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Systems and methods for streamlined patient enrollment for one or more healthcare programs

  • US 8,392,219 B1
  • Filed: 05/10/2010
  • Issued: 03/05/2013
  • Est. Priority Date: 05/10/2010
  • Status: Active Grant
First Claim
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1. A method, comprising:

  • receiving a prescription claim request from a pharmacy computer, wherein the prescription claim request includes at least (i) a first product identifier identifying a prescribed product for a patient, and (ii) patient information associated with the patient;

    automatically determining, based at least in part upon the first product identifier, that the patient is subject to a requirement to enroll in one or more required healthcare programs based on the prescription product as part of a Risk Evaluation and Mitigation Strategy (REMS) prior to the prescription product being released to the patient;

    automatically extracting enrollment information from the prescription claim request, the extracted enrollment information including at least a portion of the patient information from the prescription claim request; and

    automatically utilizing the extracted enrollment information to complete at least a portion of an enrollment process for the one or more required healthcare programs, wherein the prior steps are performed by one or more computers associated with a service provider.

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