Enrollment Tracker
Manage provider enrollment requests
ACTIVE ENROLLMENT REQUESTS
128
READY FOR SUBMISSION
22
SUBMITTED
56
CORRECTION REQUIRED
18
APPROVED (THIS MONTH)
14
AVG. DAYS IN REVIEW
7
Provider | Payer | Intake Source | Data Status | Document Status | Application | Submission | Effective Date | SLA | |
|---|---|---|---|---|---|---|---|---|---|
MC Dr. Michael Chen 1000000000 | Aetna | File Upload 01-01-2024 | Complete | All Received | Generated | Approved | 03-01-2024 | 0d | |
EW Dr. Emily Williams 1011111111 | Humana | API 08-04-2024 | Complete | All Received | Generated | Approved | 04-06-2024 | 0d | |
RM Dr. Robert Martinez 1022222222 | BlueCross | Manual Entry 03-07-2024 | Complete | All Received | Generated | Approved | 05-11-2024 | 0d | |
LA Dr. Lisa Anderson 1033333333 | UnitedHealthcare | Portal 10-10-2024 | Complete | All Received | Generated | Approved | 06-16-2024 | 0d | |
JW Dr. James Wilson 1044444444 | Anthem | Salesforce 05-13-2024 | Complete | All Received | Generated | Approved | 07-21-2024 | 0d | |
PB Dr. Patricia Brown 1055555555 | Molina Healthcare | File Upload 12-16-2024 | Complete | All Received | Generated | Approved | 08-26-2024 | 0d | |
DL Dr. David Lee 1066666666 | Cigna | API 07-19-2024 | Complete | All Received | Generated | Approved | 09-03-2024 | 0d | |
SK Dr. Sarah Kim 1077777777 | Kaiser Permanente | Manual Entry 02-22-2024 | Complete | All Received | Generated | Approved | 10-08-2024 | 0d | |
TN Dr. Thomas Nguyen 1088888888 | Aetna | Portal 09-25-2024 | Complete | All Received | Generated | Approved | 11-13-2024 | 0d | |
AP Dr. Amanda Patel 1099999999 | Humana | Salesforce 04-28-2024 | Complete | All Received | Generated | Approved | 12-18-2024 | 0d | |
JG Dr. Jennifer Garcia 1111111110 | BlueCross | File Upload 11-03-2024 | Complete | All Received | Generated | Approved | 01-23-2024 | 0d | |
RJ Dr. Richard Johnson 1122222221 | UnitedHealthcare | API 06-06-2024 | Complete | All Received | Generated | Approved | 02-28-2024 | 0d | |
MR Dr. Michelle Rodriguez 1133333332 | Anthem | Manual Entry 01-09-2024 | Complete | All Received | Generated | Approved | 03-05-2024 | 0d | |
CT Dr. Christopher Taylor 1144444443 | Molina Healthcare | Portal 08-12-2024 | Complete | All Received | Generated | Approved | 04-10-2024 | 0d | |
AS Dr. Angela Smith 1155555554 | Cigna | Salesforce 03-15-2024 | Complete | All Received | Generated | Ready | - | 5d | |
BW Dr. Brian White 1166666665 | Kaiser Permanente | File Upload 10-18-2024 | Complete | All Received | Generated | Ready | - | 1d | |
KH Dr. Karen Harris 1177777776 | Aetna | API 05-21-2024 | Complete | All Received | Generated | Ready | - | 2d | |
DM Dr. Daniel Moore 1188888887 | Humana | Manual Entry 12-24-2024 | Complete | All Received | Generated | Ready | - | 3d | |
JT Dr. Jessica Thompson 1199999998 | BlueCross | Portal 07-27-2024 | Complete | All Received | Generated | Ready | - | 4d | |
WY Dr. William Young 1211111109 | UnitedHealthcare | Salesforce 02-02-2024 | Complete | All Received | Generated | Ready | - | 5d | |
NA Dr. Nancy Allen 1222222220 | Anthem | File Upload 09-05-2024 | Complete | All Received | Generated | Ready | - | 1d | |
SK Dr. Steven King 1233333331 | Molina Healthcare | API 04-08-2024 | Complete | All Received | Generated | Ready | - | 2d | |
BW Dr. Betty Wright 1244444442 | Cigna | Manual Entry 11-11-2024 | Complete | All Received | Generated | Ready | - | 3d | |
