You are on page 1of 69

ADMIN CONSOLE USER GUIDE

Date: December 6, 2013

ADMIN CONSOLE USER GUIDE


PUBLISHED BY
SURESCRIPTS, L.L.C.
920 2ND AVENUE S.
MINNEAPOLIS, MN 55402
PHONE: 866-267-9482
FAX: 651-855-3001
2800 CRYSTAL DRIVE
ARLINGTON, VA 22202
PHONE: 866-797-3239
FAX: 703-921-2191
WWW.SURESCRIPTS.COM
Copyright 2013 by Surescripts, LLC.
All rights reserved. Proprietary and Confidential.
This document and all other documents, materials, and information, transmitted or orally communicated
by Surescripts in the course of the parties dealings constitute and are hereby designated as
proprietary and confidential information of Surescripts, and may not be reproduced or distributed (in
whole or in part) without the express written consent of Surescripts..

Document Change Log


The table below tracks significant changes to the document made in the last few months.
Section

Section Title

Change Description

Last published on 10/24/2012.


Replace "prescriber" with "provider" and "pharmacy" with "pharmacy
organization or "type of" organization.
Added new and updated screen shots to reflect new verbiage and/or
service level options (ePA) as well as the addition of Organizations.

Through
out

1.1.1

Functionality

Added "clinical message transactions" and deleted "eligibility" from the


searchable transactions listed in the 3rd paragraph.

1.2

Service Levels

Deleted eligibility as it is not one of the options listed here.


Added ePA.
Added a note that the messages, RxFill, ReSupp and Census are not
currently supported on the network.

2.1

Accounts and Portals


Setup

Updated the production and staging links to the Admin Console.

2.2.6

Main Screen View

Welcome screen changed to Notices screen. Added information regarding


Notices.

2.2.7

Change Password
screen

Added screen shot of Change Password screen.

3.0

Directories

Clarified the 2 paragraph by replacing "participants" with "common


Surescripts' network portal.

3.1

Search Criteria

Added "or Include Active" to checkboxes in the 2nd paragraph.


Also added: Message Search by Provider screen, Message Search by
Organization screen.
Deleted Search Field Qualifiers and associated table with descriptions as
these are no longer being used in Admin Console.

3.2

Organization Search

Added detail to explain the search function for organization as opposed to


only pharmacy.
Removed Search Qualifiers from the fields used for search criteria as the
qualifiers are no longer used.
Added information on creating a parent organization for each organization.
Search criteria changes:
Added:

nd

Organization ID

Payer ID

Fax Portal State


Deleted:

Account

Radius

Fax Portal State

Portal
Changed:

"Activated" to "Include Active Organizations"


Added content pertaining to organizations.
Changes to the return fields:

LAST PUBLISHED 12/6/13

Changed "Pharmacy Name" to "Name" - Added details to the Name

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 3

Section

Section Title

Change Description
field description

Added "Org ID" field and description

Added "Parent Org" and description


Deleted:

Fax Pharmacy

Activated
Added Note following the table.
3.3

Provider Search

Added the fields:


- Direct Address
- Phone #

3.3.3

Provider Record
Detail

Added new table, "Additional Fields of Note:"

3.2.5.1

Million Hearts
Initiative

Added more detail and examples to the Million Hearts field descriptions.

3.5

Directory Download

Updated the description of the Nightly and Full download files.

3.5.1

Downloading
Directories Directly
from Admin Console

Updated the Note regarding versions.


Return fields table updates include:
- Date Updated added additional information
- File updated field description
- Download Link - Changed to "Version" and added new description.
Removed Best Practice note as it no longer applies.

Message Search

Added note regarding availability of CI messages for search.

4.1

Search Criteria

- Removed the field qualifiers table.


- Added to the descriptions for clarity and/or new functionality.
- Deleted "From Time" and "To Time (XXX)" search criteria and changed
"From Date" and "To Date" to: "From Date/Time" and "To Date/Time".
- Added Case ID and Reference ID for use with ePA.

4.1.1

Message ID Search
Criteria

Added Note.

4.1.3

Message Type
Search Criteria

- RXFILL Added "Currently not supported by Surescripts' processing."


- "SupportsLongDrugName" Deleted
- Removed "flat file" from DirectoryDownloadResponse description.
- UpdatePrescriber, SetMailbox & IDProofSM no longer used.
- RESUPP & CENSUS changed to not used.
- Added: PAInitiationRequest, PAInitiationResponse, PARequest,
PAResponse, PACancelRequest, PACancelResponse,
PAAppealRequest, and PAAppealResponse and new column for CI
Routing.

4.3.1

Message Summary

Added Message Status and Message Content to the list of components in


Message Summary.

4.3.3

Message Content
Detail

Added to the description for IncomingContentMessage.


Deleted HL7 from the message formats.

Message Search MedHistory Message

Changed section name from "Message Search Medication History


Message" to "Message Search MedHistory Message".
Removed references to Eligibility transactions.

5.1

Medication History
Message Type

Changed description for ELGREQ to "No longer used".

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 4

Section

Section Title

Change Description

8.1

Case Management
Link

- Case Category moved to top of fields table.


- Case Type: changed to "Type" and replaced the description with current
content.
- Added fields: Case Initial Reason, Email and User Call Back Phone

8.2

Case Creation Using


Record Details

Updated the link name for creating a Case.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 5

This page intentionally left blank.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 6

Surescripts Admin Console Guide

Table of Contents

TABLE OF CONTENTS
SECTION 1

Introduction .................................................................................................. 9

1.1
1.1.1
1.1.2
1.2

About This Guide .................................................................................................... 9


Functionality ............................................................................................................ 9
Production vs. Staging environment ........................................................................ 9
Service Levels....................................................................................................... 10

SECTION 2

User Administration .................................................................................... 13

2.1
2.2
2.2.1
2.2.2
2.2.3
2.2.4
2.2.5
2.2.6
2.2.7
2.2.8

Accounts and Portals Setup .................................................................................. 13


User Setup ............................................................................................................ 14
User Profile Requirements..................................................................................... 14
User Permission Levels ......................................................................................... 14
General Support and Directory User IDs................................................................ 15
Individual User IDs ................................................................................................ 15
Password Reset or Unlock User ID........................................................................ 16
Main Screen View ................................................................................................. 16
Change Password ................................................................................................. 17
User Profile (Time Stamp) ..................................................................................... 17

SECTION 3

Directories .................................................................................................. 19

3.1
3.2
3.2.1
3.2.2
3.2.3
3.2.4
3.2.5
3.3
3.3.1
3.3.2
3.3.3
3.3.4
3.4
3.4.1
3.4.2
3.4.3
3.4.4
3.4.5
3.4.6
3.5
3.5.1

Search Criteria ...................................................................................................... 19


Organization Search.............................................................................................. 20
Search Results ...................................................................................................... 23
EDI vs. Fax Organization....................................................................................... 24
Organization Record Detail.................................................................................... 24
Applying Services to an Organization Record ........................................................ 26
Adding/Updating an Organization .......................................................................... 26
Provider Search .................................................................................................... 28
Provider Search Results ........................................................................................ 29
5th NewRx Sent .................................................................................................... 30
Provider Record Detail .......................................................................................... 30
Applying Services to a Provider Record ................................................................. 31
Provider Update Request (PUR)............................................................................ 32
Search for Providers.............................................................................................. 33
PUR Permission Search Results ........................................................................... 33
Selecting Providers ............................................................................................... 34
Adding Providers to the List ................................................................................... 34
View Provider List.................................................................................................. 34
Submit List of Providers......................................................................................... 35
Directory Download ............................................................................................... 36
Downloading Directories Directly from Admin Console ........................................... 37

SECTION 4

Message Search ........................................................................................ 39

4.1
4.1.1
4.1.2

Search Criteria ...................................................................................................... 39


Message ID - Search Criteria................................................................................. 40
Date/Time Range - Search Criteria ........................................................................ 40

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 7

Surescripts Admin Console Guide

Table of Contents

4.1.3
4.1.4
4.2
4.3
4.3.1
4.3.2
4.3.3

Message Type - Search Criteria............................................................................. 40


Message Status.....................................................................................................43
Search Results ......................................................................................................43
Message Detail Screen..........................................................................................44
Message Summary................................................................................................44
Message Status.....................................................................................................47
Message Content Detail ........................................................................................ 48

SECTION 5

Message Search -MedHistory Message ..................................................... 51

5.1

SECTION 6
6.1
6.2

Medication History Message Type ......................................................................... 51

Report Log ................................................................................................. 53


Provider Reports ...................................................................................................53
Organization Reports.............................................................................................53

SECTION 7

PDMP ........................................................................................................ 55

7.1
7.2
7.2.1
7.2.2

Search Criteria ......................................................................................................55


Medication History Search ..................................................................................... 55
PDMP Search Results ........................................................................................... 56
Record Details .......................................................................................................57

SECTION 8

Support Case Management (Self-Service Portal) ....................................... 65

8.1
8.1.1
8.2
8.3

Case Management Link .........................................................................................65


Case Management ................................................................................................66
Case Creation Using Record Details ...................................................................... 67
Accessing Support Solutions ................................................................................. 68

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 8

Surescripts Admin Console Guide

SECTION 1
1.1

Introduction

INTRODUCTION

ABOUT THIS GUIDE


This Guide was created to assist organization and provider vendor participants
with an understanding of the Surescripts Admin Console, a proprietary Web
application that provides an interface to information and transaction activity on the
Surescripts network, including directory informationwhich can be synchronized
with their systems, messaging history, and a testing platform.

