Method, apparatus, and computer program product for validating electronic rebate claims
US11657423B1 · kind B1 · utility
Assignee
Inventors
Key dates
| Filing date | Mar 31, 2020 |
| Grant date | May 23, 2023 |
| Priority date | — |
| Expiry date | Jul 20, 2041 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG16H70/40
- WIPO fieldMedical technology
- WIPO sectorInstruments
Abstract
A method, apparatus and computer program product are provided for providing rebate claim validation. A drug manufacturer or associated computer may receive rebate claims from pharmacy benefit managers (PBMs). The manufacturer should not be obligated to pay the rebate if the associated prescription drug was initially sold by the manufacturer under a discount program such as 340B. However, manufacturers may not be able to discern which rebate claims are associated with a discount program. A service provider utilizes adjudicated prescription claims from a contract pharmacy, and encounter data from a covered entity to validate the rebate claims and indicate to the manufacturer whether a rebate claim is associated with a discount program such as 340B.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.