Abstract: A comprehensive program method and system particularly adapted for the segments of the healthcare industry dealing with Durable Medical Equipment items and related out-patient services, such as found in the home health care segment, wherein the prescribed patient goods and services, 3rd party providers, and insurance companies are efficiently integrated according to various functions, e.g. pre-certification, purchasing, leasing, inventory management, billing coding of goods/services, fraud detection and prevention, and final delivery to the patient or consumer.