公开(公告)号：US20140222456A1

公开(公告)日：2014-08-07

申请号：US14247586

申请日：2014-04-08

Applicant: Express Scripts, Inc.

Inventor： Jo-Ellen Abou Nader ,  Suzanne B. Mitchell

IPC: G06F19/00

CPC classification number: G06F19/328 ,  G06F19/3456 ,  G06Q50/22

Abstract: Methods and systems for drug purchase validation are described. In an example embodiment, drug sale data is accessed from a prescription drug wholesaler regarding prescription drugs sold to the pharmacy by the prescription drug wholesaler during a period of time. A number of units of a prescription drug sold to the pharmacy are determined based on the drug sale data during the period of time. Pharmacy claims data over the period of time is accessed, where the pharmacy claims data reflects a plurality of adjudicated claims, and the plurality of adjudicated claims are a plurality of claims that were submitted for adjudication by the pharmacy during the period of time. A number of units of a prescription drug associated with the plurality of claims submitted during the period of time by the pharmacy for adjudication are determined based on the pharmacy claims data. The number of units of the prescription drug associated with the plurality of adjudicated claims that were submitted for adjudication by the pharmacy is compared with the number of units of the prescription drug sold to the pharmacy. A determination is then made as to whether a discrepancy exists based on the results of the comparison. Additional methods and systems are disclosed.

Abstract translation: 描述了药物购买验证的方法和系统。 在一个示例性实施例中，药物销售数据从处方药批发商处获得，处方药在一段时间内由处方药批发商销售给药店。 销售给药房的处方药的单位数量是根据药物销售数据确定的。 访问药房要求在一段时间内的数据，其中药房索赔数据反映了多个被裁决的权利要求，并且多个被裁决的权利要求是多个权利要求，这些权利要求被提交给药房在一段时间内进行裁决。 根据药房索赔数据确定了药房审判期间在一段时间内提交的与多个索赔相关的许多处方药单位。 将提交给药房审判的多个裁定权利要求相关的处方药单位数与销往药房的处方药单位数进行比较。 然后根据比较结果确定是否存在差异。 公开了附加的方法和系统。

公开(公告)号：US08799204B1

公开(公告)日：2014-08-05

申请号：US13331171

申请日：2011-12-20

Applicant: Robert F. Nease, Jr. ,  Katherine Harini Sundararaman ,  Heather D. Sundar ,  Krista Lynn Theby ,  Tina Lynn Bauman Butcher

Inventor： Robert F. Nease, Jr. ,  Katherine Harini Sundararaman ,  Heather D. Sundar ,  Krista Lynn Theby ,  Tina Lynn Bauman Butcher

IPC: G06F17/00 ,  G06N5/02

CPC classification number: G06F19/3481 ,  G06F19/00 ,  G06F19/3456

Abstract: Methods and systems for improving therapy adherence are described. In an embodiment, a disease state associated with a member is identified. A member classification of the member is determined. The member classification may be based on past therapy the member received to treat a condition associated with the disease state. A diagnostic loop is selected based on the disease state associated with the member and the member classification. The diagnostic loop may include a plurality of operations. At least one of the plurality of operations of the diagnostic loop is performed. Other methods and systems are described.

Abstract translation: 描述了改善治疗依从性的方法和系统。 在一个实施例中，识别与成员相关联的疾病状态。 确定会员的成员分类。 成员分类可以基于成员接受治疗与疾病状态相关的病症的过去治疗。 基于与成员相关的疾病状态和成员分类来选择诊断循环。 诊断循环可以包括多个操作。 执行诊断循环的多个操作中的至少一个。 描述其他方法和系统。

公开(公告)号：US08571297B2

公开(公告)日：2013-10-29

申请号：US13653148

申请日：2012-10-16

Applicant: Express Scripts, Inc.

