI# 1285270991  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-08-11 16:56:39', '2021-08-11 16:56:39'),
(37375, 1006, 29360, NULL, '2021-08-20 00:00:00.000', 'In Process', 'We received the following update from MHHPContracting@memorialhermann.org:  Sub: Enrollment Status - RSM - Memorial Hermann  \"Good morning Brad. This provider group will be presented to our Network Access and Adequacy Committee this month. Once I receive a response from them, I will let you know.  Thank you. Camilla Paige\"', NULL, NULL, '2021-08-13 10:30:48', '2021-08-13 10:30:48'),
(37376, 1006, 29360, NULL, '2021-09-02 00:00:00.000', 'In Process', 'We received the following email @ MHHPContracting@memorialhermann.org:  Sub: Enrollment Status - RSM - Memorial Herman  \"Hello,  Memorial Hermann Health Plan (MHHP) has accepted your request to participate in our health plan. Please find attached the Provider Agreement. Please have the agreement signed. Please complete the attached Schedule C Tables 1 and 2 and Schedule D, as applicable. Once all items are complete, please return.  Once the completed documents are received, MHHP’s Credentialing Department will send the provider(s) a credentialing application. The agreement will be fully executed by MHHP and a copy sent to you once the provider is approved by the MHHP Credentialing Committee. The effective date will be assigned by MHHP upon approval of the MHHP Credentialing Committee.  We look forward to welcoming you into our network in the near future.  Best Regards, Camilla Paige\"  Contract signed and sent back to them. Attached in the main group task for reference. ', NULL, NULL, '2021-08-26 16:22:29', '2021-08-26 16:22:29'),
(37377, 11056, 29360, NULL, '2021-09-10 00:00:00.000', 'In Process', 'Email received from : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Good morning Brad. Since this is an Urgent Care agreement, could you please re-do Schedule C, Table 2 to only list the Urgent Care Information? Please feel free to only send back that page.     Thank you.     Camilla', NULL, NULL, '2021-09-03 08:31:20', '2021-09-03 08:31:20'),
(37378, 11056, 29360, NULL, '2021-09-15 00:00:00.000', 'In Process', 'Email sent to : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Hello Camilla,   Here\'s the updated Schedule C. Let me know if anything else is required.  Thank you!  Updated Schedule C sent. And asked for the enrollment updates', NULL, NULL, '2021-09-08 10:32:03', '2021-09-08 10:32:03'),
(37379, 11056, 29360, NULL, '2021-09-24 00:00:00.000', 'In Process', 'Email sent to : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann   Good Morning!  Hope this email finds you well. I want to know the enrollment status of the following providers and practice soon. Please update me soon.  Practice Details : Practice Name : Right Step Medical Center LLC Practice TIN # : 85-3252700 Practice NPI # : 1063008084 Practice  Address : 11925 Southwest Freeway, Suite 12, Stafford , TX 77477-2300  Provider Details: Provider Name : Belakere, Ramegowda Provider NPI # : 1235166687  Provider Name: Glory Abraham Provider NPI # : 1194206490  Provider Name: Shybi Varghese Provider NPI # :1285270991  If you need any documents or information feel free to contact me. Waiting to hear from you soon.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-09-17 10:53:50', '2021-09-17 10:53:50'),
(37380, 11056, 29360, NULL, '2021-10-04 00:00:00.000', 'In Process', 'Email received from : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Good morning. You should be hearing from our credentialing team soon.   Thank you.  Camilla', NULL, NULL, '2021-09-27 13:34:55', '2021-09-27 13:34:55'),
(37381, 11056, 29360, NULL, '2021-10-11 00:00:00.000', 'In Process', 'Email sent to : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Hey Camilia!  Hope this email finds you well. I am still waiting to hear the updates from your credentialing team.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-10-04 12:46:37', '2021-10-04 12:46:37'),
(37382, 11056, 29360, NULL, '2021-10-20 00:00:00.000', 'In Process', 'Email sent to : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Hey Camilia!  Hope this email finds you well. I am still waiting to hear the updates from your credentialing team.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-10-13 12:09:44', '2021-10-13 12:09:44'),
(37383, 11056, 29360, NULL, '2021-10-27 00:00:00.000', 'In Process', 'Email received from : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann   Good afternoon. Credentialing takes 30-45 days. Once I receive the credentialing approvals, I will send the agreement to my leadership team for full execution.', NULL, NULL, '2021-10-20 15:44:05', '2021-10-20 15:44:05'),
(37384, 11056, 29360, NULL, '2021-11-08 00:00:00.000', 'In Process', 'Email received from : MHHPContracting@memorialhermann.org  Sub : Enrollment Status - RSM - Memorial Hermann  Good morning. No, I have not yet received the credentialing approval yet.', NULL, NULL, '2021-11-01 08:31:25', '2021-11-01 08:31:25'),
(37385, 11056, 29360, NULL, '2021-11-18 00:00:00.000', 'In Process', 'Email received from: MHHPContracting@memorialhermann.org  Sub: Enrollment Status - RSM - Memorial Hermann  Good morning. My apologies for the delay. Our credentialing team is working on a huge project for our Annual Enrollment Period which has taken priority. We should be hearing something soon.     Thank you for your patience.', NULL, NULL, '2021-11-11 16:50:50', '2021-11-11 16:50:50'),
(37386, 11056, 29360, NULL, '2021-11-25 00:00:00.000', 'In Process', 'Email sent to: MHHPContracting@memorialhermann.org  Sub: Enrollment Status - RSM - Memorial Hermann  Good afternoon!  Hope you had a great and safe weekend. I would appreciate it if you could please let me know the updated credentialing status for the below-mentioned practice and providers soon with Memorial Hermann. Any updates on the agreement & approval letters?  Group Name	Right Step Medical Center LLC Tax ID	85-3252700 Group NPI	1063008084 Primary Location	11925 Southwest Freeway, Suite 12 Stafford , TX 77477-2300 Provider Name	NPI Ramegowda Belakere	1235166687 Glory Abraham	1194206490 Shybi Varghese	1285270991  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, '2021-11-18 10:48:14', '2021-11-18 10:48:14'),
(37387, 11056, 29360, NULL, '2021-12-07 00:00:00.000', 'In Process', 'Email received from:   MHHPContracting@memorialhermann.org  Sub:  Enrollment Status - RSM - Memorial Hermann   Good morning. I spoke with our credentialing team yesterday and was informed that they are still waiting on documentation from your team to finish the credentialing process. Please follow-up with your team in that regard. We cannot fully execute the agreement until credentialing is approved.', NULL, NULL, '2021-11-30 17:49:11', '2021-11-30 17:49:11'),
(37388, 11056, 29360, NULL, '2021-12-15 00:00:00.000', 'In Process', 'Email sent to:  boyd@symplr.com  Sub:  Request for Participation Memorial Hermann Health Plan/ Facility Application/Right Step Medical Center LLC  Good afternoon!  I hope you are doing great. Please find the Facility Application for the practice below in the attachments.  Furthermore, if any further information is needed or documents are required feel free to contact me.   Thank you! Have a wonderful day!', NULL, NULL, '2021-12-08 10:48:30', '2021-12-08 10:48:30'),
(37389, 11056, 29360, NULL, '2021-12-22 00:00:00.000', 'In Process', 'Email received from: jcalderon@symplr.com  Sub: RE: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC Enrollment Status - RSM - Memorial Hermann   Good afternoon,     Your facility credentialing applications for participation with Memorial Hermann Healthplan are being prepared. The following information is needed for all three location to continue the credentialing process on behalf of Memorial Hermann Healthplan:  Business License or Certificate of Occupancy Accreditation (If applicable)    Please reply to this message with the information mentioned above within 15 business days from 1st request. If information is not received by this date, your application will be forwarded to Memorial Hermann Healthplan Medical Director for review and may be closed for failure to meet Memorial Hermann Healthplan administrative criteria.     If you have any questions, please contact me at 516-593-1380 Ext. 287 or JCalderon@symplr.com        Johanna Calderon                            Credentialing Specialist  Work: +1 (516) 593-1380 Ext. 287   Fax: 516-620-3054   Email: jcalderon@symplr.com  Letter of occupancy has been provided. Waiting for accreditation letter from provider side.', NULL, NULL, '2021-12-15 12:50:53', '2021-12-15 12:50:53'),
