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Chair:  

Scribe: Dana Marcelonis
 

Attendees

Present

Name

Affiliation

  •  
Robert DieterleEnablecare
  •  
Stratametrics
  •  
Nita ThingalayaIBC
  •  
Cambia Health Solutions
  •  
Gregory MagazuCaseNet
  •  
Jeanie SmithBCBSFL
  •  
Corey SpearsInfor
  •  
Optum
  •  
Ashley SteddingCMS
  •  
Barbara AntunaAIM Specialty Health/ Anthem
  •  
Mary Kay McDanielCognosante
  •  
Michael GouldIBC
  •  
Laurie BurckhardtWPS Health Systems
  •  
Serafina Versaggi
  •  
Sreenivas MallipeddiMCG Health
  •  
Susan BellileAvaility
  •  
Susan LangfordBCBST
  •  
BCBSAL
  •  
Tracey McCutcheonKPMG
  •  
Dawn PerreaultBCBSM
  •  
CMS
  •  
Anupam ThakurBCBS FL
  •  
Anthem
  •  
Allscripts
  •  
BCBSM
  •  
Chris JohnsonBCBSAL
  •  
MITRE
  •  
ZeOmega
  •  

  •  

  •  
Cigna
  •  
eClinicalWorks
  •  
Tibco
  •  
Eddy NievesEpic
  •  
Christopher Gracon


  •  
Centene

Present

Name

Affiliation

  •  
John BialowiczBCBSM
  •  
Nandini GangulyScope Info Tech/ EMDI
  •  
Peter Muir
  •  
CAQH
  •  
Pallavi TalekarScope Info Tech
  •  
Kelly TaylorCMS
  •  
Karen L. ZapataAnthem
  •  
Brandon RaabAnthem
  •  
Cindy MonarchBCBSM
  •  
Michael CabralCMS
  •  
Nick RadovUHC
  •  
Epic
  •  
James Derrickson
  •  
Laurie WoodromeLabcorp
  •  
Ric LightHumana
  •  
Harvey KuangExpress Scripts
  •  
BCBS AL
  •  
Gevity
  •  
Julia ChanCW Global Consult
  •  
Ken Lord
  •  
Edifecs
  •  

  •  
Roland Gamache
  •  
Alberto S. LlanesAnthem
  •  
Mark ScrimshireNew Wave
  •  
EMR Direct
  •  
Patrick MurtaHumana
  •  
Ranjith KandurAnthem
  •  
MITRE
  •  
Joe MinieriMITRE
  •  
Dave Foster
  •  
Providence
  •  
Betty SullivanAllscripts
  •  

  •  
June Bronnert
  •  
Cynthia GinsburgCMS
  •  
Eshaa DhalleClinicalWorks
  •  
Ronald MacDurmon
  •  
Cigna
  •  
Edifecs


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



Ballot comment review

#24787

  • Should use RESTful FHIR APIs instead of CommunicationRequest
  • Business case doesn't allow for query, it's an asynchronous process
  • Lloyd's draft data sharing guidelines: https://docs.google.com/document/d/1OHfFcJ-OZvC81OFOOFudmcG3Lg5Wrrwo4n0dA09z40o
    • InM, M&M, Patient Care asked to review/discuss
  • Need to discuss again after more reviews/feedback on proposed data sharing guidelines
  • December Connectathon will need to focus on IG as it went to ballot, not based on any upcoming potential changes

#24799

  • Use cases in Confluence are aren't really use cases (flow of data/systems involved) - it's a set of example data/content
  • Create sample documents based on information in Confluence 
  • Also create 2 use cases within the IG
    • Patient moves from Plan A to Plan B
    • Patient was covered by Plan A in the past, is now covered by Plan B, and Plan B now needs information from Plan A
  • Concern regarding multiple standalone documents, without implementers having been participants in these discussions - how do they know how to put all the pieces together?
  • Persuasive with Mod

#24810

  • Will clarify that data in the document should be pulled from the old payer's systems, not from retrieving data from other payer/provider systems
  • Need some guidance re: data to be shared
    • Data to be shared is governed by regulation or payer/payer agreement
  • Request shouldn't be satisfied by fax, phone, etc.

ManagementNext agendaBallot comment review continued
 Adjournment

Adjourned at 3pm ET


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