| 发明名称 |
ADHERENCE-BASED UTILIZATION MANAGEMENT |
| 摘要 |
An embodiment of the disclosure provides a method for performing claim adjudication by an adherence server. The adherence server includes a non-transitory computer readable medium and a processor to execute computer executable instructions stored on the non-transitory computer readable medium, so that when the instructions are executed, the adherence server performs the method of: (a) receiving adherence data describing a patient's adherence to a prescribed medication; (b) determining an adherence level for the patient using the received adherence data; (c) comparing the adherence level to an adherence threshold; and (d) providing, to a second device, an adherence decision based on the comparison between the adherence data and the adherence threshold. |
| 申请公布号 |
US2017053097(A1) |
申请公布日期 |
2017.02.23 |
| 申请号 |
US201615241746 |
申请日期 |
2016.08.19 |
| 申请人 |
Aetna Inc. |
发明人 |
Wei Henry George;Edmonds Shawn;McGonigle Tammie K.;Patel Kamal;Thomas Julia Elizabeth |
| 分类号 |
G06F19/00 |
主分类号 |
G06F19/00 |
| 代理机构 |
|
代理人 |
|
| 主权项 |
1. A method for performing claim adjudication by an adherence server, the adherence server comprising a non-transitory computer readable medium and a processor to execute computer executable instructions stored on the non-transitory computer readable medium, so that when the instructions are executed, the adherence server performs the method of:
receiving adherence data describing a patient's adherence to a prescribed medication; determining an adherence level for the patient using the received adherence data; comparing the adherence level to an adherence threshold; and providing, to a second device, an adherence decision based on the comparison between the adherence data and the adherence threshold. |
| 地址 |
Hartford CT US |
