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Even though the execution with the implies of your present creation is executed by means of an information procedure, this execution is approximately divided into two levels: a program planning phase and an Procedure stage.
・ It is far from intended to extend the options for prescribed drugs of insurers and reduce the price of prescription drugs. Furthermore, PBM in America offers drug Charge administration solutions for firms for instance companies as the principle customers and does not go over all citizens. is just not.
請求項１に記載の医薬品処方情報照会・配信システムにおいて、医療機関が発行した処方箋に記されている医薬品の保険適用につき、保険薬局からの照会を受付け、処方箋発行医療機関との照会履歴の有無、結果について配信することを特徴とする医薬品処方情報照会・配信システム。
医療機関からの照会後、処方医薬品を確定した段階で医療機関から最終の処方内容が情報システムに送信される。保険薬局から処方箋記載の医薬品の保険適用の可否について照会があった場合には、医療機関との照会履歴の有無、結果を配信する。
The current creation pertains to a pharmaceutical prescription information inquiry / distribution machine, a pharmaceutical prescription information inquiry / distribution system, as well as a pharmaceutical prescription information inquiry / distribution strategy.
請求項１に記載の医薬品処方情報照会・配信システムにおいて、本システムを介して為された一連の照会履歴を審査支払機関及び保険者に配信することを特徴とする医薬品処方情報照会・配信システム。
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Consequently, even though maintaining the fairness of receiving health more info care products and services, the insured / insurance provider / examination / payment establishment has the chance to select a drug which is considered appealing through the viewpoint of performance, selling price, etcetera. Is not really provided sufficient. Consequently, the issue of the existing creation is that the insured person / insurance provider or evaluation / payment institution hopes to prescribe the strongest prescription among the solutions although sustaining the fairness of acquiring health care providers in Japan's healthcare coverage technique.
The existing invention for fixing the above mentioned-stated troubles is made up of the following pieces. (1) Enter and maintain information on substitutes and prescription precedence information of insurers for pharmaceuticals prescribed by insurance policies medical institutions for insured people (two) Enter and preserve the problems and conditions for receipt evaluation approval because of the assessment and payment Business (3) Accepting inquiries from clinical establishments regarding the availability of insurance policy for prescription drugs for each health care follow, and building inquiries dependant on personal information including the insured's symptoms, medical history, age, etcetera., and information on (one) and (2) over Judgment is created in actual time to ascertain if the articles meets the conditions specified via the insurance company / examination and payment establishment (4) If the above mentioned inquiries usually do not meet the desired circumstances, search for other drugs that meet up with the required problems according to the insured's information which include indicators, etc. Notify clinical establishments and motivate them to reselect prescription content.
Hereinafter, a flowchart of the example of an information inquiry / determination procedure will be explained with reference to FIG. Very first, the necessary information is received from your examination payer / insurance company / insurance coverage medical institution / insurance pharmacy. The information and specified situations for being attained in the examination payer and also the insurer are as described higher than.
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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。