ASC X12N TGB WG3 JulAug 2014 Interim Group Minutes X12N TGB WG3 Healthcare Claim Payment July/August 2014

Transcription

1 ASC 12N TGB WG3 JulAug 2014 Interim Group Minutes 12N TGB WG3 Healthcare Claim Payment July/August 2014 Group Leadership Chair Name Company Term End Date Phone Pam Grosze PNC Bank June Pat Wijtyk WPC Jan Open Secretary Name Company Term End Date Phone Open Quorum Requirement Statement (Check appropriate statement for your group) This group enforces quorum requirements for group voting items. Note here if Quorum has been met This group does not enforce quorum requirements for group voting items. Work Products and Status (e.g. Transaction Sets Implementation Guides, etc.) Work Product Name Work Product Status Work Product ID # (opt) published CARC/RARC TR published Scheduled Meetings Type of Meeting Date Location/Call in Contact Agenda (high level items to be covered full agendas should be posted prior to the meeting) Current Meeting Next Standing Meeting Interim Meeting September 2014 Every Wed of the Month 3-4:30 EST Webinar WG3 Cochairs WG3 Cochairs TBD Chair Elections Type Issue Description Vote Motion Made by 2 nd By Approve Disapprove Abstain Discussion Revised 9/12/2012 Page 1 of 3

2 ASC 12N TGB WG3 JulAug 2014 Discussion 1 7/2/14 CR 1265 BRTS document review Discussion 1 7/7/14 CR 1265 BRTS document review Discussion 1 7/9/14 RFI review, discussion of CARC/RARC TR2 Discussion 1 7/30/14 CARC/RARC TR2 changes, as well as the current CAQH CORE Straw Poll for CARC/RARC updates Discussion 1 8/4/14 CARC/RARC TR2 Discussion 1 8/6/14 CARC/RARC TR2 Discussion 1 8/20/14 The work group reviewed/updated requirements for CRs1449, 1043, 1081, 1450 Revised 9/12/2012 Page 2 of 3

3 ASC 12N TGB WG3 JulAug 2014 Discussion 1 8/27/14 review the latest straw poll on CARC/RARC code combination updates from CAQH CORE, then review CR 1081 and 1450 Revised 9/12/2012 Page 3 of 3

4 Group Minutes - Attendance 12N TGB WG3 Healthcare Claim Payment July/August 2014 ASC 12N TGB WG3 JulAug 2014 Group Leadership Chair Name Company Term End Date Phone Pam Grosze PNC Bank June pamela.grosze@pnc.com Pat Wijtyk WPC Jan pwijtyk@wpc-services.com Open Position Secretary Name Company Term End Date Phone Open position Quorum Requirement Statement (Check appropriate statement for your group) This group enforces quorum requirements for group voting items. Note here if Quorum has been met This group does not enforce quorum requirements for group voting items. Work Products and Status (e.g. Transaction Sets Implementation Guides, etc.) Work Product Name Work Product Status Work Product ID # (opt) published CARC/RARC TR2 published Real-Time TR published Attendee Company 7/2/14 7/7/14 7/9/14 7/30/14 8/4/14 8/6/14 8/20/14 8/27/14 Pat Wijtyk WPC Services Pam Grosze PNC Bank Aaris Epps VA Revised 3/2011 Page 1 of 5

5 Alice Bynum-Gardner AMA Annie Brannan Mayo Arlene Hoelscher PNC Bank Barb Keiley Premera ASC 12N TGB WG3 JulAug 2014 Becky Hall Betsy Clore Bob Ferguson Bob Poiesz Brian Matthews Cameron Gunderson Candace Marton Charlie Myers Chip Evelsizer Cindy Monarch WPC Wakehealth Clinitech AMA VA UHIN Boost Johns Hopkins State Farm BCBS MI Conor Brockett Cory Jones David Bennett NC Medicaid Intermountain Health Claim Solution Center David Posey BCBS AL Deb Strickland erox Dominick DiMaggio BCBS FL Dora Lambert AHCCCS-AZ Medicaid Doreen Lance Eric Maluotoga Gale Scott Gloria Davis Harvey Mintz Heather McComas PNC Bank TGH NextGen CSC AMA Revised 3/2011 Page 2 of 5

6 Heather Morgan Aetna ASC 12N TGB WG3 JulAug 2014 Iris Leon Segura Jan Klimper Jana White Valley Mental Health Wellpoint Trailblazer Jane White Capital Blue Cross Janet Barlow BCBS FL Janette Barnes Valley Mental Health Jeanne Kirkpatrick JeNel Holt Jessica Chapagain SelectHealth Jessica Labrum Jill Money BCBS MI Jim Whicker Kaiser Permanente Jonathan Scoggins Karen Shutt Highmark, Inc. Karen Zannone Tampa General Kellene Parthemore Kim Peters Laura Hunter Lauren Vandegrift Laurie Burkhardt Laurie Darst Laurie Woodrome Lisa Varley Lisa Wichterman Lynn Keim Humana DMBA CMS WPS Mayo LabCorp DMBA MN Medicaid Siemens Marcy Baker Aetna Revised 3/2011 Page 3 of 5

7 Margaret Weiker HP ASC 12N TGB WG3 JulAug 2014 Mark Warren Mary Lynam Mary Tyra Aetna Argus Meg Barber Wellpoint Merri-Lee Stine Aetna Michelle Rosansky VIPS Miriam Encarnacion Mitchell Oren Bennett Pam Cottrell Premera Pat Van Dyke ODS Patrice Durham Gateway EDI Patrick Cannady ADA Patrick D. Hass Mayo Clinic Paul Heter Pete Anderson UHC Pinchas Golpeo Mitchell Rachel Foerster Boundary Raymond Sevier Robin Sanders Zirmed Sabrina Harding BCBS FL Scott Edelen Sharon Sieve Sherry Wilson Jopari Sonya May UHC Stacey Barber Stephanie Gilbert Steve Bass HP WPC Sumita Sen CMS Susan Hein Aetna Susan Kersten VHA Revised 3/2011 Page 4 of 5

8 Tammy Banks AMA Teresa Strickland NCPDP Teresa M. O Connor Magellan Health Tina Greene Mitchell Todd Omundson ASC 12N TGB WG3 JulAug 2014 Tony Benson Tony Rizzi UHIN William Cox BCBS AL Kaiser UHIN Encoda Revised 3/2011 Page 5 of 5