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    Automated device efficacy determination systems for health monitoring devices
    1.
    发明授权
    Automated device efficacy determination systems for health monitoring devices 有权

    公开(公告)号：US11515035B1

    公开(公告)日：2022-11-29

    申请号：US17072609

    申请日：2020-10-16

    Applicant: Express Scripts Strategic Development, Inc.

    Inventor： Ankur Kaneria ,  Harry S. Gangaikondan-Iyer

    IPC: G16H40/60 ,  G16H50/30 ,  G16H40/40

    Abstract: A computer system includes memory configured to store a universal data curation platform including multiple device profiles each including multiple fields for storing received device attributes in a standardized format. A processor is configured to execute instructions that include registering a first monitor device of a first vendor with a first member, registering a second monitor device of the first vendor or a second vendor with the first member or a second member, and receiving streaming health data from the devices. The instructions include transforming and storing multiple data values sensed by the first and second monitor device into standardized format device attributes of device profiles corresponding to the first and second monitor devices, and supplying the stored standardized format device attributes to at least one data analysis engine to determine one or more health characteristics of at least one of the first member and the second member.

    MULTI-PLATFORM PRESCRIPTION DRUG CLAIM ADJUDICATION
    2.
    发明公开
    MULTI-PLATFORM PRESCRIPTION DRUG CLAIM ADJUDICATION 审中-公开

    公开(公告)号：US20240203554A1

    公开(公告)日：2024-06-20

    申请号：US18537901

    申请日：2023-12-13

    Applicant: Express Scripts Strategic Development, Inc.

    Inventor： Arun Siva ,  Yevgeniya Kuznetsova ,  Damayanti Majumdar ,  KanmaniGowri Jeyaram ,  Ankur Kaneria ,  Harry S. Gangaikondan-Iyer

    IPC: G16H20/10 ,  G06N3/08 ,  G16H10/60

    CPC classification number: G16H20/10 ,  G06N3/08 ,  G16H10/60

    Abstract: Methods and systems for performing multi-platform prescription drug claim adjudication are provided. The methods and systems perform operations comprising: receiving, by a first server associated with a first claim adjudication entity, a claim for a prescription drug for a patient, the first claim adjudication entity managing a prescription drug profile for the patient; accessing initial fulfillment information for fulfilling the prescription drug using the first claim adjudication entity; determining that one or more features associated with the prescription drug of the claim correspond to one or more criteria; in response to determining that one or more features correspond to the one or more criteria, transmitting a communication to a second server associated with a second claim adjudication entity, the communication identifying the prescription drug and requesting alternate fulfillment information; and selecting a claim adjudication process based on the initial fulfillment information and the alternate fulfillment information.

    AUTOMATED DEVICE EFFICACY DETERMINATION SYSTEMS FOR HEALTH MONITORING DEVICES
    3.
    发明申请
    AUTOMATED DEVICE EFFICACY DETERMINATION SYSTEMS FOR HEALTH MONITORING DEVICES 有权

    公开(公告)号：US20230085903A1

    公开(公告)日：2023-03-23

    申请号：US17994996

    申请日：2022-11-28

    Applicant: Express Scripts Strategic Development, Inc.

    Inventor： Ankur Kaneria ,  Harry S. Gangaikondan-Iyer

    IPC: G16H40/60 ,  G16H50/30 ,  G16H40/40

    Abstract: A computerized method of capturing monitor device data in a blockchain includes receiving a product identifier and product registration information for a monitor device supplied by a vendor. The method includes generating a secret device key for the monitor device. The method includes configuring the monitor device with the secret device key. The method includes receiving a member identifier and member registration information for a member associated with the monitor device. The method includes generating, by a blockchain secret member key ledger, a secret member key. The method includes linking the secret member key with the monitor device. The method includes receiving, by a blockchain secret member-device association ledger, an associated pair of the secret device key with the secret member key to store the associated pair for further authentication and authorization by the blockchain secret member-device association ledger.

    Methods and systems for processing data inquires
    4.
    发明授权
    Methods and systems for processing data inquires 有权

    公开(公告)号：US11443835B1

    公开(公告)日：2022-09-13

    申请号：US15640396

    申请日：2017-06-30

    Applicant: Express Scripts Strategic Development, Inc.

    Inventor： Harry S. Gangaikondan-Iyer ,  William S. Patterson ,  Stephen A. Randall

    IPC: G16H10/00 ,  G06Q10/10 ,  H04W4/02

    Abstract: Methods and systems for processing data inquiries are described. In one embodiment, data from a data source can be received, a data processing request indicating a request to perform a first function can be received, and a first identifier associated with a user can be determined based on the received data. A table storing a plurality of adjudication results including a plurality of field parameters may be accessed. The plurality of adjudication results in the table can be filtered by determining which of the plurality of adjudication results includes one of the plurality of field parameters having a value that matches or corresponds to the selected field value to create a first subset of filtered adjudication results from the plurality of adjudication results. The first subset of adjudication results can be transmitted when the processor determines that at least one adjudication result of the plurality of adjudication results is within the first subset. Additional methods and systems are disclosed.

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