ES Dr. Edward Scott 1255555553 | Kaiser Permanente | Portal 06-14-2024 | Complete | All Received | Generated | Ready | - | 4d | |
DT Dr. Dorothy Torres 1266666664 | Aetna | Salesforce 01-17-2024 | Complete | All Received | Generated | Ready | - | 5d | |
GH Dr. George Hill 1277777775 | Humana | File Upload 08-20-2024 | Complete | All Received | Generated | Ready | - | 1d | |
SF Dr. Sandra Flores 1288888886 | BlueCross | API 03-23-2024 | Complete | All Received | Generated | Ready | - | 2d | |
KG Dr. Kenneth Green 1299999997 | UnitedHealthcare | Manual Entry 10-26-2024 | Complete | All Received | Generated | Ready | - | 3d | |
AA Dr. Ashley Adams 1311111108 | Anthem | Portal 05-01-2024 | Complete | All Received | Generated | Ready | - | 4d | |
RN Dr. Ronald Nelson 1322222219 | Molina Healthcare | Salesforce 12-04-2024 | Complete | All Received | Generated | Ready | - | 5d | |
KB Dr. Kimberly Baker 1333333330 | Cigna | File Upload 07-07-2024 | Complete | All Received | Generated | Ready | - | 1d | |
TH Dr. Timothy Hall 1344444441 | Kaiser Permanente | API 02-10-2024 | Complete | All Received | Generated | Ready | - | 2d | |
DR Dr. Donna Rivera 1355555552 | Aetna | Manual Entry 09-13-2024 | Complete | All Received | Generated | Ready | - | 3d | |
JC Dr. Jose Campbell 1366666663 | Humana | Portal 04-16-2024 | Complete | All Received | Generated | Ready | - | 4d | |
CM Dr. Carol Mitchell 1377777774 | BlueCross | Salesforce 11-19-2024 | Complete | All Received | Generated | Ready | - | 5d | |
LC Dr. Larry Carter 1388888885 | UnitedHealthcare | File Upload 06-22-2024 | Complete | All Received | Generated | Ready | - | 1d | |
RR Dr. Ruth Roberts 1399999996 | Anthem | API 01-25-2024 | Complete | All Received | Generated | Submitted | - | 7d | |
FG Dr. Frank Gomez 1411111107 | Molina Healthcare | Manual Entry 08-28-2024 | Complete | All Received | Generated | Submitted | - | 8d | |
SP Dr. Sharon Phillips 1422222218 | Cigna | Portal 03-03-2024 | Complete | All Received | Generated | Submitted | - | 9d | |
SE Dr. Scott Evans 1433333329 | Kaiser Permanente | Salesforce 10-06-2024 | Complete | All Received | Generated | Submitted | - | 10d | |
HT Dr. Helen Turner 1444444440 | Aetna | File Upload 05-09-2024 | Complete | All Received | Generated | Submitted | - | 3d | |
ED Dr. Eric Diaz 1455555551 | Humana | API 12-12-2024 | Complete | All Received | Generated | Submitted | - | 4d | |
DP Dr. Deborah Parker 1466666662 | BlueCross | Manual Entry 07-15-2024 | Complete | All Received | Generated | Submitted | - | 5d | |
SC Dr. Stephen Cruz 1477777773 | UnitedHealthcare | Portal 02-18-2024 | Complete | All Received | Generated | Submitted | - | 6d | |
LE Dr. Laura Edwards 1488888884 | Anthem | Salesforce 09-21-2024 | Complete | All Received | Generated | Submitted | - | 7d | |
AC Dr. Andrew Collins 1499999995 | Molina Healthcare | File Upload 04-24-2024 | Complete | All Received | Generated | Submitted | - | 8d | |
CR Dr. Cynthia Reyes 1511111106 | Cigna | API 11-27-2024 | Complete | All Received | Generated | Submitted | - | 9d | |
RS Dr. Raymond Stewart 1522222217 | Kaiser Permanente | Manual Entry 06-02-2024 | Complete | All Received | Generated | Submitted | - | 10d | |
KM Dr. Kathleen Morris 1533333328 | Aetna | Portal 01-05-2024 | Complete | All Received | Generated | Submitted | - | 3d | |
GM Dr. Gregory Morales 1544444439 | Humana | Salesforce 08-08-2024 | Complete | All Received | Generated | Submitted | - | 4d | |
