A software-based, integrated member decision support system provides a
method for corporations, insurance carriers, health maintenance
organizations, physicians, physician groups, or other clients to
efficiently provide medical, pharmaceutical, and health benefit advice
and information for an enrolled population. A caller is, for example,
directed to an operator who provides the caller with medical,
pharmaceutical, and/or health benefit advice based on an inquiry from the
caller and the information stored on the system. The system may
automatically alert the caller or the operator of important medical or
pharmaceutical information. At the conclusion of the call, the system or
the system with the operator's input, may updated the caller's member
profile, request written materials, generate referrals, order
prescriptions, or generate reports.