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公开(公告)号:US11508471B1
公开(公告)日:2022-11-22
申请号:US16900001
申请日:2020-06-12
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Susan E. Anselmi , Alexi E. Makarkin , Samuel Affare , John W. Cooper, IV , Jeffrey Whitworth
Abstract: Methods and systems for classifying and editing insurance claims records are described. In one embodiment, a method, which can be performed by a processor, includes determining that a first prescription drug prescribed to a first patient should be filled by a pharmacy, determining a first guidepost date and a second guidepost date related to the first prescription, determining a third guidepost date associated with a second prescription, comparing the third guidepost date to the first and second guidepost dates to determine whether the third guidepost date occurs after the first guidepost date and before the second guidepost date, and filling and dispensing the first prescription drug as a full prescription supply and the second prescription drug as a full prescription supply on the same dispense date when the third guidepost date occurs after the first guidepost date and before the second guidepost date.
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公开(公告)号:US12211602B2
公开(公告)日:2025-01-28
申请号:US18512503
申请日:2023-11-17
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Susan E. Anselmi , Alexi E. Makarkin , Samuel Affare , John W. Cooper, IV , Jeffrey Whitworth
IPC: G16H20/10 , G06Q10/0832 , G06Q50/22
Abstract: Methods and systems for classifying and editing insurance claims records are described. In one embodiment, a method, which can be performed by a processor, includes identifying that a first prescription drug prescribed to a first patient, identifying a first date and a second date related to the first prescription, the second date occurring after the first date, both the first and second dates depending on a previous fill of the first prescription drug, identifying, at the processor, a third date associated with a second prescription, comparing, at the processor, the third date to the first and second dates to determine whether the third date occurs after the first date and before the second date, and filling and dispensing the first prescription drug and the second prescription drug on the same dispense date when the third date occurs after the first date and before the second date.
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公开(公告)号:US20240161896A1
公开(公告)日:2024-05-16
申请号:US18512503
申请日:2023-11-17
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Susan E. Anselmi , Alexi E. Makarkin , Samuel Affare , Jack W. Cooper , Jeffrey Whitworth
IPC: G16H20/10 , G06Q10/0832 , G06Q50/22
CPC classification number: G16H20/10 , G06Q10/0832 , G06Q50/22
Abstract: Methods and systems for classifying and editing insurance claims records are described. In one embodiment, a method, which can be performed by a processor, includes identifying that a first prescription drug prescribed to a first patient, identifying a first date and a second date related to the first prescription, the second date occurring after the first date, both the first and second dates depending on a previous fill of the first prescription drug, identifying, at the processor, a third date associated with a second prescription, comparing, at the processor, the third date to the first and second dates to determine whether the third date occurs after the first date and before the second date, and filling and dispensing the first prescription drug and the second prescription drug on the same dispense date when the third date occurs after the first date and before the second date.
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公开(公告)号:US11848085B2
公开(公告)日:2023-12-19
申请号:US17969893
申请日:2022-10-20
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Susan E. Anselmi , Alexi E. Makarkin , Samuel Affare , John W. Cooper, IV , Jeffrey Whitworth
IPC: G16H20/10 , G06Q10/0832 , G06Q50/22
CPC classification number: G16H20/10 , G06Q10/0832 , G06Q50/22
Abstract: Methods and systems for classifying and editing insurance claims records are described. In one embodiment, a method, which can be performed by a processor, includes determining that a first prescription drug prescribed to a first patient should be filled by a pharmacy, determining a first guidepost date and a second guidepost date related to the first prescription, determining a third guidepost date associated with a second prescription, comparing the third guidepost date to the first and second guidepost dates to determine whether the third guidepost date occurs after the first guidepost date and before the second guidepost date, and filling and dispensing the first prescription drug as a full prescription supply and the second prescription drug as a full prescription supply on the same dispense date when the third guidepost date occurs after the first guidepost date and before the second guidepost date.
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公开(公告)号:US20230042725A1
公开(公告)日:2023-02-09
申请号:US17969893
申请日:2022-10-20
Applicant: Express Scripts Strategic Development, Inc.
Inventor: Susan E. Anselmi , Alexi E. Makarkin , Samuel Affare , John W. Cooper, IV , Jeffrey Whitworth
Abstract: Methods and systems for classifying and editing insurance claims records are described. In one embodiment, a method, which can be performed by a processor, includes determining that a first prescription drug prescribed to a first patient should be filled by a pharmacy, determining a first guidepost date and a second guidepost date related to the first prescription, determining a third guidepost date associated with a second prescription, comparing the third guidepost date to the first and second guidepost dates to determine whether the third guidepost date occurs after the first guidepost date and before the second guidepost date, and filling and dispensing the first prescription drug as a full prescription supply and the second prescription drug as a full prescription supply on the same dispense date when the third guidepost date occurs after the first guidepost date and before the second guidepost date.
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