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公开(公告)号:US10776890B1
公开(公告)日:2020-09-15
申请号:US15679258
申请日:2017-08-17
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Stanislav Samarin , Christopher G. Lehmuth , Robert Monzyk
IPC: G06F19/00 , G06F16/903 , G06Q50/22 , G06Q10/04
Abstract: Data threat evaluation systems and methods are described. A data model structure includes a root object query that, when executed, returns a third data subset from the plurality of data types that predate a known threat, the third data subset including data types in both the first data subset and the second data subset; and a model schema to extract, from the third data subset, data types of the first subset that predicate and indicate the threat, the model schema to produce at least an individualized data threat regression model, a script originator regression model, and a script filler data threat regression model using the extracted data types. The system may use the individualized data threat regression model, the script originator regression model, and the script filler data threat regression model back on the data set to identify potential threats. The system can be applied as a fraud, waste or abuse detector.
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公开(公告)号:US10748108B2
公开(公告)日:2020-08-18
申请号:US16182566
申请日:2018-11-06
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Robert E. Hoffman , Jonathan W. Joplin
Abstract: A pharmaceutical filling system for a high volume pharmacy is described. The system can include a manual pick/pack device and method. The system may include a rotation assembly, a left door and a right door, both positioned below the rotation assembly, a left divider positioned below the left door, and a right divider positioned below the right door, and a left gathering table positioned below the left divider, and a right gathering table positioned below the right divider. The system may also include a control device in electronic communication with the rotation assembly, the doors and the dividers for control of same.
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公开(公告)号:US20200213330A1
公开(公告)日:2020-07-02
申请号:US16813201
申请日:2020-03-09
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Leah Sterman-Kabrt , Melissa Orlando , Laurie Littlecreek , Corinne Bradley-Pollack , David Hutchison , Kevin Mulligan
Abstract: A method includes receiving an access feature request for utilization of a feature in a computing system, determining a system requestor associated with the access feature request, determining an achievement associated with the feature, accessing a plurality of first document types associated with the system requestor, determining that a document of the plurality of first document types reflects successful completion of the achievement, and providing a system access to the feature based on a determination that the document reflects successful completion of the achievement.
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公开(公告)号:US10661993B2
公开(公告)日:2020-05-26
申请号:US16265089
申请日:2019-02-01
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Jonathan W. Joplin , Jerry W. Christopher , Charles E. Eller
IPC: B65B7/28 , B65G1/137 , B65B57/02 , B65B43/52 , B07C5/36 , G06F7/00 , B07C3/00 , B07C5/34 , B21B41/00 , B07C5/38 , B67B3/02 , B67B3/06 , B67B3/26 , B65B5/04 , G06Q10/08
Abstract: Method and systems for accumulation are described. In one embodiment, a dispensing station includes a receiving opening, a dispensing opening and a storage area. The dispensing station receives and dispenses a container. A transportable storage system includes multiple partitions disposed on a carrier portion to define multiple carriage sections. The carriage sections are electronically identifiable and selectively hold or eject the container. A bin apparatus for receiving the container includes a movable portion to selectively hold and release the container. A control unit for commanding the bin apparatus to dispense the container to a desired carriage section of the transportable storage system is provided. Additional methods and systems are disclosed.
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公开(公告)号:US10657480B1
公开(公告)日:2020-05-19
申请号:US15669741
申请日:2017-08-04
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Dhanur S. Balagere , David A. Tomala , Robert F. Nease , Reethi N. Iyengar
Abstract: Methods and systems for pharmacy modeling are described. The risk adjusted pharmacy predictive model is created from member data, claims data, and population data. This model can be used to compare the actual pharmacy performance to an expected actual pharmacy performance value, which can be used to identify pharmacies at risk or not performing to an acceptable level. The model can be used for adherence and generic drug utilization ratings of pharmacies. The pharmacy can be judged on a therapy class by therapy class basis with factors that reflect the demographic, socio-economic, location, benefits attributes, etc. that actually affect the performance of the pharmacy and may assist in determining the quality of care by a pharmacy.
