Attachments Subgroup (Prior Authorization Use Case) [Not Active]
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Staff
Co-Chairs
Members
Heather Morgan
Aetna
Laurie Woodrome
Laboratory Corporation of America
Cindy Monarch
Blue Cross Blue Shield of Michigan
Mike Denison
Change Healthcare
Alexandria Nordstrom
UnitedHealth Group
Amy Neves
Aetna
Ron Knapp
Blue Cross Blue Shield of Michigan
Andrew Johnson
Change Healthcare
Brent Backhaus
Verata Health
Mike Blackwell
PriorAuthNow
Beth Connor
Centers for Medicare and Medicaid Services (CMS)
Sherry Wilson
Jopari Solutions
Heather Kurtz
Security Health Plan of Wisconsin, Inc.
Kayla Maguire
athenahealth
Kevin Chambers
virginia mason medical center
Heather McComas
American Medical Association (AMA)
Rhonda Starkey
Harvard Pilgrim Health Care
Amy Turney
Blue Cross Blue Shield of Michigan
Gregory Jones
Change Healthcare
David Delano
New England HealthCare Exchange Network (NEHEN)
Troy Smith
Blue Cross and Blue Shield of North Carolina
John Kelly
Edifecs
Donna Campbell
Health Care Service Corporation
Molly O'Malley
Blue Cross Blue Shield of Michigan
Amanda Collins
Health Care Service Corporation
Mary Kay McDaniel
Cognosante
Deborah Swain
Blue Cross and Blue Shield of North Carolina
Jeremy Sacks
Availity, LLC
Shay Vaughan
Allscripts
Megan Soccorso
Gainwell Technologies
Bill Campbell
OneHealthPort
Brian Poteet
BlueCross BlueShield of Tennessee
Emily Prichard
athenahealth
Randy Gabel
OhioHealth
Robert Otten
American Medical Association (AMA)
Shelly Uhles
AccuReg Inc.
Shelly Jenifer
Centers for Medicare and Medicaid Services (CMS)
Rebecca Fortek
Mayo Clinic
Denny Brennan
New England HealthCare Exchange Network (NEHEN)
Richard Rubin
OneHealthPort
Tracey Tillman
The SSI Group, Inc.
Terrence Cunningham
American Hospital Association (AHA)
Susan Langford
BlueCross BlueShield of Tennessee
Barry Hillman
Blue Cross and Blue Shield of North Carolina
Janice Bakos
Aetna
Lori Hinkle
Michigan Department of Community Health
David Querusio
Harvard Pilgrim Health Care
Benjamin Kelly
Mayo Clinic
Alka Mukker
Change Healthcare
Rich Cullen
Blue Cross and Blue Shield Association (BCBSA)
Tonia Bateman-Wold
New Mexico Cancer Center
Barbara L. McAneny
American Medical Association (AMA)
Janell Shamsideen
UnitedHealth Group
Christol Green
Anthem, Inc.
Michelle Barry
Availity, LLC
Holly Henry
Anthem, Inc.
June St John
Wells Fargo
Robert Sweigart
Highmark Health
Jennifer Weigand
Centene Corporation
Jim Cruisce
CSRA
Jay Sandhaus
PriorAuthNow
Jeff Sims
BlueCross BlueShield of Tennessee
Tim Rogers
DST Health Solutions
Deb McCachern
Change Healthcare
Andrea Brannan
Mayo Clinic
Deb Conklin
Medical Mutual of Ohio
Gladys Wheeler
Centers for Medicare and Medicaid Services (CMS)
YiDing Yu
Verata Health
Laurie Rock
Security Health Plan of Wisconsin, Inc.
Daphney Schimanski
Health Care Service Corporation
Vicki Rohrer
Laboratory Corporation of America
Mark Blossom
The SSI Group, Inc.
Laxmikanth Maldoddi
Blue Cross Blue Shield of Michigan
Mary Lynn Bushman
Anthem, Inc.
