insurers 19 which could occur for example if a patient were to have multiple insurers husband and wife private and government etc assuming patient 16 used provider 15 as a primary provider but also used other providers 17 cardiologist diabetic specialist obstetrician gynecologist it could be appropriate for any one or more of these providers to set u201c rules u201d for the patient these rules could pertain to filling and refilling a prescription taking and sending certain monitored readings sugar levels air flow etc limits on certain readings etc these rules are stored in rules engine 18 on a patient by patient basis and when a rule has been attained i e a certain monitored fact is outside a limit then monitor application 14 sends a message e mails telephone fax etc to provider 15 and possibly also to one or more other parties including the patient claims are submitted from various service providers as well as the patient and these claims may be formatted differently based on the reason for the data exchange to handle such a situation proper interfacing between systems is required and this is handled by adaptors such as adapters 130 one example of how the system and method could work is where physician a has prescribed a particular medication for a patient and physician b possibly because that patient failed to inform physician b of the medication he she is taking prescribed another medication that might be dangerous when mixed with the first medication or possibly negates the effects of the first medication in such a situation the system would generate an alert to the patient and if desired to both physicians a and b the reason.