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Chair:  David DeGandiAnna Taylor

Scribe: Dana Marcelonis
 

Attendees


Present

Name

Affiliation

  •  
Cambia
  •  
Anna TaylorMulticare
  •  
Unknown User (kashton)Multicare
  •  
Drajer
  •  
Eddy Hernandez-NievesEpic
  •  
Isaac VetterEpic
  •  
Susan LangfordBCBST
  •  
Peter Muir
  •  
Rachel E. FoersterCAQH
  •  
Michael FlaniganCarradora
  •  
Unknown User (erussell)
  •  
Michael WestoverProvidence St Joseph
  •  
Frank HoneVeradigm
  •  
Cindy MonarchBCBSM
  •  
Erin WeberCAQH
  •  
Nicholas FeliciIBC
  •  
Helina GebremariamCAQH
  •  
Epic
  •  
John StaelensCambia
  •  
Keith FinlayMaxMD
  •  
Availity
  •  
Tracey McCutcheonKPMG
  •  
BCBS AL
  •  
Humana
  •  
Anupam ThakurBCBS FL
  •  
Anthem
  •  
Dave FosterEdifecs
  •  
Tibco
  •  
EMR Direct
  •  

  •  

  •  
Regence
  •  
Mary Kay McDanielCognosante
  •  
Rajesh GarlapatiRush
  •  
Cambia
  •  
Wave One Associates
  •  
Allscripts
  •  
Laura JonesBCBSFL
  •  
Lindee ChinEdifecs
  •  
Rush
  •  
Pawan Regmi
  •  
eClinicalWorks
  •  
Optum
  •  
Ralph Saint-PhardHealow
  •  
eClinicalWorks
  •  
HealthLX
  •  
Drajer
  •  

  •  
Sree Vijetha VegiC-HIT
  •  
Cigna
  •  
MCG
  •  
BCBSM
  •  
Matt DyerVyne

Cedars-Sinai
  •  
Kishore BashyamDrajer
  •  

  •  
Tammy BanksProvidence St. Joseph
  •  
Independent Health
  •  
Elise RussellEpic
  •  
MITRE
  •  
Chris JohnsonBCBS AL

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



Schedule
  • February 2020 Ballot Cycle is complete
  • Ballot reconciliation will begin in February 2020

Implementation Guidehttp://hl7.org/fhir/us/davinci-atr/2020FEB/index.html

Reference Implementation: https://github.com/HL7-DaVinci/atrLink to issues in

JIRA Issues:  https://jira.hl7.org/issues/?filter=12801



Ballot comment review
  • Comments loaded into JIRA from ballot spreadsheets
  • Will propose dispositions on this call, and then submit block votes to Financial Management workgroup for review/vote
  • Participants can add comments on particular JIRA issues if they want to review offline
  • Grouping field will be used for "Fit for Teleconference" to review in this weekly call, or "Block Vote 1" to identify that an issue is ready to bring to Financial Management workgroup
  • Dragon and Brett will take lead on proposing dispositions
  • Link to issues in JIRA:  https://jira.hl7.org/issues/?filter=12801


FHIR-26008

  • Purpose of using InsurancePlan was to represent Contract between payer and provider
  • That's not what InsurancePlan was intended to do 
  • InsurancePlan intended to provide details behind Coverage (which includes identifiers on the member ID card)
  • InsurancePlan contains more benefit info than Coverage
  • Need to work with Financial Management workgroup to determine what's needed moving forward
  • Provider needs to refer back to Contract they are working on to narrow down which list of patients they're interested in
    • Want to know that the member is part of a specific plan (e.g., blue plan vs. red plan with the same payer)
  • This information wouldn't be represented in InsurancePlan, because it's between provider/payer and not payer/member





ManagementNext Agenda

Ballot comment review continued


Adjournment
Adjourned at 3:33pm ET

Supporting Documents

Outline Reference

Supporting Document

Minute Approval
RBC Member ID Implementation Guide (Feb 2020 Ballot)http://hl7.org/fhir/us/davinci-atr/2020FEB/index.html





Action items


Create Decision from template