Identifying and providing aggregated prescription benefits to consumers of prescription products at the point of sale

Abstract

A computer-implemented method for managing prescription benefits in prescription claim or inquiry requests performed by one or more computers in a prescription order processing system includes receiving a prescription claim request related to a consumer from a requesting entity. A crosswalk file is retrieved that comprises information from a plurality of health plan member files describing benefits available to the consumer provided by a plurality of benefit providers. The crosswalk file is used to automatically determine an order submission sequence indicating an order in which claim or inquiry requests corresponding to the benefits are submitted to the benefit providers. The claim or inquiry requests are submitted to the benefit providers according to the order submission sequence. Responses from the benefit providers are automatically aggregated in order to generate an aggregated response to the prescription claim request. The aggregated response is transmitted to the requesting entity.