Patent ID: 8036918

Claim:
A computer-implemented method for claim denial conversion, comprising: receiving, by a switch provider comprising one or more computers, a prescription claim from a pharmacy computer, wherein the prescription claim is associated with a product requested by a customer; routing, by the switch provider, the prescription claim to a claims processor for adjudication, the claims processor associated with a third-party payor; receiving, by the switch provider from the claims processor, a denied claim response for the claim request, the denied claim response indicating denial of any financial coverage for the prescription claim; determining, by the switch provider, that funding is available to cover at least a portion of a price of the requested product; converting, by the switch provider, the denied claim response to an approved claim response upon determination of the available funding; and transmitting, by the switch provider, the approved claim response to the pharmacy computer, the approved claim response being responsive to the received prescription claim, wherein the denied claim response is not transmitted to the pharmacy computer.