1.1.1

FUNCTIONALITY
The Admin Console provides replicated visibility into the directories and messages
that transmit across the Surescripts network.
The organization and provider directories that are included within the Admin
Console provide the foundation for the transactions and also provide the vendor
participants with the necessary tools and resources to maintain updated directory
listings within their respective applications.
The messaging search functionality provided in the Admin Console allows the
vendor participant to search and review transaction activity associated with their
respective account in near real time. Currently, these transactions are limited to
retail and mail-order based scripts, clinical message, directory message and
limited medication history transaction activity that occurs on the Surescripts .net
network.
Additional functionalities include reporting, case management integration, and
account/portal set up review.
If you have questions concerning this guide or the Admin Console, please direct
them to your Surescripts Account Manager or the Surescripts Customer Care
Team at support@surescripts.com.

1.1.2

PRODUCTION VS. STAGING ENVIRONMENT


Prior to certification on the Surescripts network, vendor participants will have used
the staging version of the Admin Console. This test environment works under the
same functionality as the production version of the Admin Console; it is provided to
allow vendor participants the opportunity to test their application solutions in a
controlled environment.
Once certified, vendor participant connectivity will be activated in the production
version of the Admin Console; the production environment will display actual
records and transactions.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 9

Surescripts Admin Console Guide

1.2

Introduction

SERVICE LEVELS
Service levels are the foundation for transactions on the Surescripts network. All
vendor participants go through a certification process that allows vendor
participant customers (end-user provider or organization) to conduct business on
the network. A base list of the most common service levels is provided in the
following table. Please note that your account may not have access to all of these
service levels or may have service levels that are not listed in this table.
Service Level

Description

Disabled

Provider or organization cannot send/receive messages.

New

Prescriber can send a NewRx. Pharmacy Organization can receive NewRx.

Refill

Pharmacy Organization can send a RefillRenewalRequest and receive a


RefillRenewalResponse.
Provider can receive a RefillRenewalRequest and send a
RefillRenewalResponse.

Controlled
Substance

Provider can send a prescription for a controlled substance. Pharmacy


Organization can receive a prescription for a controlled substance.

Change

Organization can send an RxChangeRequest to a provider and receive an


RxChangeResponse from a provider.
Provider can receive an RxChangeRequest from a pharmacy organization and
send an RxChangeResponse to a pharmacy organization.

Cancel

Provider can send the RxCancelRequest to a pharmacy organization and receive


an RxCancelResponse from a pharmacy organization.
Pharmacy organization can receive an RxCancelRequest from a provider system
and send an RxCancelResponse to a provider.

RxFill

Pharmacy organization can send a FillStatus either new or refill.


Provider can receive a FillStatus. This message is not currently supported on the
network.

MedHistory

Provider/organization can receive patient medication history.

ReSupp

A long-term care (LTC) facility can send a RefillRenewalRequest to a pharmacy


organization. A pharmacy organization can receive a RefillRenewalRequest from
an LTC facility. This message is not currently supported on the network.

Census

A long-term care (LTC) facility can send a Census message to a pharmacy


organization. A pharmacy organization can receive a Census message from an
LTC facility. This message is not currently supported on the network.

CCR

Allows the provider to be a recipient of a Continuity of Care Record (CCR)


message from a convenience clinic.

CIMessage

Participants can send/receive clinical messages.

CIEvent

Participants can send/receive event messages related to a clinical message.

ePA

A provider can send electronic prior authorization messages to a payer


organization and receive electronic prior authorization messages from a payer
organization. This product is called CompletePA.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 10

Surescripts Admin Console Guide

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

Introduction

PAGE 11

Surescripts Admin Console Guide

Introduction

This page intentionally left blank.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 12

Surescripts Admin Console Guide

SECTION 2
2.1

User Administration

USER ADMINISTRATION

ACCOUNTS AND PORTALS SETUP


Admin Console is an encryption-based tool on a restricted gateway. If you are
unable to connect to the Admin Console Login page, ask yourself: Am I coming
through my companys gateway or VPN?
To Open a Web browser for the production environment, click on the link:
https://admin.surescripts.net/AdminConsole/Administration/Login.aspx or click
https://staging.surescripts.net/AdminConsole/Administration/Login.aspx/ to go to the
Staging environment.

Type your valid user name and password in the Login ID and Password fields.
Passwords are case-sensitive. Click the Login button. See Section 2.2.5
Password Reset or Unlock User ID for more information.
Note: If you forget your password, click the Forgot your password? link and enter your Login ID.
Your new login information will be sent to the email on record for your Login ID.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 13

Surescripts Admin Console Guide

2.2
2.2.1

User Administration

USER SETUP
USER PROFILE REQUIREMENTS
The following elements are required for a User ID Profile.

2.2.2

Field Element

Description

First Name

Users first name.

Last Name

Users last name.

Email Address

The email address that will be used for password resets.

Start Date

The date the user ID is created

End Date

The default activation period for a new account is one year. Surescripts Customer
Care can extend the active user date for a user ID.

User ID

By default, the User ID is usually the first initial of the first name and the entire last
name. In cases of duplicate names, a unique user ID will be created for the
individual.

USER PERMISSION LEVELS


User permission levels are assigned to User IDs. The vendor participant is
responsible for determining the permission levels for their users. Not all permission
levels may be available to everyone.
To assign the permission level with visibility to patient information (protected health
information/PHI), an administrator or manager of the vendor participant must log a
case in the Self-Service Portal. See Section 8: Support Case Management for
more information on the self-service portal.
Permission Level

Organization/Provider
Search

Message
Search

Message
Content
(PHI)

Directory
Download

Report
Log

Basic

Read only

Yes

No

No

Yes

Admin

Read/Write

Yes

No

Yes

Yes

Message PHI Search

N/A

Yes

Yes

N/A

N/A

Provider Update
Request

Read only

No

No

No

No

Service Locator

Oragnization TypePharmacy only


Read/Write

No

No

No

No

Additional user permissions (e.g. CSPMedHistoryAccess, CSPMailboxAccess) are


available and associated with User IDs based on certified service levels and access
needs. These additional permissions are mentioned in the appropriate sections of
this document. A request to Surescripts Customer Care must be made to assign
additional user permissions.
A User Management Access permission level is available to a single admin or
management team member of each vendor participant account. This permission
level will allow the user to:
LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 14

Surescripts Admin Console Guide

2.2.3

User Administration

Unlock User IDs

Reset passwords

Create individual User IDs with the Basic permission level (no PHI
access)

GENERAL SUPPORT AND DIRECTORY USER IDS


These are established when a new account is added to production. Both initial
User IDs are created for new accounts to allow for initial interaction with the tool
and both allow concurrent access.
General Support User IDs
General Support User IDs are assigned an Admin User permission level. The
General Support User ID should be available to any vendor participant team
member who requires the ability to review transactions on the network and
view/update account records.
Directory User ID
By default the user ID is assigned an email from the accounts Implementation
team. The Directory User ID is designed for behind-the-scenes directory
administrative tasks. The Directory User ID is assigned the
CSPDirectoryUpdateBasic User permission level.
Note: General support and Directory User IDs do not receive PHI visibility access.

2.2.4

INDIVIDUAL USER IDS


Individual User IDs are created upon request of the vendor participant. These
Individual User IDs are often set up to provide specific access, including visibility to
PHI. It is up to the vendor participants account administrator to determine who
should have PHI access; the vendor participant is responsible for any internal
background investigations or protocols to determine PHI access eligibility.
To request an Individual User ID, an administrator or management team member
of the vendor participant account must log a case with Surescripts Customer Care,
using the Self-Service Portal, and provide the necessary profile information to
include:

Name
Email address
Direct telephone number
User Permissions
PHI Access (yes or no)

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 15

Surescripts Admin Console Guide

2.2.5

User Administration

PASSWORD RESET OR UNLOCK USER ID


Password Reset
To reset your password, enter your User ID, click Forgot your password, and the
email address associated with the User ID will receive an email with a new
password.
Note: Resetting a password will not unlock an account.

Unlock User ID
Security protocols dictate that after three failed attempts, the User ID is locked.
The user may contact Surescripts Customer Care to unlock their ID before they
are able to proceed, or the individual with the User Management Access
permission level for their account may also unlock the User ID.
The following four methods may be used to have your User ID unlocked with
Surescripts Customer Care:

Email
Live Chat

Phone
Self-service portal (SSP)

All passwords must be changed every 90 days, except Directory User IDs, which
have passwords that do not expire due to their functionality.

2.2.6

MAIN SCREEN VIEW


Once youve logged in successfully, the Notices screen opens. The menu bar on
the left-hand side controls the functionality in the active window on the right-hand
side of the screen.
Notices are used by Surescripts to communicate information to our participants on
the network. Users will see the notices upon login and can check for any updated
notifications by selecting the Notices link in the top right-hand corner.

Note: If no notices are available, the Welcome message will display.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 16

Surescripts Admin Console Guide

2.2.7

User Administration

CHANGE PASSWORD
To change your password, click the Change Password button, enter the old
password and enter the new Password twice.

Note: Fields with a red asterisk (*) are required.

