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Section

Attendees

Column


Present

Name

Affiliation

  •   
SureScripts
  •   
Regence
  •   
Optum
  •   
Michael BaillieUHC
  •   
Humana
  •   
BCBS AL
  •   
Rush
  •   
SureScripts
  •   
Rush
  •   
Cerner
  •   
Laurie BurckhardtWPS Health Solutions
  •   
Lindee ChinEdifecs
  •   
Independence Blue Cross
  •   
Allscripts
  •   
Regence
  •   
Didi DavisSequioa
  •   
InterSystems
  •   
BCBS IL
  •   
Allscripts
  •   
Cambia Health
  •   
Enable Care
  •   
David DodgeCambia Health
  •   
CAQH Core
  •   
Howard FollisJuxly
  •   
Reliant Medical Group
  •   
Lantana Consulting
  •   
SureScripts
  •   

  •   
Independence Blue Cross
  •   
GunjitZeOmega
  •   
Kenneth Hall
  •   
NCQA
  •   
Optum
  •   
Jackie HardisonHumana
  •   
Cigna
  •   
HealthLX
  •   
ZeOmega
  •   
BCBSA
  •   
Point of Care Partners
  •   
Edifecs
  •   
Heather KennedyBCBST
  •   
Edifecs
  •   
Sathaya KrishnasamyAnthem
  •   
BCBS AL
  •   
Stephen LaneSutter Health
  •   
InterSystems
  •   
Anthem
  •   
Luis MaasEMR Direct
  •   
Erin MajderBCBS IL
  •   
Point of Care Partners
  •   
Cognosante
  •   
BCBS AL
  •   
Lloyd McKenzieGevity
  •   
Optum
  •   
Humana
  •   
MaxMD
  •   
Stratametrics
  •   
Sean ParsonsBCBS OK
  •   
Scott Parsons
  •   
BCBS AL
  •   
Allscripts
  •   
HealthLx
  •   
Optum
  •   
Optum
  •   
Regence
  •   
InterSystems
  •   
NewWave
  •   
NewWave
  •   
ZeOmega
  •   
Anne Marie SmithNCQA
  •   
InterSystems
  •   
UHC
  •   
Casenet
  •   
Cigna
  •   
HealthLX
  •   
Independence Blue Cross
  •   
Joel WalkerHealthLX
  •   
Holly WeeksRegence
  •   
BCBS AL
  •   
Darrell Woelk
  •   
Cambia
  •   
Brent Woodman
  •   
Anthem
  •   
Cambia
  •   
NewWave
  •   
Edifecs
  •   

  •   

  •   
YuriyHealthLX
  •   
Stephen MacVicarMitre
  •   
Anna MeisheidCMS
  •   
Epic
  •   
Paul Knapp
  •   
Dave Foster
  •   
John Felo
  •   
Ken Lord
  •   
Roland GamacheAHRQ
  •   
Epic
  •   
Jennifer Joe
  •   
Stephen McVicarMitre
  •   
Joe HamiltonUnity Point
  •   
Matthew FloresAdvent Advisory Group
  •  
Lauren HobsonProvidence



Column


PresentNameAffiliation
  •   
Tibco
  •   
Aim Specialty Health
  •   
Christy Dodson
  •   
Danny
  •   
BCBSM
  •   
Allscripts
  •   
BCBSFL
  •   
Jim St. Clair
  •   
BCBSM
  •   
CMS
  •   
Mike HurleyBRYJ Healthcare
  •   

  •   
Tori WillowsWellcare
  •   

  •   
EDMI Team
  •   
Beth Sprars
  •   
Nandini GangulyEMDI - Scope Info Tech
  •   
EMDI Team
  •   
Moxe Health
  •   
Jim McKinleyMedicaid Alabama
  •   
Raj
  •   
Ray WilkersonScope Info Tech
  •   
BCBST
  •   
Chris VanWaters
  •   
Bart CarlsonAzuba
  •   
Deepthi ReddyMettle Solutions
  •   
Allscripts
  •   
Eric SullivanInovalon
  •   
David Hill Mitre
  •   
Pallavi TalekarScope Info Tech
  •   
Ralph Saint-PhardHealow
  •   
Scott SwihartSumma Health
  •   
India DuncanOptum
  •   
Jason CassidyMoxe Health
  •   
Praveer MathurWellcare
  •   
Megan Soccorso

