Patent ID: 8036913
Filing Date: 2011-10-11
Classification: G06Q,G16H

Abstract:
1. A computer-implemented method, comprising: receiving, by a switch provider computer, a pre-fill prescription claim request from a pharmacy computer, wherein the pre-fill prescription claim request identifies a prescribed drug or product for a customer, wherein the pre-fill prescription claim request is based upon anticipating a fill or refill need by the customer for the prescribed drug or product prior to receiving an actual request by the customer to fill or refill the prescribed drug or product; delivering, by the switch provider computer, the pre-fill prescription claim request to a claims processor for a first adjudication; receiving, by the switch provider computer in accordance with the first adjudication, a first approved response from the claims processor for the pre-fill prescription claim request, wherein the first approved response includes first financial coverage information; delivering, by the switch provider computer, the first approved response to the pharmacy computer, wherein in accordance with the delivered first approved response, a prescription order of the drug or product is prepared for pickup by the customer, wherein the prepared prescription order is labeled in accordance with the first financial coverage information; responsive to the first approved response, automatically delivering, by the switch provider computer, a prescription claim reversal request to the claims processor for a second adjudication; and receiving, by the switch provider computer in accordance with the second adjudication, a second approved response that indicates a reversal of the request by the claims processor, wherein the prepared prescription order of the drug or product remains ready for pickup by the customer for a period of time subsequent to receiving the second approved response.