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Blue Button+ Initiative Payer Workgroup Meeting

Blue Button+ Initiative Payer Workgroup Meeting. January 3, 2014. Meeting Etiquette. From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute ☺. All Panelists . Remember: If you are not speaking, please keep your phone on mute

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Blue Button+ Initiative Payer Workgroup Meeting

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  1. Blue Button+ InitiativePayer Workgroup Meeting January 3, 2014

  2. Meeting Etiquette From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute ☺ All Panelists • Remember: If you are not speaking, please keep your phone on mute • Do not put your phone on hold. If you need to take a call, hang up and dial in again when finished with your other call • Hold = Elevator Music = frustrated speakers and participants • This meeting is being recorded • Another reason to keep your phone on mute when not speaking • Use the “Chat” feature for questions, comments and items you would like the moderator or other participants to know. • Send comments to All Panelists so they can be addressed publically in the chat, or discussed in the meeting (as appropriate). 2

  3. Agenda 3

  4. Announcements and Reminders • Meeting Reminders • The next Meeting will be held on Friday, January 10, 2014. • Meeting information is on the Blue Button Wiki Page: • http://wiki.siframework.org/BlueButton+Plus+Initiative • Payer WG Wiki • View the Draft Project Charter, Meeting information and other materials on the Payor Workgroup Wiki Page • http://wiki.siframework.org/BlueButton+Plus+-++Payers+Workgroup 4

  5. Payor Content Workgroup Proposed Timeline

  6. Payor Content Workgroup Pharmacy Fields – X12 270

  7. Payer Content Workgroup Dental Fields – X12 837D

  8. Payer Content WorkgroupProject Charter Updates • http://bit.ly/bbcharter • also embedded on the S&I Payer wiki

  9. Implementation

  10. Pilots • Brainstorm • Denied claims, customer service use cases • App and other electronic delivery methods • APIs for data access and analysis • Managing multiple family claims expenses • Download access via portal • Formats • Presentation layer

  11. Next Steps & Reminders • Next Meeting 1/10 • Help fill in any missing elements or X12 mappings on the charter wiki or Google doc. • Submit pull requests to XML, JSON versions to reflect changes • https://github.com/blue-button/claims • Contact Nayan or Durwin directly to discuss pilot opportunities and implementation support.

  12. Contact Information • For questions, please contact your support leads • Presidential Innovation Fellow • Nayan Jain (nayan.jain@hhs.gov) • Community Lead • Durwin Day (dayd@bcbsil.com) • Project Manager • Jennifer Brush (jennifer.brush@esacinc.com) • Project Support • Lauren Caruso (lauren.caruso@esacinc.com) • S&I Admin • Ali Khan (ali.khan@esacinc.com) 12

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