2.2.8

USER PROFILE (TIME STAMP)


UTC (Coordinated Universal Time). A time standard based on International Atomic
Time with leap seconds added at irregular intervals to compensate for the Earths
slowing rotation. This is the baseline time stamp for all Surescripts transactions. By
default, a users profile is set to UTC.
The user may prefer to set the Admin Console Message Search interface to their
local time zone. In order to set your local time zone, click the User Profile button
and select the desired time zone from the drop-down list. Check the Observe
Daylight Savings Time check box if applicable; this feature will automatically
engage. This time zone will be used for all search functionality.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 17

Surescripts Admin Console Guide

User Administration

This page intentionally left blank.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 18

Surescripts Admin Console Guide

SECTION 3

Directories

DIRECTORIES

The Surescripts network consists of two database directories, Organization and Provider.
Admin Console allows manual view, creation, and update to these directories, as well as the
ability to download aggregate copies of the data. Specific functionality is outlined in the
following sections.
Alternately, Surescripts provides the ability for the same functionality behind the scenes
through Surescripts directory messaging. Directory messaging is a scripting interface
directed through a common Surescripts' network portal and is recommended for large
batches.
For additional information on Surescripts directory messaging, refer to the appropriate
version of the Surescripts Directories Guide for your account.

3.1

SEARCH CRITERIA
Once a record has been created, it is never purged from the system. Users should
always search for both Activated and Deactivated records.
Activated The Activated or Include Active check boxes, when selected, will
return results for those profiles and records that have an active end-date in the
future. Active records will display in the search results and in directory download
files. Records that are inactive will not be conveyed in a directory download file.
Deactivated Deactivated records are those in which the Active End Date has
passed and there is no service level. When a record is deactivated, it will appear in
a directory download for the account to which it is assigned. This enables the
participant owner to see all records associated with their account whether active
or inactive. If a provider record is deactivated, it will be conveyed in the download
files provided to organization vendors for a period of thirty days after the Active
End Date. The same is true for deactivated organizations.
Any combination of fields may be used to conduct a search. Required fields are
designated with a red asterisk (*). Specific formats are indicated with watermarks
and help text (click on the "?") to provide additional information. See sample
screens below.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 19

Surescripts Admin Console Guide

Directories

Message Search

Message Search by Provider

Message Search by Organization

3.2

ORGANIZATION SEARCH
The Organization Search functionality allows users to view active and inactive
Organizations available on the Surescripts network.
Organization users will have visibility into their specific account profiles;
Administrative users will have the ability to read and/or write; whereas Basic users
will have read-only access. All provider accounts will have read-only visibility into
all organization types.
To manually search and work with a profile, click on the Organization menu
button. The Search screen allows the user to select and search all organizations
or a specific organization type (pharmacy, general or payer). Note the unique
identifiers that are valid for Pharmacy (NCPDP ID) and Payer (Payer ID) searches.
Deselect Include Active Organizations to search for inactive organizations. Click
the Reset Selections link to clear the form for a new search.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 20

Surescripts Admin Console Guide

Directories

The following fields can be used for search criteria.


Field Name

Description

Organization Type

Options:
- General
- Pharmacy
- Payer

Organization ID

Up to 10-digit ID assigned by Surescripts. This ID is returned to the user


when creating any of the organization types, either in response messages
or via the screen after entry.

Payer ID

This ID is assigned to the payer organization by Surescripts. This field is


editable only when the Payer organization type is selected.

NCPDP ID

7-digit NCPDP ID for the pharmacy organization. This field is editable only
when the Pharmacy organization type is selected.

Name

Name of organization.

Store

Store number assigned by pharmacy chain, if applicable.

Phone

Organization phone number.

Service Level

Surescripts service levels assigned to the organization.

Fax Portal State

Some pharmacies on the Surescripts network are designated as a Fax


organization location. Not all providers will have visibility into this
Surescripts subscription-based directory.

Address

Organization street address

City

City where the organization is located

State

State where the organization is located

Zip

Organization zip code

Include Activate
Organizations

When selected, returns those accounts whose Active End Date is in the
future. When not selected, returns those accounts whose Active End Date
has passed.

Users with Admin rights to read/write organization records will also see a Create
New Organization link displayed. This link enables the vendor participant to
create a new organization location.
LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 21

Surescripts Admin Console Guide

Directories

Users will have an option to create a Parent Organization for each organization.
Please refer to the Directories 4.6 Implementation Guide for more information on
Parent Organizations.

The Organization type will default based on the user profile association.
When creating a pharmacy organization, the NCPDP is required, as indicated by
the asterisk. When creating a General organization, no additional identifiers are
required. When creating a Payer organization, the 15 digit payer ID that is used for
Medication History is required.
LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 22

Surescripts Admin Console Guide

Directories

Users have an option to create a Parent Organization for each organization.


Please refer to the Directories 4.6 Implementation Guide for more information on
Parent Organizations. This parent organization must be associated to the same
account as the organization being created in order to be displayed as an option for
selection. This is accomplished by selecting the "+".
Note: Organizations cannot become a parent of themselves, causing circular references.

3.2.1

SEARCH RESULTS
Search results are returned in the window below the Organization Search
section.

Inactive and Pharmacy in Name Field

Fax and Pharmacy in Name Field

Indicates Payer

The return fields include the following:


Field

Description

Name

Name of the organization.


Organization type is indicated by icons in the Name section.
Rx = pharmacy
P = payer
Red X = inactive
Fax sheet = fax
Click on the link to go to the record detail.

Org ID

Organization ID as assigned by Surescripts upon creation.

Parent Org

Parent Organization ID that has been attached to the organization record.

NCPDP ID

The organization's 7-digit NCPDP ID.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 23

Surescripts Admin Console Guide

Directories

Field

Description

Store #

Store # assigned by pharmacy chain, if it was provided.

Service Level

Surescripts service levels assigned to the organization.

Phone #

Main organization phone number.

Address

Displays Address Line 1. Click on the link to go to Google Maps.

City

City where the organization is located.

State

State where the organization is located.

Zip

Organization zip code.

Note: All columns are sortable by ascending/descending order indicated by arrows when
selecting the header row entry.

3.2.2

EDI VS. FAX ORGANIZATION


The first column (name) in the Organization Search Results screen indicates if
an organization is Fax-based. Refer to Fax and Pharmacy in Name Field screen
above.
EDI-based
An EDI-based pharmacy organization receives transactions from the Surescripts
network electronically directly into their application; no additional manual workflow
is required to capture the transaction in the pharmacy organization system.
Note: Prescriptions for controlled substances cannot be delivered by Fax; only via EDI to
pharmacy organizations certified for controlled substances (EPCS).

Fax-based
A Fax-based pharmacy organization receives transactions that were converted by
the Surescripts network into a fax hard-copy document. These documents must be
manually entered by the pharmacy organization into their system.
Visibility into a fax-based pharmacy organization is contingent upon the account
subscribing to the Surescripts Fax Gateway. The Surescripts Fax Gateway is an
optional contractual subscription available to provider accounts. If you are unable
to see a fax pharmacy organization in the Admin Console, it is most likely because
your account does not subscribe to the Surescripts Fax Gateway.

3.2.3

ORGANIZATION RECORD DETAIL


Click on the organization name to access the record detail. There are several
fields available within a profile record that can contain information. Required fields
are designated with a red asterisk (*) and are listed in the table below. Additional
field elements are optional and maybe be included. For more information on
optional fields, please refer to the current version of the Surescripts Directories
Guide.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 24

Surescripts Admin Console Guide

Directories

Required Profile Fields


Field Name

Field Description

Organization Type

- Pharmacy
- General
- Payer

Organization Name

Best Practice: The common name used by providers and patients.

NCPDP

The 7-digit NCPDP ID for the pharmacy organization. This field is only valid for
pharmacy organization types.

Payer ID

The 15-digit code assigned by Surescripts for the Payer Organization. This field
is optional for other organization types.

Address Line 1

Actual physical street address of the organization.


Note: No PO boxes or building names may be included.

City

The city that is associated with the physical address of the organization.

State

Select the state from the drop-down list.

Zip

Zip code may either be 5 or 9-digits Do not include punctuation (hyphen).

Primary Phone

10-digit telephone number (includes area code). Do not include punctuation


(hyphen).

Fax

10-digit number (includes area code). Do not include punctuation (hyphen).

Active Start Date/Time


(UTC)

Date the record was activated.

Active End Date/Time


(UTC)

The date the record will be or has been deactivated.

Directory Specialties

Used for pharmacy stores.


Valid store types:
- Retail
- Mail Order

Service Level

See Section 3.2.4 Applying Services to an Organization Record for details on


assigning service levels. See Section 1.2 Service Levels for Service Level
Definitions.

Click the Mailbox Setup link (shown below) associated with the end-user profile if
you are a vendor participant who utilizes Mailboxing as part of your transaction
routing.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 25

Surescripts Admin Console Guide

Directories

Note: Vendor participant User IDs must have the CSPMailboxAccess permission to create or
update the profile Mailboxing fields as shown below.

3.2.4

APPLYING SERVICES TO AN ORGANIZATION RECORD


Each account is certified for specific service levels on the network. A complete
overview of service levels is found in Section 1.2 Service Levels. Users may only be
assigned those certified service levels available to the account.
To activate a service level within the record detail, select the check boxes for the
desired functionality. A record may have more than one active service level.
Note: Selecting a service level for which an account is not certified will result in an error when
attempting to save the record.

3.2.5

ADDING/UPDATING AN ORGANIZATION
Organization profiles can be created or updated by users with an Admin
permission level. All of the required profile fields, as presented in Section 3.2.3
Organization Record Detail, must be present to create or modify the record. The
Account and Portal will default to the account associated to the users login.
Accounts with multiple portals may require selecting from the available options in
the Portal drop-down.
Once service levels have been selected, ensure that the Active End Date/Time is
set into the future, e.g. 12/31/2099, and save the record.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 26

Surescripts Admin Console Guide

Directories

Note: Check the Disabled (Service Level = 0) service level check box to remove all active
service levels. The will default to current date and time date once the record is saved.

