) introduced with the health care institution at some time of inquiry and information acquired in advance As well as in actual-time whether or not the required conditions of your insurance company to whom the insured is affiliated and also the assessment and payment Firm in charge are content.
Very first, in FIG. 1, the parties linked to the information procedure of your existing invention is going to be clarified. This information technique includes a medical establishment that prescribes prescribed drugs for the insured, an insurance policy pharmacy that dispenses pharmaceuticals dependant on a prescription issued because of the health care establishment and gives them to the insured, an insurance company that bears healthcare coverage charges, and An examination / payment institution that examines clinical price particulars from health-related establishments / insurance coverage pharmacies is linked. Each get together presents the information method that has a series of required information to generally be described later on.While in the information method, (1) information on possibilities and prescriptions from the insurance company for drugs prescribed via the insurance coverage clinical establishment with the insured Enter / keep wished-for precedence information, (two) Enter / maintain circumstances / specifications for acceptance of receipt critique by critique / payment Group, (3) Inquire about availability of insurance policies for prescription drugs from health care institutions for every clinical follow Depending on individual information such as acceptance, insured's symptom, health-related history, age, etcetera.
Strike that outstanding in addition signal get additional info button as part of your Diary website when you’re during the appliance. From there, strike Position so that you’ll be able to integrate a temper rating.
Instead, notify the health care establishment, and stimulate the medical institution to reselect prescription information, Pharmaceutical prescription information inquiry / distribution system characterized by comprising
From the method operation stage, the subsequent processing is performed in actual time. To paraphrase, inquiries concerning The supply of insurance plan protection for prescription drugs from health treatment establishments are created by using interaction strains throughout Each and every health care exercise, and these inquiries are as opposed with the enter information and specified disorders of your assessment and payment establishments and insurers stated earlier mentioned. Then, the evaluation paying out institution as well as insurance provider establish whether to reject the insurance coverage software, distribute The end result to the healthcare institution, and Exhibit it to the terminal in the read more professional medical establishment by an input / output screen as proven in FIG. As a result of the perseverance, In the event the content material with the inquiry will not conform into the input information and specified conditions on the assessment and payment establishment along with the insurance provider, a pharmaceutical group gratifying these is searched and identified and distributed for the professional medical establishment.
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“This enterprise is great. I've entry to the health treatment service provider who prescribed hormones when no other health treatment service provider would. I am glad and relieved that Alloy provides big notch support in their Clinical practitioners and customer treatment.”
【解決手段】保険医療機関が処方する医薬品について、代替品情報、保険者の処方希望優先順位情報を入力・保持する手段、審査支払機関によるレセプト審査承認のための条件・基準を入力・保持する手段、医療機関から診療行為毎に、処方医薬品の保険適用可否に関する照会を受付け、被保険者の症状等の個人情報に基づき、照会内容が保険者・審査支払機関の指定条件に合致しているか否かを判定する手段、上記照会内容が指定条件に合致していない場合は、保険者が指定する医薬品の中から、症状等の被保険者の情報に基づき指定条件を満たす他の医薬品を検索し代替品として医療機関に通知、医療機関にて処方内容の再選択を促す手段を有するシステム。
have the very likely of remaining abused, and that could bring about very well becoming threats from Adverse effects if taken improperly,
I are aware that "Organizations" could choose in his / her sole discretion that my ailment just isn't suitable for remedy method dealing with telemedicine, Which I could have to hunt healthcare therapy and get rid of in-certain human being or from an alternative source.
An illustration of the configuration of these types of an information program is demonstrated in FIG. In this example of information method, no less than Show and output unit / enter device / details storage including regular pc with interaction signifies mounted in each of examination having to pay institution, insurer, insurance policy clinical establishment, insurance plan pharmacy In addition to a central procedure that performs information inquiry / resolve are related by means of a communication line for example the online world.
Precedence date (The precedence date can be an assumption and is not a lawful conclusion. Google hasn't performed a legal Evaluation and makes no representation as to the precision from the date outlined.)
最後に、一連の照会履歴を審査支払機関及び保険者に配信し、情報照会・判定の手順を終了する。
請求項１に記載の医薬品処方情報照会・配信システムにおいて、医療機関から診療行為毎に照会される処方医薬品が、保険者・審査支払機関の指定条件を満たす場合、医療機関や被保険者の住所の近くに存在する保険薬局数軒での当該医薬品の取扱情報・在庫情報を保険薬局のデータベースにアクセスし確認を行うことを特徴とする医薬品処方情報照会・配信システム。