Methods and systems for claim adjudication
Number of patents in Portfolio can not be more than 2000
United States of America
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Oct 8, 2019
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N/A
app pub date -
Dec 28, 2011
filing date -
Dec 28, 2011
priority date (Note) -
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Abstract
Methods and systems for claim adjudication are described. In one embodiment, a status of a drug benefit plan associated with a member is determined. Claims data associated with the member is accessed. A current-filled prescription is identified based on the claims data. At least one adjudication operation for the current-filled prescription is performed prior to receiving a new request for the current-filled prescription. The new request is determined as fillable based on the performance of the at least one adjudication operation. A notification is generated to the member based on the determination. Additional methods and systems are disclosed.
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