Systems, methods, and apparatuses for barcoded service requests and responses associated with healthcare transactions

• US 8,392,209 B1
• Filed: 06/13/2010
• Issued: 03/05/2013
• Est. Priority Date: 06/13/2010
• Status: Active Grant

• Current Assignee: Mckesson Specialty Arizona Inc. (McKesson Corp.)
• Original Assignee: Mckesson Specialty Arizona Inc. (McKesson Corp.)
• Inventors: Bertha, Brian, Weinstein, David
• Primary Examiner(s): Patel, Neha
• Application Number:
  US12/814,465
• Time in Patent Office: 996 Days
• Field of Search: 705/2, 705/3
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients

Abstract

Systems, methods, and apparatuses are provided for supporting barcoded service requests and responses. The systems, methods, and apparatuses can support receiving, from a pharmacy computer, a claim request that identifies at least a patient and a prescribed product; determining, based upon the claim request, that a service request is available, the service request indicating an opportunity for one or more services to be provided by the pharmacy to the patient; storing claim information in association with a bar code, the claim information including information from the claim request, the bar code associated with the service request; automatically directing a delivery of the service request to the pharmacy, the service request including the bar code; and receiving a response to the service request, wherein the response includes the bar code, where the bar code is utilized, at least in part, to obtain at least a portion of the claim information for documentation of the one or more provided services.

Claims

1. A method, comprising:

receiving, by a service provider system comprising one or more computers, a prescription claim request from a pharmacy computer associated with a pharmacy, wherein the prescription claim request identifies a patient and a drug or product prescribed for the patient;

determining, by the service provider system and based at least in part on the drug or product identified in the prescription claim request, that a service request is available, wherein the service request indicates an opportunity for one or more services to be provided to the patient and comprises one or more data collection fields, and wherein the one or more services comprise counseling of the patient in accordance with one or more healthcare programs;

associating, by the service provider system, a bar code with the service request;

storing, by the service provider system, prescription claim information in association with the bar code, wherein the prescription claim information comprises information included in the prescription claim request;

directing, by the service provider system, a delivery of the service request and the associated bar code to the pharmacy;

receiving, by the service provider system, a response to the service request, wherein the response includes the bar code, and wherein the response comprises one or more values associated with the one or more data collection fields;

identifying, by the service provider system, the one or more values associated with the one or more data collection fields;

retrieving, by the service provider system, at least a portion of the prescription claim information based at least in part on the bar code; and

generating, by the service provider system and based at least in part on the retrieved prescription claim information, documentation information relating to the provision of the one or more services to the patient,

wherein the documentation information comprises at least one documentation record that identifies the one or more services provided to the patient, the patient, the prescribed drug or product, and the one or more values associated with the one or more data collection fields.

2. The method of claim 1, wherein determining that the service request is available comprises determining that the service request is available based at least in part on at least one of:

(i) past prescription claim transaction history associated with the patient, (ii) an age of the patient, (iii) a gender of the patient, (iv) a location associated with the patient, or (v) the pharmacy associated with the prescription claim request.

3. The method of claim 1, wherein the response is a returned copy of the delivered service request.

4. The method of claim 1, wherein the one or more values are identified by utilizing optical mark recognition.

5. The method of claim 1, wherein the one or more healthcare programs comprise at least one of:

a pharmacy intervention program, a medication therapy management (MTM) program, or a loyalty program.

6. The method of claim 1, further comprising:

obtaining, by the service provider system and based at least in part on the bar code included in the response, at least a portion of the prescription claim information associated with the bar code in order to facilitate billing for the one or more services provided to the patient.

7. The method of claim 1, further comprising:

utilizing, by the service provider system, the documentation information for patient enrollment in one or more additional healthcare programs.

8. The method of claim 1, wherein the service request is sponsored by a pharmaceutical manufacturer for the prescribed drug or product.

9. A system, comprising:

at least one memory storing computer-executable instructions; and

at least one processor configured to access the at least one memory and to execute the computer-executable instructions to;

receive a prescription claim request from a pharmacy computer associated with a pharmacy, wherein the prescription claim request identifies a patient and a drug or product prescribed for the patient;

determine, based at least in part on the drug or product identified in the prescription claim request, that a service request is available, wherein the service request indicates an opportunity for one or more services to be provided to the patient and comprises one or more data collection fields, and wherein the one or more services comprise counseling of the patient in accordance with one or more healthcare programs;

associate a bar code with the service request;

store prescription claim information in association with the bar code, wherein the prescription claim information comprises information included in the prescription claim request;

direct a delivery of the service request and the associated bar code to the pharmacy;

facilitate receipt of a response to the service request, wherein the response includes the bar code, and wherein the response comprises one or more values associated with the one or more data collection fields;

identify the one or more values associated with the one or more data collection fields;

retrieve at least a portion of the prescription claim information based at least in part on the bar code; and

generate documentation information relating to the provision of the one or more services to the patient based at least in part on the retrieved prescription claim information,

wherein the documentation information comprises at least one documentation record that identifies the one or more services provided to the patient, the patient, the prescribed drug or product, and the one or more values associated with the one or more data collection fields.

10. The system of claim 9, wherein the service request is determined to be available based at least in part on at least one of:

(i) past prescription claim transaction history associated with the patient, (ii) an age of the patient, (iii) a gender of the patient, (iv) a location associated with the patient, or (v) the pharmacy associated with the prescription claim request.

11. The system of claim 9, wherein the response is a returned copy of the delivered service request.

12. The system of claim 9, wherein the at least one processor is further configured to execute the computer-executable instructions to:

retrieve, based at least in part on the bar code included in the response, at least a portion of the prescription claim information associated with the bar code in order to facilitate billing for the one or more services provided to the patient.

13. The system of claim 9, wherein the one or more values are identified by utilizing optical mark recognition.

14. The system of claim 9, wherein the one or more healthcare programs comprise at least one of:

a pharmacy intervention program, a medication therapy management (MTM) program, or a loyalty program.