Patent ID: 7912741
Filing Date: 2011-03-22
Classification: G06Q,G16H

Abstract:
1. A computer-implemented method for patient-payable amount adjustment, comprising: receiving a claim request from a pharmacy computer, wherein the claim request is associated with a drug or prescription product requested by a customer; transmitting the claim request to a claims processor for adjudication; receiving, from the claims processor, a first claim response for the claim request, wherein the first claim response includes a current patient-payable amount payable by the customer; determining, based upon a historical claim transaction record associated with the customer, that a prior patient-payable amount for the drug or prescription product is less than the current patient-payable amount; preparing a second claim response based upon determining that the prior patient-payable amount is less than the current patient-payable amount, wherein the second claim response differs from the first claim response in at least that the second claim response includes a new patient-payable amount lower than the current patient-payable amount of the first claim response; and transmitting the second claim response to the pharmacy computer, the second claim response being responsive to the received claim request, wherein the prior steps are performed by one or more intermediary provider computers.