(37390, 11056, 29360, NULL, '2021-12-22 00:00:00.000', 'In Process', 'Email received from: jcalderon@symplr.com  Sub: RE: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC Enrollment Status - RSM - Memorial Hermann   Good afternoon,     Your facility credentialing applications for participation with Memorial Hermann Healthplan are being prepared. The following information is needed for all three location to continue the credentialing process on behalf of Memorial Hermann Healthplan:  Business License or Certificate of Occupancy Accreditation (If applicable)    Please reply to this message with the information mentioned above within 15 business days from 1st request. If information is not received by this date, your application will be forwarded to Memorial Hermann Healthplan Medical Director for review and may be closed for failure to meet Memorial Hermann Healthplan administrative criteria.     If you have any questions, please contact me at 516-593-1380 Ext. 287 or JCalderon@symplr.com        Johanna Calderon                            Credentialing Specialist  Work: +1 (516) 593-1380 Ext. 287   Fax: 516-620-3054   Email: jcalderon@symplr.com  Letter of occupancy has been provided. Waiting for accreditation letter from provider side.', NULL, NULL, '2021-12-15 12:50:56', '2021-12-15 12:50:56'),
(37391, 11056, 29360, NULL, '2021-12-22 00:00:00.000', 'In Process', 'Email received from: jcalderon@symplr.com  Sub: RE: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC Enrollment Status - RSM - Memorial Hermann   Good afternoon,     Your facility credentialing applications for participation with Memorial Hermann Healthplan are being prepared. The following information is needed for all three location to continue the credentialing process on behalf of Memorial Hermann Healthplan:  Business License or Certificate of Occupancy Accreditation (If applicable)    Please reply to this message with the information mentioned above within 15 business days from 1st request. If information is not received by this date, your application will be forwarded to Memorial Hermann Healthplan Medical Director for review and may be closed for failure to meet Memorial Hermann Healthplan administrative criteria.     If you have any questions, please contact me at 516-593-1380 Ext. 287 or JCalderon@symplr.com        Johanna Calderon                            Credentialing Specialist  Work: +1 (516) 593-1380 Ext. 287   Fax: 516-620-3054   Email: jcalderon@symplr.com  Letter of occupancy has been provided. Waiting for accreditation letter from provider side.', NULL, NULL, '2021-12-15 12:51:01', '2021-12-15 12:51:01'),
(37392, 11056, 29360, NULL, '2021-12-29 00:00:00.000', 'In Process', 'Email sent to: jcalderon@symplr.com  Sub: RE: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Good afternoon!  Hope you are doing well. You haven\'t responded me back to my queries yet. Please let me know what kind of and for which thing you need a letter of accreditation. Have you received the letter of occupancy?  Any updates on the agreement & approval letters of the credentialing process of the providers?  Thank you! Have a wonderful day!', NULL, NULL, '2021-12-22 14:44:04', '2021-12-22 14:44:04'),
(37393, 19067, 29360, NULL, '2022-01-17 00:00:00.000', 'In Process', 'Email sent to: jcalderon@symplr.com  Subject: Re: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC  Hello!  This is a reminder of the previous request.  Kindly get in touch as soon as you get time.  Thanks & Regards, Hammad Ahmed.', NULL, NULL, '2022-01-09 21:14:08', '2022-01-09 21:14:08'),
(37394, 19067, 29360, NULL, '2022-02-01 00:00:00.000', 'In Process', 'Email sent to: jcalderon@symplr.com  Subject: Re: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Greetings!  Any updates on the mentioned request?   Kindly respond promptly.  Regards, Hammad', NULL, NULL, '2022-01-25 16:04:28', '2022-01-25 16:04:28'),
(37395, 19067, 29360, NULL, '2022-02-18 00:00:00.000', 'In Process', 'Email received from: jcalderon@symplr.com   Subject: RE: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Good afternoon Hammad,     Sorry for my delay in replying to you. Attached you will find the approval letter and the original email notification that went out.     Kind Regards,', NULL, NULL, '2022-02-11 17:12:56', '2022-02-11 17:12:56'),
(37396, 19067, 29360, NULL, '2022-02-18 00:00:00.000', 'In Process', 'Email sent to: jcalderon@symplr.com  Subject: Re: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Hi,  Please advise if it is an Ancillary Plan or a Group Contract and do share the Agreement Letter. That would be of great help!  Regards, Hammad', NULL, NULL, '2022-02-11 17:13:42', '2022-02-11 17:13:42'),
(37397, 19067, 29360, NULL, '2022-02-18 00:00:00.000', 'In Process', 'Email received from: MHHPContracting@memorialhermann.org  Subject: RE: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Good morning Hammad. I am working on getting the Urgent Care agreement fully executed by our leadership team. Once it has been fully executed, I will send you a copy. Please let me know if you have any other questions.  ', NULL, NULL, '2022-02-11 17:14:49', '2022-02-11 17:14:49'),
(37398, 19067, 29360, NULL, '2022-02-23 00:00:00.000', 'In Process', 'Email sent to: mhhpcontracting@memorialhermann.org  Subject: Re: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC   Good Morning!  Hope this email finds you well. Any updates as of now? Kindly update me.  And don\'t hesitate to reach me if you need anything.   Regards, Hammad Ahmed.', NULL, NULL, '2022-02-16 10:16:18', '2022-02-16 10:16:18'),
(37399, 19067, 29360, NULL, '2022-02-25 00:00:00.000', 'In Process', 'Email received from: MHHPContracting@memorialhermann.org  Subject: RE: [EXTERNAL] Re: 3rd & Final Request/ Memorial Hermann Health plan/ Right Step Medical Center LLC    Good morning. My apologies for the delay. I am hoping to have this agreement back to you by early next week.     Thank you.     Camilla', NULL, NULL, '2022-02-18 09:57:39', '2022-02-18 09:57:39'),
(37400, 19067, 29360, NULL, '2022-03-04 00:00:00.000', 'Approved', 'Received the following email from: MHHPContracting@memorialhermann.org  Subject: RE: [EXTERNAL] Enrollment Status - RSM - Memorial Hermann    Good morning. Attached is the fully executed Provider Agreement. My apologies for the delay. Let me know if you have any questions.     Thank you.     Camilla Paige  Senior Contract Specialist', NULL, NULL, '2022-02-25 11:20:11', '2022-02-25 11:20:11'),
(37401, 1006, 29362, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:27:41', '2021-05-10 12:27:41'),
(37402, 3040, 29362, NULL, '2021-06-01 00:00:00.000', 'In Process', 'Group enrollment request sent it through online. Please see attachment.   Your form was submitted successfully. Thank you for contacting us. A representative will be in contact to discuss your interest in becoming a participating Provider.', NULL, NULL, '2021-05-25 09:20:54', '2021-05-25 09:20:54'),
(37403, 1006, 29362, NULL, '2021-06-02 00:00:00.000', 'In Process', 'We received the following reply from ProspectiveProviderTX ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Dear Provider:  Thank you for your interest in joining our network, please allow 30 Calendar days for us to review your request.  Sincerely, Network Management – Texas | www.wellcare.com\"', NULL, NULL, '2021-05-26 08:18:07', '2021-05-26 08:18:07'),
(37404, 1006, 29362, NULL, '2021-06-24 00:00:00.000', 'In Process', 'Sent f/u email @ .ProspectiveProviderTX ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Hello,   I hope you\'re doing well, I just wanted to check in on the status of my application.  Please get back to me as soon as possible.  Thank you.\"', NULL, NULL, '2021-06-14 11:26:31', '2021-06-14 11:26:31'),
(37405, 1006, 29362, NULL, '2021-07-09 00:00:00.000', 'In Process', 'Sent f/u email again @ \".ProspectiveProviderTX\" ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Hello,   I am still waiting for a response regarding our enrollment request, please get back to me as soon as possible.  Thanks. \"', NULL, NULL, '2021-07-02 16:30:58', '2021-07-02 16:30:58'),