AM Dr. Amy Murphy 1555555550 | BlueCross | File Upload 03-11-2024 | Complete | All Received | Generated | Submitted | - | 5d | |
JC Dr. Joshua Cook 1566666661 | UnitedHealthcare | API 10-14-2024 | Complete | All Received | Generated | Submitted | - | 6d | |
MR Dr. Marcus Rogers 1577777772 | Anthem | Manual Entry 05-17-2024 | Complete | All Received | Generated | Submitted | - | 7d | |
JG Dr. Jerry Gutierrez 1588888883 | Molina Healthcare | Portal 12-20-2024 | Complete | All Received | Generated | Submitted | - | 8d | |
SO Dr. Shirley Ortiz 1599999994 | Cigna | Salesforce 07-23-2024 | Complete | All Received | Generated | Submitted | - | 9d | |
DM Dr. Dennis Morgan 1611111105 | Kaiser Permanente | File Upload 02-26-2024 | Complete | All Received | Generated | Submitted | - | 10d | |
AC Dr. Anna Cooper 1622222216 | Aetna | API 09-01-2024 | Complete | All Received | Generated | Submitted | - | 3d | |
WP Dr. Walter Peterson 1633333327 | Humana | Manual Entry 04-04-2024 | Complete | All Received | Generated | Submitted | - | 4d | |
BB Dr. Brenda Bailey 1644444438 | BlueCross | Portal 11-07-2024 | Complete | All Received | Generated | Submitted | - | 5d | |
PR Dr. Patrick Reed 1655555549 | UnitedHealthcare | Salesforce 06-10-2024 | Complete | All Received | Generated | Submitted | - | 6d | |
VK Dr. Victoria Kelly 1666666660 | Anthem | File Upload 01-13-2024 | Complete | All Received | Generated | Submitted | - | 7d | |
HH Dr. Henry Howard 1677777771 | Molina Healthcare | API 08-16-2024 | Complete | All Received | Generated | Submitted | - | 8d | |
GR Dr. Grace Ramos 1688888882 | Cigna | Manual Entry 03-19-2024 | Complete | All Received | Generated | Submitted | - | 9d | |
AS Dr. Alexander Sanders 1699999993 | Kaiser Permanente | Portal 10-22-2024 | Complete | All Received | Generated | Submitted | - | 10d | |
OP Dr. Olivia Price 1711111104 | Aetna | Salesforce 05-25-2024 | Complete | All Received | Generated | Submitted | - | 3d | |
BB Dr. Benjamin Bennett 1722222215 | Humana | File Upload 12-28-2024 | Complete | All Received | Generated | Submitted | - | 4d | |
SW Dr. Sophia Wood 1733333326 | BlueCross | API 07-03-2024 | Complete | All Received | Generated | Submitted | - | 5d | |
SB Dr. Sebastian Barnes 1744444437 | UnitedHealthcare | Manual Entry 02-06-2024 | Complete | All Received | Generated | Submitted | - | 6d | |
IR Dr. Isabella Ross 1755555548 | Anthem | Portal 09-09-2024 | Complete | All Received | Generated | Submitted | - | 7d | |
TH Dr. Theodore Henderson 1766666659 | Molina Healthcare | Salesforce 04-12-2024 | Complete | All Received | Generated | Submitted | - | 8d | |
MC Dr. Mia Coleman 1777777770 | Cigna | File Upload 11-15-2024 | Complete | All Received | Generated | Submitted | - | 9d | |
LJ Dr. Lucas Jenkins 1788888881 | Kaiser Permanente | API 06-18-2024 | Complete | All Received | Generated | Submitted | - | 10d | |
CP Dr. Charlotte Perry 1799999992 | Aetna | Manual Entry 01-21-2024 | Complete | All Received | Generated | Submitted | - | 3d | |
MP Dr. Mason Powell 1811111103 | Humana | Portal 08-24-2024 | Complete | All Received | Generated | Submitted | - | 4d | |
AL Dr. Amelia Long 1822222214 | BlueCross | Salesforce 03-27-2024 | Complete | All Received | Generated | Submitted | - | 5d | |
EP Dr. Ethan Patterson 1833333325 | UnitedHealthcare | File Upload 10-02-2024 | Complete | All Received | Generated | Submitted | - | 6d | |