Carl Siebers
Blue Cross Blue Shield of Michigan
Daniel Kalwa
Centers for Medicare and Medicaid Services (CMS)
Joe Holtschlag
AthenaHealth
Shilesh Nair
GDIT
Celine Lefebvre
American Medical Association (AMA)
Gary Gandolfi
DST Health Solutions
Ryan Howell
AccuReg Inc.
Dan Medve
Cleveland Clinic
Beth Matzke
Health Care Service Corporation
Connie Leonard
Centers for Medicare and Medicaid Services (CMS)
Bob Gross
Cleveland Clinic
Daniel Saunders
Cognosante
Cristina Boincean
Edifecs
Jeffrey Blasinski
PriorAuthNow
Jeniene Edwards
Blue Cross Blue Shield of Michigan
Sandeep Thalluri
Cognizant
Gail Kocher
Blue Cross and Blue Shield Association (BCBSA)
Chris Cioffi
Anthem, Inc.
Sara Foemmel
Security Health Plan of Wisconsin, Inc.
Michael Cabral
Centers for Medicare and Medicaid Services (CMS)
Katherine Knapp
United States Department of Veterans Affairs
Valerie Giase
DST Health Solutions
Mark Fleming
Change Healthcare
John Wessinger
Verata Health
Christy Kessler
Kaiser Permanente
Melanie Jones
Centers for Medicare and Medicaid Services (CMS)
Bri Richart
virginia mason medical center
Taryn Szydowlski
Blue Cross Blue Shield of Michigan
Mitch Mead
BlueCross BlueShield of Tennessee
Geanelle Herring
Centers for Medicare and Medicaid Services (CMS)
LuAnn Hetherington
Highmark Health
Todd Preston
Security Health Plan
Diana Fuller
State of Michigan Medicaid
Chuck Veverka
State of Michigan Medicaid
Bruce Bellefeuille
Aetna
Robert Tennant
Medical Group Management Association (MGMA)
Sandra Jamison
Humana
Lorraine Doo
Centers for Medicare and Medicaid Services (CMS)
Amy Peterson
Humana
Teresa Strickland
NCPDP
Christopher Gracon
HEALTHeNET
Molly Reese
AMA
Super Admin
Pantheon
Deontey Banks
Michigan Department of Community Health
Gloria Harris
NextGen Healthcare Information Systems, Inc.
Steven Koch
Security Health Plan of Wisconsin, Inc.
Pam Stangret
Marshfield Clinic
Jacqueline Lopez
NextGen Healthcare Information Systems, Inc.
Vasu Pasumarthi
Epic
Krishna Tummalapalli
OhioHealth
Glynis Hoffmann
Marshfield Clinic
Santo Carino
Epic
Molly Malavey
American Medical Association (AMA)
Grant Kocer
Mayo Clinic
Nisha Gundavda
Mayo Clinic
Sudheer Tummala
Blue Cross and Blue Shield of North Carolina
David Butt
The SSI Group, Inc.
Amber Reeff
virginia mason medical center
Nancy Team
NextGen Healthcare Information Systems, Inc.
Sue Schlichtig
NextGen Healthcare Information Systems, Inc.
Emily TenEyck
CAQH CORE
Marianna Singh
CAQH CORE
Mahesh Siddanati
Centene
Dustin Smart
Centene
Quyen Weaver
Ohio Hospital Association
Ryan Biles
Ohio Hospital Association
Margaret Weiker
National Council for Prescription Drug Programs (NCPDP)
Richard Baron
NantHealth NaviNet
Dennis Zanetti
NantHealth NaviNet
Brad Shick
Humana
Scott Sbihli
Healthedge Software Inc
Margaret Brown
Healthedge Software Inc
Darrell Enslinger
Government Employees Health Association, Inc. (GEHA)
Rose Hodges
Aetna
Kiran Kalluri
Unitedhealthcare
Juneko Kay-Rast
NextGen
Nihal Titan
Claim.MD
Gheishaly Rosariodiaz
LabCorp
Meredith Ray
Cigna
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