) presented because of the medical establishment at enough time of inquiry and information acquired in advance And in real-time if the desired situations with the insurance company to whom the insured is affiliated as well as the examination and payment Corporation in cost are pleased.
First, in FIG. 1, the get-togethers linked to the information program from the current invention will likely be clarified. This information technique includes a clinical institution that prescribes pharmaceuticals towards the insured, an insurance policies pharmacy that dispenses pharmaceuticals according to a prescription issued by the medical institution and offers them to the insured, an insurance company that bears health-related insurance coverage prices, and An evaluation / payment establishment that examines health-related fee facts from healthcare establishments / insurance coverage pharmacies is linked. Each social gathering provides the information technique which has a series of required information to generally be explained later.While in the information process, (one) information on alternatives and prescriptions on the insurance provider for drugs prescribed from the insurance plan medical institution with the insured Enter / keep wanted precedence information, (2) Enter / hold problems / benchmarks for acceptance of receipt critique by critique / payment Group, (three) Inquire about availability of insurance for prescription drugs from medical establishments for each health-related practice According to personal information which include acceptance, insured's symptom, clinical historical past, age, and so on.
本発明により、医薬品流通市場における、医療機関・保険薬局といった供給者・処方者と、審査支払機関・保険者・被保険者といった需要者の間で、医療用医薬品の処方・購入に関わる取引に関しリアルタイムに当事者間の合意形成の有無を明確にすることが可能となる。これにより、審査支払機関・保険者は医薬品選択に関わる実効的な意思表示の機会を得ることとなり、自らが希望する医薬品処方につき選択肢が拡大、満足度・費用対効果を向上させることが可能となる。これにより、例えば、審査支払機関がより効能の高い医薬品の処方優先順位を上げることで多くの医療機関で当該医薬品が処方され、結果として被保険者間の医療サービスの質やコストの公平性が促進される。また、同等の効能を持つ複数の医薬品の中で最も安価の医薬品の処方が増加することによる保険者・被保険者の医薬品費用の低減、といった効果も得られる。
It's made up of assumed health care charge details calculated for each injury and symptom labeled In accordance with circumstance, drug price tag standard of applied drugs, insurance coverage factors, other info demanded for examination of clinical fee facts, etc. Pharmaceutical prescription information inquiry and distribution program.
The current creation relates to transactions related to prescription and buy of ethical drugs concerning suppliers and prescribers for instance health-related institutions and insurance plan pharmacies and shoppers such as evaluation payers, insurers and insured persons during the pharmaceutical distribution market place. It gets to be doable to clarify whether You can find agreement involving the get-togethers in actual time. Subsequently, the examination / payment institution / insurance company should have an opportunity to proficiently Specific their intentions concerning the collection of drugs, which enables them to increase their selections for drug prescriptions they drive and enhance their pleasure and cost performance.
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Really should your clinical health practitioner desires the pharmacist to give you a selected brand of medication, they may have to exactly Be aware this or sign up the Place delivered.
The prescription information inquiry / distribution system click here In line with declare one, accepting inquiries from insurance policy pharmacies for insurance plan protection of prescription drugs explained in prescriptions issued by clinical establishments, and existence of inquiry heritage with prescription issuing professional medical establishments Pharmaceutical prescription information inquiry and distribution process characterised by distributing effects.
【選択図】図３[Challenges] To supply a method for providing a possibility for the health care institution / coverage pharmacy to preferentially adopt a drugs that an insured / insurance company or assessment / payment institution wants to prescribe from the health-related coverage technique. Provided. [Signifies FOR Resolving Difficulties] Moving into / holding information on alternatives, prescription priority order information of an insurance provider, and circumstances / criteria for acceptance of the receipt evaluation by an evaluation / payment establishment for a medicine prescribed by an insurance plan medical institution Inquiries relating to regardless of whether insurance plan for prescription drugs is obtainable for each healthcare apply from your signifies and health care institution, and whether the inquiries match the required ailments with the insurance company / examination and payment organization dependant on private information like indicators on the insured Implies to determine whether the above inquiry written content isn't going to match the specified disorders, seek for other drugs that meet the desired circumstances with the drugs specified through the insurance company based on the insured's information for instance signs and symptoms A process getting signifies for notifying a medical institution as a substitute and prompting the health-related institution to reselect prescription contents. [Collection] Determine three Description
This A Section of the prescription also attributes the energy of one's drug (the amount of milligrams, for instance) additionally the pill, capsule, or other form during which your Health treatment company company want you to undoubtedly consider it. A Acquire note identified as "Disp" refers to this information about how the drug must be dispensed.
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How again and again Have you ever remaining the doctor’s office, only to locate you forgot to say a vital bit of information?
Turn into. Therefore, by way of example, the assessment / payment agency raises the prescription priority order of more practical medicines so that lots of clinical establishments can prescribe the medicines. As a result, the standard of health-related solutions and the fairness of expenditures amid insured folks Promoted. Additionally, a rise in prescription of The most cost effective drug among the a plurality of drugs obtaining the same impact can be acquired, which include reduction in drug charges for insurers and insured people.
Any time a prescription advised medication is chosen by a health-related establishment, the handling standing / inventory standing at a nearby insurance pharmacy is verified and The end result is notified.