WO2003063056B1 - Apparatus and method for managing prescription benefits - Google Patents

Apparatus and method for managing prescription benefits

Info

Publication number
WO2003063056B1
WO2003063056B1 PCT/US2003/001652 US0301652W WO03063056B1 WO 2003063056 B1 WO2003063056 B1 WO 2003063056B1 US 0301652 W US0301652 W US 0301652W WO 03063056 B1 WO03063056 B1 WO 03063056B1
Authority
WO
WIPO (PCT)
Prior art keywords
prescription
case record
coverage
case
record
Prior art date
Application number
PCT/US2003/001652
Other languages
French (fr)
Other versions
WO2003063056A3 (en
WO2003063056A2 (en
Inventor
Jeffrey H Alexander
William J Jackson
Glen D Stettin
Mark A Carlson
Nicholas C Taylor
Zev Juravel
Richard P Healy
Original Assignee
Medco Health Solutions Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medco Health Solutions Inc filed Critical Medco Health Solutions Inc
Priority to AU2003210575A priority Critical patent/AU2003210575A1/en
Publication of WO2003063056A2 publication Critical patent/WO2003063056A2/en
Publication of WO2003063056A3 publication Critical patent/WO2003063056A3/en
Publication of WO2003063056B1 publication Critical patent/WO2003063056B1/en

Links

Classifications

    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/10—Office automation; Time management
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/08—Insurance
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S707/00—Data processing: database and file management or data structures
    • Y10S707/99931—Database or file accessing
    • Y10S707/99933—Query processing, i.e. searching

Abstract

A system and method are disclosed for managing prescription benefits. Case records containing information regarding patients and prescription coverage activities for the patients are stored in the system. Users are allowed access to the system via an appropriate electronic communication network. The user can subsequently perform various tasks in order to maintain (126) and review (150) coverage activities. The user can also enter additional prescription coverage activities (166) into the case records, as well as verify that information entered into the case records has been updated.

