Facilitator: Russell Ott Durwin Day
Scribe: Christol Green
|Mary Kay McDaniel|
|Mary L. Bushman|
Meeting Minutes from Discussion
|Management||Minutes Approval 4/28|
|Christol G||US Realm Update|
FM PSS - Review next week
|Russ O||STU Update - process we want to follow for the Attachments Implementation Guide||STU Update process is for minor updates to already published document. ACP and Dental guides - CDA attachment # guidance. Would 2 weeks be enough time for a review of changes by our group. Russ will send out email with documents for review. then on 5/10 PIE discussion and possible vote for updated publication|
|Pat T||Continue discussion: |
CDPDex Ballot Reconciliation - Payer grants access to applications. Credentials for apps vs. payer. EOB info available within 24 hrs. 6.Gaps in coverage. Same contract Id small business coverage by 2 employers
7. Adult coverage with other adult access. Giving credentials for you access and others you may have access (i.e husband, mother)
Discussed API end point, phone app and access to EOB information for all of this year, or only what has occurred since you last accessed? What would happen if everyone queried same app every 5 seconds.
Members may or may not have both Portal and App (phone) access.
Everyone Patient/Member should have a token for each insurance policy (ex: If Donald Duck has Medicare and Commercial insurance the he has a token for each insurance (2 total). Then access is allowing other patient/member access for same in app by each token. Can also ask to revoke tokens is you do not need access for another.
Question around 5 year of data based on date 1/1/2016 under requirement. Always have to go back to 1/1/2016 unless not asked for 5 years after you have left the plan. Then plan does not provider this data.
8. Single mom with children discussion. Commercial coverage for Mom and children and also children are covered under Medicaid.
Pat will send out Final Review doc before next week after meeting with Bob. MK- community education needed to understand this process.
2022 rule - old plan shares 5 data from 1/1/2016 to new insurance plan for patient/member that now has a new insurance.
what happens when commercial member is now on medicare does medicare get the data from 1/1/2016 even if member still has commercial insurance? Medicare is not part of this process and will not request that data from the commercial.
|Adjournment||Adjourned at 3:32|