Granted Patent B2

US 12,340,329 · App. 17/992,652 · Granted Jun 24, 2025

Inventors: Timothy Rourke (San Diego, CA); William J. Barre (San Diego, CA)

Assignee: MEDIMPACT HEALTHCARE SYSTEMS, INC.

G06Q10/06315G06Q10/10G06Q30/0206G06Q40/08G16H10/60G16H20/10

Abstract

Claims (61)

1. A system for a prescription benefit manager configured to route and receive electronics prescription information across multiple platforms, the system comprising:

a network interface communicatively coupled to a computer network, the network interface including a receiver and a transmitter, the receiver configured to demodulate data received from the computer network including a plurality of prescriptions for a patient from at least one mobile user device, and the transmitter configured to transmit the plurality of prescriptions to a set of certified suppliers for fulfillment, wherein at least two of the set of certified suppliers are communicatively coupled to the network interface and are each selected to fill one or more of the plurality of prescriptions; and

at least one processor communicatively coupled to the network interface, the at least one processor configured for:

receiving, via the network interface, the plurality of prescriptions for the patient from the at least one mobile user device, the plurality of prescriptions identifying the patient and a prescribed treatment;

applying, based on the plurality of prescriptions, a supplier selection criteria to select at least a first supplier and a second supplier from the set of certified suppliers, the first supplier being selected to fill a first prescription according to provisions of a prescription plan associated with the patient, and the second supplier being selected to fill a second prescription according to the provisions of the prescription plan associated with the patient, the first supplier being associated with a first system that does not share information with a second system of the second supplier;

transmitting, via the network interface, the first prescription to the first supplier, and the second prescription to the second supplier for fulfillment;

receiving, via the network interface, status updates from the first system of the first supplier and the second system of the second supplier, wherein the status updates include at least one of prescription receipt confirmation, fulfillment confirmation, and shipment confirmation from each of the first supplier and the second supplier; and

transmitting, via the network interface, a single generated graphical mobile application interface having a format through which the status updates from the first system of the first supplier and the second system of the second supplier are together viewable simultaneously by the patient at the mobile user device, the status updates from the first system of the first supplier and the second system of the second supplier being viewable from a single page at the single generated graphical mobile application interface, the single generated graphical mobile application interface configured to display the status updates prior to a selection to interact, via a portal having a mobile application dashboard, with content related to the status updates from at least one of the first system of the first supplier or the second system of the second supplier, the status updates being selectable and accessible on the single page to interact, via the portal having the mobile application dashboard, with the content stored at least one of the first system of the first supplier or the second system of the second supplier, the portal having the mobile application dashboard configured to facilitate access between the mobile user device and at least one of the first system of the first supplier or the second system of the second supplier.

2. The system of claim 1 , wherein the first supplier and the second supplier are selected to fulfill the plurality of prescriptions for the patient in a most effective manner with respect to at least one of costs, quality, and fulfillment speed as covered by the prescription plan associated with the patient.

3. The system of claim 1 , wherein the processor is further configured for:

calculating a copayment price owed by the patient for each of the plurality of prescriptions;

accessing, via the network interface, account information for a financial account of the patient from a database;

deducting, via the network interface, the copayment price from the financial account; and

transmitting, via the network interface, a payment to the first supplier and the second supplier.

4. The system of claim 1 , wherein the processor is further configured for:

identifying the patient from each of the plurality of prescriptions;

searching, via the network interface, a first database to identify the prescription plan to which the patient belongs; and

searching, via the network interface, a second database to identify the supplier selection criteria associated with the prescription plan,

wherein selecting the supplier selection criteria to apply to the plurality of prescriptions includes selecting the identified supplier selection criteria associated with the prescription plan.

5. The system of claim 1 , wherein applying the supplier selection criteria comprises evaluating the set of certified suppliers and selecting the first supplier and the second supplier based on total price of adjudication.

6. The system of claim 1 , wherein applying the supplier selection criteria comprises evaluating the set of certified suppliers and selecting the first supplier and the second supplier based on a combination of total price of adjudication, performance rating, and ancillary service offerings.