Claims

AMENDED CLAIMS[received by the International Bureau on 21 November 2003 (21.11.03) ; claims 1, 5-7, 23, 25-27 and 29 cancelled; claims 30-31 new; original claims 2-4, 8-13, 18-19, 21 and 22 replaced by amended claims 2-4, 8-13, 18-19, 21 and 22; remaining claims unchanged]
1. Cancelled.
2. The method of claim 1 further comprising a step of accessing at least one of a help manual and a user manual stored in electronic form on the prescription benefit management system to obtain instructions for assisting in operating the system.
3. The method of claim 1 , further comprising a step of displaying a status report identifying at least approvals/denials of claims for prescription coverage.
4. The method of claim 1 , further comprising a step of viewing a reference library containing a collection of documents used to support decisions made on a case record.
5. Cancelled.
6. Cancelled.
7. Cancelled.
8. The method of claim 1 , wherein the step of accessing further comprises a step of displaying case activity details corresponding to either specific information on the patient or prescription coverage activities for the patient, after the case record has been accessed.
9. The method of claim 1, wherein the step of conducting further comprises the steps: inquiring on communication items relating to the case record; and displaying details of all communication items that have occurred in the case record, including at least the medium and direction of each communication item.
10. The method of claim 1, further comprising a step of reviewing a coverage criteria for the case record subsequent to the step of conducting an inquiry, wherein the coverage criteria comprises information which led to a particular decision on the case record.
11. The method of claim 1, further comprising a step of displaying an activity report containing all prescription coverage activities and reference data for the case record.
12. The method of claim 1, further comprising a step of displaying coverage activity details for the selected case record, the coverage activity details including at least a list of products, a list of coverage products, and a list of product categories.
13. The method of claim 1 , wherein the selected case record contains at least one prescription coverage denial, and further comprising the steps: displaying one or more reasons for each coverage denial; and reviewing details of the displayed reasons.
14. The method of claim 13, wherein the case record is being reviewed by an administrator and further comprising a step of overriding the displayed coverage denial based on one or more clinical criteria.
15. The method of claim 13, further comprising a step of processing appealing the coverage denial based on clinical reasons, and wherein the coverage denial may be reversed or upheld.
16. The method of claim 15, wherein the step of processing an appeal further includes a step of replacing an original prescription product with a substitute prescription product that is covered by a prescription benefit plan associated with the case record.
17. The method of claim 15, wherein the step of processing an appeal further comprises the step of viewing entries generated by prior reviews of the case record and/or any coverage denials thereof.
18. The method of claim 1, further comprising a step of creating a new review for the selected case record, and entering prescription coverage activity information for the case record.
19. The method of claim 1 , wherein an administrator is accessing the case record, and further comprising the steps: changing the security status of the selected case record to an unlocked status; and entering changes to one or more case parameters.
20. The method of claim 19, further comprising a step of generating correspondence to be sent to a patient identified in the case record.
21. The method of claim 1 , further comprising a step of automatically generating status reports for one or more clients at predetermined intervals.
22. The method of claim 1, further comprising a step of automatically generating and maintaining a record of all transactions performed while using the prescription benefits management system.
23. Cancelled.
24. A method of managing prescription benefits using a prescription benefit management system, the method comprising the steps: conducting a search for a predetermined case record using a search parameter page generated by the prescription benefit management system, the case record containing information regarding a patient and prescription coverage activities for the patient; if multiple case records are retrieved from the search, then performing the steps: selecting a desired case record for review, automatically capturing identification data for the case record, and filtering subsequent search results using the identification data; accessing the case record, if a single case record is retrieved from the search; conducting an inquiry on the case record to view and/or review selected prescription coverage activities contained in the case record; inputting additional prescription coverage activities into the case record, if necessary; verifying that the case record has been updated, if additional prescription coverage activities will not be inputted; and closing the case record.
25. Cancelled.
26. Cancelled.
27. Cancelled.
