Healthcare needs fulfillment system
AssigneeMedimpact Healthcare Systems, Inc.
InventorsTimothy ROURKE, William J. Barre
Life of this patent
Estimating the term…
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.
Claims24
A method of fulfilling and managing prescribed healthcare goods and services, the method comprising:
- receiving a prescription electronically, wherein the prescription comprises a prescribed healthcare good or service;
- receiving patient information electronically, wherein the patient information comprises an identifier linking a patient to a prescription benefit plan;
- accessing a database of pricing data comprising current prices of goods and services at a plurality of participating pharmacies;
- determining a suggested pharmacy based at least in part on the prescribed healthcare good or service, the prescription benefit plan, and the current pricing data;
- and
- sending the prescription electronically to a selected pharmacy for fulfillment.
A system for fulfilling and managing prescriptions, the system comprising:
- a receiver configured to receive an electronic prescription and patient information, wherein the electronic prescription comprises a prescribed good or service, and the patient information comprises an identifier linking a patient to a prescription benefit plan;
- a database of pricing data comprising current prices of healthcare goods and services at a plurality of participating pharmacies;
- a processor configured to determine a suggested pharmacy based at least in part on the prescribed good or service, the prescription benefit plan, and the current pricing data;
- and
- a transmitter configured to send the electronic prescription via a web-based interface to a selected pharmacy for fulfillment.
A method of fulfilling and managing prescriptions, the method comprising:
- receiving a processed claim record from a payor, PBM, or claim aggregator, wherein the processed claim record identifies a fulfilling pharmacy, a prescribed good or service, a patient, and an address of the patient;
- generating an eligible claim switch file;
- sending the eligible claim switch file to a pharmacy evaluator;
- receiving a report from the pharmacy evaluator identifying a suggested pharmacy, wherein the pharmacy evaluator identifies a suggested pharmacy by evaluating a plurality of pharmacies at least in part on proximity to the patient and price of the prescribed good or service;
- determining if the patient is a target patient, wherein a patient is a target patient if the fulfilling pharmacy is not the suggested pharmacy;
- and
- sending a list including the target patient to a caller for contacting to determine if the target patient wants to transfer the prescription to the suggested pharmacy.
A system for fulfilling and managing prescriptions, the system comprising:
- a receiver configured to receive a processed claim record from a payor, PBM, or claim aggregator via a web-based interface, wherein the processed claim record identifies a fulfilling pharmacy, a prescribed good or service, a patient, and an address of the patient;
- a processor configured to generate an eligible claim switch file;
- and
- a transmitter configured to send the eligible claim switch file to a pharmacy evaluator;
- wherein:
- the receiver is further configured to receive a report from the pharmacy evaluator identifying a suggested pharmacy,
- the processor is further configured to determine if the patient is a target patient, wherein a patient is a target patient if the fulfilling pharmacy is not the suggested pharmacy, and
- the transmitter is further configured to send a list including the target patient to a caller for contacting to determine if the target patient wants to transfer the prescription to the suggested pharmacy.
Dependencies are inferred from the claim text.