Systems and methods for pharmacy inventory management
First Claim
1. A computer implemented method for tracking prescription drug inventory at a prescription claim transaction switch comprising:
- receiving a prescription claim transaction from a pharmacy system associated with a pharmacy, wherein the prescription claim transaction indicates an amount of a drug;
transmitting the prescription claim transaction to a payer system for adjudication;
receiving an adjudicated response for the prescription claim transaction, wherein the adjudicated response indicates payment associated with the prescription claim transaction;
updating, based upon the received adjudicated response indicating the payment, an inventory amount associated with the drug, wherein the inventory amount is maintained by a service provider;
determining that the inventory amount has met a threshold value; and
transmitting a message to the pharmacy system indicating that the inventory amount has met the threshold value,wherein the prior steps are performed by the prescription claim transaction switch comprising one or more processors executing computer-executable instructions.
4 Assignments
0 Petitions
Accused Products
Abstract
Systems and methods for tracking prescription drug inventory of a pharmacy at a switch. Embodiments of the invention include receiving, at a switch, a prescription claim transaction from a pharmacy system, where the prescription claim transaction indicates an amount of a drug, and transmitting the prescription claim transaction to a payer system for adjudication. An adjudicated response for the prescription claim is then received from the payer system, and an inventory amount associated with the drug maintained by the switch is updated by the switch. When a determination is made that the inventory amount has met a threshold value, a message is transmitting indicating that the inventory amount has met the threshold value. In some embodiments of the invention the message is sent to the pharmacy or directly to a supplier as part of an order for additional inventory of the drug.
71 Citations
24 Claims
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1. A computer implemented method for tracking prescription drug inventory at a prescription claim transaction switch comprising:
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receiving a prescription claim transaction from a pharmacy system associated with a pharmacy, wherein the prescription claim transaction indicates an amount of a drug; transmitting the prescription claim transaction to a payer system for adjudication; receiving an adjudicated response for the prescription claim transaction, wherein the adjudicated response indicates payment associated with the prescription claim transaction; updating, based upon the received adjudicated response indicating the payment, an inventory amount associated with the drug, wherein the inventory amount is maintained by a service provider; determining that the inventory amount has met a threshold value; and transmitting a message to the pharmacy system indicating that the inventory amount has met the threshold value, wherein the prior steps are performed by the prescription claim transaction switch comprising one or more processors executing computer-executable instructions. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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13. A system for tracking prescription drug inventory comprising:
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a memory for storing computer-executable instructions; and a prescription claim transaction switch comprising one or more processors in communication with the memory, wherein the one or more processors are configured to execute the computer-executable instructions to; receive, at the prescription claim transaction switch, a prescription claim transaction from a pharmacy system associated with a pharmacy, wherein the prescription claim transaction indicates an amount of a drug; transmit the prescription claim transaction to a payer system for adjudication; receive an adjudicated response for the prescription claim transaction, wherein the adjudicated response indicates payment associated with the prescription claim transaction; update, based upon the received adjudicated response indicating the payment, an inventory amount associated with the drug, wherein the inventory amount is maintained by a service provider; determine that the inventory amount has met a threshold value; and determining that a ratio of the inventory amount to a dispensed amount of the drug has met a threshold that indicates possible fraud; and transmitting a message to the pharmacy system indicating that the inventory amount has met the threshold value. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24)
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Specification