Patent ID: 8370172

Claim:
A computer system for submitting a claim for a dispensed medication to a patient by a point-of-care physician comprising: one or more non-transitory computer-readable media having tangibly embodied thereon one or more computer-executable instructions that are structure such that, when executed by one or more processors of said computer system, the computer system is configured to perform the following: an act of acquiring at least one of the group consisting of a national provider identifier number and a non-pharmacy dispensing site number for said point-of-care physician; an act of displaying to a user a selection of data fields relating to said claim; an act of inputting into said data fields data relating to said claim including a payor, said dispensed medication, and said at least one of the group consisting of said national provider identifier number, said non-pharmacy dispensing site number; responsive to said inputted payor, an act of producing an electronic form of one of a 1500 form and a universal drug form based on said payor, said producing said electronic form comprising inputting said at least one of said national provider identifier number and said non-pharmacy dispensing site number in a predetermined field in said produced electronic form of one of said 1500 form and said universal drug form; an act of transmitting to a logic switch said produced electronic form containing said claim containing said payor, said dispensed medication, and said at least one of the group consisting of said national provider identifier number, said non-pharmacy dispensing site number identifying said point-of-care physician for determining the processor for said claim; an act of determining the pathway for said claim, said act of determining comprising: responsive to said payor being Medicare Part D, processing said national provider identifier number and said non-pharmacy dispensing site number; responsive to said payor being Medicare Part B, processing said national provider identifier number; responsive to said payor being private insurance, processing said national provider identifier number and said non-pharmacy dispensing number; responsive to said payor being worker's compensation, processing said national provider identifier number; an act of processing by said payor said claim containing said at least one of the group consisting of a national provider identifier number and a non-pharmacy dispensing site number to identify said point-of-care physician; and responsive to said act of processing, an act of transmitting to said point-of-care physician an adjudication regarding said claim.