Patent ID: 7856364
Filing Date: 2010-12-21
Classification: G06Q,G16H

Abstract:
1. A computer-implemented method of retaining or shifting prescription market share, comprising: (a) receiving, at a switch from a pharmacy computer, a prescription claim associated with a drug requested by a customer, wherein the prescription claim is received at the switch independent of payment information from the customer, wherein the switch is operative to route communications between the pharmacy computer and one or more adjudication engines; (b) routing the claim from the switch to an adjudication engine of the one or more adjudication engines for benefits processing; (c) receiving, at the switch from the adjudication engine, coverage information for the claim, wherein the coverage information indicates an amount payable by the customer; (d) determining, at the switch based upon one or more program eligibility rules, that a discount is available to reduce the amount payable by the customer, wherein the discount is determined at the switch subsequent to receiving the coverage information; (e) based upon satisfying one or more program eligibility rules, applying the discount to reduce the amount payable by the customer; and (f) transmitting a notice from the switch to the pharmacy computer, the notice including the reduced amount payable by the customer.