PRESCRIPTION DRUG CUSTOMER MESSAGING SYSTEMS AND METHODS

• US 20180293358A1
• Filed: 04/10/2017
• Published: 10/11/2018
• Est. Priority Date: 04/10/2017
• Status: Abandoned Application

• Current Assignee: WebMD LLC (WebMD Health Corporation)
• Original Assignee: Digital Health Dialog LLC
• Inventors: Sooudi, Hossain, Burkett, Kenneth, Beacham, Adam, Jackson, Joe, Foss, John, Hoefs, Benjamin, Maoz, Or
• Application Number:
  US15/483,481
• Publication Number:
  US 20180293358A1
• Time in Patent Office: Days
• CPC Class Codes: G06Q 10/109 Time management, e.g. calendars, reminders, meetings or time accounting
• CPC Class Codes: G06Q 30/0257 User requested
• CPC Class Codes: G06Q 30/0267 Wireless devices
• CPC Class Codes: G06Q 30/0601 Electronic shopping [e-shopping]
• CPC Class Codes: G06Q 50/22 Social work or social welfare, e.g. community support activities or counselling services
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/63 for local operation

Abstract

A method includes receiving by a server computer a prescription drug claim transaction data from a claims processor over a data communications network, analyzing the prescription drug claim transaction data, and messaging a user device of a prescription drug customer in respect of the prescription drug claim transaction data.

Claims

1. A system for messaging in a data communications network communicatively connected to a claims processor and a user device, comprising:

a processor;

a network interface communicatively connected to the processor and the data communications network;

a memory communicatively connected to the processor, the memory includes instructions for causing the processor to;

receive over the data communications network from the claims processor a set of prescription drug claims data associated with the user device;

analyze the prescription drug claims data; and

message the user device over the data communications network.

2. The system of claim 1, wherein the instructions cause the processor to:

determine an indicator of the prescription drug claims data, the indicator selected from the group consisting of;

a date for refill of a prescription, an end of prescription date, a prior authorization requirement, a no insured coverage, an eligible award, a paid claim that is reversed, and a particular profile relevant to the user device and the prescription drug claims data.

3. The system of claim 2, wherein the instructions cause the processor to message the user device over the data communications network responsive to determining the indicator.

14. The system of claim 1, wherein analyzing includes determining a refill date for refill of a prescription drug of the set of prescription drug claims data and calculating a date for a refill reminder;

wherein the message includes the refill reminder for refill of the prescription drug of the set of prescription drug claims data.

15. The system of claim 14, further comprising:

a pharmacy gateway communicatively connected to the processor, the pharmacy gateway is associated with the set of prescription drug claims data;

wherein the instructions further cause the processor to;

receive over the communications network from the user device a request for refill; and

contact the pharmacy gateway associated with the set of prescription drug claims data to request refill of the prescription drug associated with the set of prescription drug claims data.

16. The system of claim 1, further comprising:

a database of contact information for a prescribing doctor associated with the set of prescription drug claims data, the database is communicatively connected to the processor;

wherein the instructions further cause the processor to;

search the database communicatively connected to the server computer for a contact information for the prescribing doctor associated with the set of prescription drug claims data;

wherein the message includes the contact information for the prescribing doctor for refill of the prescription drug of the set of prescription drug claims data.

17. The system of claim 1, wherein analyzing determines an indicator of a prior authorization requirement for refill of a prescription drug related to the set of prescription drug claims data;

wherein the message includes a request for written authorization and request to pursue an appeal of the prior authorization requirement.

18. The system of claim 1, wherein analyzing determines an indicator selected from the group consisting of:

no insured coverage, prior authorization requirement, and particular profile of the user device and the set of prescription drug claims data;

wherein the message includes a request for consent to mail order service for purchase and delivery of the prescription drug of the prescription drug claims data.

19. The system of claim 1, further comprising:

a rewards program device communicatively connected to the processor;

wherein the instructions further cause the processor to;

search the rewards program device for any available award associated with the set of prescription drug claims data,

receive by the processor from the rewards program device an indicator of an available award associated with the set of prescription drug claims data;

wherein the message includes the available award.

