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Chair: Robert Dieterle

Scribe: Dana Marcelonis
 

Attendees

Present

Name

Affiliation

  •  
SureScripts
  •  
Regence
  •  
Optum
  •  
Michael BaillieUHC
  •  
Humana
  •  
BCBS AL
  •  
Rush
  •  
SureScripts
  •  
Rush
  •  
Cerner
  •  
Independence Blue Cross
  •  
Allscripts
  •  
Regence
  •  
InterSystems
  •  
BCBS IL
  •  
Allscripts
  •  
Cambia Health
  •  
Enable Care
  •  
Howard FollisJuxly
  •  
Reliant Medical Group
  •  
Lantana Consulting
  •  
SureScripts
  •  

  •  
Independence Blue Cross
  •  
NCQA
  •  
Optum
  •  
Jackie HardisonHumana
  •  
Cigna
  •  
HealthLX
  •  
ZeOmega
  •  
BCBSA
  •  
Point of Care Partners
  •  
Edifecs
  •  
Edifecs
  •  
BCBS AL
  •  
Stephen LaneSutter Health
  •  
InterSystems
  •  
Anthem
  •  
Erin MajderBCBS IL
  •  
Point of Care Partners
  •  
Cognosante
  •  
BCBS AL
  •  
Optum
  •  
Humana
  •  
MaxMD
  •  
Stratametrics
  •  
Sean ParsonsBCBS OK
  •  
BCBS AL
  •  
Allscripts
  •  
HealthLx
  •  
Optum
  •  
Regence
  •  
InterSystems
  •  
NewWave
  •  
NewWave
  •  
ZeOmega
  •  
Anne Marie SmithNCQA
  •  
InterSystems
  •  
UHC
  •  
Casenet
  •  
Cigna
  •  
HealthLX
  •  
Independence Blue Cross
  •  
Joel WalkerHealthLX
  •  
BCBS AL
  •  
Regence
  •  
Diameter Health
  •  
Cambia
  •  
NewWave
  •  
Edifecs
  •  
BCBST
  •  
Tracy FitzgibbonRegence
  •  
Chris JohnsonBCBSAL
  •  
Donna ZimmermanTibco
  •  
Veradigm
  •  
Allscripts
  •  
Optum
  •  
BCBSM
  •  

Allscripts

  •  
Allscripts
  •  
Nandini GangulyScope Infotech/ EMDI
  •  

  •  
Sarah Brown
  •  

  •  
Anthem
  •  
Allscripts
  •  
Regence
  •  
IMO
  •  
WPS Health Solutions
  •  
CMS
  •  
Bart CarlsonAzuba
  •  
CMS
  •  
Deepthi ReddyMettle Solutions
  •  
Sequoia Project
  •  
Emma JonesAllscripts
  •  
India DuncanOptum
  •  
Tibco
  •  

  •  
Manifest Medex
  •  
Christopher GraconIndependent Health
  •  
Mark Bellezza
  •  
Matthew MarkhamWolters Kluwer
  •  
Michael BrodyCME Online
  •  
Dave Foster
  •  
Eric Dimmel
  •  
Jeff BrownCigna
  •  

  •  
Mark Taylor
  •  
Matthew FLores
  •  
Phil SurineTista tech
  •  
CMS
  •  
Karen Waters
  •  
Matt DyerVyne
  •  
BCBSM
  •  
Centene
  •  
Marti
  •  
Health Share Exchange
  •  
Eddy NievesEpic
  •  
Katherine LuskChildrens
  •  
Eliot HellerMercy Health
  •  
Troy BergstrandBC Idaho
  •  
Lacy Hanson
  •  
Greta HoneycuttCoverMyMeds
  •  
Andrea KentCoverMyMeds
  •  
Tara Bramhall

Present

Name

Affiliation

  •  
Laura Burckhardt
  •  
EMDI TeamEMDI
  •  
Donna CampbellBCBSIL
  •  
Emily CalvertCMS/ CPI
  •  
Eric SullivanInovalon
  •  
Ralph Saint-PhardHealow
  •  
Sara WilliamsCAQH
  •  
Scott LawrenceCMS
  •  
Wanda Govan-JenkinsHHS
  •  
Cognizant
  •  
Mike NovalesBCBSIL
  •  
Sudhir NairAnthem
  •  
Julie MaasEMR Direct
  •  
Candrea SmithCMS
  •  
Edward Yurcisin
  •  
Christy DodsonMCG
  •  
Dawn PerreaultBCBSM
  •  
JP Systems
  •  
Gregory MagazuCasenet
  •  
Chris KlesgesMitre
  •  
Laurie WoodromeLabcorp
  •  
Maria MichaelsCDC
  •  
Anthem
  •  
Interopion
  •  
Ric LightHumana
  •  
Robert LatzTrinity Rehab Services
  •  
eClinicalWorks
  •  
Vannak Kan
  •  
Joint Commission
  •  
Aakash DeliwalaeClinicalWorks
  •  
Alison SchambachTCS
  •  
Magna HadleyTCS
  •  
Cindy MonarchBCBSM
  •  
Marcus WaltersInterfaceware
  •  
Megan Smith-HallingsheadRegence
  •  
Interfaceware
  •  
Patrick LeblancFallon Health
  •  

