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Prior Authorization Timeframe Task Group [Not Active]

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Staff

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Co-Chairs

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Members

Laurie Woodrome

Laboratory Corporation of America

Melanie Harley

Health Care Service Corporation

Marci Maisano

Cigna Corporate

Nicole Pooler

athenahealth

Cindy Monarch

Blue Cross Blue Shield of Michigan

Racheal Washburn

Health Care Service Corporation

Mike Denison

Change Healthcare

Darlene Rutherford

Blue Cross Blue Shield of Michigan

Sintija Carty

UnitedHealth Group

Claire Hogan

Cerner

Alexandria Nordstrom

UnitedHealth Group

Amy Neves

Aetna

David Haugen

Minnesota Department of Health

Kiana Fitchett

Horizon BCBS of New Jersey

Kyle Ninneman

Ameritas Life Insurance Corp.

Heather McComas

American Medical Association (AMA)

Dylan Tuggle

BlueCross BlueShield of Tennessee

Kari Weik

Marshfield Clinic

Rhonda Starkey

Harvard Pilgrim Health Care

Amy Turney

Blue Cross Blue Shield of Michigan

Katrina Keyes

Centers for Medicare and Medicaid Services (CMS)

Aileen Belen

Kaiser Permanente

David Wilderman

TRICARE

Karen Zeigler

CareFirst BlueCross Blue Shield

Davina Ikponmwosa

Cigna

Lori Wordekemper

Ameritas Life Insurance Corp.

Jeremy Sacks

Availity, LLC

Michele Weed

Availity, LLC

Megan Soccorso

Gainwell Technologies

Connie Daniel

DXC Technology

Steven Huntley

TrialCard

Robin Adams

Utilization Review Accreditation Commission (URAC)

Brian Poteet

BlueCross BlueShield of Tennessee

Christopher Koopman

Healthcare Financial Management Association

Emily Prichard

athenahealth

Randy Gabel

OhioHealth

Robert Otten

American Medical Association (AMA)

Lisa Long

CareFirst BlueCross Blue Shield

Anne DeBacker

United States Department of Veterans Affairs

Sandra Kelly-Manza

Montefiore Medical Center

Chad Mulvany

Healthcare Financial Management Association

Susan Langford

BlueCross BlueShield of Tennessee

Noam Nahary

Montefiore Medical Center

Barry Hillman

Blue Cross and Blue Shield of North Carolina

Janice Bakos

Aetna

Sal Zarate

Blue Cross and Blue Shield of North Carolina

Christine Maness

Blue Cross and Blue Shield of North Carolina

Jodie Banks

Change Healthcare

Charles Stellar

Work Group for Electronic Data Interchange (WEDI)

Anupam Goel

UnitedHealth Group

Laura Montesantos

Anthem, Inc.

Lori Hinkle

Michigan Department of Community Health

Swati Koul

Accenture

Rich Cullen

Blue Cross and Blue Shield Association (BCBSA)

Kena H. Gwinn

Anthem, Inc.

Brian Matthews

United States Department of Veterans Affairs

Ann McNeilly

Blue Cross Blue Shield of Michigan

Denesecia Green

Centers for Medicare and Medicaid Services (CMS)

Tonia Bateman-Wold

New Mexico Cancer Center

Barbara L. McAneny

American Medical Association (AMA)

Janell Shamsideen

UnitedHealth Group

Barbara Wood

PNC Bank

Michelle Barry

Availity, LLC

June St John

Wells Fargo

Mostafa Nawabi

TRICARE

Mary Lynam

DST Health Solutions

Carol Larson

Blue Cross Blue Shield of Michigan

Deb McCachern

Change Healthcare

Nysia Torres

Montefiore Medical Center

Sushmita kumari

Tata Consultancy Services Ltd

Deb Conklin

Medical Mutual of Ohio

Ryan Reddick

Anthem, Inc.

Greg Wilson

Blue Cross and Blue Shield of North Carolina

Wanda Howard

Blue Cross and Blue Shield of North Carolina

Daniel Kalwa

Centers for Medicare and Medicaid Services (CMS)

LeAnne Stratton

OhioHealth

Carla Headland

Medical Mutual of Ohio

Lisa Anderson

Accenture

Joe Holtschlag

AthenaHealth

Shilesh Nair

GDIT

Andy Koduru

Cognosante

Robert Treval

TRICARE

Celine Lefebvre

American Medical Association (AMA)

Angelo Pardo

Centers for Medicare and Medicaid Services (CMS)

Arpi Amiryan

Kaiser Permanente

Danny Sawyer

TRICARE

Gail Kocher

Blue Cross and Blue Shield Association (BCBSA)

Chris Cioffi

Anthem, Inc.

Donna Merrick

Utilization Review Accreditation Commission (URAC)

Sara Foemmel

Security Health Plan of Wisconsin, Inc.

