Chair: Robert Dieterle
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."
Meeting Minutes from Discussion
Review ANSI Anti-Trust Policy
If you are an implementer and have questions, enter them on our chat.fhir zulip stream:
Planning Da Vinci IG implementation testing?
Date: July 19-21, 2022
Registration: https://www.surveymonkey.com/r/56MXVRF (Ends May 31)
Follow the CMS 2022 - 07 FHIR Connectathon 3 - FHIR - Confluence for Track Information and Logistics.
Calling all Implementers! Opportunity to demonstrate your investment in FHIR and show the success of interoperability!
|CDex - Timeline and Project Update|
|Update on PIE workgroup to add support for Attachments Request within FHIR (content to be added to CDex for Sept/ Ballot)|
See PIE Workgroup Documents for the most updated: Documents/Presentations
Submit attachments to Payers (solicited and unsolicited) added for May ballot (Ballot rec. happening now)
|Ballot Reconciliation Begins!|
JIRA Dashboard shows all Feedback received and results of the May Ballot: https://jira.hl7.org/secure/Dashboard.jspa?selectPageId=11801
Tickets marked Fit-For-Teleconference that may be discussed today:
- FHIR-30824Getting issue details... STATUS - Could have multiple Purpose of Use (POU), likely don't want to register separate client for those. POU is more discrete than TPO, there is a value set for it.
Is this about registering with UDAP (one time registration, run time, for an app) or for when you go to ask for data, you declare the purpose of use for that request (governance.)
It's optional in the registration. Don't want separate clientIDs for separate purposes of use.
There are recommendations for value set too: https://terminology.hl7.org/3.1.0/ValueSet-v3-PurposeOfUse.html
Proposed disposition reviewed and agreed to, marked ready-for-vote.
FHIR-31890 - Need Eric to explain the ask. Skipped.
URI is there, but could be a GUID, something else, no standard there. Could also be the same.
There is a textual component not intended for computational use though.
Does it need a value set?
We will need to separate Claims from Prior Auth, the question is How.
We could give an identifier that could be for either, then. Payer is saying "I would like xy document for payerthingy 12345. The payerthingy could be a prior auth or a claim.
If payer pends the claim, then requests more info from provider, they may not have this number yet...
May discuss on PIE on Tuesday next week prior to this call.
Will circle back with this group as well on this ticket.
|Next call agenda topics:|
FHIR-31890 (if Eric is back by then)
Vanessa's Notes to keep it straight (if helpful to others)
Cdex current state
Cdex Adding Support
Provider 837 – Claim Submission
Payer 835 – response to claim submission
Payer 277 – request for additional documentation for 837 (Claim)
Provider 275 - documentation response to the 277
Provider 278 request from provider to the payer for the Prior Auth.
Payer 278 response from payer to the 278 request and could include the request for additional documentation for the Prior Auth (among other functions)
Provider 275 - response to the 278 request for additional documentation.
Adjourned at 3:00pm ET
|Eric Haas||Health eData Inc||Providence||Deborah Conklin||Medical Mutual of Ohio|
|Yan Heras||POCP||Mary Winter|
|Enable Care||Pam West||Smile CDR|
|Tibco||Travis Hendrix||DrFirst||Tom Loomis||Evernorth|
|Daniel Cawood||BCBS AL||@sandeep Kottal|
|Scott Herter||Azuba||Ronald Wampler||Aetna||Mary Kay McDaniel||HL7 FM Co-Chair|
|Tim McNeil||Surescripts||Cerner||Paul Knapp||HL7 FM Co-Chair|
|Tom Grannan||Azuba||Pamela Maklari||@jaime Smith, PhD||IQVIA|
|Susan Langford||BCBST||Rob McClure||MDpartners|
David Johnson (Same David M Johnson?)
|Anthem, HL7 PIE||Alberto S. Llanes||Fed Health||Kristina McCann|
|Scott M. Robertson||Tusharkumar Shah||@Lauri Shock|
|Lloyd McKenzie||Gevity||CHC||Katie Russell||Covermymeds|
|POCP||Versaggi Consulting||@anil N|
|Michelle Barry||Availity||Sandeej Kottal||Nancy Lush|
|Stanley Nachimson||Cigna Evernorth||BCBS AL|
|Tanner Fuchs||Availity||Amol Vyas||Cambia Health|
|AHA||Zach Silber||Epic||@Alyson Broxton||Cognizant|
|Farheen Khalil||eclinicalworks||Imprado||Jake Lund|
|Joel Walker||Ngan MacDonald||HealthLX||Ranjith Kandur||Anthem|
|Olena Panchyshyn-Kozachuk||Yuriy Flyud||HealthLX||Linda Michaelson||Optum|
|Jason Buys||HealthLX||Karell Ruiz||TESCHGlobal - HealthLX||Zack Silber||Epic|
|James Taylor||Tibco||Jaspreet Kaur||eclinicalworks||Charlie Provenzano|
|Celine Lefebvre||AMA||Jamal Elhabali|