[go: up one dir, main page]

WO1995003569A3 - Method for determining primary and secondary sources of health insurance coverage - Google Patents

Method for determining primary and secondary sources of health insurance coverage Download PDF

Info

Publication number
WO1995003569A3
WO1995003569A3 PCT/US1994/008012 US9408012W WO9503569A3 WO 1995003569 A3 WO1995003569 A3 WO 1995003569A3 US 9408012 W US9408012 W US 9408012W WO 9503569 A3 WO9503569 A3 WO 9503569A3
Authority
WO
WIPO (PCT)
Prior art keywords
database
coverage
coordination
rules
benefits
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/US1994/008012
Other languages
French (fr)
Other versions
WO1995003569A2 (en
Inventor
Patrick M Lawlor
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of WO1995003569A2 publication Critical patent/WO1995003569A2/en
Publication of WO1995003569A3 publication Critical patent/WO1995003569A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; 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
    • G06Q40/02—Banking, e.g. interest calculation or account maintenance

Landscapes

  • Business, Economics & Management (AREA)
  • Accounting & Taxation (AREA)
  • Finance (AREA)
  • Engineering & Computer Science (AREA)
  • Marketing (AREA)
  • Economics (AREA)
  • Development Economics (AREA)
  • Strategic Management (AREA)
  • Technology Law (AREA)
  • Physics & Mathematics (AREA)
  • General Business, Economics & Management (AREA)
  • General Physics & Mathematics (AREA)
  • Theoretical Computer Science (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Financial Or Insurance-Related Operations Such As Payment And Settlement (AREA)

Abstract

A method for operating a computer apparatus located at a hospital (8), physician's office (9), a lab (10), or a pharmacy (11) for applying the rules of coordination of benefits to claims under medical insurance (51). The computer has a first database (14) containing a grand census file identifying all individuals by social security number of personal identification number together with the plans under which they are covered. A second database (15) contains information as to the nature of the plan coverage together with the rules for coordination of benefits. When a claim is processed (figs. 2a-2c), it is first checked against the individual by identification number in the first database (step 29) to determine all plans under which coverage could be obtained (figs. 2b-2c). Thereafter, the claim is processed for coverage under the information in the second database together with the rules for coordination of benefits to determine primary and secondary coverage (steps 43, 46-49, 51, 53-55). Optionally, the claims may then be processed for payment according to such primary and secondary coverage (steps 64-68). All such determinations are then stored in a historical database for future reference (step 39).
PCT/US1994/008012 1993-07-16 1994-07-18 Method for determining primary and secondary sources of health insurance coverage Ceased WO1995003569A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US9309293A 1993-07-16 1993-07-16
US08/093,092 1993-07-16

Publications (2)

Publication Number Publication Date
WO1995003569A2 WO1995003569A2 (en) 1995-02-02
WO1995003569A3 true WO1995003569A3 (en) 1995-03-16

Family

ID=22237018

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1994/008012 Ceased WO1995003569A2 (en) 1993-07-16 1994-07-18 Method for determining primary and secondary sources of health insurance coverage

Country Status (1)

Country Link
WO (1) WO1995003569A2 (en)

