SYSTEMS AND METHODS FOR DETERMINING AND COMMUNICATING A BENEFIT RESPONSE MESSAGE
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United States of America Patent
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app pub date -
Feb 5, 2014
filing date -
Feb 5, 2014
priority date (Note) -
Abandoned
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Abstract
Systems and methods are provided for determining and communicating a benefit response message corresponding to a benefit contract status. The benefit contract status may be based upon a benefit group identifier included in a healthcare transaction. The healthcare transaction may be received by the service provider computer from a healthcare provider computer. The healthcare transaction may include prescription transaction information. The service provider may utilize the prescription transaction information to determine a benefit group identifier. The service provider may determine a contract status of the benefit group associated with the benefit response message. The service provider may transmit a provider or a limited provider message to the healthcare provider computer based upon the determination of the contract status of the benefit group.
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