Scaling ePA: Standardizing Da Vinci DTR FHIR Questionnaires Across Independent BCBS Companies, sponsored by Itiliti Health

The Blue Cross Blue Shield Association (BCBSA) is enabling prior authorization modernization across a federation of independent Blue Cross and Blue Shield (BCBS) companies by partnering with Itiliti Health to digitize centrally authored reference medical policies and produce standardized FHIR Questionnaires aligned to the HL7 Da Vinci Documentation Templates and Rules (DTR) implementation guide. This reusable approach helps reduce duplicative build, supports CMS‑0057‑F readiness, and improves consistency in provider documentation collection while preserving local autonomy for implementation decisions.

Participants will learn how policy digitization enables questionnaire creation, key considerations for distributing standardized DTR questionnaires across diverse environments, and governance/quality guardrails that support scale.

Speakers:

Dr. Razia Hashmi, MD, MPH, FAAFP, Vice President of Clinical Affairs

Blue Cross Blue Shield Association

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Michael Lunzer, Co-Founder and CEO

Itiliti Health

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