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Health Care Claims Focus Group

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Overview

Announcements

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Staff

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Co-Chairs

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Members

Chris Sikorski

Aetna

Ron Knapp

Blue Cross Blue Shield of Michigan

Kevin Chambers

virginia mason medical center

Jeffrey Miller

Aetna

Heather McComas

American Medical Association (AMA)

Tori Rittenbach

Aetna

Charlene Parks

Centers for Medicare and Medicaid Services (CMS)

Randy Gabel

OhioHealth

Rebecca Fortek

Mayo Clinic

Susan Langford

BlueCross BlueShield of Tennessee

Leigh Cupelli

Aetna

Thomas Kessler

Centers for Medicare and Medicaid Services (CMS)

Pansi Millage

Minnesota Department of Human Services

Michelle Barry

Availity, LLC

Andrea Brannan

Mayo Clinic

India Duncan

UnitedHealth Group

Tyler Scheid

American Medical Association (AMA)

Diana Fuller

State of Michigan Medicaid

Yolanda Crosby

Kaiser Permanente

Christopher Gracon

HEALTHeNET

Bob Bowman

CAQH CORE

Dawn Duchek

Trizetto Provider Solutions

Michael Phillips

CAQH CORE

Rebecca Jones

Optum Insight

Lisa Ness

virginia mason medical center

Laura Caldwell

CSRA

Nancy Team

NextGen Healthcare Information Systems, Inc.

Marianna Singh

CAQH CORE

Rose Hodges

Aetna

Taha Anjarwalla

CAQH CORE

Althea Robinson

TCS

Mark Rabuffo

Aetna

Andrew Schulz

TriZetto Corp, A Cognizant Company

Nihal Titan

Claim.MD

Melanie Combs-Dyer

Mettle Solutions

Kayla Cooper

CAQH

Gheishaly Rosariodiaz

LabCorp

Lisa Foos

Aetna

Kathy Sites

Availity

Donald Quackenbush

TriZetto

Jenny Wallace

Virginia Mason Medical Center

Marianne Davidson

Aetna

Nancy Spector

American Medical Association (AMA)

Victor Martin

Anthem

Kristen Bolam

Aultcare

Katie Ruhl

Availity

Joshua Jordan

Availity

Jeff Jennings

California Dept. of HHS

Gigi Mendenhall

Centers for Medicare and Medicaid Services (CMS)

Fred Rooke

Centers for Medicare and Medicaid Services (CMS)

Elsa Star Trewyn

Change Healthcare

Tushar Nair

Edifecs

Pauny Rezai

Kaiser Permanente

Ann Wandersee

Minnesota Dept. of HHS

Chao Yang

Minnesota Dept. of HHS

Norm Thurston

National Association of Health Data Organizations (NAHDO)

Charles Hawley

National Association of Health Data Organizations (NAHDO)

Yolanda Miller

NextGen Healthcare Information Systems, Inc.

Mary Alexander

Ohio Health

Kristina Townsend

Olive AI /Healthcare IP

Nancy Buckley

Point 32 Health

Ronald Wampler

CVS Health

Swati Nanda

CVS Health

Carol Midyette

CVS Health

Shannon Thomas

Aetna

Teresa Carr

Aetna

Suzanne Trickel

Aetna

Amy Medina

Aetna

Renae Harber

Aetna

Meredith Ray

Cigna

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Documents

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Doc #3 CORE Claims FG Call 2 Takeaways 11.2.22

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Doc 3 CORE Claims FG Call 1 Takeaways 10.12.22

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Doc #2 CORE Claims FG Call 2 Discussion 11.2.22

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Doc #1 CORE Claims FG Call 2 Deck 11.2.22

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Doc #1 CORE Claims FG Call 1 Deck 10.12.22

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Doc #2 CORE Health Care Claims Background 10.12.22 0

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