Press release

HL7 Da Vinci Project Virtual Roundtable, “Fulfilling Interoperability Final Rules: GuideWell and Edifecs Present Payer Coverage Decision Exchange and Alerts”

Sponsored by Businesswire

Edifecs, Inc., a global health information technology solutions company, together with GuideWell Mutual Holding Corporation (GuideWell), the parent to a family of forward-thinking companies focused on transforming health care, are participating in the new monthly virtual HL7® Da Vinci Project Community Roundtable on April 22 called, “Fulfilling Interoperability Final Rules: GuideWell and Edifecs Present Payer Coverage Decision Exchange & Alerts.” The discussion will emphasize how exchanging interoperable data supports the best and most effective delivery of care to patients.

To kick off the session, Deputy Chief Health Informatics Officer at Centers for Medicare & Medicaid Services, Alexandra Mugge, will provide a high-level overview of the final rule update on interoperability and patient access.

As a founding member of the Da Vinci Project, Edifecs has partnered with Premier member, GuideWell, to aggressively promote the work of the Da Vinci Project, and in particular, bring the initiative’s common vision to life by investing in the development of technical capabilities that support real world patient care use cases and leverage HL7 FHIR® (Fast Healthcare Interoperability Resources)- based models for patient information sharing.

Presenting with them will be healow Insights and Mettle Solutions to highlight the baseline interoperability that Da Vinci offers across all healthcare stakeholders.

Registration is open here: Fulfilling Interoperability Final Rules: GuideWell and Edifecs Present Payer Coverage Decision Exchange & Alerts.


This virtual roundtable will feature Edifecs and GuideWell’s partnership in implementing the use of FHIR- based models for patient information sharing across GuideWell’s network of health insurance providers. Based upon work the two partners have been doing over the past year leading up to demonstrations during the recent virtual HIMSS education sessions, GuideWell and Edifecs will present overviews and demonstrations of two important Da Vinci Project use cases:

  1. Payer Coverage Decision Exchange (PCDE)
  2. Alerts/Notifications

Presenters will showcase the baseline interoperability that the Da Vinci Project offers across all healthcare stakeholders, specifically showing how other payers and providers can exchange interoperable data in support of delivering better, more effective care to patients.

WHERE: Virtual registration with GoToWebinar

WHEN: Wednesday, April 22, 1 – 2:30 p.m. PDT / 4 – 5:30 p.m. EDT

CAPACITY: The roundtable is free to attend and open to 500 attendees


Ms. Alexandra Mugge, Deputy Chief Health Informatics Officer at Centers for Medicare & Medicaid Services

Mr. John Kelly, Principal Business Advisor, Edifecs

Mr. Amit Shah, Senior Director of Shared Applications/Services, GuideWell

Mr. Rohit Shinde, Vice President and Business Unit Lead, healow Insights

Mr. Sreekanth Puram, Head of Technology and Product Development, Mettle Solutions LLC

About the HL7 Da Vinci Project

As an HL7 FHIR Accelerator, the Da Vinci Project is a private sector initiative comprised of industry leaders and health information technology technical experts who are working together to accelerate the adoption of HL7® FHIR® as the standard to support and integrate value-based care (VBC) data exchange across communities. The Da Vinci Project focuses on minimizing the development and deployment of one-off solutions between partners with a goal to help all clinicians and health plans to better deliver clinical quality, value and care management outcomes. The core focus of phase one of the project is to deliver implementation guides and reference software implementations to the public for data exchange and workflows necessary to support providers and payers entering and managing VBC contracts and relationships. To learn more about the Da Vinci Project, visit

About Edifecs

Edifecs develops innovative, cost-cutting information technology solutions to transform the global healthcare marketplace. Since 1996, Edifecs technology has helped healthcare providers, insurers, pharmacy benefit management companies and other trading partners trim waste, reduce costs and increase revenues. More than 350 healthcare customers today use Edifecs solutions to simplify and unify financial and clinical transactions. In addition, Edifecs develops supply chain management solutions to support worldwide customers in non-healthcare industry segments. Edifecs is based in Bellevue, WA, with operations internationally. Learn more about us at

For updates on the latest Edifecs news and announcements, please follow @Edifecs on Twitter.

About Health Level Seven International (HL7)

Health Level Seven® International (HL7) is an ANSI-accredited, not-for-profit standards developing organization with the mission of empowering global health interoperability. With affiliates in over 30 countries, HL7’s global membership envisions a world in which everyone can securely access and use the right data when and where they need it. Widely implemented by vendor and healthcare systems, and required by governing bodies around the world, HL7 standards deliver solutions for health information technology, including HL7® Fast Healthcare Interoperability Resources (FHIR®), Version 2 (V2) and Clinical Document Architecture (CDA®). For more information, please visit:

About GuideWell

GuideWell Mutual Holding Corporation (GuideWell) is a not-for-profit mutual holding company and the parent to a family of forward-thinking companies focused on transforming health care. The GuideWell organization includes the leading health insurance company in Florida; a portfolio of clinical delivery organizations; a health care consumer marketing, sales and engagement company; a provider of administrative services to state and federal health care programs; and a leader in risk adjustment and population care management. The GuideWell enterprise serves 27 million people in 35 states and is headquartered in Jacksonville, Fla. For more information, visit

®HL7, FHIR and the FHIR [FLAME DESIGN] are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.