Heidi Egeberg

Aetna

Jordan Reigel

Unitedhealthcare

Katherine Kilrain

Harvard Pilgrim Health Care

Chris Mendez

TrialCard

Angie Bleibaum

Unitedhealthcare

Michael Cabral

Centers for Medicare and Medicaid Services (CMS)

Katherine Knapp

United States Department of Veterans Affairs

Sharon Faulds

UnitedHealth Group

Charles Watson

Centers for Medicare and Medicaid Services (CMS)

Eric Wasp

Montefiore Medical Center

Tyler Scheid

American Medical Association (AMA)

Diana Fuller

State of Michigan Medicaid

Chuck Veverka

State of Michigan Medicaid

Bruce Bellefeuille

Aetna

Michelle Zutterman

Humana

Robert Tennant

Medical Group Management Association (MGMA)

Anna Meisheid

Centers for Medicare and Medicaid Services (CMS)

Sandra Jamison

Humana

Lorraine Doo

Centers for Medicare and Medicaid Services (CMS)

Amy Lawyer

Aetna

Melissa Myrhum

Aetna

Mary Tyra

US Department of Veteran Affairs

Amy Peterson

Humana

Teresa Strickland

NCPDP

Yolanda Crosby

Kaiser Permanente

Christopher Gracon

HEALTHeNET

Merri-Lee Stine

Aetna

Rebecca Jones

Optum Insight

Super Admin

Pantheon

Emily Calvert

Centers for Medicare and Medicaid Services (CMS)

Frank Annecchini

United States Department of Veterans Affairs

Charles Mills

DXC Technology

Jason Wallis

Availity, LLC

Melanie Combs-Dyer

Centers for Medicare and Medicaid Services (CMS)

Beth Wilcox

HMS

David Valvo

Pennsylvania Department of Public Welfare

Cynthia Kaufhold

Montefiore Medical Center

James Wheatly

Blue Cross and Blue Shield of North Carolina

Susan Long

Blue Cross Blue Shield of Michigan

Michelle Hunter

Centers for Medicare and Medicaid Services (CMS)

Giuseppe Siena

Montefiore Medical Center

Helina Gebremariam

CAQH CORE

Emily TenEyck

CAQH CORE

Melissa Driscoll

Aetna

Elizabeth O'Connor

Aetna

Juneko Kay-Rast

NextGen

Gheishaly Rosariodiaz

LabCorp

Meredith Ray

Cigna

Loleta Bethea

Kaiser Permanente

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Documents

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PIV RWG-TWG Call 4 Summary 10.17.19

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PIV RWG-TWG Ballot Results 11.05.19 0

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Doc 3 PIV RWG TWG SP Results 09.11.19 UPDATED 0

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Doc 2 PIV RWG TWG Call 2 Summary 09.11.19

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Doc 1 PIV RWG TWG Agenda Call 3 09.26.19 0

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Doc 1 PIV RWG TWG Agenda Call 2 09.11.19

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Doc 3 PIV RWG TWG SP Results 09.11.19

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Doc 2 PIV RWG TWG Call 1 Summary 08.14.19 0

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Doc 1 RWG - TWG Call #1 Deck 08.14.19 0

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Doc 3 PIV TG SP Results - Draft PIV 278 Infrastructure Rule Update 08.07.19

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Doc 2 PIV TG Call 3 Summary 07.10.19 0

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Doc 1 PIV TG Call 4 Agenda 08.07.19

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Doc 3 PIV TG SP Results 07.10.19

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Doc 2 PIV TG Call 2 Summary 06.12.19

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Doc 1 PIVTG Call 3 Deck 07.10.19

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Phase IV TG Call #1 Deck 05.15.19 0

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Doc 1 RWG TWG Ballot Results 11.05.19

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Doc 3 RWG TWG SP Results 09.11.19 UPDATED

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Doc 1 RWG TWG Agenda Call 3 09.26.19

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Doc 2 RWG TWG Call 1 Summary 08.14.19

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Doc 1 RWG TWG Call 1 Deck 08.14.19

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Doc 2 PIV TG Call 3 Summary 07.10.19

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Doc 2 PIV TG Call 1 Summary 05.15.19

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Doc 1 PIV TG Deck 05.15.19

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PIV RWG TWG Call 4 Summary

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Doc 3 PIV SP2 Results

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Doc 2 PIV Call 3 Summary

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Doc 1 PIV RWG/TWG Call 4 Agend

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DOc 3 PIV RWG TWG SP Results

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Doc 2 PIV RWG TWG Call 1 Summa

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Doc 1 PIV RWG TW Call 2 Agenda

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POST Call Doc Call 4 Summary

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Doc 3 PIV TG Call 3 SP Results

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Doc 1 PIV TG Call 4 Agenda

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Doc 2 PIV TG Call 3 Summary

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Doc 3 PIVTG SP Results

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Doc 2 PIVTG Call 2 Summary

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Doc 1 PIVTG Call 3 Deck

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Doc 2 PIVTG Call 1 Summary

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Doc3 PIV TG WB Results

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Doc 1 PIV Call 2 Deck

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