Group Minutes X12N TG2 WG1 Health Care Eligibility January and February

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1 Group Minutes X12N TG2 WG1 Health Care Eligibility January and February ASC X12 TG2 WG1 JanFeb 2013 Group Leadership Chair Name Company Term End Phone Date Stuart Beaton Passport Health October Donna Campbell Health Care January, Service Corporation Amanda Sibley VipS October, x8224 Secretary Name Company Term End Phone Date Penny Probst Highmark Quorum Requirement Statement This group enforces quorum requirements for group voting items. This group does not enforce quorum requirements for group voting items. X Work Products and Status (e.g. Transaction Sets Implementation Guides, etc.) Work Product Name Work Product Status Work Product ID # (opt) Health Care Eligibility and In development x280 Benefit Inquiry and Response 271 Unsolicited Eligibility and Benefit Roster In development x205 Scheduled s Type of Date Location/Call in Contact Agenda Current 1/7/ Code Donna Campbell Upcoming Standing Agenda Open Next Standing 01/20/13 Seattle, WA Change Requests RFI Responses 01/24/13 Open Interim 2/11/ Donna Change Requests Code Campbell Open Management N/A Voting Items: none Type Issue Description Motion

2 ASC X12 TG2 WG1 JanFeb 2013 Vote Motion Made by 2 nd By Approve Disapprove Abstain Key Items Upcoming Standing agenda The roster will be revisited. Creating business requirements for open CRs will be discussed. Scheduled s Type of Date Location/Call in Contact Agenda Current 2/11/ Donna Open Code Campbell Next Standing 06/02/13 Indianapolis, IN Change Requests - RFI Responses 06/06/13 Open Interim 2/25/ Donna Change Requests Code Campbell Open Management N/A Voting Items: none Type Issue Description Motion Vote Motion Made by 2 nd By Approve Disapprove Abstain Key Items Discussed prioritization and assignment of open change requests The schedule of change request business requirements discussions was set between today and the next standing meeting. Change requests that could potentially require DMs or CMRs were identified Scheduled s Type of Date Location/Call in Contact Agenda Current 2/25/ Code Donna Campbell Change Request Business Requirements 95 Open Next Standing 6/3/13 Indianapolis, IN Change Requests RFI Responses 6/6/13 Open Interim 3/4/ Code Donna Campbell Change Request Business Requirements 95 Open

3 Management N/A ASC X12 TG2 WG1 JanFeb 2013 Voting Items: none Type Issue Description Motion Vote Motion Made by 2 nd By Approve Disapprove Abstain Key Items CR 287 Business Requirements CR 287 requirements will be updated as discussed CR 510 Business Requirements CR 510 was discussed and constraints of the CR were determined.

4 TG2 WG1 Interim Call Attendance FULL_NAME COMPANY 01/07/ /11/ /25/2013 Ada Sanchez x x Agnes Dorio Aetna Inc. Amanda Sibley VIPS, Inc. x x x Amy Turney BCBSMI Andrea Brannan Mayo Foundation x x Anna Meisheid Northrup-Grumann Barb Keiley Premera Blue Cross x x Bhargav Kunth Illinois Medicaid Ben Yomtoob Delta Dental Plan Association Beverly Sausnock MEIC x x Bil Daniels Medco Health Solutions, Inc BJ Porter VipS, Inc x x x Brian Matthews Depart of VA-Health Administration Center Buddy Onimus SIEMENS Medical Solutions x Cara Michelle Barry Jawood Christina Reese VIPS, Inc. x x Cindy I. Monarch Blue Cross Blue Shield of Michigan Claire Murphy Siemens Medical Solutions x Claudette Campbell Premera Blue Cross Colleta Durado Crystal Ewing ZirMed, Inc. x Cynthia Gleason Illinois Medicaid Dan Kazzaz SES Daniel A. Saunders Daniel Saunders, IM Danielle Montgomery Gateway EDI, Inc. Darlene Gandara Kaiser Permanente David Pike Greater New York Hospital Association David Tucker Anthem x x Deb Strickland Tibco Debbie McCachem Emdeon x x x Debbi Meisner Delena Marine CMS/HHS Delvis Schilling UnitedHealth Group Dennis Damon MVP Healthcare Denise Oviatt RelayHealth Donald L. Bechtel SIEMENS Medical Solutions Donna B. Campbell Health Care Service Corporation (HCSC) x x x Edward Yuabov Montefiore Medical Center x Elizabeth (Libby) ChittendeAetna Eric Harhausen Gateway EDI, Inc. Evelyn Semataska Aetna Frenchi L. Mack Business Intelligence Solutions, Inc. Blue Cross and Blue Shield Gail S. Kocher Association Garrett Messer ZirMed, Inc. Gary Bolling Humana Inc. Gary Yager HP/DOD J Robert Barbour American Medical Association Jack Hempel Group Health Cooperative James Byers Emdeon x x x James Sherwood Wellpoint, Inc. Jamie Dixon-Law Health Care Service Corporation (HCSC) x x Jeff Souza NHXS