28. An arrangement for managing prescription benefits comprising: a prescription benefits management system, for storing case records containing information regarding patients and prescription coverage activities for the patient; a communication device operatively coupled to said prescription benefits management system for providing access to said prescription benefits management system over one or more electronic communication networks; and a user computer for accessing said prescription benefits management system from a remote location via said one or more electronic communication networks; said prescription benefits management system being configured to allow users to: conduct searches for predetermined case records using a search parameter page generated by said prescription benefit management system, if multiple case records are retrieved from the search, then performing the steps: selecting a desired case record for review, automatically capturing identification data for said desired case record, and filtering subsequent search results using the identification data, conduct an inquiry on said desired case record to view and/or review selected prescription coverage activities contained therein, input additional prescription coverage activities into said desired case record, if necessary, verify that said desired case record has been updated, if additional prescription coverage activities will not be inputted, and close said desired case record.
29. Cancelled.
30. A method of managing prescription benefits using a prescription benefit management system, the method comprising the steps: conducting a search for a predetermined case record using a search parameter page generated by the prescription benefit management system, the case record containing information regarding a patient and prescription coverage activities for the patient; selecting a desired case record for review from one or more case records retrieved by the search; automatically capturing identification data for the selected case record; filtering subsequent search results using the captured identification data, if additional searches will be conducted; determining if the selected case record is currently being viewed by a second user; releasing the selected case record without the second user's authorization if the current user has prescribed access rights; conducting an inquiry on the selected case record to view or review selected prescription coverage activities contained therein; inputting additional prescription coverage activities into the selected case record, if the current user has prescribed access rights; preventing input of additional prescription coverage activities into the selected case record if the current user does not have prescribed access rights; verifying that the selected case record has been updated, if additional prescription coverage activities will not be inputted; and closing the selected case record.
31. An arrangement for managing prescription benefits offered by a plurality of providers comprising: a prescription benefits management system, for storing prescription benefit case records for patients receiving prescription benefits coverage for the plurality of healthcare providers, said prescription benefit case records containing information regarding the patients and prescription coverage activities for the patient; a communication device operatively coupled to said prescription benefits management system for providing access to said prescription benefits management system by the plurality of providers of prescription benefits over one or more electronic communication networks; and at least one user computer for accessing said prescription benefits management system from remote locations via said one or more electronic communication networks; said prescription benefits management system being configured to allow users to: conduct an inquiry on said prescription benefit case records to view and review selected prescription coverage activities contained in said prescription benefit case records, input additional prescription coverage activities into said case records, if necessary, verify that said case records have been updated, if additional prescription coverage activities will not be inputted, display an activity report containing all prescription coverage activities and reference data for the prescription benefit case record, display coverage activity details for the selected prescription benefit case record, the coverage activity details including at least a list of prescription products, a list of coverage prescription products, and a list of prescription product categories, display one or more reasons for each prescription coverage denial, and reviewing details of the displayed reasons, and at least one of overriding the displayed prescription coverage denial based on one or more clinical and prescription criteria, replacing an original prescription product with a substitute prescription product that is covered by a prescription benefit plan associated with the case record, and appealing the prescription coverage denial based on clinical reasons, access a new prescription benefit case record for prescription benefits currently being viewed by a second user, release the new prescription case record without the second user's authorization, modify information contained in the prescription benefit case record, and close said prescription benefit case records.
PCT/US2003/001652 2002-01-22 2003-01-22 Apparatus and method for managing prescription benefits WO2003063056A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU2003210575A AU2003210575A1 (en) 2002-01-22 2003-01-22 Apparatus and method for managing prescription benefits

