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Chair:  Mark Scrimshire 

Scribe: Dana Marcelonis

 

Attendees

Present

Name

Affiliation

  •  
SureScripts
  •  
Regence
  •  
Optum
  •  
Michael BaillieUHC
  •  
Humana
  •  
BCBS AL
  •  
Rush
  •  
SureScripts
  •  
Rush
  •  
Cerner
  •  
Laurie BurckhardtWPS Health Solutions
  •  
Lindee ChinEdifecs
  •  
Independence Blue Cross
  •  
Allscripts
  •  
Regence
  •  
Didi DavisSequioa
  •  
InterSystems
  •  
BCBS IL
  •  
Allscripts
  •  
Cambia Health
  •  
Enable Care
  •  
David DodgeCambia Health
  •  
CAQH Core
  •  
Howard FollisJuxly
  •  
Reliant Medical Group
  •  
Lantana Consulting
  •  
SureScripts
  •  

  •  
Independence Blue Cross
  •  
GunjitZeOmega
  •  
Kenneth Hall
  •  
NCQA
  •  
Optum
  •  
Jackie HardisonHumana
  •  
Cigna
  •  
HealthLX
  •  
ZeOmega
  •  
BCBSA
  •  
Point of Care Partners
  •  
Edifecs
  •  
Heather KennedyBCBST
  •  
Edifecs
  •  
Sathaya KrishnasamyAnthem
  •  
BCBS AL
  •  
Stephen LaneSutter Health
  •  
InterSystems
  •  
Anthem
  •  
Luis MaasEMR Direct
  •  
Erin MajderBCBS IL
  •  
Point of Care Partners
  •  
Cognosante
  •  
BCBS AL
  •  
Lloyd McKenzieGevity
  •  
Optum
  •  
Humana
  •  
MaxMD
  •  
Stratametrics
  •  
Sean ParsonsBCBS OK
  •  
Scott Parsons
  •  
BCBS AL
  •  
Allscripts
  •  
HealthLx
  •  
Optum
  •  
Optum
  •  
Regence
  •  
InterSystems
  •  
NewWave
  •  
NewWave
  •  
ZeOmega
  •  
Anne Marie SmithNCQA
  •  
InterSystems
  •  
UHC
  •  
Casenet
  •  
Cigna
  •  
HealthLX
  •  
Independence Blue Cross
  •  
Joel WalkerHealthLX
  •  
Holly WeeksRegence
  •  
BCBS AL
  •  
Darrell Woelk
  •  
Cambia
  •  
Brent Woodman
  •  
Anthem
  •  
Cambia
  •  
NewWave
  •  
Edifecs
  •  

  •  

  •  
YuriyHealthLX
  •  
Stephen MacVicarMitre
  •  
Anna MeisheidCMS
  •  
Epic
  •  
Paul Knapp
  •  
Dave Foster
  •  
John Felo
  •  
Ken Lord
  •  
Roland GamacheAHRQ
  •  
Epic
  •  
Jennifer Joe
  •  
Stephen McVicarMitre
  •  
Joe HamiltonUnity Point
  •  
Matthew FloresAdvent Advisory Group
  •  
Providence
  •  
Luis Sayago
PresentNameAffiliation
  •  
Tibco
  •  
Aim Specialty Health
  •  
Christy Dodson
  •  
Danny
  •  
BCBSM
  •  
Allscripts
  •  
BCBSFL
  •  
Jim St. Clair
  •  
BCBSM
  •  
CMS
  •  
Mike HurleyBRYJ Healthcare
  •  

  •  
Tori WillowsWellcare
  •  

  •  
EDMI Team
  •  
Beth Sprars
  •  
Nandini GangulyEMDI - Scope Info Tech
  •  
EMDI Team
  •  
Moxe Health
  •  
Jim McKinleyMedicaid Alabama
  •  
Raj
  •  
Ray WilkersonScope Info Tech
  •  
BCBST
  •  
Chris VanWaters
  •  
Bart CarlsonAzuba
  •  
Deepthi ReddyMettle Solutions
  •  
Allscripts
  •  
Eric SullivanInovalon
  •  
David Hill Mitre
  •  
Pallavi TalekarScope Info Tech
  •  
Ralph Saint-PhardHealow
  •  
Scott SwihartSumma Health
  •  
India DuncanOptum
  •  
Jason CassidyMoxe Health
  •  
Praveer MathurWellcare
  •  
Megan Soccorso

