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Systems and methods for managing and/or administering prescription benefits

  • US 8,527,300 B2
  • Filed: 08/06/2012
  • Issued: 09/03/2013
  • Est. Priority Date: 09/01/2005
  • Status: Active Grant
First Claim
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1. A method comprising:

  • storing, on an electronic processor, account information in a computer database.,receiving, on the electronic processor, an access request to access a benefit management account, the benefit management account associated with an entity that administers prescription drug benefits for a plurality of members, the benefit management account associated with a plurality of benefit contracts, a contract of the plurality of benefit contracts being associated with a client;

    in response to receiving the access request, transmitting, on the electronic processor, the account information associated with at least a portion of the plurality of benefit contracts;

    receiving, on the electronic processor, a new contract request to add a new contract associated with the client to the benefit management account;

    receiving, on the electronic processor, information relating to the new contract associated with the client including prescription benefits and coverage data, broker data, and billing data;

    processing, on the electronic processor, the prescription benefits and coverage data, the broker data, and the billing data;

    generating, on the electronic processor, the new contract based on the prescription benefits and coverage data, the broker data, and the billing data;

    associating, on the electronic processor, the new contract with the client;

    receiving, on the electronic processor, an add member request to add a new member to the new contract;

    receiving, on the electronic processor, information relating to the new member associated with the new contract including a type of prescription program, a pharmacy network, pricing options, co-payments, prescription overrides, deductibles, drug plan, and prescription benefits and coverage;

    generating, on the electronic processor, a group including the new member; and

    generating, on the electronic processor, a group summary display.

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