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US34935202P 2002-01-22 2002-01-22
US60/349,352 2002-01-22
US10/334,981 2003-01-02
US10/334,981 US7155397B2 (en) 2002-01-22 2003-01-02 Apparatus and method for managing prescription benefits

Publications (3)

Publication Number Publication Date
WO2003063056A2 WO2003063056A2 (en) 2003-07-31
WO2003063056A3 WO2003063056A3 (en) 2003-11-27
WO2003063056B1 true WO2003063056B1 (en) 2004-02-19

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Family Applications (1)

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PCT/US2003/001652 WO2003063056A2 (en) 2002-01-22 2003-01-22 Apparatus and method for managing prescription benefits

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US (3) US7155397B2 (en)
AU (1) AU2003210575A1 (en)
WO (1) WO2003063056A2 (en)

Families Citing this family (89)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7155397B2 (en) * 2002-01-22 2006-12-26 Medco Health Solutions, Inc. Apparatus and method for managing prescription benefits
US20030229519A1 (en) * 2002-05-16 2003-12-11 Eidex Brian H. Systems and methods for identifying fraud and abuse in prescription claims
US7716068B2 (en) 2002-09-25 2010-05-11 Mckesson Financial Holdings Limited Systems and methods for look-alike sound-alike medication error messaging
US7469213B1 (en) * 2003-03-14 2008-12-23 Secure Medical, Inc. Prescription drug distribution system and methods
US7438218B2 (en) 2005-02-28 2008-10-21 Per-Se Technologies Systems and methods for pharmacy reimbursement claim resubmission
US20060229964A1 (en) * 2005-04-06 2006-10-12 Fred Fox Personal pension system and business method
US8321283B2 (en) 2005-05-27 2012-11-27 Per-Se Technologies Systems and methods for alerting pharmacies of formulary alternatives
US20070050210A1 (en) * 2005-08-26 2007-03-01 Wiley Joseph L Ii Systems and Methods for Providing Pharmacy Discounts for Cash Customers While Maintaining Third-Party Reimbursement Rates
US8290790B1 (en) 2005-09-01 2012-10-16 Medco Health Solutions, Inc. Systems and methods for managing and/or administering prescription benefits
US20070162303A1 (en) 2005-12-08 2007-07-12 Ndchealth Corporation Systems and Methods for Shifting Prescription Market Share by Presenting Pricing Differentials for Therapeutic Alternatives
US7840424B2 (en) 2006-02-10 2010-11-23 Ndchealth Corporation Systems and methods for retaining or shifting prescription market share
US7957983B2 (en) * 2006-03-31 2011-06-07 Mckesson Specialty Arizona Inc. Healthcare provider, administrator and method for effectuating a medication therapy management, adherence and pharmacosurveillance program
US8744874B2 (en) * 2006-04-28 2014-06-03 Ndchealth Corporation Systems and methods for personal medical account balance inquiries
US8489411B1 (en) 2006-06-07 2013-07-16 Ndchealth Corporation Systems and methods for auditing fee calculations associated with claim reimbursement from pharmacy benefit management services
US7792793B2 (en) 2007-04-24 2010-09-07 Kryptiq Corporation Data export/import from multiple data source to a destination data repository using corresponding data exporters and an importer
US7979285B2 (en) * 2007-05-03 2011-07-12 Ndchealth Corporation Systems and methods for enhanced min/max edit for drug claim submission verification
US20090083064A1 (en) * 2007-09-24 2009-03-26 David Mahinda Competitive online prescription pricing system
US20090164376A1 (en) * 2007-12-20 2009-06-25 Mckesson Financial Holdings Limited Systems and Methods for Controlled Substance Prescription Monitoring Via Real Time Claims Network
US8635083B1 (en) 2008-04-02 2014-01-21 Mckesson Financial Holdings Systems and methods for facilitating the establishment of pharmaceutical rebate agreements
US8060379B1 (en) 2008-04-13 2011-11-15 Mckesson Financial Holdings Limited Systems and methods for alternate pricing for prescription drugs
US8521557B1 (en) 2008-06-16 2013-08-27 Mckesson Financial Holdings Limited System and methods for processing rejected healthcare claim transactions for over-the-counter products
US8036918B1 (en) 2008-06-16 2011-10-11 McKesson Financial Holdings Ltd. Systems and methods for conversions of denied transactions through patient funding
US8626525B2 (en) 2008-06-23 2014-01-07 Mckesson Financial Holdings Systems and methods for real-time monitoring and analysis of prescription claim rejections
US20090327363A1 (en) * 2008-06-30 2009-12-31 Peter Cullen Systems and methods for processing electronically transmitted healthcare related transactions
US8538777B1 (en) 2008-06-30 2013-09-17 Mckesson Financial Holdings Limited Systems and methods for providing patient medication history
US7912741B1 (en) 2008-06-30 2011-03-22 Mckesson Financial Holdings Limited Systems and methods for copay adjustments
