Abstract: A method is provided that includes initiating adjudication of a primary claim in response to a purchase transaction at a primary payer for a client at a point of sale of a healthcare provider, and adjudicating one or more services of a program of the administrator to which the client is enrolled and/or one or more secondary benefits following the adjudication of the primary claim. The purchase transaction is applicable to the respective program and the respective secondary benefit, and the program includes one or more services. The method also includes providing the one or more services and/or secondary benefits to the client in response to adjudicating the one or more services and/or secondary benefits.

Abstract: Systems and methods are provided for adjusting secondary benefit levels for healthcare transactions for which primary benefits were previously rejected for lack of prior authorization by a primary payor. A healthcare transaction may be received from a primary payor computer. The transaction may include patient information, loyalty card information, a request for healthcare benefits, and a refill request for a prescribed medication or service. The administrator computer can determine the transaction is approved by the primary payor computer. The transaction can include a designation of a primary benefit from the primary payor. The administrator computer can determine that a prior authorization requirement for the primary payor has been satisfied based in part on the determination that the transaction is approved by the primary payor. The administrator computer can also change the healthcare benefits provided for the client from a second secondary benefits program to a first secondary benefits program.

Abstract: Systems, methods, apparatus, and computer program products are provided for providing at least one notification to a patient. In one embodiment, health-related data/information may be used to identify a patient that satisfies one or more business rules. Notifications to the patient's mobile device can then be provided based on location data.

Abstract: Systems, methods, apparatus, and computer program products are provided for providing surveys to care providers. In one embodiment, health-related data can be used to trigger generating and providing surveys regarding medications and products to care providers.

Abstract: Systems, methods, and apparatuses are provided for supporting barcoded service requests and responses. The systems, methods, and apparatuses can support receiving, from a pharmacy computer, a claim request that identifies at least a patient and a prescribed product; determining, based upon the claim request, that a service request is available, the service request indicating an opportunity for one or more services to be provided by the pharmacy to the patient; storing claim information in association with a bar code, the claim information including information from the claim request, the bar code associated with the service request; automatically directing a delivery of the service request to the pharmacy, the service request including the bar code; and receiving a response to the service request, wherein the response includes the bar code, where the bar code is utilized, at least in part, to obtain at least a portion of the claim information for documentation of the one or more provided services.

Abstract: A method is provided that includes initiating adjudication of a primary claim in response to a purchase transaction at a primary payer for a client at a point of sale of a healthcare provider, and adjudicating one or more services of a program of the administrator to which the client is enrolled and/or one or more secondary benefits following the adjudication of the primary claim. The purchase transaction is applicable to the respective program and the respective secondary benefit, and the program includes one or more services. The method also includes providing the one or more services and/or secondary benefits to the client in response to adjudicating the one or more services and/or secondary benefits.