SYSTEMS AND METHODS FOR MANAGING AND/OR ADMINISTERING PRESCRIPTION BENEFITS
First Claim
1. A method comprising:
- receiving, on a processor, an access request to access a benefit management account, the benefit management account associated with an entity that administers prescription drug benefits for a plurality of members, the benefit management account associated with a plurality of benefit contracts, a contract of the plurality of benefit contracts being associated with a client;
in response to receiving the access request, transmitting, on the processor, account information associated with at least a portion of the plurality of benefit contracts;
receiving, on the processor, a new contract request to add a new contract associated with the client to the benefit management account;
receiving, on the processor, information relating to the new contract associated with the client including prescription benefits and coverage data, broker data, and billing data;
processing, on the processor, the prescription benefits and coverage data, the broker data, and the billing data;
generating, on the processor, the new contract based on the prescription benefits and coverage data, the broker data, and the billing data; and
associating, on the processor, the new contract with the client.
2 Assignments
0 Petitions
Accused Products
Abstract
Systems and methods for allowing a user (e.g., a benefits administrator) to maintain and modify a contract or a group for a prescription drug plan may be provided. In response to receiving a request to modify a contract or a group, a prescription benefits management application may retrieve data relating to the contract or group and allow the user to input information relating to the contract or group, input broker information, input billing information, select a pharmacy network, select pricing options for the prescription plan, create a customized prescription plan, input brand/generic difference overrides, etc. In some embodiments, the modifications and/or additions made to a contract or group may be transmitted to a pharmacist, thereby allowing the pharmacist to fill one or more prescriptions in real-time or upon updating the system (e.g., within 48 to 72 hours).
8 Citations
5 Claims
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1. A method comprising:
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receiving, on a processor, an access request to access a benefit management account, the benefit management account associated with an entity that administers prescription drug benefits for a plurality of members, the benefit management account associated with a plurality of benefit contracts, a contract of the plurality of benefit contracts being associated with a client; in response to receiving the access request, transmitting, on the processor, account information associated with at least a portion of the plurality of benefit contracts; receiving, on the processor, a new contract request to add a new contract associated with the client to the benefit management account; receiving, on the processor, information relating to the new contract associated with the client including prescription benefits and coverage data, broker data, and billing data; processing, on the processor, the prescription benefits and coverage data, the broker data, and the billing data; generating, on the processor, the new contract based on the prescription benefits and coverage data, the broker data, and the billing data; and associating, on the processor, the new contract with the client. - View Dependent Claims (2, 3, 5)
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Specification
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- Resources
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Current AssigneeExpress Scripts Strategic Development, Inc. (The Cigna Group)
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Original AssigneeMedco Health Solutions Incorporated (The Cigna Group)
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InventorsJackson, William J., Eckstein, Yehuda
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Granted Patent
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Time in Patent OfficeDays
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Field of Search
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US Class Current705/2
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CPC Class CodesG06Q 10/10 Office automation; Time man...G06Q 40/08 InsuranceG16H 20/10 relating to drugs or medica...