(37406, 1006, 29362, NULL, '2021-07-14 00:00:00.000', 'In Process', 'Sent f/u email @ .ProspectiveProviderTX ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Hello,  This group request has been sent to a Contract Negotiator and you will receive an email from them with further information.  Thank you, Network Management Contracts Coordinator, Contracting & Network Development\"', NULL, NULL, '2021-07-07 10:43:07', '2021-07-07 10:43:07'),
(37407, 1006, 29362, NULL, '2021-08-03 00:00:00.000', 'In Process', 'Sent f/u email @ \".ProspectiveProviderTX\" ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Hello,  I hope you\'re doing well, we still haven\'t received any response from the contract negotiator. Please get back to me on the status of this request as soon as possible. Thank you.\"', NULL, NULL, '2021-07-27 17:31:45', '2021-07-27 17:31:45'),
(37408, 1006, 29362, NULL, '2021-08-05 00:00:00.000', 'In Process', 'Received the following update from ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Good morning,  The contract is complete and the providers are in the process of being loaded.  We will reach out once the load is complete.  Thanks Network Management – Texas | www.wellcare.com | www.superiorhealthplan.com\"  ', NULL, NULL, '2021-07-29 10:41:14', '2021-07-29 10:41:14'),
(37409, 1006, 29362, NULL, '2021-08-18 00:00:00.000', 'In Process', 'Sent f/u email @ ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the group and providers. Please get back to me as soon as possible.  Thank you.\"', NULL, NULL, '2021-08-11 17:12:26', '2021-08-11 17:12:26'),
(37410, 1006, 29362, NULL, '2021-08-19 00:00:00.000', 'In Process', 'Received the following update from ProspectiveProviderTX@wellcare.com:  Sub: RE: Become A Provider - Unsecured - Right Step - Texas  \"Good Morning,  The request to add providers is still with configuration.  We will let you know once the providers are loaded.  Thanks\"', NULL, NULL, '2021-08-12 10:24:44', '2021-08-12 10:24:44');

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
(37491, 11056, 29372, NULL, '2021-10-05 00:00:00.000', 'In Process', 'Email received from : evelin.suazo@molinahealthcare.com  Sub : [SEND SECURE] FW: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021  Good Afternoon,  Please find the status of your requested providers:  Ramegowda Belakere Provider is officially loaded please find a copy of the welcome letter along with a copy of the executed contract and effective date  Glory Abraham Provider is on the last step of contracting I am just waiting to received the notification that provider is officially loaded  Shybi Varghese Provider is on the first step of contracting with our credentialing department, request was recently received, please check status again within 30 days.  Thank you for doing Business with Molina Healthcare of Texas.   Group: Right Step Medical Center LLC Tax ID: 853252700 NPI: 1063008084  Evelin Suazo Associate Specialist,Provider Contracts Molina Healthcare of Texas, Inc.  evelin.suazo@molinahealthcare.com 1660 Westridge Circle N Irving, Texas, 75038 1888-562-5442 Ext. 207438  www.MolinaHealthcare.com Your Extended Family   Agreement has been received and attached in the group task.', NULL, NULL, '2021-09-28 08:31:14', '2021-09-28 08:31:14'),
(37492, 11056, 29372, NULL, '2021-10-11 00:00:00.000', 'In Process', 'Email sent to : Evelin.Suazo@molinahealthcare.com  Sub : RE: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021 Good afternoon!  Hope all is well with you. Please provide me with the latest updates of enrollment status on the below mentioned providers and facility with Molina Health & Marketplace.   Group Name	Right Step Medical Center LLC Tax ID	85-3252700 Group NPI	1063008084 Primary Location	11925 Southwest Freeway, Suite 12 Stafford , TX 77477-2300 Provider Name	NPI Shybi Varghese	1285270991 Glory Abraham	1194206490   If you have any questions or concerns feel free to reach out to me. Waiting to hear from you soon.  Thank you! Have a great day!', NULL, NULL, '2021-10-04 14:39:06', '2021-10-04 14:39:06'),
(37493, 11056, 29372, NULL, '2021-10-20 00:00:00.000', 'In Process', 'Email received from : Evelin.Suazo@molinahealthcare.com  Sub : RE: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021  Good Afternoon,  Please find the status of your requested providers:  Shybi Varghese  1285270991 The provider is on the last step of contracting with our loading department please kindly check status with me again within 30 days.  Glory Abraham 1194206490 provider still not loaded but check status again within 2 weeks. Thank you   Evelin Suazo  Associate Specialist,Provider Contracts Molina Healthcare of Texas, Inc. evelin.suazo@molinahealthcare.com 1660 Westridge Circle N Irving, Texas, 75038 1888-562-5442 Ext. 207438 www.MolinaHealthcare.com Your Extended Family', NULL, NULL, '2021-10-13 10:32:42', '2021-10-13 10:32:42'),
(37494, 11056, 29372, NULL, '2021-10-27 00:00:00.000', 'In Process', 'Email sent to : Evelin.Suazo@molinahealthcare.com  Sub : RE: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021  Good morning Evelin!  Hope this email finds you well. Any update on the provider Glory Abraham - 1194206490? Please respond to me soon.  Thank you! Have a wonderful day!', NULL, NULL, '2021-10-20 14:44:44', '2021-10-20 14:44:44'),
(37495, 11056, 29372, NULL, '2021-11-08 00:00:00.000', 'In Process', 'Email sent to : Evelin.Suazo@molinahealthcare.com  Sub : RE: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021  Good afternoon Evelin!  Hope you are doing great. Please provide me with the latest updates credentialing process of the following providers with the Molina Health & Marketplace soon.  Glory Abraham - 1194206490 =  Shybi Varghese  1285270991 =  Please get back to my query soon.  Thank you! Have a great day!', NULL, NULL, '2021-11-01 08:20:57', '2021-11-01 08:20:57'),
(37496, 11056, 29372, NULL, '2021-11-18 00:00:00.000', 'In Process', 'Email sent to: Michele.Thomas-Martin@molinahealthcare.com  Sub: RE: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021  Good morning!  Hope this email finds you well. Please provide me with the latest updates on the below-mentioned providers at your earliest convenience. Kindly, just do respond timely to our queries.  Group Name	Right Step Medical Center LLC Tax ID	85-3252700 Group NPI	1063008084 Primary Location	11925 Southwest Freeway, Suite 12 Stafford , TX 77477-2300 Provider Name	NPI Glory Abraham  	1194206490  Varghese	1285270991     In the meantime, please do not hesitate to reach out if you have any questions or concerns. Eagerly, waiting for the updates and response.  Thank you! Have a wonderful week ahead!', NULL, NULL, '2021-11-11 17:50:33', '2021-11-11 17:50:33'),
(37497, 11056, 29372, NULL, '2021-11-23 00:00:00.000', 'Approved', 'Email received from:  Evelin.Suazo@molinahealthcare.com  Sub : RE: Enrollment Issue | Group & Providers | RSM | Molina 181023 180032 181021  Good Morning,   Please find the copy of the welcome letter for your requested providers along with the effective date. Thank you  The effective date for each provider is listed on the welcome letter, please kindly refer to them. Provider were loaded for all lines of business including Marketplace. Please find a copy of your executed contract.  Thank you    Evelin Suazo Associate Specialist,Provider Contracts Molina Healthcare of Texas, Inc. evelin.suazo@molinahealthcare.com  1660 Westridge Circle N Irving, Texas, 75038 1888-562-5442 Ext. 207438 www.MolinaHealthcare.com  Your Extended Family  Please see the attachment.', NULL, NULL, '2021-11-16 15:57:16', '2021-11-16 15:57:16'),
(37498, 1006, 29373, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:27:42', '2021-05-10 12:27:42'),
(37499, 3040, 29373, NULL, '2021-06-01 00:00:00.000', 'On Hold', 'Waiting for the Medicaid approval. ', NULL, NULL, '2021-05-25 09:28:11', '2021-05-25 09:28:11'),
(37500, 1006, 29373, NULL, '2021-06-25 00:00:00.000', 'Initiated', 'Sent enrollment query @ \"Simms, Michal\" michal.simms@christushealth.org:  Sub; Enrollment Request - RSM - Christus Healthplan  \"Hello Michal, I hope you\'re doing great, I wanted to verify what would be required to enroll the following group with Christus Healthplan:   Group Name: Right Step Medical Center LLC NPI# 1063008084 TIN# 85-3252700 Address: 11925 Southwest Freeway, Suite 12, Stafford, TX 77477-2300  Provider Name: Ramegowda Belakere NPI# 1235166687  Provider Name: Glory Abraham NPI# 1194206490  Provider Name: Shybi Varghese NPI# 1285270991  Please get back to me as soon as you\'re able to.  Thank you!\'', NULL, NULL, '2021-06-18 16:25:59', '2021-06-18 16:25:59'),
