MANAGING HEALTHCARE SERVICES

• US 20140180705A1
• Filed: 12/16/2013
• Published: 06/26/2014
• Est. Priority Date: 10/10/2011
• Status: Abandoned Application

• Current Assignee: AbbVie Biotechnology Ltd. (Puerto Rico) (Abbvie Incorporated)
• Original Assignee: AbbVie Biotechnology Ltd. (Puerto Rico) (Abbvie Incorporated)
• Inventors: Stueckemann, Peter Carl, Dubey, Pankaj, Lanier, Richard, Venkataramanan, Prakash, Jindal, Vaibhav, Sword, Shannon Marie
• Application Number:
  US14/107,154
• Publication Number:
  US 20140180705A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/60 for the operation of medical equipment or devices
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

System and method for facilitating a medical order/prescription of a prescription product, including a memory device to store predefined forms for the prescription product corresponding to a plurality of providers. A receiver receives prescription product information for the prescription product, patient intake information for the patient, including provider information for the patient, and a benefits summary related to the patient. A transmitter transmits the benefits verification request. A processor can be configured to generate the benefits verification request for the patient based on the patient intake information, select one of the predefined forms based on at least the patient provider information, populate at least one field of the selected predefined form based on the user intake information, and release the populated predefined form to facilitate a medical order/prescription of the prescription product to the patient.

Claims

1. A system for facilitating a medical order/prescription of a prescription product for a patient covered by a provider, comprising:

at least one memory device to store a plurality of predefined forms for the prescription product, the plurality of predefined forms corresponding to a plurality of providers, the prescription product including a biologic product;

a receiver to receive prescription product information for the prescription product and patient intake information for the patient, including provider information for the patient, and to receive a benefits summary related to the patient in response to a benefits verification request;

a transmitter to transmit the benefits verification request; and

at least one processor configured to;

generate the benefits verification request for the patient based on the patient intake information;

select one of the predefined forms based on at least the patient provider information;

populate at least one field of the selected predefined form based on the user intake information; and

release the populated predefined form to facilitate a medical order/prescription of the prescription product to the patient.

2. The system of claim 1, wherein facilitating the medical order/prescription includes facilitating execution of a medical order/prescription of the prescription product or facilitating approval of a payment for the prescription product.

3. The system of claim 1, wherein the provider includes an insurance carrier, a governmental agency, or a third party payor.

4. The system of claim 1, wherein the prescription product includes a medical product, a medical service, or an administration of a medical product.

5. The system of claim 1, wherein the biologic product comprises a TNF inhibitor.

6. The system of claim 1, wherein the biologic product comprises adalimumab.

7. The system of claim 1, wherein the plurality of predefined forms comprise at least one prior authorization form.

8. The system of claim 1, wherein the at least one memory device stores a second plurality of forms for a second prescription product, the second plurality of predefined forms corresponding to a plurality of providers.

9. The system of claim 1, wherein the processor is configured to automatically select one of the predefined forms based on the patient provider information.

10. The system of claim 1, wherein the transmitter is configured to transmit the benefits verification request to a benefits verifier, and wherein the receiver is configured to receive the benefits verification summary from the benefits verifier.

11. The system of claim 10, wherein the receiver is further configured to receive information about the predefined forms from the benefits verifier, and the processor is configured to select one of the predefined forms further based on the information about the predefined forms received from the benefits verifier.

12. The system of claim 1, wherein the transmitter is further configured to transmit a request for additional patient information.

13. The system of claim 12, wherein the processor is further configured to receive the additional patient information and populate at least one field of the selected predefined form with the additional patient information.

14. The system of claim 12, wherein the additional patient information includes information required for the selected predefined forms and not included in the patient intake information or the prescription product information for the prescription product.

15. The system of claim 1, wherein the processor is configured to release the populated predefined form to the provider of the patient.

16. The system of claim 1, wherein the processor is further configured to generate a prescription document from at least a portion of the prescription product information and the patient intake information and release the prescription document to a pharmacy.

17. The system of claim 1, further comprising at least one user device to introduce the patient intake information and prescription product information to the receiver.

18. The system of claim 1, wherein the transmitter and the receiver are connected to a network, and wherein the transmitter is further configured to transmit markup language describing a user interface over the network, the user interface including fields for entry of the patient intake information and the prescription product information.

19. The system of claim 18, further comprising at least one user device connected to the network, the at least one user device including a memory for storing data and a processor configured to:

parse the markup language and display the user interface;

store in the memory the patient intake information and prescription product information entered into the fields of the user interface; and

transmit the patient intake information and prescription product information to the receiver.

20. The system of claim 19, wherein the at least one user device includes a tablet, a mobile phone, a laptop, or a desktop computer.

21. The system of claim 19, wherein the processor of the at least one user device is further configured to:

receive a healthcare provider signature; and

generate a prescription document from the prescription product information.

22. The system of claim 21, wherein the processor of the user device is further configured to transmit the prescription document to a pharmacy.

23. The system of claim 17, further comprising a scanning device communicatively coupled to the at least one user device, and wherein the processor of the at least one user device is further configured to:

receive one or more images of a patient identification document from the scanning device;

extract at least part of the patient intake information from the patient identification document; and

automatically populate at least one field of the user interface.

24. The system of claim 23, wherein the patient identification document includes a license or an insurance card.

25. A method for facilitating a medical order/prescription of a prescription product for a patient covered by a provider, comprising:

providing at least one memory having stored therein a plurality of predefined forms for the prescription product, the plurality of predefined forms corresponding to a plurality of providers, the prescription product including a biologic product;

receiving patient intake information including provider information of the patient and prescription product information for the prescription product;

generating, by a processor, a benefits verification request for the patient based on the patient intake information;

obtaining a benefits summary based on the benefits verification request;

selecting one of the predefined forms based on at least one of the patient provider information and the benefits summary;

populating at least one field of the selected predefined form based on the patient intake information; and

facilitating, by the processor, a medical order/prescription of the prescription product to the patient with the selected predefined form.

26. The method of claim 25, wherein the biologic product comprises a TNF inhibitor.

27. The method of claim 25, wherein the biologic product comprises adalimumab.

28. A non-transitory computer readable medium containing computer-executable instructions that when executed cause one or more user devices to perform a method of facilitating a medical order/prescription of a prescription product for a patient covered by a provider, the method comprising:

providing a memory including a plurality of predefined forms corresponding to one or more providers stored therein;

receiving patient intake information including patient provider and prescription product information for the prescription product, the prescription product including a biologic product;

generating, by a processor, a benefits verification request for the patient based on the patient intake information;

obtaining a benefits summary based on the benefits verification request;

selecting one of the predefined forms based on at least one of the patient provider information and the benefits summary;

populating at least one field of the selected predefined form based on the patient intake information; and

facilitating, by the processor, a medical order/prescription of the prescription product to the patient with the selected predefined form.

29. The non-transitory computer readable medium of claim 28, wherein the biologic product comprises a TNF inhibitor.

30. The non-transitory computer readable medium of claim 28, wherein the biologic product comprises adalimumab.