RITA SUE RUSSELL
Pharmacy in Atlanta, GA
License number
Pennsylvania RP438125
Category
Pharmacy
Type
Pharmacist
Address
Address
2
Atlanta, GA 30319
Pennsylvania
Pennsylvania
Personal information
See more information about RITA SUE RUSSELL at radaris.comName
Address
Phone
5575 Armour Rd APT I6, Columbus, GA 31909
357 E 4Th St, Waterford, PA 16441
3 Millington Ct, Columbus, GA 31904
420 Delia Pease Rd, Carrollton, GA 30117
835 Club House Dr, Mechanicsburg, PA 17050
Professional information
Sr Director Program Mgmt At Relayhealth
Position:
Sr Director Product Mgmt at RelayHealth
Location:
Atlanta, Georgia
Industry:
Information Technology and Services
Work:
RelayHealth
since Feb 2004
-
Sr Director Product Mgmt
Revco
May 1978 - Nov 1997
-
assorted
Education:
University of Missouri-Kansas City 1977 - 1981
Systems And Methods For Pharmacy Reimbursement Claim Resubmission
US Patent:
7926709, Apr 19, 2011
Filed:
Sep 12, 2008
Appl. No.:
12/210001
Inventors:
Cherie M. Dooley - Conyers GA, US
Rita S. Russell - Atlanta GA, US
Rita S. Russell - Atlanta GA, US
Assignee:
Per-Se Technologies - Atlanta GA
International Classification:
G06K 15/00
US Classification:
235378
Abstract:
Systems, and methods for reimbursing prescription fulfillment that includes identifying a drug associated with a claim submitted by a pharmacy for reimbursement by a payer (e. g. , insurance carrier) and identifying a change in a manufacturer set price associated with the drug. The invention includes monitoring reimbursed claims received from at least one payer, where one of the reimbursed claims received from the payer is associated with the drug and determining if the payer has updated its internal pricing value associated with the drug. The invention further includes generating a report that includes the payer's updated internal pricing value associated with the drug, and/or creating and submitting a reversal transaction to the at least one payer followed by a resubmission of the original claim, where the resubmitted claim value is based on the payer's updated internal pricing value associated with the drug.
Systems And Methods Of Processing Health Care Claims Over A Network
US Patent:
8515784, Aug 20, 2013
Filed:
Aug 23, 2007
Appl. No.:
11/843899
Inventors:
Rita S. Russell - Atlanta GA, US
Assignee:
McKesson Financial Holdings - Hamilton
International Classification:
G06Q 40/00
US Classification:
705 4, 705 2, 705 3
Abstract:
Various embodiments of the present invention provide systems and methods for automatically substantiating claims for health care reimbursement account plans, such as a self-funded flexible spending account (FSA), an employer-funded health care savings account (HSA), or a health care reimbursement account (HRA) over a non banking network. In particular, in various embodiments, a claims processing system is configured for receiving a claim for a health care related expense over a non-banking communications network from a health care provider and processing the claim to determine if the health care reimbursement plan account is eligible, if the balance of the account is greater than or equal to the amount of payment requested, and if the claim is sufficiently substantiated.
Systems And Methods For Real-Time Monitoring And Analysis Of Prescription Claim Rejections
US Patent:
8626525, Jan 7, 2014
Filed:
Jun 23, 2008
Appl. No.:
12/144293
Inventors:
Zhe Cheng Mi - Lawrenceville GA, US
Rita Sue Russell - Atlanta GA, US
Rita Sue Russell - Atlanta GA, US
Assignee:
McKesson Financial Holdings - Hamilton
International Classification:
G06Q 10/00
US Classification:
705 2, 705 3
Abstract:
Embodiments of the invention can provide systems and methods for real-time monitoring and analysis of prescription claim rejections. In one embodiment, a transaction performance monitoring system for facilitating real-time monitoring of the rejection of claims can be provided. The transaction performance monitoring system can include a transaction performance monitoring application operable to receive a plurality of claims associated with at least one dispenser, wherein each of the claims relates to at least one prescription and at least one payor. In addition, a transaction performance monitoring application operable to, in real-time, identify rejected claims and associated causes of the rejected claims. Furthermore, a transaction performance monitoring system can include a network operable to communicate the plurality of claims between the at least one dispenser and the at least one payor.
Systems & Methods For Pharmacy Reimbursement Claim Resubmission
US Patent:
2006021, Sep 21, 2006
Filed:
Feb 28, 2006
Appl. No.:
11/364987
Inventors:
Cherie Dooley - Conyers GA, US
Rita Russell - Atlanta GA, US
Rita Russell - Atlanta GA, US
International Classification:
G06Q 40/00
US Classification:
705004000, 705002000
Abstract:
Systems, and methods for reimbursing prescription fulfillment that includes identifying a drug associated with a claim submitted by a pharmacy for reimbursement by a payer (e.g., insurance carrier) and identifying a change in a manufacturer set price associated with the drug. The invention includes monitoring reimbursed claims received from at least one payer, where one of the reimbursed claims received from the payer is associated with the drug and determining if the payer has updated its internal pricing value associated with the drug. The invention further includes generating a report that includes the payer's updated internal pricing value associated with the drug, and/or creating and submitting a reversal transaction to the at least one payer followed by a resubmission of the original claim, where the resubmitted claim value is based on the payer's updated internal pricing value associated with the drug.