Overview
Announcements
No announcements for this work group
Staff
Co-Chairs
Members
Cindy Monarch
Blue Cross Blue Shield of Michigan
Racheal Washburn
Health Care Service Corporation
Heather McComas
American Medical Association (AMA)
Amy Turney
Blue Cross Blue Shield of Michigan
David Delano
New England HealthCare Exchange Network (NEHEN)
Donna Campbell
Health Care Service Corporation
Molly O'Malley
Blue Cross Blue Shield of Michigan
Deborah Swain
Blue Cross and Blue Shield of North Carolina
Jeremy Sacks
Availity, LLC
Megan Soccorso
Gainwell Technologies
Michael Marchant
UC Davis Health
Tracey Tillman
The SSI Group, Inc.
Susan Langford
BlueCross BlueShield of Tennessee
Janice Bakos
Aetna
Rupinder Singh
Centers for Medicare and Medicaid Services (CMS)
Janell Shamsideen
UnitedHealth Group
Christol Green
Anthem, Inc.
Kevin McDermott
Anthem, Inc.
Michelle Barry
Availity, LLC
June St John
Wells Fargo
Deb McCachern
Change Healthcare
Andrea Brannan
Mayo Clinic
Sonya May
UnitedHealth Group
Mary Lynn Bushman
Anthem, Inc.
Shilesh Nair
GDIT
William Venhuizen
Mayo Clinic
Celine Lefebvre
American Medical Association (AMA)
Dan Medve
Cleveland Clinic
Cristina Boincean
Edifecs
Jeffrey Blasinski
PriorAuthNow
Dean Randall
TrialCard
Gail Kocher
Blue Cross and Blue Shield Association (BCBSA)
Barbara Vonasek
UnitedHealth Group
Geneane White
DXC Technology
Tyler Scheid
American Medical Association (AMA)
Diana Fuller
State of Michigan Medicaid
Chuck Veverka
State of Michigan Medicaid
Bruce Bellefeuille
Aetna
Sandra Jamison
Humana
Amy Peterson
Humana
Christopher Gracon
HEALTHeNET
Merri-Lee Stine
Aetna
Nancy Buckley
Harvard Pilgrim Health Care
Gary Cole
Harvard Pilgrim Health Care
Nancy Senato
Aetna
Molly Reese
AMA
Shaun Grubert
AIM Specialty Health
Steven Koch
Security Health Plan of Wisconsin, Inc.
Sudheer Tummala
Blue Cross and Blue Shield of North Carolina
Nancy Team
NextGen Healthcare Information Systems, Inc.
Emily TenEyck
CAQH CORE
Marianna Singh
CAQH CORE
Mahesh Siddanati
Centene
Margaret Weiker
National Council for Prescription Drug Programs (NCPDP)
Rose Hodges
Aetna
Daniel Hanna
Healthedge Software Inc
Taha Anjarwalla
CAQH CORE
Kaitlin Powers
CAQH CORE
Bettina Vanover
Cognizant
Mark Rabuffo
Aetna
Melissa Fiore
Athena Health
Justin Greer
Availity
Susan Lippert
BCBSM
Heather Sammons
BCBSNC
Drew Voytal
MGMA
Ada Sanchez
CMS
Camille Haywood
CMS
Dawn Sprague
Cognizant
Jameelah O'Neal
Medical Mutual of Ohio
Kristina Steece
Ameritas
Robert Tennant
Work Group for Electronic Data Interchange (WEDI)
Steffi Silva
Availity
Alexandra Bernard
Centene
Debbi Botelho-Wright
Atlantic Integrated Health
Kathy Letendre
Healthedge Software
Parag Desai
Healthedge Software
Thomas Mort
Availity
Brian Beck
Availity
Justin Howe
Availity
Maria Lagoutis
Unitedhealthcare
Nihal Titan
Claim.MD
Melanie Combs-Dyer
Mettle Solutions
Diane Collins
CMS
Brian Shaw
AIM Specialty Health
Steffi Silva
Availity, LLC
Jamie Osborne
Children's Healthcare of Atlanta
Michael Johnson
CMS
Maeghan Oberoi-Smith
Athenahealth
Linda Hoehlein Shadowens
LabCorp
Gheishaly Rosariodiaz
LabCorp
James Murray
Aetna
Scott Dynda
Cleveland Clinic
Meredith Ray
Cigna
Calendar
Upcoming Events
No events are scheduled at this time. Please check back later.
Past Events
Event
If the problem persists, please contact the website administrator to have someone look into the issues.
Documents
[For RWG Ballot] DRAFT CAQH CORE Prior Authorization & Referral 278 Infrastructure Rule vPA.3.0 greyhighlighted
[For RWG Ballot] DRAFT CAQH CORE Eligibility Benefits 270-271 Data Content Rule vEB.2.0 greyhighlighted
[For RWG Ballot] DRAFT CAQH CORE Attachments 275-837 Health Care Claim Test Scenarios greyhighlighted
[For RWG Ballot] DRAFT CAQH CORE Attachments 275-837 Claims Infrastructure Rule vHC.1.0 greyhiglighted