Cited By (30)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7617240B2 (en) 1999-05-04 2009-11-10 Accenture Llp Component based task handling during claim processing
US7926709B1 (en) 2005-02-28 2011-04-19 Per-Se Technologies Systems and methods for pharmacy reimbursement claim resubmission
US8046242B1 (en) 2009-01-22 2011-10-25 Mckesson Financial Holdings Limited Systems and methods for verifying prescription dosages
US8099302B2 (en) 2000-01-21 2012-01-17 The Trizetto Group, Inc. Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same
US8190453B2 (en) 2002-05-16 2012-05-29 Ndchealth Corporation Systems and methods for verifying and editing electronically transmitted claim content
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
US8321243B1 (en) 2010-02-15 2012-11-27 Mckesson Financial Holdings Limited Systems and methods for the intelligent coordination of benefits in healthcare transactions
US8321283B2 (en) 2005-05-27 2012-11-27 Per-Se Technologies Systems and methods for alerting pharmacies of formulary alternatives
US8335672B1 (en) 2010-03-26 2012-12-18 Mckesson Financial Holdings Limited Systems and methods for the identification of available payers for healthcare transactions
US8386276B1 (en) 2010-02-11 2013-02-26 Mckesson Financial Holdings Limited Systems and methods for determining prescribing physician activity levels
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
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
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
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
US8538777B1 (en) 2008-06-30 2013-09-17 Mckesson Financial Holdings Limited Systems and methods for providing patient medication history
US8548824B1 (en) 2010-03-26 2013-10-01 Mckesson Financial Holdings Limited Systems and methods for notifying of duplicate product prescriptions
US8566117B1 (en) 2011-06-30 2013-10-22 Mckesson Financial Holdings Systems and methods for facilitating healthcare provider enrollment with one or more payers
US8626525B2 (en) 2008-06-23 2014-01-07 Mckesson Financial Holdings Systems and methods for real-time monitoring and analysis of prescription claim rejections
US8630873B1 (en) 2005-12-08 2014-01-14 Ndchealth Corporation Systems and methods for shifting prescription market share by presenting pricing differentials for therapeutic alternatives
US8635083B1 (en) 2008-04-02 2014-01-21 Mckesson Financial Holdings Systems and methods for facilitating the establishment of pharmaceutical rebate agreements
US8639523B1 (en) 2008-07-13 2014-01-28 Mckesson Financial Holdings Systems and methods for managing a prescription rewards program
US8682697B1 (en) 2010-03-25 2014-03-25 Mckesson Financial Holdings Systems and methods for generating edits for healthcare transactions to address billing discrepancies
US8688468B1 (en) 2010-03-30 2014-04-01 Mckesson Financial Holdings Systems and methods for verifying dosages associated with healthcare transactions
US8744874B2 (en) 2006-04-28 2014-06-03 Ndchealth Corporation Systems and methods for personal medical account balance inquiries
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
US8788296B1 (en) 2010-01-29 2014-07-22 Mckesson Financial Holdings Systems and methods for providing notifications of availability of generic drugs or products
US10297344B1 (en) 2014-03-31 2019-05-21 Mckesson Corporation Systems and methods for establishing an individual's longitudinal medication history
US10496793B1 (en) 2014-12-15 2019-12-03 Mckesson Corporation Systems and methods for determining eligibility in a prescription safety network program
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
US11138670B2 (en) * 2016-01-14 2021-10-05 MNJ Tech LLC Systems and methods for verifying insurance information