(37501, 1006, 29373, NULL, '2021-06-29 00:00:00.000', 'In Process', 'We received the following reply from \"CHRISTUS.HP.Credentialing\" CHRISTUS.HP.Credentialing@christushealth.org:  Sub: Prospective Provider Form - RSM  \"Hello Brad,  Please submit your requests on a Prospective Provider Form and submit per instructed.  Your request(s) will then be assigned to the proper representative for handling.  Thank you, Michal  Ms. Michal Simms Network Contractor Senior Nueces Region CHRISTUS Health Plan US Family Health Plan\"  The enrollment form is attached in the main group task, as it\'s an ancillary request.', NULL, NULL, '2021-06-22 15:05:39', '2021-06-22 15:05:39'),
(37502, 1006, 29373, NULL, '2021-07-15 00:00:00.000', 'In Process', 'Sent f/u email @ \"Simms, Michal\" michal.simms@christushealth.org:  Sub: Enrollment Request - RSM - Christus Healthplan  \"Hello Michal,   I hope you\'re doing well, I just wanted to verify if the prospective provider form was received and was being worked on yet or not?  Thank you. \"', NULL, NULL, '2021-07-08 16:23:45', '2021-07-08 16:23:45'),
(37503, 1006, 29373, NULL, '2021-07-19 00:00:00.000', 'In Process', 'We received the following email from CHP.networkdevelopment CHP.networkdevelopment@christushealth.org:  Sub: Enrollment Request - RSM - Christus Healthplan   \"Hello Brad,  Can you  please resend the prospective provider form? When did you send it?  Thank You\"  Replied to them with: \"Hello,   Please find the attached email, the form was sent on the 22nd of June. Please let me know if you have any further questions.  Thank you. \" ', NULL, NULL, '2021-07-12 10:25:25', '2021-07-12 10:25:25'),
(37504, 1006, 29373, NULL, '2021-07-23 00:00:00.000', 'Not Eligible', 'Rejection email received from Hunter Barrett hunter.barrett@christushealth.org:  Sub; Right Step Medical USFHP  \"Brad,  At this time we are unable to enroll the group. We require the providers to admit to an in network hospital.  Thanks,  Hunter Barrett Network Contracting CHRISTUS Health Plan CHRISTUS Health 919 Hidden Ridge | Irving, Texas 75038 (o) 469.282.3113 www.christushealth.org\"', NULL, NULL, '2021-07-16 16:50:17', '2021-07-16 16:50:17'),
(37505, 1006, 29374, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:30:59', '2021-05-10 12:30:59'),
(37506, 1005, 29374, NULL, '2021-06-10 00:00:00.000', 'On Hold', 'Awaiting Superior health enrollment completion.', NULL, NULL, '2021-06-02 14:22:10', '2021-06-02 14:22:10'),
(37507, 1006, 29374, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:50:34', '2021-07-20 12:50:34'),
(37508, 1006, 29374, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:50:28', '2021-07-20 13:50:28'),
(37509, 1006, 29374, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:34:55', '2021-08-23 09:34:55'),
(37510, 1006, 29374, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:34:58', '2021-08-23 09:34:58'),
(37511, 1006, 29374, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:43:08', '2021-09-01 15:43:08'),
(37512, 1006, 29375, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:30:59', '2021-05-10 12:30:59'),
(37513, 1006, 29375, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:38:41', '2021-06-02 16:38:41'),
(37514, 11056, 29375, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:10:36', '2021-06-21 14:10:36'),
(37515, 11056, 29375, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:11:37', '2021-06-21 14:11:37'),
(37516, 1006, 29375, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:43:02', '2021-07-05 13:43:02'),
(37517, 1006, 29375, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 15:55:28', '2021-08-13 15:55:28'),
(37518, 1006, 29375, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:48:59', '2021-08-23 15:48:59'),
(37519, 11056, 29375, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347 ', NULL, NULL, '2021-09-21 10:29:58', '2021-09-21 10:29:58'),
(37520, 11056, 29375, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:15:36', '2021-09-30 12:15:36'),
(37521, 1006, 29380, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:30:59', '2021-05-10 12:30:59'),
(37522, 1005, 29380, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:43:02', '2021-06-02 14:43:02'),
(37523, 1006, 29381, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:30:59', '2021-05-10 12:30:59'),
(37524, 1005, 29381, NULL, '2021-06-10 00:00:00.000', 'On Hold', 'Awaiting Superior health enrollment completion.', NULL, NULL, '2021-06-02 14:22:05', '2021-06-02 14:22:05'),
(37525, 1006, 29381, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:50:31', '2021-07-20 12:50:31'),
(37526, 1006, 29381, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:50:25', '2021-07-20 13:50:25'),
(37527, 1006, 29381, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:34:52', '2021-08-23 09:34:52'),
(37528, 1006, 29381, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:43:05', '2021-09-01 15:43:05'),
(37529, 1006, 29382, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:30:59', '2021-05-10 12:30:59'),
(37530, 1006, 29382, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:38:38', '2021-06-02 16:38:38'),
(37531, 11056, 29382, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:11:51', '2021-06-21 14:11:51'),
(37532, 1006, 29382, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:42:58', '2021-07-05 13:42:58'),
(37533, 1006, 29382, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 15:55:25', '2021-08-13 15:55:25'),
(37534, 1006, 29382, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:48:56', '2021-08-23 15:48:56'),
(37535, 11056, 29382, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:30:31', '2021-09-21 10:30:31'),
(37536, 11056, 29382, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:16:20', '2021-09-30 12:16:20'),
(37537, 1006, 29387, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:30:59', '2021-05-10 12:30:59'),
(37538, 1005, 29387, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:42:50', '2021-06-02 14:42:50'),
(37539, 1006, 29388, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:00', '2021-05-10 12:31:00'),
(37540, 1005, 29388, NULL, '2021-06-10 00:00:00.000', 'On Hold', 'Awaiting Superior health enrollment completion.', NULL, NULL, '2021-06-02 14:22:00', '2021-06-02 14:22:00'),
(37541, 1006, 29388, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:50:28', '2021-07-20 12:50:28'),
(37542, 1006, 29388, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:50:22', '2021-07-20 13:50:22'),
(37543, 1006, 29388, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:34:49', '2021-08-23 09:34:49'),
(37544, 1006, 29388, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:43:02', '2021-09-01 15:43:02'),
(37545, 1006, 29389, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:00', '2021-05-10 12:31:00'),
(37546, 1006, 29389, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:38:34', '2021-06-02 16:38:34'),
(37547, 11056, 29389, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:12:02', '2021-06-21 14:12:02'),
(37548, 1006, 29389, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:42:55', '2021-07-05 13:42:55'),
(37549, 1006, 29389, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 15:55:22', '2021-08-13 15:55:22'),
(37550, 1006, 29389, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:48:53', '2021-08-23 15:48:53'),
(37551, 11056, 29389, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:30:38', '2021-09-21 10:30:38'),
(37552, 11056, 29389, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:16:28', '2021-09-30 12:16:28'),
(37553, 1006, 29394, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:00', '2021-05-10 12:31:00'),
(37554, 1005, 29394, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:42:39', '2021-06-02 14:42:39'),
(37555, 1006, 29395, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:00', '2021-05-10 12:31:00'),
(37556, 1005, 29395, NULL, '2021-06-10 00:00:00.000', 'On Hold', 'Awaiting Superior health enrollment completion.', NULL, NULL, '2021-06-02 14:21:56', '2021-06-02 14:21:56'),
(37557, 1006, 29395, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:50:25', '2021-07-20 12:50:25'),
(37558, 1006, 29395, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:50:20', '2021-07-20 13:50:20'),
(37559, 1006, 29395, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:34:45', '2021-08-23 09:34:45'),
(37560, 1006, 29395, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:42:59', '2021-09-01 15:42:59'),
(37561, 1006, 29396, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:00', '2021-05-10 12:31:00'),