US8639523B1 (en) 2008-07-13 2014-01-28 Mckesson Financial Holdings Systems and methods for managing a prescription rewards program
US7720697B1 (en) 2008-08-28 2010-05-18 Mckesson Financial Holdings Limited Systems and methods for pharmacy claims-based condition identification proxies
US8386274B1 (en) 2008-09-17 2013-02-26 Mckesson Financial Holdings Limited Systems and methods for a prescription safety network utilizing eligibility verification transactions
US20100088125A1 (en) * 2008-10-03 2010-04-08 Vaughan David A System and Method for Automation and Management of Insurance Claims Processing and Post Placement Transactions
US8036913B1 (en) 2008-10-28 2011-10-11 Mckesson Financial Holdings Limited Systems and methods for prescription pre-fill processing services
US8046242B1 (en) 2009-01-22 2011-10-25 Mckesson Financial Holdings Limited Systems and methods for verifying prescription dosages
US8036914B1 (en) 2009-02-19 2011-10-11 Mckesson Financial Holdings Limited Systems and methods for supporting drug or product recalls
US9734541B1 (en) 2009-05-05 2017-08-15 Mckesson Corporation Systems and methods for a healthcare network survey solution
US8489415B1 (en) 2009-09-30 2013-07-16 Mckesson Financial Holdings Limited Systems and methods for the coordination of benefits in healthcare claim transactions
US8762163B1 (en) 2009-11-30 2014-06-24 Mckesson Financial Holdings Limited Systems and methods for processing healthcare claim transactions that are rejected due to a host error
US8560340B1 (en) 2009-11-30 2013-10-15 Mckesson Financial Holdings Limited Systems and methods for overriding rejections of healthcare claim transactions
US8762181B1 (en) 2009-12-31 2014-06-24 Mckesson Financial Holdings Limited Systems and methods for evaluating healthcare claim transactions for medicare eligibility
US8869297B2 (en) * 2010-01-08 2014-10-21 Cerner Innovation, Inc. Effectuating clinical orders upon receipt of authorization from two privileged clinicians
US8788296B1 (en) 2010-01-29 2014-07-22 Mckesson Financial Holdings Systems and methods for providing notifications of availability of generic drugs or products
US8386276B1 (en) 2010-02-11 2013-02-26 Mckesson Financial Holdings Limited Systems and methods for determining prescribing physician activity levels
US8321243B1 (en) 2010-02-15 2012-11-27 Mckesson Financial Holdings Limited Systems and methods for the intelligent coordination of benefits in healthcare transactions
US8682697B1 (en) 2010-03-25 2014-03-25 Mckesson Financial Holdings Systems and methods for generating edits for healthcare transactions to address billing discrepancies
US8548824B1 (en) 2010-03-26 2013-10-01 Mckesson Financial Holdings Limited Systems and methods for notifying of duplicate product prescriptions
US8335672B1 (en) 2010-03-26 2012-12-18 Mckesson Financial Holdings Limited Systems and methods for the identification of available payers for healthcare transactions
US8688468B1 (en) 2010-03-30 2014-04-01 Mckesson Financial Holdings Systems and methods for verifying dosages associated with healthcare transactions
US8392219B1 (en) 2010-05-10 2013-03-05 Mckesson Financial Holdings Limited Systems and methods for streamlined patient enrollment for one or more healthcare programs
US8392209B1 (en) 2010-06-13 2013-03-05 Mckesson Specialty Arizona Inc. Systems, methods, and apparatuses for barcoded service requests and responses associated with healthcare transactions
US8244556B1 (en) 2010-06-23 2012-08-14 Mckesson Financial Holdings Limited Systems and methods for generating payor sheets associated with payors for healthcare transactions
US8392214B1 (en) 2010-11-30 2013-03-05 Mckesson Financial Holdings Limited Systems and methods for facilitating claim rejection resolution by providing prior authorization assistance
US8473598B1 (en) 2011-03-30 2013-06-25 Mckesson Financial Holdings Systems and methods for monitoring and reporting on virtual application delivery
US8949269B1 (en) * 2011-03-31 2015-02-03 Gregory J. Wolff Sponsored registry for improved coordination and communication
US8983855B1 (en) 2011-05-16 2015-03-17 Mckesson Financial Holdings Systems and methods for evaluating adherence to a project control process
US8566117B1 (en) 2011-06-30 2013-10-22 Mckesson Financial Holdings Systems and methods for facilitating healthcare provider enrollment with one or more payers
US8781854B1 (en) 2011-08-12 2014-07-15 Mckesson Financial Holdings Systems and methods for identifying healthcare transactions with a risk of failing to include appropriate directions for use
US8723640B2 (en) 2011-08-16 2014-05-13 Elwha Llc Distillation of status data relating to regimen compliance responsive to the presence and absence of wireless signals relating to one or more threshold frequencies
