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Healthcare provider, administrator and method for effectuating a medication therapy management, adherence and pharmacosurveillance program

机译:医疗保健提供者,管理员和用于执行药物治疗管理,依从性和药物监护计划的方法

摘要

A method is provided that includes initiating adjudication of a primary claim in response to a purchase transaction at a primary payer for a client at a point of sale of a healthcare provider, and adjudicating one or more services of a program of the administrator to which the client is enrolled and/or one or more secondary benefits following the adjudication of the primary claim. The purchase transaction is applicable to the respective program and the respective secondary benefit, and the program includes one or more services. The method also includes providing the one or more services and/or secondary benefits to the client in response to adjudicating the one or more services and/or secondary benefits.
机译:提供了一种方法,该方法包括响应于在医疗保健提供者的销售点处的客户在主要付款人处的购买交易而发起对主要索赔的判决,以及判决管理者的程序的一个或多个服务。在对主要索赔进行裁定后,客户被录取和/或获得一项或多项次要利益。购买交易适用于相应的程序和相应的辅助福利,并且该程序包括一项或多项服务。该方法还包括响应于裁定一个或多个服务和/或第二利益向客户提供一个或多个服务和/或第二利益。

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