Inventors:
Roger Pinsonneault - Alpharetta GA, US
Assignee:
McKesson Financial Holdings Limited
International Classification:
G06Q 10/00
US Classification:
705 4, 705 2, 705 3, 705 1425, 600300, 600301
Abstract:
Systems and methods may provide for copay adjustment. The systems and methods may include receiving a claim request from a pharmacy computer, where the claim request may be associated with a product requested by a customer, transmitting the claim request to a claims processor for adjudication, and receiving, from the claims processor, a first claim response for the claim request, where the first claim response may include a current copay amount payable by the customer. The systems and methods may also include determining, based upon a historical claim transaction record associated with the customer, that a prior copay amount for the drug is less than the current copay amount, and transmitting a second claim response to the pharmacy computer with a new copay amount lower than the current copay amount of the first claim response.