Method and system for aggregating multiple prescription claims
First Claim
1. A system for reducing prescription costs, the system comprising:
- a processing system configured to receive and process claims from multiple pharmacies for prescriptions made by multiple manufacturers, the processing system further configured to aggregate the received claims for the prescriptions made by each manufacturer, to obtain from each manufacturer a manufacturer rebate based on the aggregated claims for that manufacturer, and to allocate and distribute a pharmacy rebate to each pharmacy, each pharmacy rebate being based on the portion of the manufacturer rebates that is attributable to the claims that are received from the pharmacy.
1 Assignment
0 Petitions
Accused Products
Abstract
A system for reducing prescription costs includes a claims processing subsystem that receives and process prescription claims from pharmacies and/or employers and/or other parties or entities, who unify their prescription claims. The prescriptions claims are for drugs made by multiple manufacturers. The received claims are aggregated and sorted by manufacturer. Manufacturer rebates are received from each manufacturer, based on the aggregated claims for that manufacturer. The manufacturer rebates are allocated and distributed to each party or entity, based on the portion of the manufacturer rebates that are attributable to the claims that are received from that party or entity.
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Citations
25 Claims
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1. A system for reducing prescription costs, the system comprising:
a processing system configured to receive and process claims from multiple pharmacies for prescriptions made by multiple manufacturers, the processing system further configured to aggregate the received claims for the prescriptions made by each manufacturer, to obtain from each manufacturer a manufacturer rebate based on the aggregated claims for that manufacturer, and to allocate and distribute a pharmacy rebate to each pharmacy, each pharmacy rebate being based on the portion of the manufacturer rebates that is attributable to the claims that are received from the pharmacy. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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12. A system for reducing prescription costs, the system comprising:
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a processing subsystem configured to receive and process, on behalf of multiple employers, claims from multiple pharmacies for prescriptions made by multiple manufacturers, the processing system further configured to aggregate the received claims for the prescriptions made by each manufacturer, to obtain from each manufacturer a manufacturer rebate based on the aggregated claims for that manufacturer, and to distribute a rebate to each employer, wherein each rebate is allocated based on the portion of the manufacturer rebates that is attributable to the claims that are received on behalf of that employer. - View Dependent Claims (13, 14)
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15. A system for reducing prescription costs, the system comprising:
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means for receiving claims from multiple pharmacies for prescriptions made by multiple manufacturers;
means for storing the received claims;
means for aggregating the claims in the database for the prescriptions made by each manufacturer;
means for obtaining a manufacturer rebate from each manufacturer based on the aggregated claims for that manufacturer;
means for allocating and distributing a pharmacy rebate to each of the pharmacies, each pharmacy rebate based on the portion of the manufacturer rebates that are attributable to the claims that are received from the pharmacy.
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16. A system for reducing prescription costs, the system comprising:
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a claims processing subsystem configured to receive and process claim information about a first set of claims from multiple pharmacies and about a second set of claims from multiple pharmacies, wherein the first set of claims are for prescriptions made by multiple manufacturers including at least one claim for a prescription made by a first manufacturer, and have been previously received by a first claims processing organization, and wherein the second set of claims are for prescriptions made by multiple manufacturers including at least one claim for a prescription made by the first manufacturer, and have been previously received by a second claims processing organization, the claims processing subsystem comprising;
a rebate subsystem configured to aggregate the claim information for the prescriptions made by each manufacturer, to obtain from each manufacturer a manufacturer rebate based on the aggregated claim information for that manufacturer, and to allocate and distribute a rebate in connection with each of the claims, based on the portion of the manufacturer rebates that is attributable to the claim. - View Dependent Claims (17, 18)
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19. A method of reducing prescription costs, comprising:
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receiving claims from multiple pharmacies for prescriptions made by multiple manufacturers;
aggregating the received claims for the prescriptions made by each manufacturer;
obtaining a manufacturer rebate from each manufacturer, based on the aggregated claims for that manufacturer; and
allocating and distributing a pharmacy rebate to each of the pharmacies, each pharmacy rebate being based on the portion of the manufacturer rebates that are attributable to the claims that are received from the pharmacy. - View Dependent Claims (20, 21)
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22. A system for reducing prescription costs, the system comprising:
a processing system configured to receive and process claims from multiple pharmacies for prescriptions made by multiple manufacturers, the processing system further configured to aggregate the received claims for the prescriptions made by each manufacturer, to obtain from each manufacturer a manufacturer rebate based on the aggregated claims for that manufacturer, and to allocate and distribute a pharmacy rebate to each pharmacy, each pharmacy rebate being based on a portion of the manufacturer rebates.
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23. A system for reducing prescription costs, the system comprising:
a processing system configured to receive and process claims from multiple parties for prescriptions made by multiple manufacturers, the processing system further configured to aggregate the received claims for the prescriptions made by each manufacturer, to obtain from each manufacturer a manufacturer rebate based on the aggregated claims for that manufacturer, and to allocate and distribute a rebate to each party, each rebate being based on a portion of the manufacturer rebates. - View Dependent Claims (24, 25)
Specification