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

Deborah Meisner, Emdeon

  Dmeisner@emdeon.com

Secretary

Deborah Brown, Palmetto Government Benefits Administrators

  deborah.brown@palmettogba.com

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

     Co-Chair

OPEN POSITION

     Co-Chair

Stuart Beaton, I.M

  stuart@270271.com

     Co-Chair

Donna Campbell, Blue Cross Blue Shield of Illinois/HCSC

  donna_campbell@bcbsil.com

     Secretary

Duane Guyer, Laboratory Corporation Of America

  guyerd@labcorp.com

     WG2-HEALTH CARE CLAIMS (837)

     Co-Chair

Laurie Burckhardt, WPS Insurance Corp.

  laurie.burckhardt@wpsic.com

     Co-Chair

Kelly Butler, Emdeon

  kebutler@emdeon.com

     Co-Chair

Betsy Clore, Wake Forest University Health Sciences

  bclore@wfubmc.edu

     Co-Chair

Douglas Renshaw, Highmark, Inc.

  doug.renshaw@highmark.com

     Secretary

Katherine Sullivan, FOX Systems, Inc.

  kt.sullivan@earthlink.net

     WG3-CLAIM PAYMENTS (835, 269)

     Co-Chair

Kim Peters, Humana Inc.

  Kpeters@humana.com

     Co-Chair

Debra Strickland, eEmergence

  debra@e-emergence.com

     Co-Chair

Patricia Wijtyk, Albert Einstein

  wijtykP@Einstein.edu

     WG4-ENROLLMENTS AND PREMIUM PAYMENTS (820, 834)

     Co-Chair

OPEN POSITION

     Co-Chair

Michelle Lacy, Wellpoint, Inc.

  michelle.lacy@anthem.com

     Co-Chair

Cathie Longan, Blue Cross Blue Shield of Michigan

  clongan@bcbsm.com

     WG5-CLAIMS STATUS (276, 277)

     Co-Chair

OPEN POSITION

     Co-Chair

Karen R. Shutt, Highmark, Inc.

  karen.shutt@highmark.com

     Co-Chair

Merri-Lee Stine, Aetna Inc.

  stineml@aetna.com

     Secretary

Lisa Doyle, Affiliated Computer Services-ACS

  lisa.j.doyle@acs-inc.com

     Secretary

Mark Rabuffo, Aetna Inc.

  rabuffomj@aetna.com

     WG9-PATIENT INFORMATION (275)

     Co-Chair

Diedra A..Garlock, Michigan Public Health Institute

  dgarlock@mphi.org

     Co-Chair

Larry Shorey, Blue Cross & Blue Shield of South Carolina

  larry.shorey@pgba.com

     Co-Chair

Tamara Unger-Peterson, WPS Insurance Corp.

  tungerpe@wpsic.com

     Secretary

Lynn F. Chapple, UnitedHealth Group

  lynn.chapple@ingenix.com

     Secretary

Stephanie A. Fetzer, IBM Corporation

  sfetzer@ibm.com

     WG10-HEALTH CARE SERVICES REVIEW (278)

     Co-Chair

OPEN POSITION

     Co-Chair

Bruce Bellefeuille, Aetna Inc.

  bellefeuillebr@aetna.com

     Co-Chair

LuAnn P. Hetherington, Highmark

  luann.hetherington@highmark.com

     Secretary

Greg Gehman, MEDecision, Inc.

  greg.gehman@medecision.com

     WG12-INTERACTIVE HEALTH CARE CLAIMS (IHCLME)

     Convener

Nancy Nemes, NCPDP/CatalystRx

  nnemes@catalystrx.com

     WG15-PROVIDER INFORMATION (274)

     Convener

Gail S. Kocher, Blue Cross and Blue Shield Association

  gail.kocher@bcbsa.com

     WG20-INSURANCE TRANSACTION ACKNOWLEDGMENT

     Co-Chair

Deborah Brown, Palmetto Government Benefits Administrators

  deborah.brown@palmettogba.com

     Co-Chair

Ken Edick, SIEMENS Medical Solutions

  kenneth.edick@siemens.com

     Co-Chair

Valveeman Rajasekaran, Highmark, Inc.

  valveeman.rajasekaran@highmark.com

     Secretary

Meledie Meyer, WPS Insurance Corp.

  meledie.meyer@wpsic.com

     WG21- HEALTH CARE REGULATION ADVISORY/COLLABORATION

     Chair

Gail S. Kocher, Blue Cross and Blue Shield Association

  gail.kocher@bcbsa.com

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