ASC X12 - Committees/Groups

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Purpose And Scope

X12N/TG2 - Health Care
Purpose And Scope


Health Care Task Group - A standing task group that reports to X12N Subcommittee. This group oversees the work of multiple workgroups in developing standards and industry implementation guides. TG2 assures coordination among the WGs while also providing the first level of official voting in approving the standards. The co-chairs represent X12 at the National Uniform Claim Committee, the National Uniform Billing Committee, and HL7.

The purpose of the Health Care Task group shall be the development and maintenance of data standards (both national and international) which shall support the exchange of business information for health care administration. Health Care data includes, but is not limited to, such business functions as eligibility, referrals and authorizations, claims, claim status, payment and remittance advice, and provider directories.

The scope of this Task Group shall adhere to the current ASC X12 Organization and Procedures and any Standing Document which define procedures pertaining to task groups, which shall govern in the event of conflict with any of the sections of this constitution.

Its principal responsibilities are to make sure that its work groups:

Prepare project proposals relating to its scope of work.

Develop proposed Draft Standards for Trial Use, draft proposed American National Standards, and draft proposed UN/EDIFACT standards for use in the health care area.

Provide technical liaison on behalf of X12 with organizations involved in activities related to the healthcare community.

Review, comment, advise, and work in partnership with other ASC X12 subcommittees on related EDI issues.

Provide proper voting processes to adopt proposed standards.

Officers List

   

X12N/TG02-HEALTH CARE

Co-Chair

Stacey Barber, HP

  sbarber@hp.com

Co-Chair

Laurie Burckhardt, WPS Insurance Corp.

  laurie.burckhardt@wpsic.com

Secretary

Tina Greene, Mitchell International

  tina.greene@mitchell.com

Secretary

Deborah McCachern, Emdeon, LLC

  dmccachern@emdeon.com

Liaison (DeCC)

Tom Drinkard, Delta Dental of Virginia

  Tom.drinkard@deltadentalva.com

Liaison (HL7)

Tim McNeil, Surescripts, LLC

  Tim.McNeil@surescripts.com

Liaison (NCPDP)

Mary Lynam, Argus Health Systems

  mary.lynam@argushealth.com

Liaison (DSMO)

Stacey Barber, HP

  sbarber@hp.com

Alternate Liaison (DSMO)

Deborah Meisner, Emdeon

  Dmeisner@emdeon.com

Observer (DSMO)

Gail S. Kocher, Blue Cross and Blue Shield Association

  gail.kocher@bcbsa.com

Liaison (NUBC/NUCC)

John Bock, eEmergence

  john@e-emergence.com

Alternate Liaison (NUBC/NUCC)

Deborah Meisner, Emdeon

  Dmeisner@emdeon.com

Technical Advisor (NUBC/NUCC)

Laurie Burckhardt, WPS Insurance Corp.

  laurie.burckhardt@wpsic.com

     WG1-HEALTH CARE ELIGIBILITY (270, 271, ICHEBI, ICHEBR)

     Co-Chair

Stuart Beaton, Stuart Beaton, IM

  stuart@270271.com

     Co-Chair

Donna Campbell, Blue Cross Blue Shield of Illinois/HCSC

  donna_campbell@bcbsil.com

     Co-Chair

Amanda Sibley, VIPS, Inc.

  Amanda-Sibley@gdit.com

     Secretary

Penny Probst, Highmark

  penny.probst@highmark.com

     WG2-HEALTH CARE CLAIMS (837)

     Co-Chair

Kelly Butler, Emdeon

  kebutler@emdeon.com

     Co-Chair

Gloria Davis, NextGen Healthcare Information Systems

  gdavis@nextgen.com

     Co-Chair

Tom Drinkard, Delta Dental of Virginia

  Tom.drinkard@deltadentalva.com

     Co-Chair

James Mosteller, SIEMENS Medical Solutions

  James.Mosteller@siemens.com

     Secretary

Katherine Sullivan, FOX Systems, Inc.

  kt.sullivan@earthlink.net

     WG3-CLAIM PAYMENTS (835, 269)

     Co-Chair

Pamela A. Grosze, PNC Bank

  pamela.grosze@pnc.com

     Co-Chair

Debra Strickland, eEmergence

  dstrickl@tibco.com

     Co-Chair

Patricia Wijtyk, Washington Publishing Company

  pwijtyk@wpc-services.com

     Secretary

Carol A. Tussinger, Blue Cross and Blue Shield of Florida

  carol.tussinger@bcbsfl.com

     WG4-ENROLLMENTS AND PREMIUM PAYMENTS (820, 834)

     Co-Chair

OPEN POSITION

     Co-Chair

Olga Itskevich, Express Scripts, Inc.

  olga_itskevich@express-scripts.com

     Co-Chair

Tina Martinez, MAXIMUS, Inc

  tinamartinez@maximus.com

     Secretary

Belinda Ramirez, MAXIMUS, Inc

  belindaramirez@maximus.com

     WG5-CLAIMS STATUS (276, 277)

     Co-Chair

OPEN POSITION

     Co-Chair

Mark Rabuffo, Aetna Inc.

  rabuffomj@aetna.com

     Co-Chair

Karen R. Shutt, Highmark, Inc.

  karen.shutt@highmark.com

     Secretary

Cindy Monarch, BCBS of Michigan

  cmonarch@bcbsm.com

     WG9-PATIENT INFORMATION (275)

     Co-Chair

Lynn F. Chapple, OptumInsight

  lynn.chapple@optum.com

     Co-Chair

Stephanie A. Fetzer, IBM Corporation

  sfetzer@us.ibm.com

     Co-Chair

Tamara Unger-Peterson, WPS Insurance Corp.

  tungerpe@wpsic.com

     WG10-HEALTH CARE SERVICES REVIEW (278)

     Co-Chair

Bruce Bellefeuille, Aetna Inc.

  bellefeuillebr@aetna.com

     Co-Chair

Diane Franks, U.S. DOD-Health Affairs Information Management Office-TRICARE

  diane.e.franks@healthnet.com

     Co-Chair

LuAnn P. Hetherington, Highmark

  luann.hetherington@highmark.com

     Secretary

Claire Hogan, SIEMENS Medical Solutions

  claire.hogan@siemens.com

     WG15-PROVIDER INFORMATION (274)

     Co-Chair

Doreen Espinoza, Utah Health Information Network

  despinoza@uhin.com

     Co-Chair

Betty Gomez, ZirMed, Inc.

  Betty.Gomez@Zirmed.com

     Co-Chair

Joe Gonzalez, Secure EDI Health Group

  jgonzalez@secureedi.com

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