Systems and methods for the processing, modifying, and/or performance of a clinical, administrative and/or financial "value-add" service to an electronic healthcare related transaction from a healthcare provider to a third party such as a pharmacy. A prescription switch provider receives an incoming transaction from a healthcare provider system. The switch provider may then parse the transaction to review or modify data contained in the transaction and/or perform a value-add service or function based on the data contained in the transaction. Alternatively, the switch provider may copy the transaction for parallel processing. The transaction may be forwarded to a third party system, and a response message from the switch provider or the third party may be transmitted to the healthcare provider system pertaining to the modified transaction data and/or value-add service performed.