US 11,756,104 B1
Method, apparatus, and computer program product for constructing an updated order including information from different sources
Stacy Hopkins, Tucker, GA (US)
Assigned to MCKESSON CORPORATION, Irving, TX (US)
Filed by McKesson Corporation, Irving, TX (US)
Filed on May 20, 2020, as Appl. No. 16/878,778.
Int. Cl. G06Q 30/0601 (2023.01); G16H 20/10 (2018.01); G06F 40/103 (2020.01)
CPC G06Q 30/0637 (2013.01) [G06Q 30/0603 (2013.01); G06F 40/103 (2020.01); G16H 20/10 (2018.01)] 17 Claims
OG exemplary drawing
 
1. A method for monitoring an adjudication network, the method comprising:
causing first information provided by a request processor in response to an inquiry to be provided to a source, wherein the request processor comprises a pharmacy benefit management (PBM) entity or other payer, the inquiry comprises a prescription benefit coverage inquiry that identifies a medication or other item and the first information relates to an amount that the PBM entity or other payer would pay on behalf of a patient if the patient were to file a prescription for the medication or other item;
storing the first information provided by the request processor in response to the inquiry;
receiving an order including second information, different than the first information, from the source, wherein the order and the inquiry are different types of messages, wherein the order comprises a prescription order for the medication or other item that includes clinical information and is received in accordance with a first format with which the source is configured to communicate, and wherein the source comprises a prescriber and the first format comprises a Health Level 7 (HL7) format utilized by a system of the prescriber;
converting the order to a second format with which a supplier is configured to communicate, wherein the second format is different than the first format, and wherein the supplier comprises a pharmacy and the second format comprises a National Council for Prescription Drug Programs (NCPDP) format via which the pharmacy is to communicate;
accessing the first information that has been stored;
combining at least one aspect of the second information following conversion to the second format, with at least one aspect of the first information that has been stored and subsequently accessed to form an updated order;
transmitting the updated order to the supplier;
monitoring the adjudication network to determine a status of the updated order; and
providing a notification to the source in response to the updated order having a predefined status indicative of the updated order having been filled.