Systems and methods for determining patient financial responsibility for multiple prescription products
US10978198B1 · kind B1 · utility
Assignee
Inventor
Key dates
| Filing date | Nov 5, 2018 |
| Grant date | Apr 13, 2021 |
| Priority date | — |
| Expiry date | Feb 19, 2039 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG16H20/10
- WIPO fieldMedical technology
- WIPO sectorInstruments
Abstract
Systems and methods are provided for determining patient financial responsibility for multiple prescription products across multiple healthcare transactions. A service provider computer can receive multiple healthcare transactions, and can evaluate each to determine if it includes a total group transaction number and a transaction number. The service provider computer can compare the transaction number to the total group transaction number to determine if all transactions within a group have been received. Once received, the transactions can be transmitted to the claims processor computer for adjudication. Upon receiving the adjudicated response for each transaction within the group, the service provider computer can identify the patient co-pay for each of the adjudicated responses in the group and can calculate a total patient pay amount based on the group of patient co-pays. The total patient pay amount may then be transmitted to a healthcare provider computer associated with a healthcare provider.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.