HH Dr. Harper Hughes 1844444436 | Anthem | API 05-05-2024 | Complete | All Received | Generated | Submitted | - | 7d | |
LF Dr. Logan Flores 1855555547 | Molina Healthcare | Manual Entry 12-08-2024 | Complete | All Received | Generated | Submitted | - | 8d | |
EW Dr. Evelyn Washington 1866666658 | Cigna | Portal 07-11-2024 | Complete | All Received | Generated | Submitted | - | 9d | |
JB Dr. Jacob Butler 1877777769 | Kaiser Permanente | Salesforce 02-14-2024 | Complete | All Received | Generated | Submitted | - | 10d | |
AS Dr. Abigail Simmons 1888888880 | Aetna | File Upload 09-17-2024 | Complete | All Received | Generated | Submitted | - | 3d | |
LF Dr. Liam Foster 1899999991 | Humana | API 04-20-2024 | Complete | All Received | Generated | Submitted | - | 4d | |
EG Dr. Ella Gonzales 1911111102 | BlueCross | Manual Entry 11-23-2024 | Complete | All Received | Generated | Submitted | - | 5d | |
NB Dr. Noah Bryant 1922222213 | UnitedHealthcare | Portal 06-26-2024 | Complete | All Received | Generated | Submitted | - | 6d | |
EA Dr. Elizabeth Alexander 1933333324 | Anthem | Salesforce 01-01-2024 | Complete | All Received | Generated | Submitted | - | 7d | |
OR Dr. Oliver Russell 1944444435 | Molina Healthcare | File Upload 08-04-2024 | Complete | All Received | Generated | Submitted | - | 8d | |
SG Dr. Sofia Griffin 1955555546 | Cigna | API 03-07-2024 | Complete | All Received | Generated | Submitted | - | 9d | |
EH Dr. Elijah Hayes 1966666657 | Kaiser Permanente | Manual Entry 10-10-2024 | Complete | All Received | Generated | Submitted | - | 10d | |
AM Dr. Avery Myers 1977777768 | Aetna | Portal 05-13-2024 | Complete | All Received | Generated | Submitted | - | 3d | |
WF Dr. William Ford 1988888879 | Humana | Salesforce 12-16-2024 | Complete | All Received | Generated | Submitted | - | 4d | |
SH Dr. Scarlett Hamilton 1999999990 | BlueCross | File Upload 07-19-2024 | Complete | All Received | Generated | Submitted | - | 5d | |
HG Dr. Henry Graham 2011111101 | UnitedHealthcare | API 02-22-2024 | Complete | All Received | Generated | Submitted | - | 6d | |
MS Dr. Madison Sullivan 2022222212 | Anthem | Manual Entry 09-25-2024 | Incomplete | Missing Docs | Pending | Correction | - | 9d | |
SW Dr. Samuel Wallace 2033333323 | Molina Healthcare | Portal 04-28-2024 | Incomplete | Missing Docs | Pending | Correction | - | 10d | |
LW Dr. Luna Woods 2044444434 | Cigna | Salesforce 11-03-2024 | Incomplete | Missing Docs | Pending | Correction | - | 11d | |
OC Dr. Owen Cole 2055555545 | Kaiser Permanente | File Upload 06-06-2024 | Incomplete | Missing Docs | Pending | Correction | - | 12d | |
CW Dr. Chloe West 2066666656 | Aetna | API 01-09-2024 | Incomplete | Missing Docs | Pending | Correction | - | 5d | |
JJ Dr. Jack Jordan 2077777767 | Humana | Manual Entry 08-12-2024 | Incomplete | Missing Docs | Pending | Correction | - | 6d | |
PO Dr. Penelope Owens 2088888878 | BlueCross | Portal 03-15-2024 | Incomplete | Missing Docs | Pending | Correction | - | 7d | |
AR Dr. Aiden Reynolds 2099999989 | UnitedHealthcare | Salesforce 10-18-2024 | Incomplete | Missing Docs | Pending | Correction | - | 8d | |
LF Dr. Layla Fisher 2111111100 | Anthem | File Upload 05-21-2024 | Incomplete | Missing Docs | Pending | Correction | - | 9d | |
JE Dr. John Ellis 2122222211 | Molina Healthcare | API 12-24-2024 | Incomplete | Missing Docs | Pending | Correction | - | 10d | |