Inventor： Charles E. Eller ,  Herbert A. Youngs

IPC: G06K9/00 ,  G09F17/00 ,  G06K15/00 ,  G01J3/28

CPC classification number: G07G1/0036 ,  G06F19/00 ,  G06F19/3462 ,  G07F9/026 ,  G07F17/0092 ,  G16H40/20

Abstract: The invention is directed to a prescription imaging system for capturing, storing and displaying images of prescription bottles during the prescription fulfillment process to monitor the quality of the fulfillment process. The system includes one or more pill cameras for capturing images of pills dispensed into one or more prescription bottles and one or more label cameras for capturing images of the bottle labels. The images are stored on a storage device in a database record. The images can be used to verify that the pills in each bottle correspond with the associated prescription.

Abstract translation: 本发明涉及一种处方成像系统，用于在处方执行过程中捕获，存储和显示处方瓶的图像，以监测履行过程的质量。 该系统包括一个或多个药丸相机，用于捕获分配到一个或多个处方瓶中的药丸的图像，以及一个或多个标签相机，用于捕获瓶子标签的图像。 图像存储在数据库记录中的存储设备上。 可以使用图像来验证每个瓶中的药丸是否与相关处方对应。

公开(公告)号：US20130151281A1

公开(公告)日：2013-06-13

申请号：US13712947

申请日：2012-12-12

Applicant: Express Scripts, Inc.

Inventor： Jennifer L. Kaburick ,  Hollie Ann Bowyer ,  Lori T. Miller ,  Colin T. Halloran

IPC: G06F19/00

CPC classification number: G06F19/328 ,  G06Q10/10 ,  G06Q50/22

Abstract: Methods and systems for managing prescription liability are described. In one embodiment, a reimbursement request for filling of a prescription drug on behalf of a worker is received. The reimbursement request is identified as being associated with a claim assumer. A determination that workers' compensation patient eligibility information is available for the worker is made. A modification notification including workers' compensation patient eligibility information associated with the worker is transmitted to a pharmacy administrative device. A replacement reimbursement request for filling of the prescription drug on behalf of the worker is received. The replacement reimbursement request is routed to a benefit manager device based on receipt of the replacement reimbursement request. Additional methods and systems are disclosed.

Abstract translation: 描述管理处方责任的方法和系统。 在一个实施例中，收到代表工人填写处方药的报销请求。 报销请求被确定为与索赔假设相关联。 确定工人对工作人员提供的病人资格信息可用。 将与工人有关的工伤赔偿患者资格信息的修改通知发送给药房管理装置。 收到代表工人填写处方药的更换报销请求。 替换报销请求将根据接收到的更换报销请求路由到利益管理器设备。 公开了附加的方法和系统。

公开(公告)号：US20120173298A1

公开(公告)日：2012-07-05

申请号：US13315542

申请日：2011-12-09

Applicant: Robert F. Nease, JR. ,  Katherine Harini Sundararaman ,  John T. Reid

Inventor： Robert F. Nease, JR. ,  Katherine Harini Sundararaman ,  John T. Reid

IPC: G06Q10/06

CPC classification number: G06Q50/22 ,  G06F19/00 ,  G06Q10/1095

Abstract: Methods and systems for scheduling wellness based meetings are described. In one embodiment, meeting data associated with a meeting is accessed. A meeting type designation is received. The meeting type designation designates the meeting as a walking meeting, a standing meeting, or a sitting meeting. Updated meeting data based on the meeting data and the meeting type designation is stored. Other methods and systems are described.

Abstract translation: 描述了用于安排健康的会议的方法和系统。 在一个实施例中，访问与会议相关联的会议数据。 接收会议类型名称。 会议类型指定将会议指定为散步会议，常务会议或休会会议。 根据会议数据更新会议数据，并存储会议类型名称。 描述其他方法和系统。

公开(公告)号：US08160898B2

公开(公告)日：2012-04-17

申请号：US13217471

申请日：2011-08-25

Applicant: Edmond Weisbart ,  Andrew Behm ,  Aimee Tharaldson ,  Steven Miller

Inventor： Edmond Weisbart ,  Andrew Behm ,  Aimee Tharaldson ,  Steven Miller

IPC: G06Q10/00

CPC classification number: G06Q50/22 ,  G06F19/00 ,  G06Q10/087 ,  G06Q30/0278 ,  G06Q50/24

Abstract: Methods for determining whether a drug is a specialty drug, methods for creating tools to be used in making the determination, and the tools themselves are disclosed. The overall value of a drug depends on the drug's attribute values with respect to each of a set of drug attributes (concerning, e.g., the drug's route of administration, targeted disease, possible adverse reactions, risk of toxicity, cost, need for patient compliance with the treatment regime, and handling, preparation, and/or storage requirements. If the overall value or its partial overall values meet certain criteria, the drug is deemed to be a specialty drug.