20. The system of claim 1, wherein analyzing determines an indicator of a paid claim that is reversed associated with the set of prescription drug claims data;

wherein the message includes that the paid claim is reversed.

21. The system of claim 1, wherein analyzing determines a particular profile of the user device and the set of prescription drug claims data;

wherein the instructions further cause the processor to;

create a survey corresponding to the user device and the set of prescription drug claims data;

obtain a unique URL for the survey and the user device;

populate the survey with information of the set of prescription drug claims data;

wherein the message includes a link to the URL of the survey.

4. A method, comprising:

receiving by a server computer a prescription drug claim transaction data from a claims processor over a data communications network;

analyzing the prescription drug claim transaction data;

messaging a user device of a prescription drug customer in respect of the prescription drug claim transaction data.

5. The method of claim 4, wherein the analyzing detects an indicator of a redemption of a discount coupon associated with a prescription drug related to the user device and the prescription drug claim transaction data, further comprising:

storing the indicator in a redemption database communicatively connected to the server computer;

calculating by the server computer a reminder date for refill of the prescription drug;

storing by the server computer the reminder date in the redemption database;

querying by the server computer the redemption database to determine if the reminder date is reached;

if the reminder date is reached, messaging the user device with a refill reminder;

receiving by the server computer a message relative to the refill reminder from the user device as a refill request.

6. The method of claim 5, further comprising:

sending by the server computer the refill request to a pharmacy gateway associated with the user device.

7. The method of claim 4, wherein the analyzing determines an indicator of a redemption of a discount coupon associated with a prescription drug related to the user device and the prescription drug claim transaction data, further comprising:

storing the indicator in a redemption database communicatively connected to the server computer;

calculating by the server computer an end of prescription date for the prescription drug;

storing by the server computer the end of prescription date in the redemption database;

querying by the server computer the redemption database to determine if the end of prescription date is reached;

if the end of prescription date is reached, searching a database communicatively connected to the server computer for a contact information for a prescribing doctor and messaging by the server computer the user device with the contact information for the prescribing doctor for refill of the prescription drug.

8. The method of claim 7, wherein the database is accessed by the server computer over the data communications network and is selected from the group consisting of:

a national provider identifier (NPI) database and a drug enforcement administration (DEA) database.

9. The method of claim 4, wherein the analyzing determines an indicator of a prior authorization requirement for fill of a prescription drug related to a user of the user device, further comprising:

storing the indicator in a database communicatively connected to the server computer;

messaging by the server computer the user device with a request for consent to pursue an appeal of the prior authorization requirement;

receiving by the server computer from the user device a written authorization and request to pursue the appeal.

10. The method of claim 4, wherein the analyzing determines an indicator selected from the group consisting of:

no insured coverage, prior authorization requirement, and particular profile of the user device and the prescription drug claim transaction data, further comprising;

storing the indicator in a database communicatively connected to the server computer;

querying by the server computer the database to determine the indicator;

messaging by the server computer the user device with a request for consent to mail order service;

receiving by the server computer from the user device a consent to pursue mail order service.

11. The method of claim 4, further comprising:

searching by the server computer a rewards program device communicatively connected to the server computer, for an indicator of an available award associated with a user of the user device and the prescription drug claim transaction data;

receiving by the server computer from the rewards program device the indicator of the available award; and

messaging by the server computer the user device with the available award.

12. The method of claim 4, wherein the analyzing determines an indicator of a paid claim that is reversed, further comprising:

messaging by the server computer the user device with the message that the paid claim is reversed.

13. The method of claim 4, wherein the analyzing determines a particular profile of the user device and associated prescription drug claim transaction data, further comprising:

creating a survey corresponding to the user device and the associated prescription drug claim transaction data;

obtaining a unique URL for the survey and the user device;

populating the survey with information of the associated prescription drug claim transaction data;

messaging by the server computer the user device with a link to the URL of the survey;

receiving by the server computer from the user device a response to the survey;

looking up the response in a database communicatively connected to the server computer;

messaging by the server computer a physician device responsive to the response received from the user device.