1. Blue Button+ Initiative Payer Workgroup Meeting January 3, 2014

2. Meeting Etiquette Remember: If you are not speaking, please keep your phone on mute Do not put your phone on hold. If you need to take a call, hang up and dial in again when finished with your other call o Hold = Elevator Music = frustrated speakers and participants This meeting is being recorded o Another reason to keep your phone on mute when not speaking Use the “Chat” feature for questions, comments and items you would like the moderator or other participants to know. o Send comments to All Panelists so they can be addressed publically in the chat, or discussed in the meeting (as appropriate). From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute  All Panelists 2

3. Agenda TopicTime Allotted Welcome & Announcements5 minutes Pharmacy, Dental, Missing Fields10 minutes Implementation & Pilot Brainstorm20 minutes Next Steps / Reminders5 minutes 3

4. Announcements and Reminders Meeting Reminders –The next Meeting will be held on Friday, January 10, 2014. –Meeting information is on the Blue Button Wiki Page: http://wiki.siframework.org/BlueButton+Plus+Initiative Payer WG Wiki –View the Draft Project Charter, Meeting information and other materials on the Payor Workgroup Wiki Page –http://wiki.siframework.org/BlueButton+Plus+-++Payers+Workgrouphttp://wiki.siframework.org/BlueButton+Plus+-++Payers+Workgroup 4

5. Week Target Date Payor WG Meeting Tasks / Deliverables Homework due Fridays COB 111/1Kickoff and Project Charter ReviewReview: Project CharterComment: Project Charter 211/8Project Charter Final Review & Consensus Finalize: Project Charter Review: Use cases Consensus Vote: Project Charter Comment: Use cases 311/15Discussion on WEDI Survey Results Finalize: Use cases Review: Summary of survey results Comment: Summary of survey results Analyze: Sample EOBs received 411/22Discussion on Data Fields Finalize: Finalize use cases Review: Blue Button Draft Spec Comment: Blue Button Draft Spec Upload: Collection of samples received 511/29CANCELLEDOpen: 612/6User Feedback on Data Fields Finalize: User feedback Review: Data fields Review: 712/13Discussion on Draft Spec Finalize: Data fields Review: Draft spec, format(s) Review: 812/20Implementation Finalize: Draft spec, format(s) Review: Implementation guidance Review: 912/27CANCELLEDOpen: 101/3Implementation Finalize: Implementation guidance Review: Pilot plan, participant outreach Review: 111/10Begin Pilots Finalize: Pilot plan, outreach Review: 121/17Continue Pilots Finalize: Review: Progress Review: Payor Content Workgroup Proposed Timeline

6. Payor Content Workgroup Pharmacy Fields – X12 270 NCPDP Field NameNCPDP UseSizeX12 270 Segment IDX12 Field- Qualifier UsedX12 270- Field Issuer ID (80840)HIPAA Plan IDTBD Loop 2100A NM1 Information Source Name Loop 2100A NM108 ="XV"- HCFA National Plan IDLoop 2100A NM109 Cardholder ID Member ID and Person Code (Separated by space)20 Loop 2100C NM1-Subscriber Name OR 2100D NM1- Dependent Name NM108="MI"- Member Identification Number Loop 2100C or 2100D- NM109 Cardholder NameFirst MI Last12,1,15 Loop 2100C NM1-Subscriber Name OR 2100D NM1- Dependent NameNo Qualifier Field Loop 2100C or 2100D- NM 104= First Name Loop 2100C or 2100D NM105 = Middle Initial Loop 2100C or 2100D NM 103 = Last Name Rx BINANSI IIN for routing6 Loop 2100B NM1- Information Receiver Name Loop 2100B NM108="PP"- Pharmacy Processor NumberLoop 2100B- NM109 Rx PCNPCN10 Loop 2100B REF- Information Receiver Additional Identification REF01= "JD"- User Identification? Or New Code.Loop 2100B- REF02 RxGrpGroup ID15 REF 01= "1L" Group or policy number Loop 2100 C or 2100 D- REF02

7. Payer Content Workgroup Dental Fields – X12 837D

8. Payer Content Workgroup Project Charter Updates http://bit.ly/bbcharter also embedded on the S&I Payer wiki

9. Implementation

10. Pilots Brainstorm – Denied claims, customer service use cases – App and other electronic delivery methods – APIs for data access and analysis – Managing multiple family claims expenses – Download access via portal Formats Presentation layer

11. Next Steps & Reminders Next Meeting 1/10 Help fill in any missing elements or X12 mappings on the charter wiki or Google doc. Submit pull requests to XML, JSON versions to reflect changes https://github.com/blue-button/claims Contact Nayan or Durwin directly to discuss pilot opportunities and implementation support.

12. Contact Information For questions, please contact your support leads –Presidential Innovation Fellow Nayan Jain (nayan.jain@hhs.gov)nayan.jain@hhs.gov –Community Lead Durwin Day (dayd@bcbsil.com)dayd@bcbsil.com –Project Manager Jennifer Brush (jennifer.brush@esacinc.com)jennifer.brush@esacinc.com –Project Support Lauren Caruso (lauren.caruso@esacinc.com)lauren.caruso@esacinc.com –S&I Admin Ali Khan (ali.khan@esacinc.com)ali.khan@esacinc.com 12