3.2.5.1 MILLION HEARTS INITIATIVE PARTICIPANT UPDATING A PHARMACY ORGANIZATION


The Million Hearts section of the Organization Record Detail page is visible to
users with the ServiceLocationAccess role and the ServiceLocator permission
level.
Click the Organization Name to access the record detail for the organization you
wish to update. The Organization Record Detail page opens.
Go to the Million Hearts Participant Information section of the Pharmacy
Organization Detail screen. Start Date is required if any other field is present.
Additional field elements are optional and may be included.
Million Hearts Fields
Field Name

Field Description

Pharmacy
Organization Website
URL

The Pharmacy Organization website URL, if applicable.


Note: Pharmacies without URLs may also participate in the Million Hearts
Program.

URL Caption

The caption to be used with the Pharmacy Organization Website URL.


For example, this caption could read Pharmacy Organization Store in
reference to the associated Pharmacy Organization URL. This field may
be left blank if a Pharmacy Organization does not have an associated
URL.

Store Information

Store-provided information related to the Million Hearts program that the


sotre wants to share with the customer.
For example, this field could be used to provide specific instructions,
information, or offerings of interest to the Million Hearts customer.

Start Date

This field is required if any of the other fields contain data.


A Start Date may be used to indicate the start of the Million Hearts
program, which may be the date the Pharmacy Organization is enrolled,
or a future date if the service start date will be delayed.

End Date

The End Date may be left blank or it can be used to indicate the last date
the Million Hearts program will be active for this Pharmacy Organization.

Maintenance of the Million Hearts Store Location information is not supported


through Directory Messaging.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 27

Surescripts Admin Console Guide

3.3

Directories

PROVIDER SEARCH
The Provider Search functionality allows users to review active and inactive
provider accounts available on the Surescripts network.
The Account field drop-down defaults to the users account. To view all providers
in the directory, select All from the Account field drop-down. Provider users will
have read-only visibility into all providers on the network, whether they are
associated to their user account profiles or not. Admin users will have the ability to
read/write for providers associated to their account; Basic users will have readonly access. All organization accounts will have read-only visibility into all provider
profiles.
To manually search and work with a profile, click on the Provider menu button.
Select the Search for this Provider button at the bottom of the screen to search
available records.
Select the Reset Search Input button to clear the fields and start a new search.

The following fields can be used for search criteria.


Field Name

Description

Last Name

Last name of the provider.

First Name

First name of the provider.

Clinic Name

Name of the clinic.

Direct Address

Used in clinical messaging to identify an endpoint (a sender or receiver) when


information is exchanged. The Direct Address has two parts, a Health End Point
Name and a Health Domain Name.
For example, drbob@sample-direct.com.
The Direct Address is also sometimes referred to as a Health Internet address.

Address

Physical street address. P.O. Boxes are not allowed.

City

Provider city

State

Provider state.

Zip Code

Provider zip code.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 28

Surescripts Admin Console Guide

3.3.1

Directories

Field Name

Description

SPI

Surescripts Provider Identifier, unique for each provider/location

NPI

National Provider Identifier

DEA

Drug Enforcement Agency (identifying number)

Phone #

Provider phone number.

Service Level

Surescripts service levels for which the provider is assigned.

Account

Defaults to the users account. To view all providers in the directory, select All from
the Account field drop-down
Note: To see All providers, All must be selected for both Account and Portal fields.

Portal

Defaults to all Portals that are associated with the users account and the Portal field
contents will be limited to those portals associated to the users account and All.
A specific portal will display only providers for the selected portal.
Note: To see all providers, All must be selected for both Account and Portal fields.

Activated

When selected, returns those accounts whose Active End Date is in the future. When
not selected, returns those accounts whose Active End Date has passed
(Deactivated).

Include
Fax/Mail
Delivery
Providers

When selected, results will include any providers that are accessible for Clinical
Messaging via fax or mail delivery.

PROVIDER SEARCH RESULTS


Search results are returned in a window below the Search for Provider criteria.
Select the clipboard icon in the Provider Name column to place the contents of the
Provider Results row onto the clipboard for a quick Copy-Paste function.

Return fields include the following:


Field

Description

Provider Name

Last name followed by a comma, space, first name and middle name.

SPI

13-digit SPI

Service Level

Surescripts' service levels assigned to the provider.

NPI

10-digit numeric identifier

DEA

9-digit alpha-numeric identifier

Clinic Name

Name of clinic

Org ID

10-digit Parent Organization ID.

Address

Address Line 1 and Address Line 2. Click on the link to go to Google Maps.

City

Cclinic city.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 29

Surescripts Admin Console Guide

Field

Directories

Description

State

Clinic state.

Zip

Clinic Zip code.

5 NewRx Sent

Indicates if the provider has sent their fifth (5 ) NewRx transaction on the
network and the date the 5th NewRx was sent.

Active

Indicates if the provider is active with a Yes or No.

th

Note: All columns, except 5 NewRx Sent and Active are sortable descending/ascending
indictaed by arrows when selecting the header row entry.

3.3.2

5TH NEWRX SENT


The 5th NewRx Sent column in the Search Results window provides the date
that the provider sent their 5th NewRx transaction on the network. Within the
provider directory download that is received by the pharmacies, a provider is not
eligible for EDI refills until the 5th NewRx Sent column is populated with a date.
Once eligible, the pharmacy organization will match (enable) the provider for EDI
refills within their store database.
Best Practices: Providers will continue to receive faxed refill requests until matched for EDI refills
by each respective organization. If your provider continues to receive faxed refills
after 30 days from the Active Prescribing Date, log a case with Surescripts
Customer Care.

3.3.3

PROVIDER RECORD DETAIL


Click on the Provider Name in the search results window to access the record
detail for that provider. There are several fields available within a profile record that
can contain information. Required fields are designated with a red asterisk (*) and
are listed in the table below. Additional field elements, e.g. State License Number,
are optional and may be included.
Required Profile Fields
Field Name

Field Description

First Name

First name of the provider. Do not include salutation.

Last Name

Last name of the provider. Do not include suffix or credential.

NPI

An NPI identifier is required. This field is required unless the provider


supports ONLY CI messaging (CIMessage and CIEvent).

DEA

A DEA identifier is required if the provider will be sending Controlled


Substance prescriptions, new or renewal, across the network
Including this information is preferred.

Address Line 1

Physical street address of the provider location.


Note: No PO boxes or building names may be included.

City

City associated with the physical address.

State

Select state from drop-down.

Zip

May be 5 or (non-hyphenated) 9-digit zip code. Do not use punctuation.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 30

Surescripts Admin Console Guide

Directories

Field Name

Field Description

Primary Phone

10-digit telephone number. Do not use punctuation. This field is required


unless the provider supports ONLY CI messaging (CIMessage and
CIEvent).

Fax

10-digit fax number. Do not use punctuation. This field is required unless
the provider supports ONLY CI messaging (CIMessage and CIEvent).

Service Level

See Section 3.2.4 Applying Services to an Organization Record for details


on assigning service levels; see Section 1.2 Service Levels for definition
of service levels.

Active End Date (UTC)

The date the record will be or has been deactivated.

Note: Vendor participants who utilize Mailboxing as part of their transaction routing must also
complete the Mailbox Setup link associated with the end-user profile. See Section 3.2.3
Organization Record Details for more information.
Additional Fields of Note:

3.3.4

Field Name

Field Description

Clinical Message
Direct Address

Direct Address of Provider to be used for Clinical Messaging


Note: Special formatting rules apply.

Default Location
Service Level

Total Service Level value for all services that should use the specified location as
the default location.
This value will be used to determine the correct prescriber location, data provider,
or pharmacy to deliver Clinical Messages and Clinical Events using a DIRECT
address over the Net2Net REST Protocol.
If you are not using Surescripts Net2Net Direct with the Net2Net REST protocol,
this optional field should be left blank.
If you are using Net2Net REST and this is the default location for the associated
Direct Address, set the DefaultLocationServiceLevel to "16384" (the value for
CIMessage service level).
Unlike SPIs and NCDPD IDs, nHIN DIRECT addresses are not location-specific.
DIRECT addresses may be shared across many prescriber location records, or
even across multiple health care providers. Therefore, Directory messages allow
the registering participant to specify a default location for the CIMessage service
level. The default location will be used to determine the Portal, ServiceLevel and
other delivery information for all messages addressed to the specified DIRECT
address.
Every Direct Address assigned to a Net2Net Rest recipient MUST have exactly 1
routable entity registered with a DefaultLocationServiceLevel for the CIMessage
service level.

Use Case

Use cases are used to identify participants whose applications are capable of
sending and receiving specifically defined content. Valid values will be distributed
in documentation specific to each use case.

APPLYING SERVICES TO A PROVIDER RECORD


Each account is certified for specific service levels on the network. A complete
overview of service levels is found in Section 1.2 Service Levels. Users may only
be assigned those certified service levels available to the account.
To activate a service level within the Record Detail, select the check boxes for the
desired functionality. A record may have more than one active service level.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 31

Surescripts Admin Console Guide

Directories

Note: Selecting a service level for which an account is not certified will result in an Error when
attempting to save the record.

