Chair: Mark Scrimshire
Scribe: Crystal Kallem
Agenda Topics
Agenda Outline | Agenda Item | Meeting Minutes from Discussion |
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Management | Review ANSI Anti-Trust Policy | |
Announcements | Single meeting on Fridays from 1:00-2:00 PM ET (reduced to 1 hour) Zoom Meeting https://hl7-org.zoom.us/j/92482555863?pwd=TWQzVENNeStqeEpVTHdicGM2cGdMQT09 Upcoming Conference Call Adjustments
NEW! PDex Directory/Plan Net discussions will occur during the 2nd meeting of each month (last half of this call). Upcoming discussions:
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Planning Da Vinci IG Implementation Testing? Learn More here: Open Testing Tools - Build and Validate with Touchstone | ||
May Ballot Cycle
Need help navigating? Review the HL7 Balloting Resources for Da Vinci Newcomers | ||
Upcoming HL7 Meetings, New Orleans, Louisiana HL7 FHIR Connectathon, May 6-7, 2023
HL7 Working Group Meeting, May 8-12, 2023 New WGM+ (attend virtually or in person!): These sessions at the May Working Group Meeting will help augment the typical standards development work happening in HL7's Working Groups and broaden the audience of those who wish to participate. Our theme for the meeting is policy as a driver of interoperability. WGM+ Agenda now available! Register here before Saturday, April 15th to take advantage of the early bird rate. | Mark added a participant table to the track page. If you are planning to attend, please add your name and contact information so we can do some advanced planning for the Connectathon. Mark N. indicated that Aetna would like to participate but only one person attending the Connectathon so may be spread thin. | |
Non-Financial Claims & Encounters Requirement | A follow-up Discussion took place on Thursday March 30th at the CARIN Alliance meeting around an approach to present the required non-financial views of Claims and Encounters. Next meeting on April 13th at 2 pm ET. Dial in: https://leavittpartners.zoom.us/j/99147637652?pwd=RHlIa2p2dVc1MjhER2F5TldsTGo2dz09 Check out the discussion on Zulip. Zulip Channel: https://chat.fhir.org/#narrow/stream/204607-CARIN-Blue.20Button.20IG | |
PDex IG Tickets |
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Implementer Support | Implementation Questions | |
Chat | ||
Adjournment | Adjourned at 1:51 pm ET |
Outline Reference | Supporting Document |
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Minute Approval | 2023-03-31 Payer Data Exchange (PDex/Formulary/PlanNet) Implementer Support Meeting |
PDex Companion Guides | |
Da Vinci is seeking answers to open questions and clarifications needed on the implementation and operational needs of the upcoming CMS Patient Directed API Rules. | Find initial questions and corresponding answers shared from our colleagues at CMS here |
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Other Links: | Source code is here: https://github.com/HL7/davinci-epdx Payer-Payer Trust outline: Payer-Payer Trust V3.docx |
Implementer Resources | Da Vinci Implementer Support Page Implementers can take advantage of tools: See the Reference links on the Payer Data Exchange (PDex) page to access links for Reference Implementations, sandboxes, test scripts, and more! Da Vinci PDex for Patient Access API Frequently Asked Questions (FAQs) CMS Final Rule Questions and Answers log ONC FAST National Healthcare Directory (including end points) solution page that includes links to everything (solution doc, Connectathon, HL7 workgroup, etc.): https://oncprojectracking.healthit.gov/wiki/display/TechLabSC/National+Healthcare+Directory For questions, reach out to us on Zulip: |
Formulary STU 1.1.0 Overview |
Action items
Attendees =
IQVIA Bob Robert Dieterle Elevance Malcolm McRoberts Manish Agarwal Tulsi Doug WilliamsPresent Name Affiliation Present Name Affiliation Present Name Affiliation ONC Jacki Hemenway UPMC Cambia Health Jamie Smith Naveenkumar Mani Anthem Andrea Preisler AHA James Derrickson Intersystems Nehal Amin CVS Health Anthony Omosule Janice Hsieh Aetna UnitedHealthcare Edifecs Jarrett Cox Nitin Sahasrabudhe CVS/Aetna Balaji Narayanan Onyx Jaspreet Kaur Parth Gabhawala Aetna/CVS Health Barbara Doyle Peter Gunter VA Evernorth Lantana, FM Co-Chair Prabal Basu EnableCare AEGIS Rachel E. Foerster RFA Ltd Brandon Raab Jim Iverson Raj Sankuratri Aetna Brandon Stewart Lantana Joanna Chan Lantana Richard Ambercrombie Palmetto GBA Joe Joseph Quinn SmileCDR Rick Geimer Lantana Bruce Wilkinson Benmedica Joel Hanson CVS/Aetna AEGIS Bryan Briegel IBM Watson Health CVS/Aetna Caleb Suggs UPMC Kanchan Kavimandan Rosaline Shaw Elevance Health Carie Hammond Aegis Evernorth Leavitt Partners/ CARIN Alliance Smile CDR Karen Landin AEGIS HealthLX Kassie Mintesnot Lantana Aetna/CVS BCBSAL Kate Dech Kaiser Permanente Kelli Fordahl Evernorth BCBS SC Serafina Versaggi Kyle Brew Shamil Nizamov SmileCDR Clarissa Winchester BCBSAL Lakshmi Aetna CMS Lantana Elevance Health Court Collins Dogwood Shital Patil Courtney Bland CVS/Aetna Sonja Ziegler Optum Crystal Kallem POCP, Da Vinci PMO Spencer Utley Epic Margaret Coutts Evernorth Stanley Nachimson Nachimson Advisors Damian Smith Evernorth Aetna IBM Leavitt Partners/ CARIN Alliance Dan Cinnamon Onyx Susan Cromwell IBM Matthew Mosier Onyx BCBST Aetna/CVS Health Michael J. Cox Onyx Tanner Fuchs CAHQ CORE United Peraton Evernorth SmileCDR ZeOmega Traci O'Brien Divya Pahilwani Michele CareEvolution Aetna Donna Haid Michelle Barry Availity Vency Menezes CNSI Michelle Benz Vijay CVS Health Mike Evans AEGIS Lantana Yukta Bellani Evernorth/Cigna Evernorth/Cigna @Muhammad Muddassar Ali Farheen Khalil Gregg Johnson BCBS SC