(37562, 1006, 29396, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:38:30', '2021-06-02 16:38:30'),
(37563, 11056, 29396, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:12:13', '2021-06-21 14:12:13'),
(37564, 1006, 29396, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:42:52', '2021-07-05 13:42:52'),
(37565, 1006, 29396, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 15:55:18', '2021-08-13 15:55:18'),
(37566, 1006, 29396, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:48:50', '2021-08-23 15:48:50'),
(37567, 11056, 29396, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:30:45', '2021-09-21 10:30:45'),
(37568, 11056, 29396, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:16:35', '2021-09-30 12:16:35'),
(37569, 1006, 29401, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:00', '2021-05-10 12:31:00'),
(37570, 1005, 29401, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:42:26', '2021-06-02 14:42:26'),
(37571, 1006, 29402, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:00', '2021-05-10 12:31:00'),
(37572, 1005, 29402, NULL, '2021-06-10 00:00:00.000', 'On Hold', 'Awaiting Superior health enrollment completion.', NULL, NULL, '2021-06-02 14:21:47', '2021-06-02 14:21:47'),
(37573, 1006, 29402, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:50:21', '2021-07-20 12:50:21'),
(37574, 1006, 29402, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:50:17', '2021-07-20 13:50:17'),
(37575, 1006, 29402, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:34:42', '2021-08-23 09:34:42'),
(37576, 1006, 29402, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:42:56', '2021-09-01 15:42:56'),
(37577, 1006, 29403, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:00', '2021-05-10 12:31:00'),
(37578, 1006, 29403, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:38:26', '2021-06-02 16:38:26'),
(37579, 11056, 29403, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:12:22', '2021-06-21 14:12:22'),
(37580, 1006, 29403, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:42:49', '2021-07-05 13:42:49'),
(37581, 1006, 29403, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 15:55:15', '2021-08-13 15:55:15'),
(37582, 1006, 29403, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:48:46', '2021-08-23 15:48:46'),
(37583, 11056, 29403, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:30:51', '2021-09-21 10:30:51'),
(37584, 11056, 29403, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:16:41', '2021-09-30 12:16:41'),
(37585, 1006, 29408, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:01', '2021-05-10 12:31:01'),
(37586, 1005, 29408, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:42:15', '2021-06-02 14:42:15'),
(37587, 1006, 29409, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:01', '2021-05-10 12:31:01'),
(37588, 1005, 29409, NULL, '2021-06-10 00:00:00.000', 'On Hold', 'Awaiting Superior health enrollment completion.', NULL, NULL, '2021-06-02 14:21:41', '2021-06-02 14:21:41'),
(37589, 1006, 29409, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:50:18', '2021-07-20 12:50:18'),
(37590, 1006, 29409, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:50:15', '2021-07-20 13:50:15'),
(37591, 1006, 29409, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:34:38', '2021-08-23 09:34:38'),
(37592, 1006, 29409, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:42:52', '2021-09-01 15:42:52'),
(37593, 1006, 29410, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:01', '2021-05-10 12:31:01'),
(37594, 1006, 29410, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:38:22', '2021-06-02 16:38:22'),
(37595, 11056, 29410, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:12:33', '2021-06-21 14:12:33'),
(37596, 1006, 29410, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:42:45', '2021-07-05 13:42:45'),
(37597, 1006, 29410, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 15:55:11', '2021-08-13 15:55:11'),
(37598, 1006, 29410, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:48:44', '2021-08-23 15:48:44'),
(37599, 11056, 29410, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:30:57', '2021-09-21 10:30:57');
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
(37600, 11056, 29410, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:16:47', '2021-09-30 12:16:47'),
(37601, 1006, 29415, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:01', '2021-05-10 12:31:01'),
(37602, 1005, 29415, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:42:04', '2021-06-02 14:42:04'),
(37603, 1006, 29416, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:01', '2021-05-10 12:31:01'),
(37604, 1005, 29416, NULL, '2021-06-10 00:00:00.000', 'On Hold', 'Awaiting Superior health enrollment completion.', NULL, NULL, '2021-06-02 14:21:36', '2021-06-02 14:21:36'),
(37605, 1006, 29416, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:50:15', '2021-07-20 12:50:15'),
(37606, 1006, 29416, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:50:12', '2021-07-20 13:50:12'),
(37607, 1006, 29416, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:34:35', '2021-08-23 09:34:35'),
(37608, 1006, 29416, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:42:50', '2021-09-01 15:42:50'),
(37609, 1006, 29417, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:01', '2021-05-10 12:31:01'),
(37610, 1006, 29417, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:38:17', '2021-06-02 16:38:17'),
(37611, 11056, 29417, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:12:43', '2021-06-21 14:12:43'),
(37612, 1006, 29417, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:42:42', '2021-07-05 13:42:42'),
(37613, 1006, 29417, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 15:55:08', '2021-08-13 15:55:08'),
(37614, 1006, 29417, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:48:41', '2021-08-23 15:48:41'),
(37615, 11056, 29417, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:31:03', '2021-09-21 10:31:03'),
(37616, 11056, 29417, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:16:54', '2021-09-30 12:16:54'),
(37617, 1006, 29422, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:02', '2021-05-10 12:31:02'),
(37618, 1005, 29422, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:41:52', '2021-06-02 14:41:52'),
(37619, 1006, 29423, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:02', '2021-05-10 12:31:02'),
(37620, 1005, 29423, NULL, '2021-06-10 00:00:00.000', 'On Hold', 'Awaiting Superior health enrollment completion.', NULL, NULL, '2021-06-02 14:21:31', '2021-06-02 14:21:31'),
(37621, 1006, 29423, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:50:11', '2021-07-20 12:50:11'),
(37622, 1006, 29423, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:50:09', '2021-07-20 13:50:09'),
(37623, 1006, 29423, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:34:31', '2021-08-23 09:34:31'),
(37624, 1006, 29423, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:42:46', '2021-09-01 15:42:46'),
(37625, 1006, 29424, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:02', '2021-05-10 12:31:02'),
(37626, 1006, 29424, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:38:12', '2021-06-02 16:38:12'),
(37627, 11056, 29424, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:12:51', '2021-06-21 14:12:51'),
(37628, 1006, 29424, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:42:39', '2021-07-05 13:42:39'),
(37629, 1006, 29424, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 15:55:05', '2021-08-13 15:55:05'),
(37630, 1006, 29424, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:48:35', '2021-08-23 15:48:35'),
(37631, 11056, 29424, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:37:33', '2021-09-21 10:37:33'),
(37632, 11056, 29424, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:17:33', '2021-09-30 12:17:33'),
(37633, 1006, 29429, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:02', '2021-05-10 12:31:02'),
(37634, 1005, 29429, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:41:38', '2021-06-02 14:41:38'),
(37635, 1006, 29430, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:02', '2021-05-10 12:31:02'),
(37636, 1005, 29430, NULL, '2021-06-10 00:00:00.000', 'On Hold', 'Awaiting Superior health enrollment completion.', NULL, NULL, '2021-06-02 14:21:24', '2021-06-02 14:21:24'),
(37637, 1006, 29430, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:50:08', '2021-07-20 12:50:08'),