7. The system of claim 1 , wherein the set of certified suppliers include suppliers that meet a minimum level of service requirements and have integrated into a healthcare needs fulfillment system.

8. The system of claim 1 , wherein the first supplier and the second supplier may be selected from pharmacy, a provider of vitamins and nutritional supplements, a provider of durable medical equipment, or a provider of disposable medical supplies.

9. A non-transitory machine-readable medium storing instructions that, when executed by at least one processor, cause the at least one processor to perform operations comprising:

receiving, via a network interface communicatively coupled to a computer network, a plurality of prescriptions for a patient from at least one mobile user device, the plurality of prescriptions identifying the patient and a prescribed treatment, the network interface including a receiver and a transmitter, the receiver configured to demodulate data received from the computer network including the plurality of prescriptions for the patient from the at least one mobile user device, and the transmitter configured to transmit the plurality of prescriptions to a set of certified suppliers for fulfillment, wherein at least two of the set of certified suppliers are communicatively coupled to the network interface and are each selected to fill one or more of the plurality of prescriptions;

applying, based on the plurality of prescriptions, a supplier selection criteria to select at least a first supplier and a second supplier from the set of certified suppliers, the first supplier being selected to fill a first prescription according to provisions of a prescription plan associated with the patient, and the second supplier being selected to fill a second prescription according to the provisions of the prescription plan associated with the patient, the first supplier being associated with a first system that does not share information with a second system of the second supplier;

transmitting, via the network interface, the first prescription to the first supplier, and the second prescription to the second supplier for fulfillment;

receiving, via the network interface, status updates from the first system of the first supplier and the second system of the second supplier, wherein the status updates include at least one of prescription receipt confirmation, fulfillment confirmation, and shipment confirmation from each of the first supplier and the second supplier; and

transmitting, via the network interface, a single generated graphical mobile application interface having a format through which the status updates from the first system of the first supplier and the second system of the second supplier are together viewable simultaneously by the patient at the mobile user device, the status updates from the first system of the first supplier and the second system of the second supplier being viewable from a single page at the single generated graphical mobile application interface, the single generated graphical mobile application interface configured to display the status updates prior to a selection to interact, via a portal having a mobile application dashboard, with content related to the status updates from at least one of the first system of the first supplier or the second system of the second supplier, the status updates being selectable and accessible on the single page to interact, via the portal having the mobile application dashboard, with the content stored at least one of the first system of the first supplier or the second system of the second supplier, , the portal having the mobile application dashboard configured to facilitate access between the mobile user device and at least one of the first system of the first supplier or the second system of the second supplier.

10. The non-transitory machine-readable medium storing instructions of claim 9 , wherein the first supplier and the second supplier are selected to fulfill the plurality of prescriptions for the patient in a most effective manner with respect to at least one of costs, quality, and fulfillment speed as covered by the prescription plan associated with the patient.

11. The non-transitory machine-readable medium storing instructions of claim 9 , wherein the operations further comprise:

calculating a copayment price owed by the patient for each of the plurality of prescriptions;

accessing, via the network interface, account information for a financial account of the patient from a database; and

deducting, via the network interface, the copayment price from the financial account; and

transmitting, via the network interface, a payment to the first supplier and the second supplier.

12. The non-transitory machine-readable medium storing instructions of claim 9 , wherein the operations further comprise:

identifying the patient from each of the plurality of prescriptions;

searching, via the network interface, a first database to identify the prescription plan to which the patient belongs; and

searching, via the network interface, a second database to identify the supplier selection criteria associated with the prescription plan,

wherein selecting the supplier selection criteria to apply to the plurality of prescriptions includes selecting the supplier selection criteria associated with the prescription plan.

13. The non-transitory machine-readable medium storing instructions of claim 9 , wherein applying the supplier selection criteria comprises evaluating the set of certified suppliers and selecting the first supplier and the second supplier based on a combination of total price of adjudication, performance rating, and ancillary service offerings.

