Workgroups


Clearinghouse Expenses Workgroup

Chair:

Joseph Bell
Standards & Compliance Officer
ClaimRemedi

Email Joseph

 

Objectives:

  • Raise awareness of cost and administrative complexity and how cost is translated to the provider. 
  • Investigate current Clearinghouse expenses and document findings for review next meeting.

Privacy and Security Certification Workgroup

Lead Chair:

 

Doreen Espinoza
Vice President of Regulatory Affairs & Privacy Officer
Utah Health Information Network

Email Doreen

Co-Chair:

Sherry Wilson
Executive Vice President and Chief Compliance Officer 
Jopari Solutions, Inc.

Email Sherry

 

Objectives:

  • Investigate the numerous privacy and security certifications/accreditations, etc.
  • Determine opportunity to streamline the identified privacy and security audit process and requirements.

Transaction Compliance Workgroup

Chair:

Beth Wolskij
Clearinghouse Product Manager
Experian Health /Passport

Email Beth

 

Objectives:

  • Investigate and gain clarity on payers/or their representatives not providing eligibility EDI transaction or not providing required information on EDI transactions.   
  • Investigate eligibility information provided in other formats, such as portal offerings.