US8239918B1 (en) 2011-10-11 2012-08-07 Google Inc. Application marketplace administrative controls
US8626529B1 (en) 2011-11-17 2014-01-07 Mckesson Financial Holdings Systems and methods for identifying risk evaluation and mitigation strategies (REMS) compliance
US8650645B1 (en) 2012-03-29 2014-02-11 Mckesson Financial Holdings Systems and methods for protecting proprietary data
US10192193B1 (en) 2012-06-28 2019-01-29 Mckesson Specialty Care Distribution Corporation Systems and methods for improving central pharmacy-type dispensing operations
US8725532B1 (en) 2012-06-29 2014-05-13 Mckesson Financial Holdings Systems and methods for monitoring controlled substance distribution
US9460077B1 (en) 2012-06-29 2016-10-04 Mckesson Corporation Data validation
EP2907061A4 (en) * 2012-10-10 2016-07-27 Abbvie Biotechnology Ltd Managing healthcare services
US10417380B1 (en) 2013-12-31 2019-09-17 Mckesson Corporation Systems and methods for determining and communicating a prescription benefit coverage denial to a prescriber
US10489552B2 (en) 2014-02-14 2019-11-26 Mckesson Corporation Systems and methods for determining and communicating patient incentive information to a prescriber
US10430555B1 (en) 2014-03-13 2019-10-01 Mckesson Corporation Systems and methods for determining and communicating information to a pharmacy indicating patient eligibility for an intervention service
US10297344B1 (en) 2014-03-31 2019-05-21 Mckesson Corporation Systems and methods for establishing an individual's longitudinal medication history
US10360203B2 (en) 2014-03-31 2019-07-23 Mckesson Specialty Care Distribution Corporation Systems and methods for generating and implementing database audit functionality across multiple platforms
US10635783B2 (en) 2014-06-23 2020-04-28 Mckesson Corporation Systems and methods for determining patient adherence to a prescribed medication protocol
US9311504B2 (en) * 2014-06-23 2016-04-12 Ivo Welch Anti-identity-theft method and hardware database device
US10713694B1 (en) 2014-08-23 2020-07-14 Mckesson Corporation Systems and methods for determining product pricing for products in a healthcare transaction
US10642957B1 (en) 2014-10-21 2020-05-05 Mckesson Corporation Systems and methods for determining, collecting, and configuring patient intervention screening information from a pharmacy
US10496793B1 (en) 2014-12-15 2019-12-03 Mckesson Corporation Systems and methods for determining eligibility in a prescription safety network program
US10423759B1 (en) 2015-01-16 2019-09-24 Mckesson Corporation Systems and methods for identifying prior authorization assistance requests in healthcare transactions
US10157262B1 (en) 2015-03-10 2018-12-18 Mckesson Corporation Systems and methods for determining patient financial responsibility for multiple prescription products
JP6485164B2 (en) * 2015-03-30 2019-03-20 富士通株式会社 Electronic medical record program, information processing method, and information processing apparatus
US9727621B2 (en) 2015-03-31 2017-08-08 Change Healthcare Llc Systems and methods for servicing database events
US10565656B1 (en) 2015-07-28 2020-02-18 Mckesson Corporation Systems and methods for auditing discount card-based healthcare purchases
US10606984B1 (en) 2016-03-29 2020-03-31 Mckesson Corporation Adherence monitoring system
US11514137B1 (en) 2016-03-30 2022-11-29 Mckesson Corporation Alternative therapy identification system
US20180075212A1 (en) * 2016-09-15 2018-03-15 Mayo Foundation For Medical Education And Research Medication prescribing tool
US10999224B1 (en) 2017-02-01 2021-05-04 Mckesson Corporation Method and apparatus for parsing an electronic message and constructing multiple differently prioritized messages therefrom
US10616146B1 (en) 2017-02-08 2020-04-07 Mckesson Corporation Computing device and method for message construction and processing based upon historical data
US10650380B1 (en) 2017-03-31 2020-05-12 Mckesson Corporation System and method for evaluating requests
US10862832B1 (en) 2018-07-24 2020-12-08 Mckesson Corporation Computing system and method for automatically reversing an action indicated by an electronic message
US11636548B1 (en) 2019-06-26 2023-04-25 Mckesson Corporation Method, apparatus, and computer program product for providing estimated prescription costs
US11562437B1 (en) 2019-06-26 2023-01-24 Mckesson Corporation Method, apparatus, and computer program product for providing estimated prescription costs
US11610240B1 (en) 2020-02-17 2023-03-21 Mckesson Corporation Method, apparatus, and computer program product for partitioning prescription transaction costs in an electronic prescription transaction
US11587657B2 (en) 2020-09-04 2023-02-21 Mckesson Corporation Method, apparatus, and computer program product for performing an alternative evaluation procedure in response to an electronic message