(37638, 1006, 29430, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:50:06', '2021-07-20 13:50:06'),
(37639, 1006, 29430, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:34:28', '2021-08-23 09:34:28'),
(37640, 1006, 29430, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:42:43', '2021-09-01 15:42:43'),
(37641, 1006, 29431, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:02', '2021-05-10 12:31:02'),
(37642, 1006, 29431, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:38:07', '2021-06-02 16:38:07'),
(37643, 11056, 29431, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:13:00', '2021-06-21 14:13:00'),
(37644, 1006, 29431, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:42:36', '2021-07-05 13:42:36'),
(37645, 1006, 29431, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 15:55:02', '2021-08-13 15:55:02'),
(37646, 1006, 29431, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:48:32', '2021-08-23 15:48:32'),
(37647, 11056, 29431, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:31:08', '2021-09-21 10:31:08'),
(37648, 11056, 29431, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:17:25', '2021-09-30 12:17:25'),
(37649, 1006, 29436, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:03', '2021-05-10 12:31:03'),
(37650, 1005, 29436, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:41:25', '2021-06-02 14:41:25'),
(37651, 1006, 29437, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:03', '2021-05-10 12:31:03'),
(37652, 1005, 29437, NULL, '2021-06-10 00:00:00.000', 'On Hold', 'Awaiting Superior health enrollment completion.', NULL, NULL, '2021-06-02 14:21:17', '2021-06-02 14:21:17'),
(37653, 1006, 29437, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:50:04', '2021-07-20 12:50:04'),
(37654, 1006, 29437, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:50:02', '2021-07-20 13:50:02'),
(37655, 1006, 29437, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:34:25', '2021-08-23 09:34:25'),
(37656, 1006, 29437, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:42:40', '2021-09-01 15:42:40'),
(37657, 1006, 29438, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:03', '2021-05-10 12:31:03'),
(37658, 1006, 29438, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:38:02', '2021-06-02 16:38:02'),
(37659, 11056, 29438, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:13:11', '2021-06-21 14:13:11'),
(37660, 1006, 29438, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:42:31', '2021-07-05 13:42:31'),
(37661, 1006, 29438, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 15:54:57', '2021-08-13 15:54:57'),
(37662, 1006, 29438, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:48:24', '2021-08-23 15:48:24'),
(37663, 11056, 29438, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:31:14', '2021-09-21 10:31:14'),
(37664, 11056, 29438, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:17:17', '2021-09-30 12:17:17'),
(37665, 1006, 29443, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:03', '2021-05-10 12:31:03'),
(37666, 1005, 29443, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:41:13', '2021-06-02 14:41:13'),
(37667, 1006, 29444, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:08', '2021-05-10 12:31:08'),
(37668, 1005, 29444, NULL, '2021-06-10 00:00:00.000', 'On Hold', 'Awaiting Superior health enrollment completion.', NULL, NULL, '2021-06-02 14:21:09', '2021-06-02 14:21:09'),
(37669, 1006, 29444, NULL, '2021-07-22 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference. ', NULL, NULL, '2021-07-15 11:02:59', '2021-07-15 11:02:59'),
(37670, 1006, 29444, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:49:59', '2021-07-20 13:49:59'),
(37671, 1006, 29444, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:34:21', '2021-08-23 09:34:21'),
(37672, 1006, 29444, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:42:36', '2021-09-01 15:42:36'),
(37673, 1006, 29445, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:08', '2021-05-10 12:31:08'),
(37674, 1006, 29445, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:37:00', '2021-06-02 16:37:00'),
(37675, 11056, 29445, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:13:24', '2021-06-21 14:13:24'),
(37676, 1006, 29445, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:42:26', '2021-07-05 13:42:26'),
(37677, 1006, 29445, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 15:51:33', '2021-08-13 15:51:33'),
(37678, 1006, 29445, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:48:21', '2021-08-23 15:48:21'),
(37679, 11056, 29445, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:31:23', '2021-09-21 10:31:23'),
(37680, 11056, 29445, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:17:09', '2021-09-30 12:17:09'),
(37681, 1006, 29450, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:31:08', '2021-05-10 12:31:08'),
(37682, 1005, 29450, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:40:59', '2021-06-02 14:40:59'),
(37683, 1006, 29451, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:02', '2021-05-10 12:34:02'),
(37684, 1005, 29451, NULL, '2021-06-09 00:00:00.000', 'On Hold', 'Awaiting Superior Health Enrollment.', NULL, NULL, '2021-06-02 12:06:57', '2021-06-02 12:06:57'),
(37685, 1006, 29451, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:41:07', '2021-07-20 12:41:07'),
(37686, 1006, 29451, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:49:55', '2021-07-20 13:49:55'),
(37687, 1006, 29451, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:31:45', '2021-08-23 09:31:45'),
(37688, 1006, 29451, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:44:08', '2021-09-01 15:44:08'),
(37689, 1006, 29452, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:02', '2021-05-10 12:34:02'),
(37690, 1006, 29452, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:34:45', '2021-06-02 16:34:45'),
(37691, 11056, 29452, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:08:01', '2021-06-21 14:08:01'),
(37692, 1006, 29452, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:41:36', '2021-07-05 13:41:36'),
(37693, 1006, 29452, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 16:10:30', '2021-08-13 16:10:30'),
(37694, 1006, 29452, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:50:15', '2021-08-23 15:50:15'),
(37695, 11056, 29452, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:31:28', '2021-09-21 10:31:28'),
(37696, 11056, 29452, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:21:55', '2021-09-30 12:21:55'),
(37697, 1006, 29457, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:03', '2021-05-10 12:34:03'),
(37698, 1005, 29457, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:39:40', '2021-06-02 14:39:40'),
(37699, 1006, 29458, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:03', '2021-05-10 12:34:03'),
(37700, 1005, 29458, NULL, '2021-06-09 00:00:00.000', 'On Hold', 'Awaiting Superior Health Enrollment.', NULL, NULL, '2021-06-02 12:06:52', '2021-06-02 12:06:52'),
(37701, 1006, 29458, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:41:03', '2021-07-20 12:41:03'),
(37702, 1006, 29458, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:49:52', '2021-07-20 13:49:52'),
(37703, 1006, 29458, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:31:38', '2021-08-23 09:31:38'),
(37704, 1006, 29458, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:44:06', '2021-09-01 15:44:06'),
(37705, 1006, 29459, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:03', '2021-05-10 12:34:03'),
(37706, 1006, 29459, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:34:40', '2021-06-02 16:34:40'),
(37707, 11056, 29459, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:08:11', '2021-06-21 14:08:11'),
(37708, 1006, 29459, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:41:32', '2021-07-05 13:41:32'),
(37709, 1006, 29459, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 16:10:26', '2021-08-13 16:10:26'),
(37710, 1006, 29459, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:50:12', '2021-08-23 15:50:12'),
(37711, 11056, 29459, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:36:52', '2021-09-21 10:36:52'),
(37712, 11056, 29459, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:21:48', '2021-09-30 12:21:48'),
(37713, 1006, 29464, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:03', '2021-05-10 12:34:03'),
(37714, 1005, 29464, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:39:22', '2021-06-02 14:39:22'),
(37715, 1006, 29465, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:03', '2021-05-10 12:34:03'),