RH Dr. Riley Harrison 2133333322 | Cigna | Manual Entry 07-27-2024 | Incomplete | Missing Docs | Pending | Correction | - | 11d | |
LG Dr. Luke Gibson 2144444433 | Kaiser Permanente | Portal 02-02-2024 | Incomplete | Missing Docs | Pending | Correction | - | 12d | |
ZM Dr. Zoey Mcdonald 2155555544 | Aetna | Salesforce 09-05-2024 | Incomplete | Missing Docs | Pending | Correction | - | 5d | |
RC Dr. Ryan Cruz 2166666655 | Humana | File Upload 04-08-2024 | Incomplete | Missing Docs | Pending | Correction | - | 6d | |
NM Dr. Nora Marshall 2177777766 | BlueCross | API 11-11-2024 | Incomplete | Missing Docs | Pending | Correction | - | 7d | |
NO Dr. Nathan Ortiz 2188888877 | UnitedHealthcare | Manual Entry 06-14-2024 | Incomplete | Missing Docs | Pending | Correction | - | 8d | |
LG Dr. Lily Gomez 2199999988 | Anthem | Portal 01-17-2024 | Incomplete | Missing Docs | Pending | Correction | - | 9d | |
CM Dr. Caleb Murray 2211111099 | Molina Healthcare | Salesforce 08-20-2024 | Incomplete | Missing Docs | Pending | Correction | - | 10d | |
EF Dr. Eleanor Freeman 2222222210 | Cigna | File Upload 03-23-2024 | In Progress | Pending | Not Started | Pending | - | 14d | |
IW Dr. Isaac Wells 2233333321 | Kaiser Permanente | API 10-26-2024 | In Progress | Pending | Not Started | Pending | - | 15d | |
HW Dr. Hannah Webb 2244444432 | Aetna | Manual Entry 05-01-2024 | In Progress | Pending | Not Started | Pending | - | 8d | |
DS Dr. Dylan Simpson 2255555543 | Humana | Portal 12-04-2024 | In Progress | Pending | Not Started | Pending | - | 9d | |
LS Dr. Lillian Stevens 2266666654 | BlueCross | Salesforce 07-07-2024 | In Progress | Pending | Not Started | Pending | - | 10d | |
GT Dr. Gabriel Tucker 2277777765 | UnitedHealthcare | File Upload 02-10-2024 | In Progress | Pending | Not Started | Pending | - | 11d | |
AP Dr. Addison Porter 2288888876 | Anthem | API 09-13-2024 | In Progress | Pending | Not Started | Pending | - | 12d | |
AH Dr. Anthony Hunter 2299999987 | Molina Healthcare | Manual Entry 04-16-2024 | In Progress | Pending | Not Started | Pending | - | 13d | |
AH Dr. Aubrey Hicks 2311111098 | Cigna | Portal 11-19-2024 | In Progress | Pending | Not Started | Pending | - | 14d | |
TC Dr. Tyler Crawford 2322222209 | Kaiser Permanente | Salesforce 06-22-2024 | In Progress | Pending | Not Started | Pending | - | 15d | |
EH Dr. Ellie Henry 2333333320 | Aetna | File Upload 01-25-2024 | In Progress | Pending | Not Started | Pending | - | 8d | |
MB Dr. Matthew Boyd 2344444431 | Humana | API 08-28-2024 | In Progress | Pending | Not Started | Pending | - | 9d | |
SM Dr. Stella Mason 2355555542 | BlueCross | Manual Entry 03-03-2024 | In Progress | Pending | Not Started | Pending | - | 10d | |
LM Dr. Leo Morales 2366666653 | UnitedHealthcare | Portal 10-06-2024 | In Progress | Pending | Not Started | Pending | - | 11d | |
NK Dr. Natalie Kennedy 2377777764 | Anthem | Salesforce 05-09-2024 | In Progress | Pending | Not Started | Pending | - | 12d | |
AW Dr. Aaron Warren 2388888875 | Molina Healthcare | File Upload 12-12-2024 | In Progress | Pending | Not Started | Pending | - | 13d | |
ZD Dr. Zoe Dixon 2399999986 | Cigna | API 07-15-2024 | In Progress | Pending | Not Started | Pending | - | 14d | |
CR Dr. Connor Ramos 2411111097 | Kaiser Permanente | Manual Entry 02-18-2024 | In Progress | Pending | Not Started | Pending | - | 15d |