3.3.4.1 CI MESSAGING - APPLYING USE CASES TO A PROVIDER RECORD


A use case is an optional attribute of a Clinical Message that informs the recipient
of the intent of the Clinical Message. The Clinical Message Service must first be
enabled before selecting/enabling a Use Case.
The configured use cases will appear as a check box list, as shown in the example
below. A maximum of ten Use Cases is supported. Please refer to Directories 4.5
or later version for additional information regarding Use Cases.
Use Cases Example

3.4

PROVIDER UPDATE REQUEST (PUR)


Provider Update Request (PUR) process allows provider vendor participants to
request moving a provider SPI connected to the Surescripts network from one
participant vendor to another. This process is specifically designed to allow the
transition of a provider at a specific location from one software vendor to another.
These PUR vendor switch controls appear at the bottom of the provider search
window.
The PUR function is visible to users with the Provider Update Request permission
level. Users with the Provider Update Request Access role will see the Provider
Update Request options in the Provider Search screen.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 32

Surescripts Admin Console Guide

3.4.1

Directories

SEARCH FOR PROVIDERS


From the Provider Search screen, select the list of providers for whom you wish
to switch vendors.

Only providers who are not currently members of the provider vendor account may
be added to the provider vendor list and these providers are identified with a
checkbox allowing their selection.
Click the checkbox for a provider's name to select themfor inclusion in the Provider
Update Request.

3.4.2

PUR PERMISSION SEARCH RESULTS


Users with the PUR Access role have access to open provider detail screens for
providers in those accounts associated with the user. If the users account
matches the provider account, the provider name will appear as a link in the
search results grid.
Note the clipboard icons next to the prescriber names in the screen below.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 33

Surescripts Admin Console Guide

3.4.3

Directories

SELECTING PROVIDERS
Select the providers to be included in the Provider Update Request.
Click the check box next to the name of one or more providers from the search
results window or click the Select All button to enable all of the checkboxes.
The selected providers display highlighted in yellow. Note the clipboard
icon/function next to the provider name in the search results below.

The selected list of providers is limited to 100. If the 100 provider limit is reached
when creating the list, a pop-up window states the limit has been reached for total
number of providers that can be submitted in a single vendor switch case.

3.4.4

ADDING PROVIDERS TO THE LIST


To add the selected providers to the PUR list, click the Add to List button. An
informational pop-up will display when providers are added to the list to indicate
the number of providers on the list.

3.4.5

VIEW PROVIDER LIST


To see a list of the selected providers, click the View List and Submit List button.
The list is sorted alphabetically by name and provider SPI. The following actions
are available on the View List tab:
To remove a provider from the list: Click the check box next to the provider name
to select it and click the Remove Selected from List button.
To conduct a different search: Click the Add More Providers to List link and
conduct a different search. For example, search for providers by address; then
search for more by DEA numbers.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 34

Surescripts Admin Console Guide

3.4.6

Directories

SUBMIT LIST OF PROVIDERS


After viewing the list, you may either select the Submit List tab or select the
Complete Form button to switch to the Submit List view. Once on the Submit
List tab, enter data into all of the fields and click the Submit List button (shown
above) to complete the Provider Update Request. All fields on the form are
required.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 35

Surescripts Admin Console Guide

Directories

Submit List fields


Field Name

Description

Name of Authorized Practice


Contact

The complete name of the practice manager, office manager, or lead


partner.

Practice Email Address

The general email of the practice or the email leading to the


Authorized Practice Contact.

Practice Phone Number

General phone number or Authorized Practice Contact phone


number.

Vendor Name

The name of the provider software account that is submitting the


request.

Account

The Account drop-down displays only accounts owned by the user.


Selection of an incorrect account can cause delays.

Portal

The Portal drop-down displays only portals owned by user


permissions. Selection of an incorrect portal can cause delays.

Services

The service level(s) to be assigned to the provider(s).

Update Request Address


Verification

Include all address(es) associated with this request. If the


address(es) do not match the address(es) for the selected
provider(s), there may be a delay in processing the request, as
additional information may be needed.

Request Effective Date

The date range available is within 96 business hours (4 days) from


the current date.
Requested Effective Date should not be a weekend or Surescripts
holiday.

Certify Checkbox

The Submit List button may be selected after the I hereby certify...
checkbox has been selected.

When the Submit List button is selected, a SalesForce Case is created with the
data that was entered into the Submit Form tab. The system will also create a
.CSV file of the selected provider data and attach it to the case.

3.5

DIRECTORY DOWNLOAD
All vendor participant accounts should have scheduled auto directory downloads
through Surescripts Directory Messaging. These scheduled downloads provide
regular, consistent, and current directory data for the receivers directory. For
example, provider vendor participants will download providers and organizations,
and organization vendor participants will download providers. See the Surescripts
Directories Guide for details.
As a supplemental option, you may use the Directory Download function in the
Admin Console to download all the respective organization or provider directory
files for which you have access privileges. Vendor participants would also benefit
from downloading their Surescripts database records to synchronize their user
database with the Surescripts network.
To access the Directory Download function in Admin Console, click the Directory
Download button from the menu options.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 36

Surescripts Admin Console Guide

Directories

The download files themselves come as a fixed-length text file, compressed using
Zip for versions 4.5 and lower and a pipe delimted file for version 4.6 and higher.
The fixed-length file format (schema) is specified in the Surescripts Directories
Guide. Please note that there are distinct specific schemas for the organization
download and the provider download.
Two types of daily directory downloads are posted: Nightly and Full. Nightly files
contain the deltas since the previous days posted download. The nightly directory
files are generated Sunday through based on those existing provider directory
entries with a last modified date of the previous business day. The Full directory
files are generated Sunday through Saturday and contain all existing provider or
organization directory entries. For additional information regarding the downloads,
please refer to the Directories Implementation Guide.
Important: It is required that participant vendors, at a minimum, download the nightly file to
update their records and pull a full file once per week.

3.5.1

DOWNLOADING DIRECTORIES DIRECTLY FROM ADMIN CONSOLE


Click the Directory Download button to download a directory.

Select either Prescriber or Pharmacy from the Directory drop-down.


The directory Version is automatically selected based on the user's account.
Note: EPCS is supported in 4.4 and higher. CI Messaging is supported in 4.5 and higher.

Click Get Latest Updates. Search results are displayed in the lower portion of the
screen, immediately below the Directory Download criteria.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 37

Surescripts Admin Console Guide

Directories

The return fields include the following:


Field

Description

Date Updated

The date the file was posted by Surescripts. This field can be sorted
ascending/descending.

File

Active link to the file.


Links are enabled for 14 days from the date posted.
"NO UPDATES" reflects no changes from the previous day.

Download Type

F = Full
N = Nightly

Version

Version number of the download that is available.

Click the Download hyperlink on the row of the update file you want and follow the
instructions for viewing or saving the file.
When the download is complete, click Close to close the window or Open to open
the ZIP file.
Note: Download times will vary based on your connection speed and the size of the directory file
being downloaded.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 38

Surescripts Admin Console Guide

SECTION 4

Message Search

MESSAGE SEARCH

Vendor participants can use the Message Search functionality to search for transactions
associated with their account.
Note: Depending on the message origination point, some of the CI messages may not be
available for search.

Users will be able to view messages for any transaction associated with their account,
whether they are the sender or the receiver. Results of Message Search are displayed in
descending Modification Date Time order and then by Message ID.
Message Search screen

4.1

SEARCH CRITERIA
The search criteria in the message search functionality have many of the same
properties as those of the provider and organization search windows.
The following search criteria are available.

Search Criteria
Field Name

Description

Message ID

The Message ID generated by the vendor participants application.

Type

The type of transaction, including NewRx, Refill, etc. See Section 4.1.3 Message
Type-Search Criteria.
This field supports partial matching by first letter. Type the first few characters of a field
for a smaller search list. See screen shots below.

Status

Indicates the status of a message transaction; i.e. Verify, Pending, or Error. See
Section 4.1.4 Message Status.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 39

Surescripts Admin Console Guide

Message Search

Field Name

Description

From Date/Time

Defaults to the day before the current date and can be modified to expand or reduce a
date range.

To Date/Time

Defaults to the current date and can be modified to expand or reduce the date range.
The time defaults to 11:59 pm. This field can be modified to expand or reduce a time
range.

Case ID

Case ID generated by the vendor participant's application for ePA processing.

Reference ID

Reference ID generated by the vendor participant's application for ePA processing.

4.1.1

MESSAGE ID - SEARCH CRITERIA


The Message ID is generated by the vendor participants software application. It is
used as a way to track or identify a message on the network. While a good piece
of information to have in the search process, it is not required to track down a
transaction. Users can use a combination of the other search fields to identify a
specific transaction and obtain the Message ID.
Note: If Message ID is used, no other search criteria are valid.

4.1.2

DATE/TIME RANGE - SEARCH CRITERIA


While these fields default to the previous and current day, you may search any
date or time range. However, transaction information is only visible for up to 90
days from the current date.

4.1.3

MESSAGE TYPE - SEARCH CRITERIA


The dropdown default is set to search for all message types; select a specific
message type to refine the search.
For more details on messages and message types, refer to the appropriate
Surescripts' guides.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 40

Surescripts Admin Console Guide

Message Search

Rx
CI
Directory
Routing Routing Messaging

Message Type

Description

ERROR

This transaction transmits that an error has occurred,


indicating the request was terminated. An error can be
generated when there is a communication problem or when
the transaction actually had an error (e.g. formatting
problem).

NEWRX

A request for a new prescription, which is sent from the


provider via the provider vendor to the organization of the
patients choice.

