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and the information in (one) and (2) higher than, whether the inquiry material satisfies the desired problems in the insurance company / examination / payment in real time (four) If the above inquiries tend not to match the specified problems, seek out other drugs that satisfy the required circumstances determined by the insured's information like signs within the drugs specified from the insurance company. Notify medical institutions as a substitute, Prompting reselection prescription at motor operating these kinds of process, immediately and proficiently, the selection of formulation medicament, for the opportunity of insurance coverage coverage, accomplish consensus amongst the events.
In simple terms, the prescription is a bit of paper that is written from the registered health care practitioner (RMP) dependant on the customer's ailment problem.
It is generally advised that just one prescription be well well prepared at only one time. Clean up up surfaces needs to be used by compounding. Each little bit of kit needs to be totally cleaned and dried prior to use.
At this time, an information program that replaces the development and software of the above mentioned-described receipt with an electronic process from a conventional published technique has previously been set into functional use. However, in The usa, Pharmacy Profit Administration (“PBM”) is a business that manages dispensing expenses for policyholders.
Turn out to be. Consequently, such as, the evaluation / payment company raises the prescription priority order of simpler medicines so that numerous professional medical institutions can prescribe the medicines. As a result, the standard of health-related products and services along with the fairness of costs amid insured folks Promoted. Furthermore, a rise in prescription of The most cost effective drug amongst a plurality of drugs acquiring exactly the same result can even be obtained, for example reduction in drug expenses for insurers and insured people.
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、本システムを介して為された一連の照会履歴を審査支払機関及び保険者に配信することを特徴とする医薬品処方情報照会・配信システム。
Every time a prescription proposed medicine is chosen by a health care establishment, the dealing with position / inventory standing at a close-by insurance policy pharmacy is verified and the result is notified.
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次に、図２を用いて本発明の手段が実行されるフローを時系列で説明する。本発明の手段の実行は情報システムを通じて行われるが、この実行は大別して、システムの準備段階及び運用段階の二段階に分けられる。
The pharmaceutical prescription information inquiry / distribution system according to assert 1, wherein a number of inquiry histories created by way of the program is dispersed to an assessment payment Firm and an insurance provider.
It is actually composed of assumed health care rate points calculated for each injuries and symptom labeled Based on situation, drug price tag conventional of employed drugs, insurance policies points, other information needed for examination of health care fee aspects, and so forth. Pharmaceutical prescription information inquiry and distribution process.
Initially, in FIG. one, the functions linked to the information system from the present invention will likely be clarified. This information technique includes a health care institution that prescribes pharmaceuticals towards the insured, an insurance policies pharmacy that dispenses prescribed drugs depending on a prescription issued through the healthcare establishment and presents them to your insured, an insurance company that bears healthcare insurance expenses, and An examination / payment establishment that examines health-related charge aspects from health care institutions / coverage pharmacies is connected. Every social gathering provides the information process using a number of necessary information to get explained afterwards.Inside the information process, (one) information on choices and prescriptions with the insurance provider for drugs prescribed because of the coverage health-related establishment for that insured Enter / hold preferred precedence information, (two) Enter / keep circumstances / criteria for acceptance of receipt evaluate by evaluate / payment Business, (3) Inquire about availability of insurance policies for prescription drugs from clinical establishments for each healthcare apply According to individual information such as acceptance, insured's symptom, healthcare record, age, and so on.
An illustration of the configuration of this kind of an information system is demonstrated in FIG. In this instance of information system, no less than Display screen and output device / enter device / facts storage such as ordinary laptop computer with communication implies set up in Every of evaluation shelling out establishment, insurance company, insurance policies health care institution, insurance pharmacy Plus a central technique that performs information check here inquiry / willpower are connected by using a conversation line including the net.
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