Chair: Mark Scrimshire

ScribeVanessa Candelora

 

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ManagementReview ANSI Anti-Trust Policy



Call Structure & Name Changes



Implementer Resources

See Supporting section below!


TodayDa Vinci Testing Event October 26-27, 2021

Click here for details. Reach out to the lead if you are interested. 

This is purely testing and very targeted, no education. 


Formulary - testing the whole IG with relationship changes, but also specific testing needs: 

  • Testing QuantityLimitDetail extension
  • More robust (real world scenario) search testing

Plan Net:

  • Testing more than the previous "snapshot" of active providers, need to test the status and active dates for providers getting added and ended (contract periods.) to support enrollment period changes and the CAA requirement for notification of changes within 48hours. 

PDex: 

  • B2B for Payer to Payer
  • The EOB format for Prior Authorization status and information in PDex. 








PDex 
In progress: The update the the EOB for Prior Auth info inclusion underway


Open QuestionsTeam is focused on Phase 2 items (join us as 2pm ET).  We will open this call for Implementer Support questions, so please come with questions this week (10/22) 





Chat: 









Next Week




 Adjournment

Adjourned at 






Outline Reference

Supporting Document

Minute Approval
PDex Companion Guides

PDex IG Companion Guide List

PDex IG Companion Guide - Laboratory Reporting Resources

CARIN CPCDS to US Core Mapping

Latest draft CARIN CPCDS Mapping document: CARIN Mapping to FHIR interim 2020 0818 v2.xlsx

DRAFT - PDEX US Core Mapping from CPCDS source: ResourceMappingUSCoreCPCDS-2020-05-29-v26.xlsx

PDex - US Core
inter-relationship

Source PowerPoint: PDEXandUSCoreRelationship.pptx

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

  • Links to Published IGs
Other Links:

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

Formulary - Searching by DrugName.docx

Recording of Formulary Tickets for STU 1.1.0 Overview

Recording of PDex Provenance Discussion 10/1/2021Recording of PDex Provenance Discussion 10/1/2021

Action items

  • Mark Scrimshire reach out to Corey: Is there something unique in Dental and Vision that would have an impact on USCDI? Does the way CARIN is representing CPCDS warrant any changes needed in PDex? 
  • Mark Scrimshire - Longer term Action Item from call on 10/15 to provide FAQ guidance on the de-duplication or linking options for payer to payer provenance record sharing.  see recording from 10/15 notes. 

Attendees - 

PresentNameAffiliation
PresentNameAffiliation
  •  
Onyx
  •  
Yukta BellaniEvernorth/Cigna
  •  


  •  
Gevity
  •  
MITRE
  •  
Alex Kontur 
  •  
HealthLX
  •  

  •  
MITRE
  •  
Bryan Briegel IBM Watson Health
  •  


  •  
Chris Johnson 
  •  


  •  

  •  
Evernorth
  •  
Chetana Suresh IBC
  •  
Stanley Nachimson 

  •  
Jim Denyer IBC
  •  


  •  
Dave Shekar 
  •  
Mettle Solutions
  •  
Ezequiel Morales Evernorth/Cigna
  •  
Rachel E. Foerster

  •  
Todd GrinawayCBC
  •  
Versaggi Consultant
  •  
James Derrickson
  •  
BCBST
  •  
Jason Brito
  •  
Tom GrannanAzuba
  •  
Jason Teeple 
  •  
Vanessa CandeloraPOCP, Da Vinci PMO
  •  
Kat CobelNCQA
  •  
Joel Hansen



  •  
 Mark Neumuth 
  •  
United
  •  
Michael RyanNCQA
  •  
@joe quinnSmileCDR
  •  
Rich Tallon
  •  
Jamie Stamps

  •  
 Ronald Wampler CVS Aetna Health
  •  
Sarah scott

  •  
Craig Knier Change Healthcare
  •  
Jeff Brown MITRE, FM Co-Chair
  •  
@Dustin R Nides 
  •  
Anil N

  •  
@anthony Omosule
  •  
Bob Bowman

  •  
Brett Atwood
  •  
Dale Brown

  •  
BCBST
  •  
Grace StambaughOptum