surescripts-prior-authorization

JSON twin: https://www.healthaidb.com/software/surescripts-prior-authorization.json

Company Name

Surescripts

Product URL

https://surescripts.com/what-we-do/electronic-prior-authorization

Company URL

https://surescripts.com

Categories

Summary

Surescripts Prior Authorization is an electronic prior authorization (ePA) solution that automates and accelerates medication prior authorization requests and determinations within clinical workflows, including a web portal and touchless automation features.

Description

A suite of ePA tools (Prior Authorization Portal, Intelligent/Touchless Prior Authorization, CompletePA QuickStart) that integrates with EHRs and pharmacy benefit data to submit, track and receive medication prior authorization requests and responses electronically, reducing manual paperwork and turnaround time.

Api Available

yes

Certifications

Company Founding

2001

Company Offices

Compliance

Customers

Data Residency

United States (US-focused hosting and network)

Data Standards

Deployment Model

Features

Id

P1592

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Free web-based Prior Authorization Portal available to providers; enterprise integrations and advanced touchless capabilities: contact vendor for pricing.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

Security Features

Specialties

Support Channels

System Requirements

Modern web browser; EHR integration via vendor-specific interface or Surescripts technical integration

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Surescripts",
  "company_url": "https://surescripts.com",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2001",
  "product_url": "https://surescripts.com/what-we-do/electronic-prior-authorization",
  "categories": [
    "administrative",
    "clinical",
    "interoperability",
    "prescribing",
    "prior-authorization"
  ],
  "market_segment": [
    "enterprise",
    "providers"
  ],
  "links": [
    "https://surescripts.com/what-we-do/electronic-prior-authorization",
    "https://surescripts.com/what-we-do/touchless-prior-authorization",
    "https://surescripts.com/prior-authorization-portal-resources",
    "https://providerportal.surescripts.net/ProviderPortal/login",
    "https://surescripts.com/support",
    "https://surescripts.com/who-we-are",
    "https://surescripts.com/insights/intelligent-prior-authorization",
    "https://go.surescripts.com/hubfs/Knowledge%20Builder-%20Electronic%20Prior%20Authorization%20(non%20Epic).pdf",
    "https://www.g2.com/products/surescripts-prior-authorization"
  ],
  "summary": "Surescripts Prior Authorization is an electronic prior authorization (ePA) solution that automates and accelerates medication prior authorization requests and determinations within clinical workflows, including a web portal and touchless automation features.",
  "description": "A suite of ePA tools (Prior Authorization Portal, Intelligent/Touchless Prior Authorization, CompletePA QuickStart) that integrates with EHRs and pharmacy benefit data to submit, track and receive medication prior authorization requests and responses electronically, reducing manual paperwork and turnaround time.",
  "target_users": [
    "prescribers/clinicians",
    "clinical staff (medical assistants, nurses)",
    "pharmacists",
    "health system administrators",
    "payers"
  ],
  "specialties": [
    "primary care",
    "family medicine",
    "internal medicine",
    "psychiatry",
    "oncology (specialty meds)",
    "endocrinology",
    "cardiology",
    "ambulatory care"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Free web-based Prior Authorization Portal available to providers; enterprise integrations and advanced touchless capabilities: contact vendor for pricing.",
  "license": "commercial proprietary",
  "deployment_model": [
    "SaaS",
    "portal"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Initiate and submit electronic prior authorization (ePA) from EHR workflow",
    "Prior Authorization Portal for non-integrated prescribers",
    "Dynamic plan- and drug-specific question sets",
    "Routing rules and task automation for PA workflows",
    "Attach clinical documentation and supporting files",
    "Prospective and retrospective prior authorization support",
    "Alerts for expiring prior authorizations and renewals",
    "Integration with e-prescribing and formulary/eligibility data",
    "Prior authorization status and decisions returned within workflow",
    "Reporting and analytics on PA performance and outcomes"
  ],
  "optional_modules": [
    "Prior Authorization Portal (self-service portal)",
    "Touchless Prior Authorization",
    "Real-Time Prescription Benefit integration"
  ],
  "integrations": [
    "EHR vendors (integration into clinician EHR workflows)",
    "Pharmacies",
    "Pharmacy Benefit Managers (PBMs)",
    "Health plans / payers",
    "Prior Authorization Portal (providerportal.surescripts.net)"
  ],
  "data_standards": [
    "NCPDP SCRIPT",
    "FHIR",
    "HL7 v2"
  ],
  "api_available": "yes",
  "system_requirements": "Modern web browser; EHR integration via vendor-specific interface or Surescripts technical integration",
  "compliance": [
    "HIPAA"
  ],
  "certifications": [
    "NCPDP-related certification (network/certification processes referenced)"
  ],
  "security_features": [
    "Encryption in transit and at rest",
    "Role-based access controls (RBAC)",
    "Audit logging",
    "Single sign-on (SSO) support"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) available",
    "Patient identity validation and data minimization features"
  ],
  "data_residency": "United States (US-focused hosting and network)",
  "customers": [
    "Walgreens",
    "Mount Sinai Health System",
    "Department of Health and Human Services (HHS)",
    "PerformSpecialty"
  ],
  "user_reviews": [
    "I find Surescripts is faster, many times auto populates their insurance info.",
    "Surescripts e-prescribing has been efficient to use for prescribing medications quickly for patients. Easy to add pharmacy info. Quick and efficient searching ...",
    "The ePA part is really useful — links to Surescripts, CoverMyMeds and other ePA tools make workflow easier."
  ],
  "ratings": [],
  "support_channels": [
    "email",
    "phone",
    "community"
  ],
  "training_options": [
    "documentation",
    "webinars"
  ],
  "release_year": "",
  "integration_partners": [
    "Epic",
    "CLEAR",
    "Walgreens",
    "Pharmacies (nationwide network)",
    "PBMs",
    "EHR vendors"
  ],
  "id": "P1592",
  "slug": "surescripts-prior-authorization",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/surescripts-prior-authorization.json"
  }
}