SYSTEM AND METHOD FOR SEAMLESS PRESCRIPTION MEDICATION DISCOUNTING
Application
US20260088147A1
Kind: A1
Mar 26, 2026
Inventors
Shawn Ohri, Nathan Daugherty, Rajasekar Ramaswamy, Byung Joon Min
Abstract
A system and method for a seamless provision of discounting for prescription services that are not eligible for financial coverage by a plan, such as a Medicare Part D plan. The system and method take denials from Pharmacy Benefit Managers (PBMs) and seamlessly provides to end users (patients) a discounted cost for the denied coverage of the prescription. Denials of coverage are transmitted to a switch server where rejection codes are detected at the switch server and relayed to the seamless server. The seamless server then provides an approval instead of the original PBM.
CPC Classifications
G16H 20/10
G06Q 30/0224
Filing Date
2024-09-20
Application No.
18891765