The current invention relates to a pharmaceutical prescription information inquiry / distribution gadget, a pharmaceutical prescription information inquiry / distribution procedure, and a pharmaceutical prescription information inquiry / distribution system.
In standard phrases, the prescription is a little bit of paper that is written from the registered health care practitioner (RMP) based on the shopper's ailment dilemma.
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as well as the information in (one) and (two) above, whether the inquiry information meets the desired disorders in the insurance company / assessment / payment in authentic time (four) If the above inquiries usually do not match the desired ailments, search for other drugs that meet the specified situations determined by the insured's information which include signs and symptoms through the drugs specified because of the insurance provider. Notify clinical establishments in its place, Prompting reselection prescription at engine operating this sort of process, swiftly and effectively, the choice of formulation medicament, for the opportunity of insurance protection, obtain consensus among the parties.
While in the system operation phase, the subsequent processing is performed in true time. Put simply, inquiries with regards to The provision of insurance coverage coverage for prescription drugs from health care institutions are made by means of interaction strains throughout Every single clinical observe, and these inquiries are compared Along with the enter information and specified circumstances with the assessment and payment institutions and insurers described above. Then, the assessment shelling out establishment as well as the insurer figure out if to reject the coverage software, distribute the result towards check here the clinical institution, and display it over the terminal with the health care institution by an input / output monitor as demonstrated in FIG. As a result of the perseverance, In the event the content on the inquiry will not conform into the input information and specified conditions on the assessment and payment institution plus the insurance provider, a pharmaceutical group fulfilling these is searched and determined and dispersed for the clinical establishment.
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“This business is excellent. I have entry to a health care company who prescribed hormones when no other health care provider would. I'm happy and relieved that Alloy delivers significant notch support of their Healthcare practitioners and customer care.”
【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。
また、医薬品費用を負担する被保険者・保険者（健康保険組合等）が、効能・価格等の医薬品に関する情報を十分に知らされていない、複数の代替品の存在に関する情報を十分には知らされていない、といった場合が多い。このため、医薬品の選択に際しては医療機関の判断に全面的に委ねており、費用負担者及び需要者としての医薬品選択の権利が行使しにくい状況が生まれている。
Grateful for Alloy as well as their Healthcare Medical practitioners which make Women’s effectively becoming a priority! I actually like which i don’t genuinely really need to bounce because of hoops or more than-explain my calls for to be able to have the menopausal Health treatment that I want to be able to Reside a vivid daily dwelling. Thanks!
指定条件を満たしていると判定した場合には、次に、医療機関・保険者の住所から近くに存在する複数の保険薬局に対して、処方対象医薬品の取扱状況・在庫状況を確認、結果をあわせて医療機関へ配信する。一方、指定条件を満たしていないと判定した場合には、審査支払機関及び保険者の指定条件に合致する範囲内で医療機関が提示した被保険者情報をもとに導出される処方推奨対象となる医薬品のリストを医療機関に配信、医療機関にて再選択を促す。医療機関にて処方推奨医薬品が選択されると、近隣の保険薬局での取扱状況・在庫状況を確認、結果を通知する。
The healthcare prescription information inquiry / distribution program In accordance with declare one, wherein the health care prescription is gained from a professional medical institution for every healthcare apply, and insured information (health-related insurance related information, injuries and illness) offered in the health care establishment at the time of inquiry.
最後に、一連の照会履歴を審査支払機関及び保険者に配信し、情報照会・判定の手順を終了する。
Inside the planning stage on the procedure, the assessment payer and the insurance company enter important information and specify situations. Samples of information entered with the assessment payer and the insurer and the desired problems are dependant on information about the insurance company subject matter to evaluation, ailments like the insured's age, gender, constitution and previous record There are assumed professional medical payment points calculated for each personal sickness and symptom divided, drug value specifications of employed drugs, insurance policies points, as well as other data demanded for evaluation of health-related rate facts.