Patent ID: 7805318
Filing Date: 2010-09-28
Classification: G06Q,G16H

Abstract:
1. A process of providing recipients with financial help in addressing medical care comprising: receiving a pharmaceutical drug from a donor pharmaceutical manufacturer; inventorying the drug received from the pharmaceutical manufacturer; taking title of the drug from the pharmaceutical manufacturer; pre-qualifying by a computer processor a recipient for eligibility to receive donated drugs; determining an amount of allowable eligibility for the recipient based on a difference between an annual maximum true out-of-pocket (TrOOP) threshold and any previous true out-of-pocket payments made by the recipient including an amount of donated drug previously received by the recipient; dispensing the drug to the recipient based on said pre-qualifying step and the amount of eligibility; sending by the computer processor an automated message indicating an amount of a non-payable claim, wherein the amount of the non-payable claim includes a value of the drug to be credited toward the recipient's true out-of-pocket payment; and crediting the value of the drug toward the recipient's true out-of-pocket payment.