Using a payment card to electronically adjudicate claims from patients utilizing major medical benefits for prescription drugs and services
OwnerDana A. Kuhninventor
Life of this patent
Estimating the term…
Abstract
Processing a major medical claim in at least one processor. Receiving a major medical claim. Preparing a claim order from the received major medical claim. Transmitting the prepared claim order to a primary payer. Receiving a response to the transmitted claim order, the response comprising the amount of primary coverage. Transmitting claim order information and the amount of primary coverage to a secondary payer.
Claims24
A process for a major medical claim, the process comprising:
- in at least one processor:
- receiving a major medical claim;
- preparing a claim order from the received major medical claim;
- transmitting the prepared claim order to a primary payer;
- receiving a response to the transmitted claim order, the response comprising the amount of primary coverage;
- transmitting claim order information and the amount of primary coverage to a secondary payer.
A computer program product for processing a major medical claim, the computer program product comprising:
- non-transitory computer-readable media storing instructions that when executed by at least one processor, are operative for:
- receiving a major medical claim;
- preparing a claim order from the received major medical claim;
- transmitting the prepared claim order to a primary payer;
- receiving a response to the transmitted claim order, the response comprising the amount of primary coverage;
- transmitting claim order information and the amount of primary coverage to a secondary payer.
A system for processing a major medical claim, the system comprising:
- at least one processor;
- and
- a computer program product comprising:
- non-transitory computer-readable media storing instructions that when executed by the at least one processor, are operative for
- receiving a major medical claim;
- preparing a claim order from the received major medical claim;
- transmitting the prepared claim order to a primary payer;
- receiving a response to the transmitted claim order, the response comprising the amount of primary coverage;
- transmitting claim order information and the amount of primary coverage to a secondary payer.
Dependencies are inferred from the claim text.