  •  
Steve BrunnerDiameter Health
  •  
MaxMD
  •  
Michael CollierAnthem
  •  
Interopion
  •  
Nancy Lush
  •  
Samir Jain
  •  
Todd Johnson
  •  
Tony LaurieNoridian
  •  
V Herisse
  •  
Anupam ThakurBCBSFL
  •  
Cara BarryAvaility
  •  
Deryl Lam
  •  
Greg Linden
  •  
Laurie DarstMayo
  •  
MCG
  •  
Briana BarnesScope Info Tech
  •  
Justin MacdonaldLumeris
  •  
Praveer MathurWellcare
  •  
Michael Zurat
  •  
Nancy SpectorAMA
  •  
Pallavi TalekarScope Info Tech
  •  
Prashanth GolcondaLumeris
  •  
Rajesh Godavarthi
  •  
Sreekanth PuramMettle Solutions
  •  
Susan BellileAvaility
  •  
Anthem
  •  
Dani HochleutnerOptum
  •  
Duane WalkerBCBSM
  •  
Jagakarthikeyan KaruppiahInovalon
  •  
Melanie JonesCMS
  •  
CMS
  •  
Ken Lord
  •  
Kishore MetlaMettle Solutions
  •  
BCBSM
  •  
BCBST
  •  
AMA
  •  
Alise WidmerLumeris
  •  
Rim CothrenCA HIE
  •  
Sharon DavisBCBSTX
  •  
Yolanda VillanovaCMS
  •  
Gevity
  •  
Luis MaasEMR Direct
  •  
Michael HurleyBRYJ Healthcare
  •  
Summa Health
  •  

  •  
CMS
  •  
Tom WillisMoxe Health
  •  
Cristol GreenAnthem
  •  
Regence
  •  
BCBSFL
  •  
CMS
  •  
Tori WillowsWellcare
  •  
CAQH
  •  
BSBCMI
  •  
Greg Zeller
  •  

  •  
Tareq NabeelAEGIS
  •  
Sonja ZeiglerOptum
  •  
Aaron  KohnChorus
  •  
Kat RuizUNC Health
  •  
Sheryl TurneyAnthem
  •  
Healow
  •  
Ellen Stonner
  •  
Akshay RameshAccenture
  •  
Rhonda ScottConduent
  •  
Anthem
  •  
Carrie Denny
  •  
Mona ChandrapaleClinicalWorks
  •  

  •  
MIHIN
  •  
Stanley Nachimson
  •  
Padma KondaveetiMettle Solutions
  •  
Shilesh Nair
  •  
Smitha Harish
  •  
eClinicalWorks
  •  
Tracey TullerKRMC


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



Calendar
  • Ballot voting ended July 21
  • Ballot reconciliation underway


Links

Ballot comment review
  • Block vote to include
    • 124 typos
    • 83 ready for vote
    • 69 straightforward resolutions that don't necessarily require discussion on this call

#23496

  • There's no attachments rule at this time - any document type may be considered an attachment
  • Current HL7 and NCVHS recommendations is to limit to C-CDA V2.1 (including the unstructured body) or any CDA that supports message header
  • Add language that other document types are supported as long as they have the appropriate MIME type allowed in the unstructured body of a C-CDA document
  • Persuasive with Mod
  • Do we need to refer to the Attachments group's implementation guides?

#23586

  • There is a LOINC code for UDI (unique device identifier) - it's an identifier, not a document
  • Would be in the unstructured body of a C-CDA
  • What's the MIME type? Text?
  • Need to do more research re: how to request UDI and respond with information embedded in the unstructured body of the C-CDA

#23666

  • There's already a section regarding OIDs in the IG, which defines what to do if you don't have an OID
  • 2 providers have document re: patient #1, but one patient is Bob and one is Terry
    • OID scopes it - for provider #1, patient #1 is Bob and for provider #2 it's Terry
    • If ID for OID is missing, need to look elewhere for the scoping
  • If you don't have an OID, there's a chance of collision
  • Reviewed on call with Terry Cunningham, no change required
  • Not Persuasive

#23541

  • Need to combine info from HRex and CDex, move to HRex IG, and refer to it from CDex
  • Persuasive with Mod

#23536

  • CDex Confirm Medical Necessity section
  • Need to remove redundant language
  • Confusing that this section says prior auth is not in scope for this IG, but yet it's listed here as part of the definition for confirming medical necessity

#23688

  • Add reference to DTR as a way of standardizing documentation and process?
  • Need to continue discussion on call next week

ManagementNext agenda



 Adjournment
Adjourned at 1:03pm ET

Supporting Documents

Outline Reference

Supporting Document

Minute Approval


Action items


Create Decision from template