REFREQ

Sent from the organization to the provider via the provider


vendor to request a renewal for a patients prescription.

REFRES

A response to the request for a renewal (REFREQ) sent by


the provider via the provider system to indicate whether the
renewal request has been approved or denied.

RXCHG

Sent from the organization to the provider via the provider


system to request a change for a new prescription, e.g.
request the use of a generic substitute.

CHGRES

A response to the RXCHG, which is sent by the provider to


the organization indicated acceptance or denial.

RXFILL

Sent from an organization to the provider via the provider


system to notify the provider of the dispensing status of a
prescription.
RxFill, ReSupp and Census are not currently supported on
the network.

VERIFY

This transaction is used if the requestor requests an


acknowledgement. It indicates the source has received and
accepted the transaction.

CANRX

This transaction is sent by the provider via the provider


system to request that a previously sent prescription should
be canceled and not filled.

CANRES

This is a response transaction to the CANRX and is sent by


the organization to the provider indicating acceptance or
denial of the cancellation.

DirectoryDownload

A request made to Surescripts for a flat file list of


organizations or providers in the Surescripts directories.

DirectoryDownloadR
esponse

A response to the Directory Download request that includes


the name of the directory downloaded file.

AddOrganization

This is the organization vendors request to add an


organization to their account.

UpdateOrganization

A request from the organization vendor to update an


existing organization record.
Updates can be made to demographic information,
activation or deactivation of stores and maintenance of
service levels.

AddPrescriber

A request by the prescribing vendor to add a new provider


to their directory record.

UpdatePrescriber

No longer used.

AddPrescriberRespo
nse

Response sent to the provider vendor participant following


an AddProvider request. With a successful message this will
include the SPI which was automatically assigned by
Surescripts and the other values entered.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 41

Surescripts Admin Console Guide

Message Search

Rx
CI
Directory
Routing Routing Messaging

Message Type

Description

AddPrescriberLocatio
n

The addition of a new location to a provider already listed in


the Surescripts directory.

UpdatePrescriberLoc
ation

Used to update provider information, including provider


name. The 13 digit SPI must be included.
If all submitted name elements do not match existing
directory information, the directory will be updated with the
new information.

AddPrescriberLocatio
nResponse

When a new location has been added successful to a


provider, the response is returned with the new Location ID
(last three digits of the 13 digit SPI) and all directory
information for the provider location.

GetPrescriber

Used to retrieve provider information based on an existing


providers SPI. Returned only if the network participant has
access to the providers record.

GetPrescriberRespon
se

Includes all directory related information for the given


provider that is stored in the Surescripts directories. The
requested information will not be returned if the requester
does not own the record.

GetOrganization

Used to retrieve organization information based on the


organization ID, NCPDP ID, or Payer ID. Information is
returned only if the network participant has access to the
organization record.

GetOrganizationResp
onse

The information contained in the message will include all


directory related information for the given organization that
is stored in the Surescripts directories. Information is only
returned if the network participant has access to the
organization record.

GetProvider

Used to search for organizations or providers based on the


identification or address information. Information is returned
only if the network participant has access to the record.

GetProviderRespons
e

Returned when 0 or more results were found that match the


given search parameters.

AddProvider

No longer used.

UpdateProvider

No longer used.

RESUPP

RxFill, ReSupp and Census are not currently supported on


the network.

CENSUS

RxFill, ReSupp and Census are not currently supported on


the network.

ContinuityofCareRec
ord

This is a service level for convenience clinics or providers to


send or receive a Continuity of Care Record message to or
from a provider, clinic or provider group.

MailOrder

Not used.

SetMailbox

No longer used.

IProofSM

No longer used.

ClinicalMessage

Clinical Message is sent from one provider to another.

ClinicalEvent

Response associated with a Clinical Message.

PAInitiationRequest

Prior Authorization Initiation Request

PAIntiationResponse

Prior Authorization Initiation Response

PARequest

Prior Authorization Request

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

X
X

PAGE 42

Surescripts Admin Console Guide

Message Search

Rx
CI
Directory
Routing Routing Messaging

Message Type

Description

PAResponse

Prior Authorization Response

PACancelRequest

Prior Authorization Cancel Request

PACancelResponse

Prior Authorization Cancel Response

PAAppealRequest

Prior Authorization Appeal Request

PAAppealResponse

Prior Authorization Appeal Response

4.1.4

MESSAGE STATUS
Message Status identifies the status of the message transaction. The drop-down
default is set to All statuses and the Last Status (most recent) displays on the
Message Detail screen.

4.2

Message
Status

Description of Message Status

Sent

Surescripts transmitted message to next receiver (i.e. an aggregator or


gateway)

Pending

Surescripts is awaiting a response from the final message recipient.

FaxPending

Fax has been transmitted but no Verify received.

Mailboxed

Surescripts has successfully transmitted message to recipients mailbox.

FailurePending

Surescripts encountering communication issues but message transmission


has not timed out (no Error or Verify received).

Verified

Surescripts received confirmation of message receipt from final message


recipient.

Error

Message encountered validation or communication error.

RespondedTo

Provider has successfully responded to a REFREQ (i.e. sent REFRES).

SEARCH RESULTS
Search results are returned in the window below the Message Search criteria.
Message Search Return Fields:
Search Results
Field

Description

From

The transaction initiator.

To

The transaction recipient.

Clinic Name

Clinic associated with the provider.

Message Type

Refer to Sec. 4.1.3 Message Type for more information.

Date Time (XXX)

The date and time of the transaction. "(XXX)" represents the time zone
for which the interface is set. In example below, it is set to "CST": Central
Standard Time.

Status

Represents the most recent status of the transaction. Please note this
may not be the final status of the transaction.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 43

Surescripts Admin Console Guide

Search Results
Field

Description

Description

Offers an overview of the current status.

Detail

Provides the hyperlink to the message detail.

Message Search

The Search Results screen displays the first 200 messages for the Date and
Time range. To narrow the return results, update or narrow the Date and Time
Range window.

Note: The Admin Console is a replicated site of the actual transactions that are occurring on the
Surescripts network servers. As such, while a transaction may have occurred in real time,
it may take several minutes for the replicated site to display the transmission information.

4.3

MESSAGE DETAIL SCREEN


Transactions within 30 days of the current date will display message summary,
status and content details. Transactions greater than 30 days and less than 90
days of the current date will only display the summary and the Last Status (most
recent).
The Message Detail screen is comprised of three components: Message
Summary, Message Status and Message Content. Message Status and Message
Content are visible only to those who have PHI access and Last Status within the
Message Summary is also only available to those with PHI access.

4.3.1

MESSAGE SUMMARY
Within the Message Summary section, there are seven components: Header,
Sender, Receiver, Details, Last Status, Message Status, and Message Content.
Last Status is only visible to those who have PHI access. For more details about
the various component fields, please see the tables below for each of the Message
Summary components. Highlights of the Message Summary screen include:

Parens next to the section headings on this screen which indicate where
the information for each table is pulled from, e.g. (from message), (from
directory).
All related message information is directly linked to allow a quick view of
the provider, organization, account, portal, and related messages. For
example, the NCPDP ID links to the Organization Detail page and SPI
links to the Provider Detail page.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 44

Surescripts Admin Console Guide

Message Search

The Last Status (most recent) is displayed for quick analysis (to users
with PHI access).
CI service level users can copy and paste the Surescripts Internal ID
number from the Last Status section in the Fax Search screen to view
PDF attachments.
UTC is displayed after every date/time value. All date/time values default
to UTC unless set to local time in the user profile except for Message
Status, which always displays in UTC time.

Message Summary Section of the Message Detail Screen

Header
Field Name

Description

Message
Category:

Determined by the product family that the


message belongs to. For example, a
NEWRX is part of the e-prescribing
category.

Message Type

e.g. NEWRX, REFREQ, AddProvider,


ClinicalMessage

Routing Message Header

Yes

Message ID

Alpha numeric unique ID associated with the


transaction generated by vendor participant
application.

Routing Message Header

Yes

Relates To Msg.
ID

Alpha numeric ID: displays when applicable

Routing Message Header

Yes

Sent Time Local

Message date and time stamp displayed in


users setting of the Admin Console
interface.

Routing Message Header


adjusted for user profile

Yes

Sent Time UTC

Message date and time stamp displayed in


UTC.

Routing Message Header

Yes

LAST PUBLISHED 12/6/13

Information Source

Visible w/o
PHI Access
Yes

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 45

Surescripts Admin Console Guide

Message Search

Sender
Field Name

Description

Information Source

Visible w/o
PHI Access

Account

Account associated with the sending enduser record or profile (SPI or NCPDPID).

Surescripts Directory

Yes

Portal

Portal associated with the sender.

Surescripts Directory

Yes

Name

Name associated with the sending end-user


record or profile.

Surescripts Directory

Yes

SPI or NCPDP
ID

The source identifier of the sender.


The field displayed is determined by the
associated user account and the message
type.

Routing Message Header

Yes

Receiver
Field Name

Description

Information Source

Visible w/o
PHI Access

Account

Account associated with the receiving


end-user record or profile (SPI or
NCPDPID).

Surescripts Directory

Yes

Portal

Portal associated with the sender.

Surescripts Directory

Yes

Name

Name associated with the receiving enduser record or profile.

Surescripts Directory

Yes

SPI or NCPDP ID

The source identifier of the receiver.


The field displayed is determined by the
associated user account and the message
type.

