Da Vinci - Payer Coverage Decision Exchange
0.4.1 - CI Build

Da Vinci - Payer Coverage Decision Exchange, published by HL7 International - Financial Management Work Group. This is not an authorized publication; it is the continuous build for version 0.4.1). This version is based on the current content of https://github.com/HL7/davinci-pcde/ and changes regularly. See the Directory of published versions

Credits

Credits

Primary authors:

  • Jean Duteau (Duteau Design)
  • Lloyd McKenzie (Gevity Consulting)

Project leads:

  • Robert Dieterle (Enable Care, LLC)
  • Viet Nguyen (Stratametrics, LLC)
  • Julia Skapik (Cognitive Medical Systems)
  • Nita Thingalaya (IBC)

Project management and coordination:

  • Jocelyn Keegan (Point of Care Partners)
  • Sachin Bhatt (Point of Care Partners)

Technical support and guidance:

  • Grahame Grieve (Health Intersections)

Reference implementation:

  • Jason Walonski (Mitre)

This implementation guide was created under the supervision and review of the HL7 Financial Management (sponsor) and Attachments (co-sponsor) work groups.

This implementation guide was initiated created with the support of the twenty-two founding [Da Vinci Project] (http://www.hl7.org/about/davinci/index.cfm?ref=common) member organizations.

Organizational participants (those organizations having attendees on at least 4 calls) included:

  • AMA (Heather, Terry Cunningham)
  • Anthem (Barbara Antuna, Alberto Llanes, Christol Green, Karen Zapata, Mary Bushman, Sudhir Nair)
  • Azuba (Bart Carlson)
  • Blue Cross Blue Shield of Alabama (Kelly Anderson, Kevin Lambert, Tony Benson)
  • Blue Cross Blue Shield of Illinois (Durwin Day, Michael Novales)
  • Blue Cross Blue Shield of Michigan (Cindy Monarch, Dawn Perreault, Duane Walker, John Bialowicz)
  • Blue Cross Blue Shield of Texas (Brian Poteet, Dylan Tuggle, Susan Langford)
  • Cambia (David DeGandi, Jodie Zellerhoff)
  • Council for Affordable Quality Healthcare (Emily EnEyck, Rachel Goldstein, Robert Bowman, Taha Anjarwalla)
  • Carradora (Michael Flanigan)
  • Cerner (Hans Buitendijk)
  • Cigna (Marci Maisano, Megan Soccorso)
  • Centers for Medicare & Medicaid (Emily Calvert, Erica Ross, Lorraine Doo, Melanie Combs-Dyer, Michael Cabral, Melanie Jones, Scott Lawrence, Thomas Kessler)
  • Cognosante (Mary Kay McDaniel, Louis Bedor)
  • eClinicalWorks (Phranil Mehta, Rohit Shinde)
  • Edifecs (John Kelly, Lindee Chin)
  • EMDI/Scope Info Tech (Briana Barnes, Nandini Ganguly, Pallavi Talekar, Ray Wilkerson)
  • Healow (Ralph Saint-Phard)
  • Humad (Monse Serenil)
  • Humana (Amy Peterson, Chris Jones, Patrick Murta, Michelle Zutterman, Mike Funk)
  • Independence Blue Cross (Michael Gould, Nita Thingalaya)
  • Intersystems (Clayton Lewis, Mark Mundt, Lynda Rowe, Russel Leftwich)
  • Mettle Solutions (Deepthi Reddy, Sreekanth Puram)
  • Optum (Ann Gallagher, Joseph Quinn, Linda Michaelsen, Tony Little)
  • Palmetto gba (Robin Igett)
  • Point of Care Partners (Dana Marcelonis)
  • Surescripts (Jeremy Barnard, Missy Boser, Joseph Athman)
  • United Healthcare (Anupam Goel)
  • Welcare (Tori Willows)
  • WPS Health Solutions (Laurie Burckhardt, Tammy Schreiner)
  • ZeOmega (Bonnie Sirott, Tony Sheng)

Additional regular (>= 4 meetings) participants: Christy Dodson, Peter Muir, Rachel Foerster, Raj, Rim Cothern

Our thanks to these and to the many others not explicitly listed who contributed their time, enthusiasm and expertise to this work.

This IG includes icons licensed under Creative Commons-Attribution license by Alex Auda Samora (health insurance) and person by Caitlin George from the Noun Project (person) from the Noun Project