Patent ID: 7685006

Claim:
A method for reconciling third party payor receivables with a set of prescription transactions comprising: obtaining, at a pharmacy accounts receivable (PAR) computer system network of a pharmacy including at least one computing device, prescription claim data associated with the set of prescription transactions, each of the set of prescription transactions corresponding to a prescription claim; obtaining, at the PAR computer system network, third party deposit data associated with the set of prescription transactions; obtaining, at the PAR computer system network, third party payor data associated with the set of prescription transactions; obtaining, at the PAR computer system network, remittance advice associated with the set of prescription transactions, the remittance advice comprising a plurality of remittance advice line items, each remittance advice line item associated with one of the prescription transactions of the set of prescription transactions; configuring, at the PAR computer system network, the prescription claim data, the third party deposit data, the third party payor data, and the remittance advice into a pharmacy automated accounts receivable system (PARS) database to form PARS data; automatically reconciling, at the PAR computer system network, the third party deposit data with the remittance advice, and initiating a manual third-party-deposit-data-to-remittance-advice reconciliation process for a failed automatic third-party-deposit-data-to-remittance-advice reconciliation; automatically reconciling, at the PAR computer system network, the remittance advice with the prescription claim data, and initiating a manual remittance-advice-to-prescription-claim-data reconciliation process for a failed automatic remittance-advice-to-prescription-claim-data reconciliation; and performing, at the PAR computer system network, a resolution process for at least one of a failed manual automatic third-party-deposit-data-to-remittance-advice reconciliation or a failed manual remittance-advice-to-prescription-claim-data reconciliation, the resolution process including: providing a group of resolution activities including collecting, billing, resolving a billing exception, and resolving a third-party payment; identifying one or more unreconciled prescription claims; receiving a selection of at least one resolution activity from the group of resolution activities; and performing the at least one selected resolution activity for the identified one or more unreconciled prescription claims, the at least one selected resolution activity including adding the identified one or more unreconciled prescription claims to a corresponding resolution activity work queue, displaying at least one corresponding resolution activity user-interactive graphical display screen, and updating the PARS data.