METHOD, APPARATUS, AND COMPUTER PROGRAM PRODUCT FOR PARTITIONING PRESCRIPTION TRANSACTION COSTS IN AN ELECTRONIC PRESCRIPTION TRANSACTION

Patent №

US 11,640,618

Granted

2023-05-02

Filed 2020

Owner

MCKESSON CORPORATION

Lab

AI components

2

kr · planning

Assignment

Recorded

Dataset

AIPD

2023_r1 edition

Application

16797277

A method, apparatus and computer program product are provided for partitioning prescription transaction costs by determining offset savings amounts to be applied to prescription transactions, based on an adjudicated response from a payer computer. Prescription transactions received from a pharmacy are submitted in real time or near real-time for adjudication. Historical data associated with the patient and prescription is accessed to identify a target patient pay amount. Based on the benefit coverage and/or co-pay amount from the adjudicated response, an offset savings is determined in real-time or near real-time that will partition the prescription transaction cost such that the remaining patient pay amount is aligned with the target patient pay amount.

Knowledge representationPlanningG06Q 30/0206G06Q 10/10G06Q 30/0213G06Q 40/08G16H 20/00G16H 50/70G16H 20/10

AI classification

Planning0.98
Knowledge representation0.62
Evolutionary computation0.09
AI hardware0.06
Machine learning0.01
Natural language0.00
Speech0.00
Vision0.00

Ownership

MCKESSON CORPORATION

assignment · 520890161

Assignors

BURDINE, JARED

On an employer assignment, the assignors are typically the inventors.

From the same owner

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