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Objective:

Payer Data Exchange (PDex) -  clinical data generated by payers to be shared with providers

Sponsoring Workgroup: Financial Management Home

Payer Data Exchange (PDex) Implementation Guide:

Payer Data Exchange (PDex) - Formulary Implementation Guide:

Payer Data Exchange (PDex) - Plan Network Directory Implementation Guide:

Project Milestones

Milestone

Timeframe

PDex: Publish IG STU1

Q4 2020
PDex Formulary: Errata release (v1.01) to address open ticket from Sept. Connectathon: FHIR-28494Oct/Nov 2020
PDex Provider Directory (Plan Net): Publish IG STU1Oct/Nov 2020
Ballot Project Milestone Goals coming soon.H2 2021

 See below for historical milestones met

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Useful Reference:   

Payer Data Exchange (PDex)

PDex Drug Formulary

PDex Plan-Net

PDex Team:

RoleName OrganizationEmail 
Project Lead & Implementation Guide Lead - PDexMark ScrimshireNewWaveMark.Scrimshire@newwave.io 
Project Lead - PDexTony BensonBCBSALtony.benson@bcbsal.org
Implementation Guide SupportRick GeimerLantana Consultingrick.geimer@lantanagroup.com
Implementation Guide SupportLloyd McKenzie
lloyd@lmckenzie.com
Reference Implementation LeadWill TeschHealthLXwill.tesch@healthlx.com 
Program ManagerJocelyn KeeganPoint of Care Partnersjocelyn.keegan@pocp.com
Technical DirectorDr. Viet NguyenStratametrics vietnguyen@stratametrics.com 
Business Process SMEEnableCarerdieterle@enablecare.us
Project ManagerVanessa CandeloraPoint of Care Partnersvanessa.candelora@pocp.com 

PDex Formulary Team

RoleName OrganizationEmail 
Implementation Guide and Reference ImplementationDave HillMitredwhill@mitre.org
Business Process SMEJean Duteau
jean@duteaudesign.com
Business Process SMERobert DieterleEnableCare

rcdieterle@enablecare.us

PDex Directory Team

RoleName OrganizationEmail 
Implementation Guide Co-LeadDaniel ChaputHHS

daniel.chaput@hhs.gov

Implementation Guide Co-LeadHHS

alex.kontur@hhs.gov

Implementation Guide Co-LeadSaul KravitzMitreskravitz@mitre.org 
Reference Implementation LeadMitre

dwhill@mitre.org

Business Process SMERobert DieterleEnableCarercdieterle@enablecare.us

Historical Milestones Met:


   PDex

Jan2019 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Continuous Improvement
PDex STU1 Milestones

Connectathon

Connectathon

Connectathon

Connectathon

Tentative Target: STU Ballot Round 2

Connectathon

Requirements

FHIR Gap Analysis

Profile and Operation Development

Connectathon Scenario Definition and Planning

Test Case Development

Connectathon

Reference Implementation

STU Ballot (early 2019Sep)

Ballot Reconciliation


PDex Formulary

Jan2019 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan2020
Continuous Improvement
PDex Formulary STU1 Milestones

Connectathon

Connectathon

Connectathon

Tentative Target: STU Ballot Round 2

Requirements

FHIR Gap Analysis

Profile and Operation Development

Connectathon Scenario Definition and Planning

Test Case Development

Connectathon

Reference Implementation

STU Ballot (early 2019Sep)

Ballot Reconciliation

Published STU1


PDex Provider Directory (Plan Net)

Jan2019 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Continuous Improvement
PDex Directory STU1 Milestones

Connectathon

Connectathon

Connectathon

Connectathon

Tentative Target: STU Ballot Round 2

Requirements

FHIR Gap Analysis

Profile and Operation Development

Connectathon Scenario Definition and Planning

Test Case Development

Connectathon

Reference Implementation

STU Ballot (early 2020Feb)

Ballot Reconciliation





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