(37716, 1005, 29465, NULL, '2021-06-09 00:00:00.000', 'On Hold', 'Awaiting Superior Health Enrollment.', NULL, NULL, '2021-06-02 12:06:47', '2021-06-02 12:06:47'),
(37717, 1006, 29465, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:41:00', '2021-07-20 12:41:00'),
(37718, 1006, 29465, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:49:49', '2021-07-20 13:49:49');
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
(37719, 1006, 29465, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:31:33', '2021-08-23 09:31:33'),
(37720, 1006, 29465, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:44:02', '2021-09-01 15:44:02'),
(37721, 1006, 29466, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:03', '2021-05-10 12:34:03'),
(37722, 1006, 29466, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:34:36', '2021-06-02 16:34:36'),
(37723, 11056, 29466, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:08:23', '2021-06-21 14:08:23'),
(37724, 1006, 29466, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:41:29', '2021-07-05 13:41:29'),
(37725, 1006, 29466, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 16:10:22', '2021-08-13 16:10:22'),
(37726, 1006, 29466, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:50:09', '2021-08-23 15:50:09'),
(37727, 11056, 29466, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:32:00', '2021-09-21 10:32:00'),
(37728, 11056, 29466, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:21:40', '2021-09-30 12:21:40'),
(37729, 1006, 29471, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:04', '2021-05-10 12:34:04'),
(37730, 1005, 29471, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:39:06', '2021-06-02 14:39:06'),
(37731, 1006, 29472, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:04', '2021-05-10 12:34:04'),
(37732, 1005, 29472, NULL, '2021-06-09 00:00:00.000', 'On Hold', 'Awaiting Superior Health Enrollment.', NULL, NULL, '2021-06-02 12:06:42', '2021-06-02 12:06:42'),
(37733, 1006, 29472, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:40:57', '2021-07-20 12:40:57'),
(37734, 1006, 29472, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:49:46', '2021-07-20 13:49:46'),
(37735, 1006, 29472, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:31:29', '2021-08-23 09:31:29'),
(37736, 1006, 29472, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:43:59', '2021-09-01 15:43:59'),
(37737, 1006, 29473, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:04', '2021-05-10 12:34:04'),
(37738, 1006, 29473, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:34:31', '2021-06-02 16:34:31'),
(37739, 11056, 29473, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:08:35', '2021-06-21 14:08:35'),
(37740, 1006, 29473, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:41:26', '2021-07-05 13:41:26'),
(37741, 1006, 29473, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 16:10:19', '2021-08-13 16:10:19'),
(37742, 1006, 29473, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:50:05', '2021-08-23 15:50:05'),
(37743, 11056, 29473, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:32:11', '2021-09-21 10:32:11'),
(37744, 11056, 29473, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:21:33', '2021-09-30 12:21:33'),
(37745, 1006, 29478, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:04', '2021-05-10 12:34:04'),
(37746, 1005, 29478, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:38:53', '2021-06-02 14:38:53'),
(37747, 1006, 29479, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:04', '2021-05-10 12:34:04'),
(37748, 1005, 29479, NULL, '2021-06-09 00:00:00.000', 'On Hold', 'Awaiting Superior Health Enrollment.', NULL, NULL, '2021-06-02 12:06:37', '2021-06-02 12:06:37'),
(37749, 1006, 29479, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:40:54', '2021-07-20 12:40:54'),
(37750, 1006, 29479, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:49:43', '2021-07-20 13:49:43'),
(37751, 1006, 29479, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:31:26', '2021-08-23 09:31:26'),
(37752, 1006, 29479, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:43:56', '2021-09-01 15:43:56'),
(37753, 1006, 29480, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:04', '2021-05-10 12:34:04'),
(37754, 1006, 29480, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:34:26', '2021-06-02 16:34:26'),
(37755, 11056, 29480, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:08:46', '2021-06-21 14:08:46'),
(37756, 1006, 29480, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:41:23', '2021-07-05 13:41:23'),
(37757, 1006, 29480, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 16:10:14', '2021-08-13 16:10:14'),
(37758, 1006, 29480, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:50:03', '2021-08-23 15:50:03'),
(37759, 11056, 29480, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:32:19', '2021-09-21 10:32:19'),
(37760, 11056, 29480, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:21:25', '2021-09-30 12:21:25'),
(37761, 1006, 29485, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:05', '2021-05-10 12:34:05'),
(37762, 1005, 29485, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:38:41', '2021-06-02 14:38:41'),
(37763, 1006, 29486, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:05', '2021-05-10 12:34:05'),
(37764, 1005, 29486, NULL, '2021-06-09 00:00:00.000', 'On Hold', 'Awaiting Superior Health Enrollment.', NULL, NULL, '2021-06-02 12:06:32', '2021-06-02 12:06:32'),
(37765, 1006, 29486, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:40:50', '2021-07-20 12:40:50'),
(37766, 1006, 29486, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:49:40', '2021-07-20 13:49:40'),
(37767, 1006, 29486, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:31:23', '2021-08-23 09:31:23'),
(37768, 1006, 29486, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:43:53', '2021-09-01 15:43:53'),
(37769, 1006, 29487, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:05', '2021-05-10 12:34:05'),
(37770, 1006, 29487, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:34:19', '2021-06-02 16:34:19'),
(37771, 11056, 29487, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:09:22', '2021-06-21 14:09:22'),
(37772, 1006, 29487, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:41:20', '2021-07-05 13:41:20'),
(37773, 1006, 29487, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 16:10:10', '2021-08-13 16:10:10'),
(37774, 1006, 29487, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:49:59', '2021-08-23 15:49:59'),
(37775, 11056, 29487, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:32:25', '2021-09-21 10:32:25'),
(37776, 11056, 29487, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:21:18', '2021-09-30 12:21:18'),
(37777, 1006, 29492, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:05', '2021-05-10 12:34:05'),
(37778, 1005, 29492, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:40:09', '2021-06-02 14:40:09'),
(37779, 1006, 29493, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:05', '2021-05-10 12:34:05'),
(37780, 1005, 29493, NULL, '2021-06-09 00:00:00.000', 'On Hold', 'Awaiting Superior Health Enrollment.', NULL, NULL, '2021-06-02 12:06:26', '2021-06-02 12:06:26'),
(37781, 1006, 29493, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:40:47', '2021-07-20 12:40:47'),
(37782, 1006, 29493, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:49:37', '2021-07-20 13:49:37'),
(37783, 1006, 29493, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:31:20', '2021-08-23 09:31:20'),
(37784, 1006, 29493, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:43:50', '2021-09-01 15:43:50'),
(37785, 1006, 29494, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:05', '2021-05-10 12:34:05'),
(37786, 1006, 29494, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:34:15', '2021-06-02 16:34:15'),
(37787, 11056, 29494, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:09:33', '2021-06-21 14:09:33'),
(37788, 1006, 29494, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:41:17', '2021-07-05 13:41:17'),
(37789, 1006, 29494, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 16:10:05', '2021-08-13 16:10:05'),
(37790, 1006, 29494, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:49:56', '2021-08-23 15:49:56'),
(37791, 11056, 29494, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:32:32', '2021-09-21 10:32:32'),
(37792, 11056, 29494, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:21:10', '2021-09-30 12:21:10'),
