Patent attributes
A system for the automated categorization, research, correction, enhancement, and resubmission of payment rejections for prescriptions, is disclosed. The system is adapted for use across multiple pharmacies connected to a central server with access to various databases containing information about providers, customers, payers and past prescription history. The system reviews the rejections and categorizes them based on various material within the rejection information and on file in the databases. Once characterized, one or more of several routines and subroutines are worked on the rejection to determine any issues that may be resolved prior to resubmission. Where unsuccessful in automatic resubmission, the system executes a prioritization and agent-matching engine to field the rejection to the most efficient resource to overcome it.
