Systems and methods for identifying healthcare transactions with a risk of failing to include appropriate directions for use

摘要

Systems and methods for identifying healthcare transactions with a risk of failing to include appropriate directions for use are provided. A healthcare claim transaction may be received from a healthcare provider computer. Based upon an analysis of the received healthcare claim transaction, identification information for a prescriber may be determined. A determination may be made as to whether the identified prescriber is an at-risk prescriber that has previously failed to include appropriate directions for use in association with a prescription. If it is determined that the prescriber is an at-risk prescriber, then a predetermined control action may be implemented. Otherwise, if it is determined that the prescriber is not an at-risk prescriber, then the healthcare claim transaction may be communicated to a claims processor computer associated with a claims processor.