Certification
What is Surescripts Certification?
To utilize the Surescripts network, a prescriber, pharmacy
and PBM must use software that has completed the Surescripts
certification process. This process ensures that the
software is able to send and receive
electronic messages in
accordance with the industry standards and that it is
providing open choice for medication selection and
dispensing location. Additionally, certification focuses on
patient safety, efficiency of the electronic prescribing
process and ease of use by end-users.
The certification process starts after Surescripts and the
software vendor have completed the
contracting process.
Certification concentrates on message format and workflow.
The software vendor seeking certification is responsible for
modifying/building the electronic prescribing application in
accordance with the Surescripts Implementation Guides (based
on the NCPDP SCRIPT Standard) and qualitative requirements.
Surescripts provides documentation and testing tools for the
software vendor and also conducts certification quality
assurance to ensure all the requirements are met. The
software vendor is responsible for development and testing
of its application.
Prescriber Software Certification
Get certified for:
Prescription Benefit
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Eligibility/Formulary
– the ability to request and receive eligibility
and formulary information from payers and PBMs.
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Reporting
– the ability to
provide utilization summaries for the prescription benefit
service. |
Prescription History
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Prescription History (retail pharmacy)
– the ability to
request and receive prescription history from community
pharmacies.
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Prescription History (payer)
– the ability to
request and receive prescription history from payers and PBMs. |
Prescription Routing
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New Prescriptions (retail pharmacy)
– the ability to
route new prescriptions to community pharmacies.
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New Prescriptions (mail-order)
- the ability to
route new prescriptions to mail order pharmacies.
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Prescription Renewals (retail pharmacy)
– the ability to electronically route
prescription renewal requests and responses with
community pharmacies.
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Prescription Renewals (mail-order)
– the ability to
electronically route prescription renewal requests and
responses with mail order pharmacies. |
Result: The availability of this information at the
point of care allows prescribers to determine the most
clinically appropriate and cost effective medication for the
patient.
Surescripts Solution Provider status is granted to a
vendor for a product that has been certified for all three
Surescripts services (Prescription Benefit, Prescription
History, Prescription Routing) and supporting message types.
Surescripts Gold Solution Provider status is granted
to a vendor and product that achieves benchmarks which
signal a higher level commitment to e-prescribing, customer
support and successful customer implementations.
Click here to check the certification status of prescriber
software.
Pharmacy and Pharmacy Software Certification
Get certified for:
Prescription Routing: Allows software to receive
accept new prescriptions as well as send and receive
prescription renewal requests and authorizations
New Prescriptions
Prescription Renewals
Result: Improved patient safety, less time on
paperwork and re-keying, and “cleaner” scripts which require
fewer callbacks for clarification.
Click here to check the certification status of pharmacy
software.
Click here for a listing of pharmacies that are certified
for prescription routing.
Payer and PBM Certification
Get certified for:
Prescription Benefit: Allows payers and PBMs to
respond to requests for eligibility and formulary from
prescribers using certified software.
Prescription History: Allows payers and PBMs to
respond to requests for medication claims history from
prescribers using certified software.
Prescription Routing: Allows mail order pharmacies to
process new prescriptions and prescription renewals from
prescribers using certified software.
New Prescriptions
Prescription Renewals
Result: Tighter formulary compliance, increased
generic substitution rates, less therapeutic duplication,
enhanced data collection capabilities, greater control over
routing of prescriptions, direct delivery of DUR messaging
to prescribers.
Click here for a listing of Surescripts certified payers and
PBM’s.
Surescripts and CCHIT Certification
In 2007, the Certification Commission for Healthcare
Information Technology (CCHITSM) selected Surescripts as one
of the health information exchanges to certify e-prescribing
interoperability for electronic health record (EHR) systems
and e-prescribing software. Vendors of ambulatory
(office-based) EHR/e-prescribing products can satisfy the
CCHIT certification requirements for electronic prescribing
and sharing of prescription information by completing
certification for the following Surescripts services:
Prescription Benefit
– provides prescribers with real-time,
electronic access to information from patient drug plans.
Prescription History – allows prescribers to
electronically access patient medication history from
pharmacies and payers;
Prescription Routing – facilitates the electronic
transmission of new prescriptions from physician to
pharmacist; enables physicians to electronically receive and
respond to refill authorizations from pharmacies;
Technology vendors,
click here to contact Surescripts about
certification.
Payers and PBMs, click here to contact Surescripts about
certification.