(37793, 1006, 29499, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:06', '2021-05-10 12:34:06'),
(37794, 1005, 29499, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:38:30', '2021-06-02 14:38:30'),
(37795, 1006, 29500, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:06', '2021-05-10 12:34:06'),
(37796, 1005, 29500, NULL, '2021-06-09 00:00:00.000', 'On Hold', 'Awaiting Superior Health Enrollment.', NULL, NULL, '2021-06-02 12:06:19', '2021-06-02 12:06:19'),
(37797, 1006, 29500, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:40:43', '2021-07-20 12:40:43'),
(37798, 1006, 29500, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:49:33', '2021-07-20 13:49:33'),
(37799, 1006, 29500, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:31:16', '2021-08-23 09:31:16'),
(37800, 1006, 29500, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:43:47', '2021-09-01 15:43:47'),
(37801, 1006, 29501, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:06', '2021-05-10 12:34:06'),
(37802, 1006, 29501, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:34:11', '2021-06-02 16:34:11'),
(37803, 11056, 29501, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:09:43', '2021-06-21 14:09:43'),
(37804, 1006, 29501, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:41:14', '2021-07-05 13:41:14'),
(37805, 1006, 29501, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 16:10:00', '2021-08-13 16:10:00'),
(37806, 1006, 29501, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:49:53', '2021-08-23 15:49:53'),
(37807, 11056, 29501, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:32:40', '2021-09-21 10:32:40'),
(37808, 11056, 29501, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:21:02', '2021-09-30 12:21:02'),
(37809, 1006, 29506, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:06', '2021-05-10 12:34:06'),
(37810, 1005, 29506, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:38:17', '2021-06-02 14:38:17'),
(37811, 1006, 29507, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:06', '2021-05-10 12:34:06'),
(37812, 1005, 29507, NULL, '2021-06-09 00:00:00.000', 'On Hold', 'Awaiting Superior Health Enrollment.', NULL, NULL, '2021-06-02 12:05:53', '2021-06-02 12:05:53'),
(37813, 1006, 29507, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:40:39', '2021-07-20 12:40:39'),
(37814, 1006, 29507, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:49:31', '2021-07-20 13:49:31'),
(37815, 1006, 29507, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:31:11', '2021-08-23 09:31:11'),
(37816, 1006, 29507, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:43:44', '2021-09-01 15:43:44'),
(37817, 1006, 29508, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:06', '2021-05-10 12:34:06'),
(37818, 1006, 29508, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:34:06', '2021-06-02 16:34:06'),
(37819, 11056, 29508, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:09:52', '2021-06-21 14:09:52'),
(37820, 1006, 29508, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:41:10', '2021-07-05 13:41:10'),
(37821, 1006, 29508, NULL, '2021-08-20 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I wanted to get an update regarding the enrollment status for the below-mentioned group:  Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904  Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you!\"', NULL, NULL, '2021-08-13 16:09:53', '2021-08-13 16:09:53'),
(37822, 1006, 29508, NULL, '2021-08-30 00:00:00.000', 'In Process', 'Sent another f/u email since there\'s no other way to get in touch with Cigna Healthspring @  TXMAContracting@cigna.com & JENNIFER.PEREZ@cigna.com:  Sub: Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   We are still waiting for an update regarding the enrollment status for our group. Please get back to me as soon as possible as this request has been ongoing for the past few months and we are unable to get in touch with anyone..  Thank you.\"', NULL, NULL, '2021-08-23 15:49:49', '2021-08-23 15:49:49'),
(37823, 11056, 29508, NULL, '2021-09-28 00:00:00.000', 'In Process', 'Call Rep. : Maria M  Status : Non participating . Waiting for the fax. They gonna provide us form to fill that out for network participation.  Contact no. : 877-653-0331  Ref code : 22800347', NULL, NULL, '2021-09-21 10:32:57', '2021-09-21 10:32:57'),
(37824, 11056, 29508, NULL, '2021-10-07 00:00:00.000', 'Not Eligible', 'Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don\'t need more.  Ref code : 22853963  Please see the attachment', NULL, NULL, '2021-09-30 12:20:55', '2021-09-30 12:20:55'),
(37825, 1006, 29513, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:07', '2021-05-10 12:34:07'),
(37826, 1005, 29513, NULL, '2021-06-10 00:00:00.000', 'Approved', 'Approved under ancillary contract. To review the complete contract please review the original Group task.', NULL, NULL, '2021-06-02 14:38:02', '2021-06-02 14:38:02'),
(37827, 1006, 29514, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:07', '2021-05-10 12:34:07'),
(37828, 1005, 29514, NULL, '2021-06-09 00:00:00.000', 'On Hold', 'Awaiting Superior Health Enrollment.', NULL, NULL, '2021-06-02 12:05:43', '2021-06-02 12:05:43'),
(37829, 1006, 29514, NULL, '2021-07-27 00:00:00.000', 'In Process', 'Contract received from Zujey Ashbaugh ZASHBAUGH@centene.com:  Sub: Signature requested on \"RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032\"  \"You finished signing “RABAGOS HEALTH CARE PLLC dba STATCARE MINOR EMERGENCY CLINIC ecm 547032”.  Next, SHP Provider Validation will approve.  We will email the final agreement to all parties. You can alsodownload a copyof what you just signed.\"  Copy of contract is attached in main Superior task for reference.  ', NULL, NULL, '2021-07-20 12:40:01', '2021-07-20 12:40:01'),
(37830, 1006, 29514, NULL, '2021-07-27 00:00:00.000', 'On Hold', '', NULL, NULL, '2021-07-20 13:49:29', '2021-07-20 13:49:29'),
(37831, 1006, 29514, NULL, '2021-08-30 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time.', NULL, NULL, '2021-08-23 09:31:08', '2021-08-23 09:31:08'),
(37832, 1006, 29514, NULL, '2021-09-08 00:00:00.000', 'On Hold', 'The request is still pending due to the enrollment for superior health, need to allow more time. ', NULL, NULL, '2021-09-01 15:43:41', '2021-09-01 15:43:41'),
(37833, 1006, 29515, NULL, NULL, 'New/Not Initiated', '', NULL, NULL, '2021-05-10 12:34:07', '2021-05-10 12:34:07'),
(37834, 1006, 29515, NULL, '2021-06-09 00:00:00.000', 'Initiated', 'Sent initiation request @ TXMAContracting@cigna.com:  Sub: Enrollment Request - RHC - Cigna Healthspring  \"Hello,   Please find the attached enrollment request for our group, please let me know if anything else is required to proceed with this request.  Thank you. \"  Enrollment request is attached on the main group task. ', NULL, NULL, '2021-06-02 16:34:01', '2021-06-02 16:34:01'),
(37835, 11056, 29515, NULL, '2021-06-29 00:00:00.000', 'In Process', 'Email sent to : TXMAContracting@cigna.com  Sub :  Enrollment Status Update - RHC - Cigna Healthspring  Greetings,  Hope you are doing well. Kindly, inform me about the status of our request sent on 06/2/2021. Please let me know if anything is required to proceed in our enrollment process.  PRACTICE: Practice Name : Statcare Minor Emergency Clinic Practice TIN# : 46-0575924 Practice NPI# : 1689924904 Main Address : 500 E CAESAR, KINGSVILLE , TX 78363 Secondary Address : 6646 S. Staples St. # 122, Corpus Christi , TX 78413 Tertiary Address : 3817 South Padre Island Drive, Corpus Christi , TX 78415 Quaternary Address : 4042 River Hill, Corpus Christi , TX 78410  Waiting to hear from you soon.  Thank you!', NULL, NULL, '2021-06-21 14:10:02', '2021-06-21 14:10:02'),
(37836, 1006, 29515, NULL, '2021-07-12 00:00:00.000', 'In Process', 'Sent f/u email @ TXMAContracting@cigna.com:  Sub; Enrollment Status Update - RHC - Cigna Healthspring  \"Hello,   I hope you\'re doing well, I wanted to get an update regarding the enrollment status for the mentioned group:  PRACTICE: Practice Name: Statcare Minor Emergency Clinic Practice TIN# 46-0575924 Practice NPI# 1689924904 Main Address: 500 E CAESAR, KINGSVILLE, TX 78363 Secondary Address: 6646 S. Staples St. # 122, Corpus Christi, TX 78413 Tertiary Address: 3817 South Padre Island Drive, Corpus Christi, TX 78415 Quaternary Address: 4042 River Hill, Corpus Christi, TX 78410  Please get back to me as soon as possible.  Thank you. \"', NULL, NULL, '2021-07-05 13:41:05', '2021-07-05 13:41:05');