Families Citing this family (65)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6915265B1 (en) * 1997-10-29 2005-07-05 Janice Johnson Method and system for consolidating and distributing information
US20030154172A1 (en) * 1999-05-04 2003-08-14 Mark Richards Negotiation facilitation during claim processing
US7979382B2 (en) * 1999-05-04 2011-07-12 Accenture Global Services Limited Component based information linking during claim processing
AU2002225659A1 (en) 2000-11-21 2002-06-03 Myhealthbank, Inc. Health plan management method and apparatus
KR100464851B1 (en) * 2001-12-22 2005-01-05 서정수 Online Insurance Claim System
KR100474206B1 (en) * 2002-08-20 2005-03-10 (주)나노씽크 Method of processing privately-managed medical insurance automatically
US8126742B2 (en) 2003-05-09 2012-02-28 Accenture Global Services Limited Automated assignment of insurable events
US8768729B2 (en) 2004-10-14 2014-07-01 Trizetto Corporation System and method for using a first electronic representation of contract terms for generating a second electronic representation of the contract terms
US20060111924A1 (en) * 2004-11-24 2006-05-25 Franz Hollich Method and system for warranty claim processing
US7933786B2 (en) 2005-11-01 2011-04-26 Accenture Global Services Limited Collaborative intelligent task processor for insurance claims
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
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
US8478769B2 (en) 2008-02-22 2013-07-02 Accenture Global Services Limited Conversational question generation system adapted for an insurance claim processing system
US8515786B2 (en) 2008-02-22 2013-08-20 Accenture Global Services Gmbh Rule generation system adapted for an insurance claim processing system
US8060379B1 (en) 2008-04-13 2011-11-15 Mckesson Financial Holdings Limited Systems and methods for alternate pricing for prescription drugs
US8036918B1 (en) 2008-06-16 2011-10-11 McKesson Financial Holdings Ltd. Systems and methods for conversions of denied transactions through patient funding
US7912741B1 (en) 2008-06-30 2011-03-22 Mckesson Financial Holdings Limited Systems and methods for copay adjustments
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
US8036913B1 (en) 2008-10-28 2011-10-11 Mckesson Financial Holdings Limited Systems and methods for prescription pre-fill processing services
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
US11080790B2 (en) 2009-09-24 2021-08-03 Guidewire Software, Inc. Method and apparatus for managing revisions and tracking of insurance policy elements
US8560340B1 (en) 2009-11-30 2013-10-15 Mckesson Financial Holdings Limited Systems and methods for overriding rejections of 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
US8762181B1 (en) 2009-12-31 2014-06-24 Mckesson Financial Holdings Limited Systems and methods for evaluating healthcare claim transactions for medicare eligibility
US8473598B1 (en) 2011-03-30 2013-06-25 Mckesson Financial Holdings Systems and methods for monitoring and reporting on virtual application delivery
US8983855B1 (en) 2011-05-16 2015-03-17 Mckesson Financial Holdings Systems and methods for evaluating adherence to a project control process
US8756075B1 (en) 2011-05-18 2014-06-17 Trizetto Corporation System and method for processing payment bundles
US10296976B1 (en) 2011-09-23 2019-05-21 Cognizant Trizetto Software Group, Inc. System and method for calculating estimated payment based on partial coding data
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
US9460077B1 (en) 2012-06-29 2016-10-04 Mckesson Corporation Data validation
US10318923B1 (en) 2012-08-01 2019-06-11 Cognizant Trizetto Software Group, Inc. Payment assurance and claim pre-validation
US10489859B1 (en) * 2013-08-29 2019-11-26 Allstate Insurance Company Life insurance clearinghouse
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
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
US10713694B1 (en) 2014-08-23 2020-07-14 Mckesson Corporation Systems and methods for determining product pricing for products in a healthcare transaction
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
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
US12020793B1 (en) 2016-03-29 2024-06-25 Mckesson Corporation Adherence monitoring and notification system
US11514137B1 (en) 2016-03-30 2022-11-29 Mckesson Corporation Alternative therapy identification system
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
US12469040B1 (en) 2019-06-26 2025-11-11 Mckesson Corporation Method, apparatus, and computer program product for providing real-time pricing information
US11562437B1 (en) 2019-06-26 2023-01-24 Mckesson Corporation Method, apparatus, and computer program product for providing estimated prescription costs
US11636548B1 (en) 2019-06-26 2023-04-25 Mckesson Corporation Method, apparatus, and computer program product for providing estimated prescription costs
US12229833B1 (en) 2020-02-17 2025-02-18 Mckesson Corporation Method, apparatus, and computer program product for reformatting an electronic prescription transaction
US12229834B1 (en) 2020-02-17 2025-02-18 Mckesson Corporation Method, apparatus, and computer program product for partitioning prescription transaction costs in an electronic prescription transaction
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
US20210304879A1 (en) * 2020-03-31 2021-09-30 Change Healthcare Holdings Llc Methods, systems, and computer program products for dividing health care service responsibilities between entities
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
US12367954B1 (en) 2021-01-08 2025-07-22 Mckesson Corporation Method, apparatus, and computer program product for estimating a target quantitative measure based upon historical electronic messages
US12197972B1 (en) 2022-03-28 2025-01-14 Mckesson Corporation Method, apparatus, and computer program product for generating alternative evaluation messages

Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4491725A (en) * 1982-09-29 1985-01-01 Pritchard Lawrence E Medical insurance verification and processing system
US4633397A (en) * 1984-12-24 1986-12-30 Richard Macco Union member accounts management system
US4648037A (en) * 1984-03-15 1987-03-03 Metropolitan Life Insurance Company Method and apparatus for benefit and financial communication
US4774664A (en) * 1985-07-01 1988-09-27 Chrysler First Information Technologies Inc. Financial data processing system and method
US4858121A (en) * 1986-12-12 1989-08-15 Medical Payment Systems, Incorporated Medical payment system
US4885686A (en) * 1987-01-12 1989-12-05 American Telephone And Telegraph At&T Bell Laboratories Methods and apparatus for efficient resource allocation
US4916611A (en) * 1987-06-30 1990-04-10 Northern Group Services, Inc. Insurance administration system with means to allow an employer to directly communicate employee status data to centralized data storage means
US5025138A (en) * 1984-02-27 1991-06-18 Vincent Cuervo Method and system for providing verifiable line of credit information
US5070452A (en) * 1987-06-30 1991-12-03 Ngs American, Inc. Computerized medical insurance system including means to automatically update member eligibility files at pre-established intervals
US5235702A (en) * 1990-04-11 1993-08-10 Miller Brent G Automated posting of medical insurance claims
US5235654A (en) * 1992-04-30 1993-08-10 International Business Machines Corporation Advanced data capture architecture data processing system and method for scanned images of document forms
US5235507A (en) * 1990-01-16 1993-08-10 P. B. Toau And Company, Ltd. Health insurance management system

Patent Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4491725A (en) * 1982-09-29 1985-01-01 Pritchard Lawrence E Medical insurance verification and processing system
US5025138A (en) * 1984-02-27 1991-06-18 Vincent Cuervo Method and system for providing verifiable line of credit information
US4648037A (en) * 1984-03-15 1987-03-03 Metropolitan Life Insurance Company Method and apparatus for benefit and financial communication
US4633397A (en) * 1984-12-24 1986-12-30 Richard Macco Union member accounts management system
US4774664A (en) * 1985-07-01 1988-09-27 Chrysler First Information Technologies Inc. Financial data processing system and method
US4858121A (en) * 1986-12-12 1989-08-15 Medical Payment Systems, Incorporated Medical payment system
US4885686A (en) * 1987-01-12 1989-12-05 American Telephone And Telegraph At&T Bell Laboratories Methods and apparatus for efficient resource allocation
US4916611A (en) * 1987-06-30 1990-04-10 Northern Group Services, Inc. Insurance administration system with means to allow an employer to directly communicate employee status data to centralized data storage means
US5070452A (en) * 1987-06-30 1991-12-03 Ngs American, Inc. Computerized medical insurance system including means to automatically update member eligibility files at pre-established intervals
US5235507A (en) * 1990-01-16 1993-08-10 P. B. Toau And Company, Ltd. Health insurance management system
US5235702A (en) * 1990-04-11 1993-08-10 Miller Brent G Automated posting of medical insurance claims
US5235654A (en) * 1992-04-30 1993-08-10 International Business Machines Corporation Advanced data capture architecture data processing system and method for scanned images of document forms

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
DIALOG PRODUCT DESCRIPTION: Delta Patient Management & Billing System, Delta Medical Shareware, Inc., Released 1990. *
GOVERNMENT AFFAIRS PERSPECTIVES, METROPOLITAN LIFE AND AFFILIATED COMPANIES, No. 91-2, issued 30 July 1991, J.B. HELITZER, "The A-B-C of COB: Almost Everything You Need To Know About How and Why it Works", pages 1-30. *

