Patent ID: 8392214

Claim:
A method, comprising: receiving a first request for prior authorization assistance from a pharmacy computer associated with a pharmacy, wherein the request for prior authorization assistance includes claim identification information for a prior healthcare claim transaction; identifying a stored transaction history record for the prior healthcare claim transaction, wherein the stored transaction record is identified based at least in part on the claim identification information from the request for prior authorization assistance, wherein the stored transaction history record indicates a denial of coverage by a payor of a drug or product for a patient; preparing a second request for prior authorization assistance, the second request based at least in part on information from the stored transaction history record, wherein the second request identifies at least patient information, identification of the drug or product for the patient, and identification of the payor; delivering, to a prior authorization assistance computer, the second request for prior authorization assistance, wherein the information included in the second request enables the prior authorization assistance computer to initiate a process for completing a prior authorization form and for delivering the completed prior authorization form to the payor; and delivering, to the pharmacy computer, a response indicating acceptance of the first request for prior authorization assistance, wherein the response is stylized as a paid response or a rejection response based upon preferences of the pharmacy; wherein the prior steps are performed by one or more computers associated with a service provider.