PHARMACEUTICAL CLAIM NETWORK ROUTING SYSTEM
    1.
    发明公开

    公开(公告)号:US20240169440A1

    公开(公告)日:2024-05-23

    申请号:US17992654

    申请日:2022-11-22

    CPC classification number: G06Q40/08 G06Q30/0206

    Abstract: Systems and methods for routing pharmaceutical claims in a network are provided. The system includes a network interface that includes a receiver and a transmitter. The receiver is configured to receive an electronic prescription and patient information over a communications network and the transmitter configured to prepare data for transmission over the communications network. The system includes at least one processor communicatively coupled to the network interface. The processor is configured for receiving, using the at least one processor and via the communications network, the electronic prescription. The processor is further configured for accessing a database of pricing data communicatively coupled to the communications network. The processor is configured to select a suggested pharmacy accessible to the patient by evaluating the plurality of participating pharmacies. The processor is configured to send the prescription electronically to a computing system of the suggested pharmacy for fulfillment.

    HEALTHCARE FULFILLMENT METHODS AND SYSTEMS
    2.
    发明申请
    HEALTHCARE FULFILLMENT METHODS AND SYSTEMS 审中-公开
    健康福利方法和系统

    公开(公告)号:US20160034668A1

    公开(公告)日:2016-02-04

    申请号:US14776614

    申请日:2014-03-13

    CPC classification number: G06F19/3456 G06F19/328 G06Q10/06315 G06Q50/22

    Abstract: Systems for filling and managing a patient's healthcare needs are provided. Some systems and methods described herein relate to a total healthcare fulfillment system. The healthcare fulfillment system of various embodiments is a central portal which coordinates with multiple parties, for example, with physicians, retail pharmacies, mail-order pharmacies, specialty providers, and patients in order to address all of a patient's prescription drug needs or other healthcare needs.

    Abstract translation: 提供了填补和管理病人医疗保健需求的系统。 本文描述的一些系统和方法涉及总体医疗保健系统。 各种实施例的医疗保健系统是与多个方面协调的中心门户,例如与医生,零售药店,邮购药房,专业提供者和患者协调,以便满足患者的处方药需求或其他医疗保健 需要。

    SYSTEM FOR PROCESSING RETAIL CLINIC CLAIMS

    公开(公告)号:US20220391858A1

    公开(公告)日:2022-12-08

    申请号:US17888880

    申请日:2022-08-16

    Abstract: A method for electronically determining patient medical treatment eligibility, coverage, copayment amount and insurer billing simultaneously, by: (a) a patient requesting medical treatment at a retail clinic; (b) the patient presenting a health insurance card at the retail clinic; (c) the retail clinic transmitting patient health insurance card information to a centralized adjudication facility; (d) the retail clinic transmitting medical treatment information to the centralized adjudication facility; (e) the centralized adjudication facility determining patient medical treatment coverage, eligibility and copayment amount (f) transmitting the patient medical treatment coverage, eligibility and copayment amount from the centralized adjudication facility to the retail clinic; (g) the patient purchasing the medical treatment by paying the retail clinic the copayment amount, (h) transmitting a bill to the health care insurance provider; and (i) thereby informing the retail clinic clinician to sell the medical treatment to the patient.

    System for processing retail clinic claims

    公开(公告)号:US11507927B2

    公开(公告)日:2022-11-22

    申请号:US16773847

    申请日:2020-01-27

    Abstract: A method for electronically determining patient medical treatment eligibility, coverage, copayment amount and insurer billing, by: (a) a patient requesting medical treatment at a retail clinic; (b) the patient presenting a health insurance card at the retail clinic; (c) the retail clinic transmitting patient health insurance card information to a centralized adjudication facility; (d) the retail clinic transmitting medical treatment information to the centralized adjudication facility; (e) the centralized adjudication facility determining patient medical treatment coverage, eligibility and copayment amount (f) transmitting the patient medical treatment coverage, eligibility and copayment amount from the centralized adjudication facility to the retail clinic; (g) the patient purchasing the medical treatment by paying the retail clinic the copayment amount, (h) transmitting a bill to the health care insurance provider; and (i) thereby informing the retail clinic clinician to sell the medical treatment to the patient. By simultaneously billing the patient and the insurer, the present invention provides a system that processes the sale of the medical treatment as a sales transaction.