Family Cites Families (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6283761B1 (en) * 1992-09-08 2001-09-04 Raymond Anthony Joao Apparatus and method for processing and/or for providing healthcare information and/or healthcare-related information
US5546580A (en) * 1994-04-15 1996-08-13 Hewlett-Packard Company Method and apparatus for coordinating concurrent updates to a medical information database
US5603025A (en) * 1994-07-29 1997-02-11 Borland International, Inc. Methods for hypertext reporting in a relational database management system
US5737539A (en) 1994-10-28 1998-04-07 Advanced Health Med-E-Systems Corp. Prescription creation system
US5845255A (en) * 1994-10-28 1998-12-01 Advanced Health Med-E-Systems Corporation Prescription management system
US5664109A (en) * 1995-06-07 1997-09-02 E-Systems, Inc. Method for extracting pre-defined data items from medical service records generated by health care providers
US5732401A (en) * 1996-03-29 1998-03-24 Intellitecs International Ltd. Activity based cost tracking systems
US6240394B1 (en) 1996-12-12 2001-05-29 Catalina Marketing International, Inc. Method and apparatus for automatically generating advisory information for pharmacy patients
US6324516B1 (en) * 1997-06-11 2001-11-27 Matthew P. Shults System and apparatus for utilization review of medical claims
US6473752B1 (en) * 1997-12-04 2002-10-29 Micron Technology, Inc. Method and system for locating documents based on previously accessed documents
CA2233794C (en) * 1998-02-24 2001-02-06 Luc Bessette Method and apparatus for the management of medical files
US6014631A (en) 1998-04-02 2000-01-11 Merck-Medco Managed Care, Llc Computer implemented patient medication review system and process for the managed care, health care and/or pharmacy industry
US6282531B1 (en) 1998-06-12 2001-08-28 Cognimed, Llc System for managing applied knowledge and workflow in multiple dimensions and contexts
US6343271B1 (en) * 1998-07-17 2002-01-29 P5 E.Health Services, Inc. Electronic creation, submission, adjudication, and payment of health insurance claims
US6067524A (en) 1999-01-07 2000-05-23 Catalina Marketing International, Inc. Method and system for automatically generating advisory information for pharmacy patients along with normally transmitted data
US7917372B2 (en) * 2000-03-20 2011-03-29 Rxeob/Com.Llc Pharmacy benefits management method and apparatus
US20020103680A1 (en) * 2000-11-30 2002-08-01 Newman Les A. Systems, methods and computer program products for managing employee benefits
US20020082863A1 (en) * 2000-12-21 2002-06-27 Kleinke John D. Systems and methods for obtaining approval for medical reimbursements
US20020149616A1 (en) * 2001-01-03 2002-10-17 Chad Gross Online system for managing health care benefits
US20020143579A1 (en) 2001-03-30 2002-10-03 Docherty John P. System and method for targeted interventions of physician prescription practices based on deviations from expert guidelines
EP1258813A3 (en) * 2001-05-10 2005-11-30 Siemens Aktiengesellschaft Patent information system
KR100400323B1 (en) * 2001-11-01 2003-10-01 주식회사 하이닉스반도체 CMOS of semiconductor device and method for manufacturing the same
US7155397B2 (en) * 2002-01-22 2006-12-26 Medco Health Solutions, Inc. Apparatus and method for managing prescription benefits
US20030074234A1 (en) * 2002-02-06 2003-04-17 Stasny Jeanne Ann Customer-centered pharmaceutical product and information distribution system

Also Published As

Publication number Publication date
WO2003063056A3 (en) 2003-11-27
US20070082543A1 (en) 2007-04-12
US20100324939A1 (en) 2010-12-23
US8086472B2 (en) 2011-12-27
US7155397B2 (en) 2006-12-26
AU2003210575A1 (en) 2003-09-02
WO2003063056A2 (en) 2003-07-31
US7774213B2 (en) 2010-08-10
US20040024614A1 (en) 2004-02-05

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