US 11,756,044 B1
Method, apparatus and computer program product for conducting a multi-stage verification
Stacy Hopkins, Tucker, GA (US); and Vickie Andros, Atlanta, GA (US)
Assigned to MCKESSON CORPORATION, Irving, TX (US)
Filed by McKesson Corporation, Irving, TX (US)
Filed on Jul. 1, 2020, as Appl. No. 16/918,159.
Int. Cl. G06Q 20/00 (2012.01); G06Q 20/42 (2012.01)
CPC G06Q 20/42 (2013.01) 15 Claims
OG exemplary drawing
 
1. A multi-stage verification method, the method comprising:
extracting data from an order for a prescription submitted by a source computer associated with a prescriber, wherein the prescription is pursuant to a program having a plurality of verification qualifications;
performing a first set of verification checks by at least comparing data extracted from the order to information stored in a database to determine if the order satisfies the first set of verification checks, wherein the information stored in the database identifies a plurality of required verification qualifications;
in an instance in which the first set of verification checks is satisfied, modifying the order to include a first indication of satisfaction of the first set of verification checks;
in an instance in which the first set of the verification checks is not satisfied, causing transmission of a notification message to the source computer, and halting further processing and preventing adjudication of the order until the order is modified and resubmitted by the source computer associated with the prescriber; and
further in the instance in which the first set of verification checks is satisfied:
extracting data from a claim for the prescription that is transmitted by a fulfillment computer associated with a pharmacy, wherein the claim is based upon the order, wherein the claim includes the first indication that the first set of verification checks was satisfied;
performing a second set of verification checks based upon the data extracted from the claim and including at least some data not included in or associated with the order, wherein the second set of verification checks includes one or more verification checks that are different than the first set of verification checks, and the one or more verification checks of the second set of verification checks comprises one or more verification checks of action taken in response to the order; and
in an instance in which the second set of verification checks is satisfied, submitting the claim via an adjudication network for adjudication.