Cited By (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7617240B2 (en) 1999-05-04 2009-11-10 Accenture Llp Component based task handling during claim processing
US8099302B2 (en) 2000-01-21 2012-01-17 The Trizetto Group, Inc. Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same
US8494876B2 (en) 2000-01-21 2013-07-23 The Trizetto Group, Inc. Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same
US8738402B2 (en) 2000-01-21 2014-05-27 Trizetto Corporation Medical of increasing efficiency in a medical claim transaction, and computer program capable of executing same
US8190453B2 (en) 2002-05-16 2012-05-29 Ndchealth Corporation Systems and methods for verifying and editing electronically transmitted claim content
US7926709B1 (en) 2005-02-28 2011-04-19 Per-Se Technologies Systems and methods for pharmacy reimbursement claim resubmission
US8321283B2 (en) 2005-05-27 2012-11-27 Per-Se Technologies Systems and methods for alerting pharmacies of formulary alternatives
US8630873B1 (en) 2005-12-08 2014-01-14 Ndchealth Corporation Systems and methods for shifting prescription market share by presenting pricing differentials for therapeutic alternatives
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
US8635083B1 (en) 2008-04-02 2014-01-21 Mckesson Financial Holdings Systems and methods for facilitating the establishment of pharmaceutical rebate agreements
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
US8626525B2 (en) 2008-06-23 2014-01-07 Mckesson Financial Holdings Systems and methods for real-time monitoring and analysis of prescription claim rejections
US8538777B1 (en) 2008-06-30 2013-09-17 Mckesson Financial Holdings Limited Systems and methods for providing patient medication history
US8639523B1 (en) 2008-07-13 2014-01-28 Mckesson Financial Holdings Systems and methods for managing a prescription rewards program
US8046242B1 (en) 2009-01-22 2011-10-25 Mckesson Financial Holdings Limited Systems and methods for verifying prescription dosages
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
US8335672B1 (en) 2010-03-26 2012-12-18 Mckesson Financial Holdings Limited Systems and methods for the identification of available payers for healthcare transactions
US8548824B1 (en) 2010-03-26 2013-10-01 Mckesson Financial Holdings Limited Systems and methods for notifying of duplicate product prescriptions
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
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
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
US10297344B1 (en) 2014-03-31 2019-05-21 Mckesson Corporation Systems and methods for establishing an individual's longitudinal medication history
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
US11138670B2 (en) * 2016-01-14 2021-10-05 MNJ Tech LLC Systems and methods for verifying insurance information

Also Published As

Publication number Publication date
WO1995003569A2 (en) 1995-02-02

Similar Documents

Publication Publication Date Title
WO1995003569A3 (en) Method for determining primary and secondary sources of health insurance coverage
Clahsen et al. Derivational morphology in the German mental lexicon: A dual mechanism account
Hedge et al. Changing conceptions and practices in performance appraisal.
WO2003060750A3 (en) A system for supporting clinical decision-making
Umbaugh et al. Applying artificial intelligence to the identification of variegated coloring in skin tumors
WO2003012594A3 (en) System and method for providing financial planning and advice
CA2277276A1 (en) Security apparatus and method
WO2003100566A3 (en) Medical information registration and retrieval apparatus and method
Chopra et al. The effect of constructive coercion on the rehabilitative process: a study of the employed alcoholics in an alcoholism treatment program
Beck et al. Prediction of discharges against medical advice from an alcohol and drug misuse treatment program.
Jeon et al. Trends in the incidence of work-related traumatic limb amputations in South Korea from 2004 to 2013
WO2006047304A3 (en) Monetary transaction system and method
Cosner Industrial hygiene in the pharmaceutical and consumer healthcare industries
Flemming et al. An integrated model of privacy decisión making in state supreme courts
Champoux The moderating effect of work context satisfactions on the curvilinear relationship between job scope and affective response
Bos Personals attitudes towards robot assisted health care—A pilot study in 111 respondents
Hsieh A Nations' Genes for a Cure to Cancer: Evolving Ethical, Social and Legal Issues Regarding Population Genetic Databses
Delourme et al. Measured performance and healthcare professional perception of large language models used as clinical decision support systems: a scoping review
Rivers et al. Access to health and human services for drug users: An urban/rural community systems perspective
Gritzalis et al. Data security in medical information systems: Technical aspects of a proposed legislation
Selevan Evaluation of data sources for occupational pregnancy outcome studies
Jordan Empirical studies of judicial decisions serve an important role in the cumulative process of policy making-comments on a paper by professor william sage
Pesqueira et al. Patient empowerment with direct insights from healthcare professionals questionnaires
O’Rourke et al. Developing quality health systems in Mongolia
Zoellick et al. Artificial intelligence in melanoma diagnosis: Three scenarios, shifts in competencies, need for regulation, and reconciling dissent between humans and AI

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): BR BY CZ HU JP KR PL RU SK UA

AL Designated countries for regional patents

Kind code of ref document: A2

Designated state(s): AT BE CH DE DK ES FR GB GR IE IT LU MC NL PT SE

AK Designated states

Kind code of ref document: A3

Designated state(s): BR BY CZ HU JP KR PL RU SK UA

AL Designated countries for regional patents

Kind code of ref document: A3

Designated state(s): AT BE CH DE DK ES FR GB GR IE IT LU MC NL PT SE

121 Ep: the epo has been informed by wipo that ep was designated in this application
DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
122 Ep: pct application non-entry in european phase