Cigna

  •  
Prashanth GolcandaLumeris
  •  
Rajesh Godavarthi
  •  
Availity
  •  
Susan LestinaAHA
  •  
Bob BowmanCAQH
  •  
Thomas KesslerCMS
  •  
Patrick Edwards
  •  
Briana BarnesScope Info Tech
  •  
Kishore MetlaMettle Solutions
  •  
John DonnellyInterpro
  •  
Lorraine DooCMS
  •  
Melanie JonesCMS
  •  
Rim Cothren
  •  
Yolanda VillanovaCMS
  •  
Kathleen Connor
  •  
Manoj KumarBCBSFL
  •  
Saul KravitzMitre
  •  
Srinivas KonchadaCentene Corporation
  •  
Sheryl TurneyAnthem
  •  
Helina Gebremariam
  •  
Mike NovalesBCBSIL
  •  
Ric LightHumana
  •  
Ann GallagherOptum
  •  
Chris KlesgesMitre
  •  
Adam GronskyHealth Fidelity
  •  
CaseNet
  •  
Anthem
  •  
CMS
  •  
eClinicalWorks
  •  
Healow
  •  
Interfaceware
  •  
Mark RucciSpectramedix
  •  
Carie HammondAEGIS
  •  
Anthem
  •  
Cindy MonarchBCBSM
  •  
ONC
  •  
Dawn PerreaultBCBSM
  •  
Kyle ZumsteinAvaility
  •  
Nancy SpectorAMA
  •  
Bruce WilkinsonBenmedica
  •  
Cara BarryAvality
  •  
Chris JohnsonBCBSAL
  •  
Duane WalkerBCBSM
  •  

  •  
Greg LindenLinden Tech Advisors
  •  
Mario JarrinChange Healthcare
  •  
Megan Smith-HallingsheadRegence
  •  
Patrice KuppeSurescripts
  •  

  •  
MCG
  •  
ONC
  •  
Surescripts
  •  
NCPDP
  •  
Anupam ThakurBCBSFL
  •  
Jonathan HutchinsBCBST
  •  
Sonja ZeiglerOptum
  •  
Anthem
  •  
Sunitha Godavarthi
  •  
Andrea BensonMitre
  •  
Christopher GraconIndependent Health
  •  
Labcorp
  •  

  •  
Akshay RameshACcenture
  •  
Samantha HolveyWEDI
  •  
Andrea BensonMitre
  •  
Cyrus Peyrovian
  •  
James DerricksonIntersystems
  •  
Douglas DeShazoCognizant
  •  
Neetha JosephCognizant
  •  

  •  
Terry MayMitre
  •  
Rutika

Create Decision from template

Minutes Approved as Presented 


This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."


Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
ManagementReview ANSI Anti-Trust Policy



Connectathon Links

Links to PDex FHIR Guides and Code

PDex IG:  http://build.fhir.org/ig/HL7/davinci-epdx
PDex Plan-Net IG: TBD
PDex Formulary IG: http://build.fhir.org/ig/HL7/davinci-pdex-formulary
 

The Github repositories:
PDex IG: https://github.com/HL7/davinci-epdx
PDex Plan-Net IG: https://github.com/HL7/davinci-pdex-plan-net
PDex Formulary IG: https://github.com/HL7/davinci-pdex-formulary

The connection between Trifolia and the Github repositories is a manual push.

However the web hooks are in place to publish from GitHub to build.fhir.org automatically. The Continuous Integration Builds for the guides are here:

PDex IG: http://build.fhir.org/ig/HL7/davinci-epdx/
PDex Plan-Net IG: http://build.fhir.org/ig/HL7/davinci-pdex-plan-net/
PDex Formulary IG: http://build.fhir.org/ig/HL7/davinci-pdex-formulary/



Connectathons


  • Virtual Connectathon August 28th and September 4th from 12pm-4pm ET
    • PDex Directory, Alerts, Payer Coverage Decision Exchange and Prior Auth Support will be included tracks
    • 3-4pm ET on Sept 4th will be a demo and report-out of the activities from the Aug 28th and Sept 4th sessions
    • Participants to let Viet know if they are coming to HL7 Connectathon so that he can include you on the meeting invites for the Virtual Connectathon
    • Separate webinar/dial-in details will be provided for each track
    • Sign-up on Virtual Connectathon page in Confluence if participating or email Viet
  • PDex Directory Reference Implementation
    • Stephen McVicar (MITRE) is working on server side of the Directory RI and is working closely with Saul Kravitzwho is working on the Implementation Guide
    • David Hill is working on the client side of the Directory RI
    • Plan is to host client side in HSPC sandbox as well


Ballot reconciliation

When will reconciliation start?

  • MITRE is triaging comments for Formulary IG to determine which ones need to be reviewed with the group for discussion
  • PDex, HRex is also being reviewed and triaged to determine the same
  • Typos, broken links, etc will automatically be corrected
  • Likely will use some time in next week's call to start this process
  • In person comments
    • Will propose dispositions to commenter offline - if they agree, they won't be reviewed with group
  • Vote will take place in Financial Management workgroup (Tuesdays at 11am ET)

ManagementNext agenda

 Adjournment

Adjourned at 12:25pm ET


Supporting Documents


Action items

  •