Patent ID: 8489415
Filing Date: 2013-07-16
Classification: G06Q

Abstract:
1. A computer-implemented method, comprising: receiving, from a healthcare provider computer by a service provider system comprising one or more computers, a healthcare claim request comprising information associated with a plurality of prescription claims for a single healthcare transaction; identifying, by the service provider system, the received healthcare claim request as a bundled healthcare claim request; generating, based at least in part upon identifying the received healthcare claim request as a bundled healthcare claim request and by the service provider system for delivery to a first claims processor computer identified utilizing information included in the received healthcare claim request, a primary claim request for the healthcare transaction; communicating, by the service provider system, the generated primary claim request to the first claims processor computer for adjudication; receiving, by the service provider system from the first claims processor computer, a first adjudicated reply for the primary claim request; generating, by the service provider system for delivery to a second claims processor computer identified utilizing the information included in the received healthcare claim request and based at least in part on the received first adjudicated reply, a secondary claim request for the healthcare transaction; communicating, by the service provider system, the generated secondary claim request to a second claims processor computer for adjudication; receiving, by the service provider system from the second claims processor computer, a second adjudicated reply for the secondary claim request; bundling, by the service provider system, the first adjudicated reply and the second adjudicated reply into a single response for the healthcare claim request; and communicating, by the service provider system to the healthcare provider computer, information associated with the first adjudicated reply and the second adjudicated reply, wherein communicating information associated with the first adjudicated reply and the second adjudicated reply to the healthcare provider computer comprises communicating the bundled single response to the healthcare provider computer.