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Objective:

Define FHIR based services to enable provider, at point of service, to request authorization (including all necessary clinical information to support the request)  and receive immediate authorization. 

Sponsoring Workgroup: Financial Management

Project Milestones

Milestone

Timeframe

Requirements

March
FHIR Gap AnalysisMarch
Profile and Operation DevelopmentMarch
Connectathon Scenario Definition and PlanningMarch/ April

Test Case Development

May
ConnectathonMay
Reference ImplementationJune
STU BallotJuly

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Conference Call Schedule & Dial-Ins

Fridays at 3pm Eastern

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July Ballot Milestones

Milestone

July Ballot Deadlines (2019)

Notice of Intent to Ballot

May 20

Initial IG Content

May 19
Ballot Signup StartsMay 20
Ballot QA PeriodJune 6

Final IG Content

June 17

Ballot Signup EndsJune 20

Ballot Voting Starts

June 21

Ballot Voting Ends

July 21

Ballot Reconciliation Starts

August

Prior Authorization Support Team:

RoleName OrganizationEmail 
Project Co-LeadBob DieterleEnablecarerdieterle@enablecare.us
Project Co-LeadAnupam GoelUnited Healthcare
Implementation Guide LeadLloyd McKenzieGevitylloyd@lmckenzie.com
Reference Implementation LeadGary GryanMitreggryan@mitre.org
Program ManagerJocelyn KeeganPoint of Care Partnersjocelyn.keegan@pocp.com
Technical DirectorDr. Viet NguyenStratametrics vietnguyen@stratametrics.com 
Project ManagerDana MarcelonisPoint of Care Partnersdana.marcelonis@pocp.com


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