Routing Message Header

Yes

Field Name

Description

Information Source

Visible w/o
PHI Access

Provider

Provider <LastName>, <FirstName> as it


is displayed in the IncomingContent
Message Detail.

IncomingContent Message

No

Provider Phone

Provider <PhoneNumber> as it is
displayed in the IncomingContent
Message Detail.

IncomingContent Message

No

Store Name

Organization <StoreName> as it is
displayed in the IncomingContent
Message Detail.

IncomingContent Message

No

Store Phone

Organization Phone <Number> as it is


displayed in the IncomingContent
Message Detail.

IncomingContent Message

No

Drug

<DrugDescription> as it is displayed in the


IncomingContent Message Detail.

IncomingContent Message

No

Patient Name

Patient <LastName>, <FirstName> as it is


displayed in the IncomingContent
Message Detail.

IncomingContent Message

No

Patient DOB

Patient <DateOfBirth> as it is displayed in


the IncomingContent Message Detail.

IncomingContent Message

No

Details

The Last Status provides the most recent status received.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 46

Surescripts Admin Console Guide

Message Search

Last Status
Field Name

Description

Information Source

Visible w/o
PHI Access

Status

Message status. For more detail, see


Section 4.3.2 Message Status, below.

The Message

No

Date/Time

The Date/Time that the status was logged.


This will always display as UTC time.

The Message

No

Description

Description of the status

The Message

No

4.3.2

MESSAGE STATUS
The Message Status component provides an overview of the transactions
journey on the Surescripts network. A transaction can have a single status or
multiple status points. The Message Status is read from the bottom up, with the
most recent status displayed at the top of screen. See Section 4.1.4 for Message
Status details.
Within the Message Details window, the Message Status will not be visible unless
the user has PHI access. For users without PHI access, please refer to Section
4.3.2.3 Viewing Message Status Details in Search Results.

Note: The time displayed in a Message Status is Universal Time Coordinated (UTC), not what the
user may have their interface time set to. Within the Message Summary Header, both
local and UTC times are displayed.

4.3.2.1 MESSAGE TRANSMISSION PROTOCOL


Each electronic message transaction is attempted four times across the network.
These intervals normally occur:

Immediately
After 1 minute

After 5 minutes
After 10 minutes

If an electronic transaction is unsuccessful after the fourth attempt, Surescripts will


roll the transaction over to Fax and send in intervals of 3-5 minutes, with a
maximum of eight delivery attempts. If the transmission fails to transmit via Fax, an
Error will be returned to the sender.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 47

Surescripts Admin Console Guide

Message Search

Note: Prescriptions for controlled substances cannot be delivered by Fax; only via EDI to
pharmacies certified for controlled substances (EPCS).

4.3.2.2 FAXABLE ERROR MESSAGE


A Faxable Error Message (FEM) occurs when a transaction experiences a
communication error. In these cases, Surescripts will validate the transaction
against its Fax template specifications and, based on acceptance by the
specifications, will generate a PDF Fax and forward to the receiver.
Note: Prescriptions for controlled substances cannot be delivered by Fax; only via EDI to
pharmacies certified for controlled substances (EPCS).

4.3.2.3 VIEWING MESSAGE STATUS DETAILS IN SEARCH RESULTS


Users without PHI access can view full message status details in the Message
Search Results window. Message Status details do not contain PHI. To view
Status details, place your cursor over the detail link and a pop-up box will display
the Status of the transaction. The Status is reviewed in the same manner as within
the Message Details option from the bottom up. To close the pop-up box, click
the Close link.

4.3.3

MESSAGE CONTENT DETAIL


Only users with PHI access will have visibility to this information. When a
transaction is received on the Surescripts network, it is captured and displayed
within the Message Detail three times:
Message Content
Detail

Description

IncomingContent
Message

Message content transmitted to Surescripts by sender (can be XML,


EDIFACT, or HL7).
This is the message as it came into Surescripts with no manipulation of
the data by Surescripts.

MessengerXML
Message

XML translation of incoming message content. Utilized for Surescripts


validation.

OutgoingContent
Message

Message content transmitted from Surescripts to recipient (can be XML,


EDIFACT, or HL7).

Prescription Routing message formats include XML or EDIFACT; the message


format is dictated by the vendor participants application. Surescripts acts as a
bridge between the message formats to facilitate the transactions.
The XML format includes tags around each field element. An example of XML
formatting is displayed below.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 48

Surescripts Admin Console Guide

Message Search

The EDIFACT format separates fields with a delimiter, e.g. :(colon). The following
is an example of the EDIFACT format.

Best Practice: For assistance in troubleshooting message content issues, it can be useful to
have reference documents, such as the respective XML and EDIFACT
Implementation Guides, to assist in understanding specific fields required and
used on the Surescripts network.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 49

Surescripts Admin Console Guide

Message Search

The Select All icon, found at the top left of each XML Content section, when clicked
will select all of the text within the text box. Select the clipboard icon to place the
contents of the screen onto the clipboard for a quick Copy-Paste function (to copy to
a file or XML validator, for example).

4.3.3.1 MESSENGERXML MESSAGE (VALIDATION)


In order to ensure that all transactions meet NCPDP/Implementation Guide
Standards, the MessengerXML syntax validation is applied prior to forwarding any
transaction to a receiving party. Should a transaction fail validation, the FEM
(Faxable Error Message) process will attempt to validate and send the transaction
as a fax. If a transaction fails both validations, an Error message will be returned to
the sender.
4.3.3.2 MESSAGE DETAIL SUPPORT FOR LARGE CLINICAL MESSAGES
To optimize the performance of the Message Detail screen, attachments are
removed from the Message Content XML sections of Clinical Messages.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 50

Surescripts Admin Console Guide

SECTION 5

Message Search (Medication History Message)

MESSAGE SEARCH -MEDHISTORY


MESSAGE

Within the Surescripts network there are two connections available to vendor participants to
conduct medication history transactions. With the implementation of NCPDP Version 10.6,
vendor participants will connect through the one Surescripts network. Those transactions
will not be viewable within the Admin Console. For assistance with researching medication
history transactions over the Surescripts network please contact Surescripts Customer Care.
Vendor participants that have not ransitioned to 10.6 are still able to view Medication History
message transactions in the Admin Console. To view, click on the Med Hist Msg Search
button. The Search for Message Display screen appears. This screen includes the same
searchable criteria as the Message Search as presented in Section 4 Message Search;
however, the available Message Types will be specific to Med History transactions.

5.1

MEDICATION HISTORY MESSAGE TYPE


The dropdown default is set to all message types. Only request message types
(XXXREQ) are available for research at this time. The resulting response
messages (XXXRES) are appended to the original request message detail; the
response transactions cannot be searched individually.

Message Type

Description

ELGREQ

No longer used.

RXHREQ

Medication History Request the transaction request for the medication history of a patient.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 51

Surescripts Admin Console Guide

Message Search (Medication History Message)

This page intentionally left blank.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 52

Surescripts Admin Console Guide

SECTION 6

Report Log

REPORT LOG

Each month Surescripts will post to its participant vendors a series of standard reports
designed to overview the previous months activity and metrics. Reports are available for up
to 90 days, after which they are available by request from Surescripts Customer Care.
Not all reports may be available to all vendor participants and some custom reports are
available. Please contact your account manager to discuss options for customizing a report.
To access reports, click on the Report Log button. Reports can be either opened for
viewing or downloaded for future reference.

6.1

PROVIDER REPORTS
Provider Detail Report
This Excel data file includes three worksheets with aggregate information:
transaction volume summary by State, provider activity summary, and a byprovider overview of transactions.
Provider Transaction Report
This text file lists each transaction associated with providers of the account.
Information is at a high level and includes NCPDPID, SPI, Message Type, Date
and Time of the transaction, and the customers Message ID.
Provider Monthly Report Card
This Excel file aggregates activity for the provider vendor and summarizes
directory and transaction metrics.
Provider Support Report
(Future Report) An Excel data file which overviews cases reported to and sent to
the participant vendor for the previous month.

6.2

ORGANIZATION REPORTS
Organization Transaction Report
This text file lists each transaction associated with organizations of the account.
Information is at a high level and includes NCPDPID, SPI, Message Type, Date
and Time of the Transaction, and the customers Message ID.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 53

Surescripts Admin Console Guide

Report Log

Organization Monthly (Activity Report)


This PDF file aggregates activity for account transactions.
NEWRX2REFREQ Report
This report is designed to identify for organizations the ratio of incoming NewRx to
the RefillRenewal Requests generated to a specific provider. Inclusion on this
report may identify issues with generating electronic refill requests to a provider.
Organization Monthly Analysis Report
This report provides a three month trend review of transaction and network-related
analysis.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 54

Surescripts Admin Console Guide

SECTION 7

PDMP

PDMP

The Medication History search screens allow pharmacy users to correct errors for which
were identified during the PDMP edit process. The pharmacy user may only edit data which
is associated with their pharmacy. Only prescription records which were marked as in error
will be eligible to be edited.

7.1

SEARCH CRITERIA
Search Field Qualifiers
Qualifier

Description

Required field.

Exactly matched. The field must contain an exact match of information.

Any combination of fields may be used to conduct a search.

7.2

MEDICATION HISTORY SEARCH


Medication History Search Screen Functionality
To manually search and modify a medication history prescription record, click on
the PDMP menu option within the Support section. The following fields can be
used for search criteria:

Field Name

Description

Search Qualifier:
* (required)/
E(exact)

Fill Date From

Date range used to retrieve prescriptions based on the date


the prescription was filled by the pharmacy. The Fill Date From
is the earliest inclusive date which will be used in the search.