Cigna

  •   
Prashanth GolcandaLumeris
  •   
Rajesh Godavarthi
  •   
Availity
  •   
Susan LestinaAHA
  •   
Bob BowmanCAQH
  •   
Thomas KesslerCMS
  •   
Patrick Edwards
  •   
Briana BarnesScope Info Tech
  •   
Kishore MetlaMettle Solutions
  •   
John DonnellyInterpro
  •   
Lorraine DooCMS
  •   
Melanie JonesCMS
  •   
Rim Cothren
  •   
Yolanda VillanovaCMS
  •   
Kathleen Connor
  •   
Manoj KumarBCBSFL
  •   
Saul KravitzMitre
  •   
Srinivas KonchadaCentene Corporation
  •   
Sheryl TurneyAnthem
  •   
Helina Gebremariam
  •   
Mike NovalesBCBSIL
  •   
Ric LightHumana
  •   
Ann GallagherOptum
  •   
Chris KlesgesMitre
  •   
Adam GronskyHealth Fidelity
  •   
CaseNet
  •   
Anthem
  •   
CMS
  •   
eClinicalWorks
  •   
Healow
  •   
Interfaceware
  •   
Mark RucciSpectramedix
  •   
Carie HammondAEGIS
  •   
Anthem
  •   
Cindy MonarchBCBSM
  •   
ONC
  •   
Dawn PerreaultBCBSM
  •   
Kyle ZumsteinAvaility
  •   
Nancy SpectorAMA
  •   
Bruce WilkinsonBenmedica
  •   
Cara BarryAvality
  •   
Chris JohnsonBCBSAL
  •   
Duane WalkerBCBSM
  •   

  •   
Greg LindenLinden Tech Advisors
  •   
Mario JarrinChange Healthcare
  •   
Megan Smith-HallingsheadRegence
  •   
Patrice KuppeSurescripts
  •   

  •   
MCG
  •   
ONC
  •   
Surescripts
  •   
NCPDP
  •   
Anupam ThakurBCBSFL
  •   
Jonathan HutchinsBCBST
  •   
Sonja ZeiglerOptum
  •   
Anthem
  •   
Sunitha Godavarthi
  •   
Andrea BensonMitre
  •   
Christopher GraconIndependent Health
  •   
Labcorp
  •   

  •   
Akshay RameshACcenture
  •   
Samantha HolveyWEDI
  •   
Andrea BensonMitre
  •   
Cyrus Peyrovian
  •   
James DerricksonIntersystems
  •   
Douglas DeShazoCognizant
  •   
Neetha JosephCognizant
  •   

  •   
Terry MayMitre



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Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
ManagementReview ANSI Anti-Trust Policy



Connectathon Links

Links to PDex FHIR Guides and Code

PDex IG:  http://build.fhir.org/ig/HL7/davinci-epdx
PDex Plan-Net IG: TBD
PDex Formulary IG: http://build.fhir.org/ig/HL7/davinci-pdex-formulary
 

The Github repositories:
PDex IG: https://github.com/HL7/davinci-epdx
PDex Plan-Net IG: https://github.com/HL7/davinci-pdex-plan-net
PDex Formulary IG: https://github.com/HL7/davinci-pdex-formulary

The connection between Trifolia and the Github repositories is a manual push.

However the web hooks are in place to publish from GitHub to build.fhir.org automatically. The Continuous Integration Builds for the guides are here:

PDex IG: http://build.fhir.org/ig/HL7/davinci-epdx/
PDex Plan-Net IG: http://build.fhir.org/ig/HL7/davinci-pdex-plan-net/
PDex Formulary IG: http://build.fhir.org/ig/HL7/davinci-pdex-formulary/



Virtual Connectathon Update

PDex & PCDE Companion Guide Updates


PDex & PDex Formulary Ballot Update and Process
  • 194 PDex comments
  • Process for reviewing all ballot comments
    • Typos, broken links, are triaged and fixed, considered persuasive and approved 
    • Ballot comments that include a proposed dispotion that is straightforward and acceptable, those will be added to block vote in HL7 workgroup - not discussed on this call
    • Comments that need further discussion will be reviewed on this call
    • In person comments - will propose a disposition to the commenter
      • If there's something the commenter wants to discuss on the call, we will
    • Block votes will be posted to listserv
    • Anyone can request to pull a comment from the block vote by responding to email or coming on the Financial Management workgroup call (Tuesdays)
    • For issues already discussed on the PDex call, they will be discussed in the FM workgroup call
    • For issues that hadn't yet been discussed, we would bring it back to PDex call
  • PDex Formulary
    • Initial pass through comments has been completed
    • Comment summary
      • Maintaining privacy of user querying the formulary
      • Typos/IG formatting issues to be corrected
      • Unclear how someone finds the formulary endpoint
        • Directory of endpoints is likely outside scope of PDex Formulary IG

ManagementNext agenda
  • PDex Formulary Ballot Comment Review
  • PDex Ballot Comment Review

 Adjournment

Adjourned at at 12:33pm ET


Supporting Documents

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