Abstract translation: 公开了用于确定药物是特殊药物的方法，用于制备用于确定的工具的方法和工具本身。 药物的总体价值取决于药物的属性值，关于一组药物属性（关于例如药物的给药途径，靶向疾病，可能的不良反应，毒性风险，成本，患者依从性的需要） 治疗方案，处理，准备和/或储存要求，如果总体价值或部分总体价值符合某些标准，该药物被视为特种药物。

公开(公告)号：US20120073241A1

公开(公告)日：2012-03-29

申请号：US13307929

申请日：2011-11-30

Applicant: Michael L. Mahar

Inventor： Michael L. Mahar

IPC: B65B57/00

CPC classification number: G01G19/4148 ,  B65B61/20

Abstract: A system for automatically packaging prescription orders composed of one or more prescription containers. The system includes a printer for generating literature associated with each order and a packer for packing the prescription containers and the associated literature into a package. The packer has a scale or other means for determining the weight of the prescription containers. A packer controller calculates package weight information based on the container weight information. The package weight information is transmitted to a mail manifest system, which generates shipping information comprising postage. A labeler applies the shipping information to the package. The packer also includes a loading mechanism for inserting the prescription containers and the literature into the package.

Abstract translation: 用于自动包装由一个或多个处方容器组成的处方指令的系统。 该系统包括用于产生与每个订单相关联的文献的打印机和用于将处方容器和相关文献包装到包装中的封隔器。 封隔器具有用于确定处方容器重量的刻度或其它方式。 封隔器控制器基于容器重量信息计算包装重量信息。 包装重量信息被发送到邮件清单系统，其生成包括邮资的运送信息。 贴标机将运送信息应用于包装。 封隔器还包括用于将处方容器和文献插入到包装中的装载机构。

公开(公告)号：US07376574B2

公开(公告)日：2008-05-20

申请号：US09760113

申请日：2001-01-12

Applicant: Barrett Toan ,  Robert Nease

Inventor： Barrett Toan ,  Robert Nease

IPC: G06Q40/00 ,  G06Q10/00 ,  G06F17/30

CPC classification number: G06Q40/02 ,  G06Q10/1057 ,  G06Q40/00 ,  G06Q40/08

Abstract: A computer-based system and method to enable a benefit plan sponsor to design benefit plans for a given participant population by enabling the plan designer to select the plan design options that maximize the perceived benefit to the participant population subject to a cost constraint. The system prioritizes plan design options of such plans according to the costs of these options and the perceived benefits of these options for the participant population. Estimates of perceived benefit are based upon survey data from a sample of the given population or from historical survey data from population samples exhibiting analogous demographic characteristics to the given participant population regarding potential plan design options or analogous benefit plan design options.

Abstract translation: 一种基于计算机的系统和方法，使得利益计划赞助者能够为给定的参与者群体设计收益计划，方法是使计划设计人员能够选择最大限度地提高受到成本约束的参与者群体的感知利益的计划设计选项。 该系统根据这些选项的成本和参与人群的这些选项的感知收益来优先考虑此类计划的计划设计选项。 感知收益的估计是根据给定人口样本的调查数据，或根据具有类似人口特征的人口样本的历史调查数据，给出参与者群体的潜在计划设计选项或类似的收益计划设计选项。

公开(公告)号：USD786282S1

公开(公告)日：2017-05-09

申请号：US29517033

申请日：2015-02-09

Applicant: Express Scripts, Inc.

Designer： Patrick E. Donnelly

公开(公告)号：US09639668B2

公开(公告)日：2017-05-02

申请号：US14803009

申请日：2015-07-17

Applicant: Express Scripts, Inc.

Inventor： Jonathan W. Joplin

IPC: G06F19/00 ,  B25J9/00 ,  G05B15/02

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

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.