5 TG2 WG1 Interim Call Attendance FULL_NAME COMPANY 01/07/ /11/ /25/2013 Jimmy Medrano U.S. Department of Veterans Affairs x x Joe Graves TX Medicaid CHHSC Julie Burnette VIPS, Inc. Blue Cross and Blue Shield Karthik Subramanian Association x x Kathy Jonzzon Delta Dental Plans Association x x Kelley T. Coleman U.S. Department of Veterans Affairs Kelly Anderson x Ken Edick Siemens Kena Gwinn Wellpoint, Inc. Kevin Humphrey RealMed Corporation Kristie Ludgate Gateway EDI, Inc. Kristine Weinberger Edifecs Inc. Larry Johnson IBM Global Business Services Laura Sommers CSC x Laurie Dean UnitedHealth Group Laurie Woodrome Labcorp x Deseret Mutual Benefit Lisa Varley Administrators x Mark Keitel Wellpoint, Inc. Mary Tyra U.S. Department of Veterans Affairs x Mary Anne Zingaro Blue Cross and Blue Shield of Florida Merri-Lee Stine Aetna, Inc x Machele Hash NAIC (?) x x x Michelle Zutterman Humana Inc. Mike Parrish Delta Dental of Virginia Nancy Sanchez-Caro Montefiore Medical Center, Professional Services x x Nathanail Kempff Central WA Hospital Noam Nahari Montefiore Medical Center Pam Zabilka Aetna, Inc Pat Ruther CMS/HHS x Patrice Kuppe Sure Scripts x x Paul DeCrosta Blue Cross and Blue Shield of Florida Penny Dubuc BJC Healthcare Penny Probst Highmark, Inc. x x Pete Schneider Group Health Cooperative Peter A. Mattarella-Micke Michigan Public Health Institute x Peter Walker Aetna, Inc Piyush Burte Epic Systems Corporation Pranav Shah U.S. Department of Veterans Affairs x x Council for Affordable Quality Rachel Foerster Healthcare x x Richard W. Farmer Passport Health Communications Rini Jose MZI Health Care Robert L. Huffman Department of Veterans Affairs Sarah Lyons Accenture Scott J. Kessler Medco Health Solutions, Inc. Scott Mock Illinois Medicaid Sharon S Jablon The Clearing House Sherry Wilson Jopari Solution Stacey Barber HP Steve Cole Epic Systems Corporation

6 TG2 WG1 Interim Call Attendance FULL_NAME COMPANY 01/07/ /11/ /25/2013 Stuart Beaton Stuart Beaton, I.M. x x Tammy Banks AMA Tapan Shah Availity, LLC Tim McNiel Sure Scripts Veronica Harshman CMS/HHS William Daniels Medco Health Solutions, Inc. William Duane Guyer Laboratory Corporation Of America

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