P3 Health Partners SPAC Presentation Deck
P3 Excelerate - Back Office Suite
P3 Excelerate Coder
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Last Name
smith
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Member Name
SMITHIL DONALD
SMITHELMER G
SMITHIL WILLIAM G
SMITH JR, COLIN
SMITH JR GREEN
SMITH JR JAMES D
SMITH JR JAMES W
SMITH JR LUTHERT
SMITH JR RUDY
SMITH JR WILLIAM J
Showing 1 to 10 of 283 entries
Date of Birth
08-18-1975
12-03-1949
01-07-1940
12-21-1953
07-25-1945
05-26-1935
01-27-1941
12-03-1946
02-11-1967
08-01-1953
First Name
Member 10
90T657
678834101
760646001
TEPON34X78
AGI95004471
Current PCP
UNASSIGNED FOR
HAMANT, MICHAEL MD
MUTTERFERL ROBERT DO
UNASSIGNED FOR
LANE BRIAN PA-D
SEARCH
Chart Review ID: 23061
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Date of Birth
Health Plan
DELETE REVIEW
MSSF
MESKIHHS ORTEGA BERMUDEZ, ANGEL Astra
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United
P3 Excelerate Coder
United
Member Name SMITH II, DONALD
Member 10:90T6XM9UF57
Date of Birth: 8/18/1975
AWV Processing
MSSF
Anthem
Medical Conditions
DX/CPT Codet DX/CPT II Description
Earliest Effective
Date
07-01-2018
01-01-2019
07-01-201
03-01-2000
01-01-2000
#
Marked for deletion from m
Chris Pempsell.
Role: UX Desire
Last Login 9/30/2020500PM
Member Id
Show marked for deletion
Recent Term Date
ADVE
Adve
Acti
Search:
Activa
Reviewed, no new HCC codes added
Show manually added codes
Coding Review Status
Rendering Provider (Group)
Dan
D
NEEDS REVIEW
NEEDS REVIEW
Home Phone Not Available
POP UNASSIGNED PCP
PCP Group: TMC MED NETWORK
Chart Review Date: 10/7/2020
HEDIS/STAR
Medical Facility
Draft Report
NEEDS REVIEW
NEEDS REVIEW
No data available in table
NPI
Appropriate signature and credent
Yes
No EMRA
no please provide comment
Qualified Comprehensive Visit
NO EMR FOR ANY PROVIDER FO
Provider Type
Source
✔Date of Service Review Complete
P3 Excelerate
Dashboard
Provider
Communication
Physician Dashboard
TMC MED NETWORK
MEMBERS METRICS
As of 08/14/2020 0:49:15 AM
Member Explorer → Eligibility/Pre-Auth
Member Census (Currently Admitted)
27
ACUTE O
QUALITY OPPORTUNITIES 2715
Active Membership (12125) O
CARDIOLOGY
OPHTHALMOLOGY
ERMATOLOGY
CT/MRI
Update [05/20/2020]: HEDIS 2020 data is now available for Aetna (NV), Allwell (AZ), Anthem (NV), Atrio (OR), Blue Cross Blue Shield (AZ), Hometown Health (NV), Humana (AZ), Select Health (NV), and
United (AZ). Please note that this data is as of 03/31/2020 for only Atrio (OR) and BCBS (AZ). All other health plans' data is as of 04/30/2020
12125
Top 5 Specialty Referrals (per K) - Claim Based
Specialty
PT/OT
Updated on 08/14/2020 (DOS Range 01/01/2020 to 08/31/2020)
0
OBS O
5446
NEW MEMBERS O
Senior
Commercial
MSSP (Senior)
Group
476
219
211
202
185
Market
413
379
273
141
Claims
236
Coding Reviews
E Resources
2
ER Ⓡ
20
10
60.5%
PCP VISIT COMPLETION >
1568 Members Due
497
DRUG SUBSTITUTION
OPPORTUNITIES Ⓡ
Admits
As of 08/14/2020 1:42:27 PM
0
Excelerate v2.1.1
Switch Dashboard:
ER
8
SNF O
YTD In-Patient Utilization (per K) - Census Based
90
80
70
60
50
40
30
1.36
51%
HCC RECAPTURE Ⓡ
0.772
Group
OBS
Chris Pempsell.
Role: UI/UX Designer
Last Login: 0/30/2020 5:00 PM
TMC MED NETWORK
Care Mgmt Phone: (520) 392-9975 | Help
ACCRUED RAF Ⓡ
5-STAR SCORE Ⓡ
Market
Export Summary Report
SNF
O
REHAB
0%
CV COMPLETION O
3970 Members Due
Care Gaps Closure
Rehab
1.5
5
e
Clinical
Member ID
Clinical
First Name
2019 2020
Current PCP
Status
Y Health Plan T
Reviewed with no findings
Home Phone: (520) 889-0683)
POP: WILSON, SCOTT MD
PCP Group: EL RIO
POSSIBLE CONDITIONS
Chart Review Created Date: 01/02/2020
TAdded
Note
SEARCH
Code
Possible Condition
Other psychoactive
05/19/2020 F1010 substance abuse
uncompl
01/13/2020 R1110 Vomiting unspecified
HYPERFUNCTION OF
501/02/2020 E22
PITUITARY GLAND
REVIEWER NOTES
Status Added Code Condition
Date of Birth
Earliest
Effective Date
DOCUMENTATION IMPROVEMENT OPPORTUNITIES
Supporting Evidence
Documentation
Improvement
33533
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Recent Term Date
Added By
Action Needed
No Documentation Opportunities added
⠀⠀
Jenny Wong
Jenny Wong
05/01/2020
01/02/2020
3
Date of Evidence Comments
Date of Service Comment
Review Created
Date
Chris
Pempsell.
Role: UX Designer
Lan Legi 9/30/2020 5:09 PM
Productivity Snapshot Member Status Report
Or
Added Date
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01/13/2020
01/13/2020
Chart Review Status: Pending Approval
Chris Pempsell.
Role: UI/UX Designer
Last Login: 9/30/2020 5:09 PM
Member Id
Created By: Jenny Wong
Updated By: Jenny Wong
Updated Date: 05/19/2020
Created By T
APPROVE ALL
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2
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ADD NEW
B
Provider
B
APPROVE ALL
9
ADD NEW
B
B
ALL PENDING APPROVALS
Clinical Review Status
Y
Pending Approval
Pending Approval
Pending Approval
Pending Approval
ious 1
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Network Management
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