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公开(公告)号:US20190333158A1
公开(公告)日:2019-10-31
申请号:US16509721
申请日:2019-07-12
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Jacob Jon Cedergreen
Abstract: Methods and systems for maintaining pharmacy provider networks are described. In one embodiment, claims adjudication data associated with a member and a prescribed drug is accessed. The prescribed drug associated with the member is classified as one of an acute medication and a maintenance medication. A pharmacy provider network is associated with the prescribed drug based on, at least in part, classifying the prescribed drug. It is determined if a pharmacy associated with the claims adjudication data is included within the pharmacy provider network associated with the prescribed drug. A pharmacy claim may be adjudicated for the prescribed drug based on the claim and the pharmacy provider network. Additional methods and systems are disclosed.
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公开(公告)号:US20180362254A1
公开(公告)日:2018-12-20
申请号:US16108785
申请日:2018-08-22
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Jonathan W. Joplin
CPC classification number: B65G1/1378 , B25J9/0093 , B25J11/00 , B65G1/1373 , G05B15/02 , G06F19/00 , G06F19/3456 , G06F19/3462 , G06F19/3475 , G06Q10/0832 , G06Q30/018 , G06Q50/24 , G16H20/10
Abstract: A system comprising a holding area, a manual section, a distribution section, and at least one conveyor. The manual section may include a handling area enabled for pill counting, pharmacist verification, exception handling, or combinations thereof. The distribution section may be disposed proximate the handling area and the manual section, and may include a robot and a scanner. The at least one conveyor may enable transportation of a container between said distribution section and said manual section. The robot may be adapted to pick a container from the holding area and move the container to the scanner for scanning. The robot may also be further adapted to place the container onto the conveyor to direct the container to a handling area which is enabled for an action based on the scan.
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公开(公告)号:US10102460B2
公开(公告)日:2018-10-16
申请号:US15879201
申请日:2018-01-24
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Robert E. Hoffman
IPC: G06F15/00 , G06F3/12 , G06K15/00 , G06F19/00 , G07F11/00 , B65H31/30 , B65H39/02 , B65H43/06 , B65H45/18 , B65H3/12 , B65H3/48 , G06K15/02 , G06K15/16 , B65H1/26 , B65H7/20 , B65H83/00 , G16H20/13 , B65H1/06
Abstract: A pharmaceutical filling system for a high volume pharmacy is described. The system can include a paper feed device and method. The system may include a paper collator with at one selectively openable shelf. A control device may monitor the capacity of the selectively openable shelf, and instruct a printer to hold printing additional print jobs. The selectively openable shelf may then be opened to allow the printed literature resting thereon to fall to a lower shelf, and the printer can then be restarted. Sheets of printed literature may be drawn from the paper collator, collected with any other sheets of printed literature associated with a prescription order, and mated with the prescription order for shipment.
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公开(公告)号:US20180229872A1
公开(公告)日:2018-08-16
申请号:US15952386
申请日:2018-04-13
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Jonathan W. Joplin , Robert E. Hoffman
CPC classification number: B65B35/54 , B65B5/067 , B65B35/24 , B65B57/14 , G06F19/3456 , G06Q10/08 , G06Q10/083 , G06Q50/28 , G07F17/0092 , G16H20/10
Abstract: A system comprising a staging area and a packing area. The staging area may include a plurality of staging bins and a shuttle moveable along the plurality of staging bins. A staging bin of the plurality of staging bins may be configured to selectively retain a component of an order therein. Such staging bin may be configured to selectively release the component to the shuttle. The packing area may include a slide, a scanner, and a wrap seal conveyor. The shuttle may be configured to release the component onto the slide, and the scanner may be operable to scan and verify the component during placement of the component onto the wrap seal conveyor.
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公开(公告)号:US10023341B1
公开(公告)日:2018-07-17
申请号:US14725418
申请日:2015-05-29
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Jerry W. Christopher
Abstract: A pharmaceutical filling system for a high volume pharmacy is described. The system can include a spill detection subsystem and method. The system can include a cameras to take images that a processed to determine presence of a spilled pharmaceutical. A mirror portion is provided so that the camera can take images of the entire field of the filling area. The mirror portion can be a concave mirror that increases the field of view of the camera. A light panel can illuminate the field of view to allow the camera to take high speed images. A controller can receive a series of at least two images captured by the camera and determine whether an object in the captured images is a spilled pharmaceutical.
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