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Facilitator:  Russell Ott Durwin Day Christol Green

Scribe: Robin Isgett   

Attendees

Present

Name

Affiliation

x
x
x
x
xLaurie Burckhardt
x
x
      x 
     xJeff Brown  
     x 
     x  Rachel E. Foerster  
     x 
     x 
     x Robert Dieterle  
     x 
     x Lenel James  
     x 
     x 
     x 



Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link
Management Minutes Approval 5/12hold to approve 5/26
Paul KFM PSS -  Accounts, Payments and Statements Project Scope Statement.  Do we want to be an interested party on the PSS and get periodic updates?   Paul provided background.  Laurie did not think we should co-sponsor because we are payers, not providers and this does not have anything to do with the 835 remit.  Also, that it does not fall under payer to provider.  Lenel suggested that PIE become an interested party and receive periodic updates.  The calls for this PSS are on Tuesdays at 4:00 PM EST.  Lisa suggested recorded report outs and send links to interested parties using Zulip.  Vote on 05/26 if PIE will be an interested party.
Russ/OthersConnectathon Updateshold updates for 05/26
 Pat TFM/PIE (Da Vinci/ CARIN) Subscriber and Dependent issue for all - except Medicare Advantage or Medicare FFS Documentation start for the coverage resource may be: Coverage Identifiers: FHIR R4 Member Identifier, Subscriber ID, Dependent NumberPat is working with others to finalize background.  How Payers should handle blocked data is out of scope.  Under CMS final rule, only the Payer for current enrollment applies to the request.  The patient can ask a payer to forward the data to another payer, but the destination payer has to have the capability to receive.  Bob will check the requirements regarding Medicare, Medicaid and non-QHP.  Pat continued and said she will invite someone to join the discussion next week.  Bob will consult the Rule.  Lisa asked for a use case for a non-member asking for an elderly parent's data.See document for changes.
Laurie/RussAttachments Implementation Guide  - Review and approval -  Review Comments SpreadsheetDid not have time to discuss on today's call.  Laurie reminded everyone that comments were due to her today.
Adjournment
Adjourned at 3:34 PM EST

Supporting Documents

Outline Reference

Supporting Document

Minute Approval


Action items

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