Patent ID: 8521557

Claim:
A computer-implemented method, comprising: receiving, at a service provider computer from a healthcare provider computer, a healthcare claim transaction associated with a product requested by a customer; communicating, by the service provider computer, the healthcare claim transaction from the service provider computer to a claims processor for adjudication; receiving, at the service provider computer from the claims processor, an adjudicated denied claim response for the healthcare claim transaction, wherein the adjudicated denied claim response indicates denial of any financial coverage for the healthcare claim transaction and wherein the adjudicated denied claim response is not transmitted to the healthcare provider computer; determining, by the service provider computer, a classification of the product requested by the customer, wherein the classification identifies the product as an over-the-counter product; converting, at the service provider computer, based at least in part upon the determined classification of the product, the denied claim response from the claims processor to an approved claim response, the approved claim response indicating approval of at least a portion of a price of the requested product; and communicating, by the service provider computer, the approved claim response from the service provider computer to the healthcare provider computer.