14. The non-transitory machine-readable medium storing instructions of claim 9 , wherein the set of certified suppliers include suppliers that meet a minimum level of service requirements and have integrated into a healthcare needs fulfillment system.

15. A computer-implemented method comprising:

receiving, using at least one processor and via a network interface communicatively coupled to a computer network, a plurality of prescriptions for a patient from at least one mobile user device, the plurality of prescriptions identifying the patient and a prescribed treatment, the network interface including a receiver and a transmitter, the receiver configured to demodulate data received from the computer network including the plurality of prescriptions for the patient from the at least one mobile user device, and the transmitter configured to transmit the plurality of prescriptions to a set of certified suppliers for fulfillment, wherein at least two of the set of certified suppliers are communicatively coupled to the network interface and are each selected to fill one or more of the plurality of prescriptions;

applying, using the at least one processor and based on the plurality of prescriptions, a supplier selection criteria to select at least a first supplier and a second supplier from the set of certified suppliers, the first supplier being selected to fill a first prescription according to provisions of a prescription plan associated with the patient, and the second supplier being selected to fill a second prescription according to the provisions of the prescription plan associated with the patient, the first supplier being associated with a first system that does not share information with a second system of the second supplier;

transmitting, using the at least one processor and via the network interface, the first prescription to the first supplier, and the second prescription to the second supplier for fulfillment;

receiving, using the at least one processor and via the network interface, status updates from the first system of the first supplier and the second system of the second supplier, wherein the status updates include at least one of prescription receipt confirmation, fulfillment confirmation, and shipment confirmation from each of the first supplier and the second supplier; and

transmitting, using the at least one processor and via the network interface, a single generated graphical mobile application interface having a format through which the status updates from the first system of the first supplier and the second system of the second supplier are together viewable simultaneously by the patient at the mobile user device, the status updates from the first system of the first supplier and the second system of the second supplier being viewable from a single page at the single generated graphical mobile application interface, the single generated graphical mobile application interface configured to display the status updates prior to a selection to interact, via a portal having a mobile application dashboard, with content related to the status updates from at least one of the first system of the first supplier or the second system of the second supplier, the status updates being selectable and accessible on the single page to interact, via the portal having the mobile application dashboard, with the content stored at least one of the first system of the first supplier or the second system of the second supplier, the portal having the mobile application dashboard configured to facilitate access between the mobile user device and at least one of the first system of the first supplier or the second system of the second supplier.

16. The computer-implemented method of claim 15 , wherein the first supplier and the second supplier are selected to fulfill the plurality of prescriptions for the patient in a most effective manner with respect to at least one of costs, quality, and fulfillment speed as covered by the prescription plan associated with the patient.

17. The computer-implemented method of claim 15 , further comprising:

calculating, using the at least one processor, a copayment price owed by the patient for each of the plurality of prescriptions;

accessing, using the at least one processor and via the network interface, account information for a financial account of the patient from a database;

deducting, using the at least one processor and via the network interface, the copayment price from the financial account; and

transmitting, using the at least one processor and via the network interface, a payment to the first supplier and the second supplier.

18. The computer-implemented method of claim 15 , further comprising:

identifying, using the at least one processor, the patient from each of the plurality of prescriptions;

searching, using the at least one processor and via the network interface, a first database to identify the prescription plan to which the patient belongs; and

searching, using the at least one processor and via the network interface, a second database to identify the supplier selection criteria associated with the prescription plan,

wherein selecting the supplier selection criteria to apply to the plurality of prescriptions includes selecting the selection criteria associated with the prescription plan.

19. The computer-implemented method of claim 15 , wherein applying the supplier selection criteria comprises evaluating the set of certified suppliers and selecting the first supplier and the second supplier based on total price of adjudication.

20. The computer-implemented method of claim 15 , wherein applying the supplier selection criteria comprises evaluating the set of certified suppliers and selecting the first supplier and the second supplier based on a combination of total price of adjudication, performance rating, and ancillary service offerings.

Assignments (2)

Continuity (4)

References Cited (130)