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Chair:  Robert DieterleMay Terry

Scribe: Vanessa Candelora
 

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



HL7 January Connectathon 26

January 13-15, 2021

Registration for January Connectathon is available. 

Click here to register and view agenda.  View all Da Vinci Tracks here.

2021-01 Da Vinci - HRex/CDex/PCDE - Health Record, Clinical Data, & Payer Coverage Decision Exchange

Early bird registration deadline is December 30, 2020.

Kick off late Wed afternoon, then bulk of work Thursday and Friday (US)  - looking for new participants, people with support for $membermatch and task-based messaging and using poll or subscriptions!  

Welcoming Feedback on IG, Supplemental Guide examples or more. 



IG Status Update

Goal to review PCDE with FM Sponsoring WG on 11/24. 

Lloyd is applying all the updates prior to Tuesday's review. Then follow the HL7 Process accordingly.  



Additional examples for PCDE Development

Take a look at the examples: Payer Coverage Decision Exchange Use Cases,

"Persona/Use Case Scenario #2" 



Other

Support at Connectathon two options:

1) Polling (if the bundle is not ready.)

2) Starting to look at leveraging Subscriptions 




Meeting Scheduling- moving to biweekly, next session will be 12/4.




ManagementNext agenda



 Adjournment
Adjourned at 2:21pm EST

Supporting Documents

Outline Reference

Supporting Document

Minute Approval
PCDE Supplemental Guide

Payer Coverage Decision Exchange Use Cases


Action items


Create Decision from template

Attendees

Present

Name

Affiliation

  •  
Enablecare
  •  
Stratametrics
  •  
IBC
  •  
Cambia Health Solutions
  •  
CaseNet
  •  
BCBSFL
  •  
Infor
  •  
HealthShare Exchange (HSX)
  •  
CMS
  •  
AIM Specialty Health/ Anthem
  •  
Cognosante
  •  
BCBSA
  •  
WPS Health Systems
  •  

  •  
MCG Health
  •  
Availity
  •  
BCBST
  •  
BCBSAL
  •  
KPMG
  •  
Dawn PerreaultBCBSM
  •  
Mettle
  •  
Anupam ThakurBCBS FL
  •  
Anthem
  •  
Allscripts
  •  
BCBSM
  •  
Chris JohnsonBCBSAL
  •  
MITRE
  •  
ZeOmega
  •  

  •  

  •  
Cigna
  •  
eClinicalWorks
  •  
Tibco
  •  
Epic
  •  
Christopher Gracon


  •  
Centene
  •  
Andrea KentCoverMyMeds
  •  
BC Idaho
  •  
Keya ShahCasenet
  •  
Neena Dakua
  •  
Michelle BarryAvaility
  •  
NCPDP
  •  
Shane Mull
  •  
MITRE
  •  
Court
  •  
Ed Sanchez
  •  
Judy Williamson
  •  
Melissa KirchenbauerCGS Admin
  •  
Thomas GrannanAzuba
  •  
UNC Health
  •  

  •  
Guidewell
  •  
John Whittington
  •  

  •  
Jason RhodesPalmetto
  •  
Karen Zajicek
  •  
Kelli Miller
  •  
Michael BrodyCME Online
  •  
Sonya MayOptum
  •  
Michael FasuloRegence
  •  
Bart CarlsonAzuba
  •  
Jia Chen
  •  
Tracy Hautanen-KrielCigna
  •  
Ezequiel Morales
  •  
Tim McNeilsurescripts
  •  
Ronald WamplerAetna
  •  
Mary Winter
  •  
India DuncanOptum

Present

Name

Affiliation

  •  
BCBSM
  •  
Nandini GangulyScope Info Tech/ EMDI
  •  

  •  
Rachel Foerster & Associates
  •  
Pallavi TalekarScope Info Tech
  •  
Kelly TaylorCMS
  •  
Anthem
  •  
Anthem
  •  
Cindy MonarchBCBSM
  •  
CMS
  •  
UHC
  •  
Epic
  •  
James Derrickson
  •  
Labcorp
  •  
Ric LightHumana
  •  
Harvey KuangExpress Scripts
  •  
BCBS AL
  •  
Gevity
  •  
Julia ChanCW Global Consult
  •  
Ken Lord
  •  
Edifecs
  •  

  •  
Roland Gamache
  •  
Anthem
  •  
New Wave
  •  
EMR Direct
  •  
Humana
  •  
Ranjith KandurAnthem
  •  
MITRE
  •  
MITRE
  •  
Dave Foster
  •  
Providence
  •  
Betty SullivanAllscripts
  •  

  •  
June Bronnert
  •  
Cynthia GinsburgCMS
  •  
Eshaa DhalleClinicalWorks
  •  
Ronald MacDurmon
  •  
Cigna
  •  
Edifecs
  •  
Cigna
  •  
eClinicalWorks
  •  
Optum
  •  
Celine LefebvreAMA 
  •  
 Ben Largley
  •  
Dawn PerraeultBMBSMI 
  •  
Emily TenEyck CAQH
  •  


  •  
Lindee Chin Edifects 
  •  
Lorraine Doo CMS 
  •  
Padame Metal Solutions 
  •  
Rajesh g
  •  
Josh Lamb
  •  
Edifecs
  •  
Mettles
  •  
Bapi Bahera
  •  
Charlie Genova
  •  
Gregg JohnsonPalmetto GBA
  •  
MITRE
  •  
Robin FreePalmetto GBA
  •  
Thomas KehoePalmetto GBA
  •  
Toni WheelerCGS Admin
  •  
Mrguen MehtaeClinicalWorks
  •  
David Lowry
  •  
Alex DelagePalmetto GBA
  •  
Roc ViaCGS Admin
  •  
Craig FranklinCGS Admin
  •  
Hal Bowles
  •  
Harry Feliciano, MDPalmetto
  •  
Mrugen Mehta
  •  
AEGIS
  •  
Kevin DayEdifecs
  •  
Zachary Fjeldheim
  •  

  •  
Swapnil
  •  

  •  

  •  
POCP
  •  
Wesley Kokomoor
  •  
Rakesh MatthewIBX
  •  
Ernestine CooperCumberland CG