New Step by Step Map For Prescription savings
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Even though the execution of your suggests from the current creation is carried out as a result of an information technique, this execution is about divided into two stages: a process preparing stage and an Procedure phase.
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【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。
Investigate has proven that the percentage of patients with numerous medications is increasing. So has the requirement for various caregivers and/or Skilled health-related aid staff to your supplied particular person.
従って、本発明の課題は、わが国の医療保険制度の中で、医療サービス受給の公平性を維持しつつ、被保険者・保険者もしくは審査支払機関が、代替品の中から最も強く処方を希望する医薬品を、医療機関・保険薬局が、他の代替品の中から優先的に採用する機会を提供することを可能にさせる、医療用医薬品処方情報照会・配信システムを提供することにある。
Subsequent, the movement by which the indicates from the existing creation is executed are going to be explained in time series with reference to FIG.
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From the preparation phase on the process, the examination payer as well as insurance company enter vital information and specify problems. Samples of information entered from the evaluation payer as well as insurer and the specified problems are dependant on information within the insurance company issue to examination, conditions such as the insured's age, gender, constitution and past background You can find assumed professional medical charge points calculated for every individual sickness and symptom divided, drug cost requirements of utilized drugs, insurance policy points, along with other info needed for assessment of professional medical cost facts.
) offered from the health care establishment at time of inquiry and information acquired in advance And in real-time if the desired problems in the insurer to whom the insured is affiliated and also the assessment and payment Group in demand are content.
If it is decided that the specified ailments are met, upcoming, Examine the dealing with position / inventory standing of prescription drugs versus numerous insurance plan pharmacies close to the address in the professional medical institution / insurer, and procure the final results. Also produce to healthcare institutions. Then again, if it is set that the desired ailments are not met, the prescription recommendation topic derived depending on the insured particular person's information introduced because of the medical institution inside of a range that matches the desired circumstances of the assessment payer along with the insurer Distribute an index of medicines to medical institutions and encourage them to reselect.
Within the pharmaceutical prescription information inquiry / distribution procedure In line with claim 1, if the results of determination is that the inquiry content won't conform towards the enter information and selected circumstances on the assessment and payment institution as well as the insurance company, look for and determine the pharmaceutical group that satisfies these Pharmaceutical prescription information inquiry / distribution technique characterized by distribution to healthcare establishments.
Initial, in FIG. 1, the parties connected to the information method from the present invention will probably be clarified. This information method includes a medical institution that prescribes pharmaceuticals to the insured, an insurance pharmacy that dispenses prescription drugs based upon a prescription issued because of the clinical institution and provides them to your insured, an insurance company that bears medical coverage charges, and An examination / payment establishment that examines medical cost specifics from medical institutions / insurance pharmacies is linked. Each occasion provides the information technique with a series of needed information to be described later.While in the information procedure, (1) information on choices and prescriptions with the insurance provider for drugs prescribed by the insurance policies professional medical establishment for the insured Enter / hold preferred priority information, (two) Enter / keep disorders / expectations for approval of receipt assessment by assessment / payment Business, (3) Inquire about availability of insurance for prescription drugs from medical establishments for each healthcare practice get more info Based on own information for instance acceptance, insured's symptom, clinical historical past, age, and so on.
Precedence date (The precedence day is surely an assumption and isn't a legal conclusion. Google hasn't executed a legal Examination and makes no representation as to your precision from the day listed.)
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、判定の結果、照会内容が審査支払機関及び保険者の入力情報や指定条件に適合しない場合には、これらを満たす医薬品群を検索・同定し、医療機関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。