    HEALTHCARE FULFILLMENT METHODS AND SYSTEMS
    6.
    发明申请

    公开(公告)号:US20190279753A1

    公开(公告)日:2019-09-12

    申请号:US16159471

    申请日:2018-10-12

    Abstract: Systems for filling and managing a patient's healthcare needs are provided. Some systems and methods described herein relate to a total healthcare fulfillment system. The healthcare fulfillment system of various embodiments is a central portal which coordinates with multiple parties, for example, with physicians, retail pharmacies, mail-order pharmacies, specialty providers, and patients in order to address all of a patient's prescription drug needs or other healthcare needs.

    HEALTHCARE NEEDS FULFILLMENT SYSTEM
    7.
    发明申请
    HEALTHCARE NEEDS FULFILLMENT SYSTEM 审中-公开
    健康需要灌溉系统

    公开(公告)号:US20140278495A1

    公开(公告)日:2014-09-18

    申请号:US14209853

    申请日:2014-03-13

    CPC classification number: G06F19/3456 G06F19/328 G06Q10/06315 G06Q50/22

    Abstract: Systems for filling and managing a patient's healthcare needs are provided. Some systems and methods described herein relate to a total healthcare fulfillment system. The healthcare fulfillment system of various embodiments is a central portal which coordinates with physicians, retail pharmacies, mail-order pharmacies, specialty providers, and patients in order to address all of a patient's prescription drug needs or other healthcare needs.

    Abstract translation: 提供了填补和管理患者医疗保健需求的系统。 本文描述的一些系统和方法涉及总体医疗保健系统。 各种实施方案的医疗保健系统是与医生,零售药店,邮购药房,专业提供者和患者协调的中心门户,以便满足患者的处方药需求或其他医疗保健需求。

    System for processing retail clinic claims

    公开(公告)号:US12131299B2

    公开(公告)日:2024-10-29

    申请号:US18463031

    申请日:2023-09-07

    Abstract: A method for electronically determining patient medical treatment eligibility, coverage, copayment amount and insurer billing simultaneously, by: (a) a patient requesting medical treatment at a retail clinic; (b) the patient presenting a health insurance card at the retail clinic; (c) the retail clinic transmitting patient health insurance card information to a centralized adjudication facility; (d) the retail clinic transmitting medical treatment information to the centralized adjudication facility; (e) the centralized adjudication facility determining patient medical treatment coverage, eligibility and copayment amount (f) transmitting the patient medical treatment coverage, eligibility and copayment amount from the centralized adjudication facility to the retail clinic; (g) the patient purchasing the medical treatment by paying the retail clinic the copayment amount, (h) transmitting a bill to the health care insurance provider; and (i) thereby informing the retail clinic clinician to sell the medical treatment to the patient.

    Pharmaceutical benefits management

    公开(公告)号:US12076433B2

    公开(公告)日:2024-09-03

    申请号:US17698945

    申请日:2022-03-18

    Abstract: Systems, devices, non-transitory computer storage mediums, and methods are described herein for pharmaceutical benefits management including routing pharmaceutical claims over a computer network. The system includes a computer network and a client device communicatively coupled to the computer network. The client device is configured to receive order information representative of a prescription drug prescribed for a consumer. The system includes a communications switch configured to derive a processor control number associated with the order information and route the order information based on the processor control number. The system includes a pharmaceutical benefits manager configured to authorize the prescription drug with the reimbursement based on the processor control number and configured to transmit the authorization with the reimbursement to the client device.

    MULTI-PLATFORM PRESCRIPTION ROUTING SYSTEM
    10.
    发明公开

    公开(公告)号:US20240170119A1

    公开(公告)日:2024-05-23

    申请号:US17992652

    申请日:2022-11-22

    CPC classification number: G16H20/10 G06Q10/06315 G06Q40/08

    Abstract: Systems and methods for a multi-platform prescription routing system in a network are provided. The system includes a network interface communicatively coupled to a computer network, the network interface including a receiver and a transmitter. The system includes at least one processor communicatively coupled to the network interface. The processor is configured to transmit the first prescription to the first supplier, and the second prescription to the second supplier for fulfillment. The processor is further configured to receive, via the network interface, status updates from the one or more suppliers. The processor is further configured to transmit, via the network interface, the status updates to the at least one user device in a format through which the status updates from the first supplier and the second supplier are together viewable by the patient within a single user interface at the user device.

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