Required

Fill Date To

Date range used to retrieve prescriptions based on the date


the prescription was filled by the pharmacy. The Fill Date To is
the latest inclusive date which will be used in the search.

Reporting State

Choice of valid US States where the Pharmacy is located.

Prescription #

Number printed on the prescription bottle by the pharmacy.

Only Error
Records

Only Error checkbox. When selected, only error records will be


returned.

Division

Pharmacy type which the prescription record belongs to.


Choices include Retail, Mail Order, Specialty, Long Term Care
and Infusion.

Error Severity

Error Status level used to categorize the error. Choices include


Fatal, Severe, and Minor.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

Exact

PAGE 55

Surescripts Admin Console Guide

Select the Search


Select the Reset

7.2.1

PDMP

button to search available records.


button to clear and begin a new search.

PDMP SEARCH RESULTS


Search results are returned in a window below the Medication History Search
criteria. The records will be returned and sorted by Fill Date, Prescription Date,
Patient State and Prescription number. Only the first 500 records will be returned.
The returned fields include the following:
Field

Description

Fill Date

The date the prescription was filled by the pharmacy.

Rx State

U.S. State where the prescription was filled.

Patient State

U.S. State where the patient resides.

Division

Division/Pharmacy type which the prescription record belongs.

Rx #

Number printed on the prescription bottle by the pharmacy.

Fill #

Sequential number associated with the number of times the prescription


has been filled.
00=Original fill
01=1st refill, etc.

Store #

The identifier for the pharmacy store that filled the prescription, when
provided by the pharmacy in the Medication History load file.

NCPDP ID

Unique national provider Identifier. Formerly known as the NABP number.

Status

The status for the medication record which will include values: Error, Error
Free, Exclude by User, and Override.

Error Severity

Error Status level used to categorize the error.

Error Field

Name of the field in error, when applicable. An asterisk (*) will designate
when more than one error exists for the medication.

Error Message

The description of the error(s), when applicable.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 56

Surescripts Admin Console Guide

7.2.2

PDMP

RECORD DETAILS
The record detail is accessed when you click on the Edit link, located on the far
right of each record within the Search Results screen.

The segment field tables below list the fields along with a brief description. The
data is grouped and presented in segments by Patient, Pharmacy, Prescriber,
Medication, Plan, Other, and Compound Ingredients information. For more
information, please refer to the current version of the Surescripts Medication
History for Pharmacies Implementation Guide.
The data within each segment may be expanded or collapsed as desired by
selecting the plus (+) or minus (-) icon for each segment.
The export function allows the pharmacy user to save data to an external
spreadsheet. This allows the arrangement of the content based on the specific
needs of the participant, as well as the option to work offline outside of the Admin
Console while researching errors.
Note: Browser prompts will vary depending on the browser used and individual preference setup.
Screen Controls

The following screen controls may be used for the Record Details screen.
Control

IE 9 Hot Keys

Description

Save

Alt + S

Saves the record to the database, but only if no errors exist.

Next

Alt + N

Displays the next medication history record which has been marked
as in error.

Return to
Search

Alt + R

Returns the user to the search screen.

Override

Alt + O

Allows the pharmacy user to indicate the medication history record


should be reported as is to one or more PDMP state programs.

Exclude

Alt + L

Allows the pharmacy user to indicate the medication history record


should NOT be reported to any PDMP state programs.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 57

Surescripts Admin Console Guide

PDMP

Patient Segment Fields


Field Name

Field Description

Pharmacy Patient ID

Unique patient identifier assigned by the pharmacy. Display only.

Alternate Patient ID
Qualifier

Qualifier used for identifying the type of ID the patient provides to the
pharmacy.

Alternate Patient ID

Unique identifier as issued by governmental issuing authority and provided


to the pharmacy for identification.

Customer DL Number

Free form text field for the patients Drivers License number.

Patient Location Code

Code associated with the location where the patient resides (e.g. Home,
Nursing Home, Long Term Care, Hospice, etc.)

Patient Last Name

Last name of the patient. Display only.

Patient First Name

First name of the patient.

Patient Middle Name

Middle name of the patient.

Patient Prefix

Prefix for the patient (e.g. Dr., Mr. Ms. Etc.). Display only.

Patient Suffix

Suffix for the patient (e.g. Jr., Sr., III, etc.)

Date of Birth

Patients date of birth in MM/DD/YYYY format.

Patient Gender

Sex of the patient (e.g. Male, Female)

Patient Phone Number

Patients contact phone number (e.g. home phone, cell phone, etc.).

Patient Address 1

Patients home address.

Patient Address 2

Patients additional address info (e.g. Apartment 123).

Patient City

Patients home city. Display only.

Patient State

Patients home state. Select U.S. state from the drop-down list. This field is
updatable.

Patient ZIP Code

Patients US ZIP code.

Country of Non-US
Resident

For non-US residents only. Patients country of residence.

Patient Active Indicator

Valid values:
0=Patient is active and medication information can be shared
1=Patient has requested that none of their information be shared. No
medication information for this patient will be shared.

Drug Record Indicator

Valid values:
0=Medication information can be shared
1=Patient has requested that only this medication record not be shared.

Allergy

Allergy text information which may be included on the prescription bottle.

Diagnosis Code
Qualifier

Qualifier associated with the diagnosis code.


Valid values:
01=ICD-9 CM
02=ICD-10 CM
03=Other

Diagnosis Code

Diagnosis code specified by the prescriber.

Species Code

Code indicating if the prescription is for a human or veterinarian patient.

Name of Animal

Name of animal for which veterinarian has written the prescription.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 58

Surescripts Admin Console Guide

PDMP

Patient Segment Fields

Pharmacy Segment Fields


Field Name

Field Description

NCPDP ID

Unique national provider Identifier. Formerly known as the NABP


number.

Pharmacy Type

Division/Pharmacy type which the prescription record belongs.

Pharmacy Name

Name of the pharmacy that filled the prescription.

Rx Origin Code

Code indicating origin of prescription.


Valid values:
00=Not Specified
01=Written Rx
02=Telephone Rx
03=Emergency Phone
04=FAX
05=Electronic
99=Other

Pharmacy DEA

Drug Enforcement Administrations unique identifier for the Pharmacy. 2


alpha chars followed by 7 digits

Pharmacy DEA Suffix

Identifying number assigned to a pharmacy when the DEA number of the


institution is used.

Pharmacy NPI

10 Digit unique National Provider ID associated with the pharmacy.

Pharmacy Address 1

Pharmacy store address.

Pharmacy Address 2

Pharmacy store additional address information.

Pharmacy City

City where the pharmacy store is located.

Pharmacy State

State where the pharmacy store is located.

Pharmacy Zip Code

ZIP code where the pharmacy store is located.

Pharmacy Phone Number

Pharmacy stores phone number.

Contact Name

Pharmacy contact name.

Pharmacist NPI

10 Digit unique National Provider ID associated with the pharmacist.

Pharmacist Last Name

Pharmacists last name.

Pharmacist First Name

Pharmacists first name.

Pharmacist Middle Name

Pharmacists middle name.

Pharmacist State License

Pharmacists state license number.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 59

Surescripts Admin Console Guide

PDMP

Field Name

Field Description

State Code Issuing Rx


Serial Number

State code that issued serialized prescription blank.

State Issued Rx Serial


Number

Number assigned to state issued serialized prescription blank.

Pharmacy Board License


Number

Board of Pharmacy License Number.

Pharmacy Alternate
License Number

Used when additional license numbers exist (e.g. State defined license
numbers).

Chain Site ID

The Pharmacy Store number (internal to the pharmacy chain)

Segment Fields

Prescriber Segment Fields


Field Name

Field Description

Prescriber SPI

Surescripts Prescriber Identifier

Prescriber NPI

10 Digit unique National Provider ID associated with the prescriber.

Alternate Prescriber ID

Used when more than one prescriber ID is available.

Prescriber DEA Number

Drug Enforcement Administrations unique identifier for the prescriber. 2


alpha chars followed by 7 digits.

Prescriber DEA Suffix

Identifying number assigned to a prescriber when the DEA number of


the institution is used.

State License Number

Prescribers license number issued by the state.

Prescriber Last Name

Prescribers last name.

Prescriber First Name

Prescribers first name.

Prescriber Middle Name

Prescribers middle name.

Prescriber Prefix

Prefix for the prescriber (e.g. Dr., Mr. Ms. Etc.). Display only.

Prescriber Suffix

Suffix for the prescriber (e.g. Jr., Sr., III, etc.)

Prescriber Address 1

Prescribers office address.

Prescriber Address 2

Prescribers additional office address information.

Prescriber City

Prescribers office city.

Prescriber State

Prescribers office state.

Prescriber ZIP Code

Prescribers office ZIP code.

Prescriber Phone Number

Prescribers office phone number.

Prescriber Fax Number

Prescribers office fax number.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 60

Surescripts Admin Console Guide

PDMP

Prescriber Segment within the Medication History Detail

Medication Segment Fields


Field Description

Field Name
Prescription Number

Serial number assigned to the prescription by the pharmacy. Display


only.

Fill Number

Date the prescription was filled by the pharmacy. Display only.

Drug Class

Classification level for controlled substance drugs (Schedule I V).

NDC Number Dispensed

National Drug Code universal product identifier for human drugs.

Medication Name

Short Drug or Label Name.

Quantity Prescribed

Metric units prescribed by the prescriber.

Quantity Dispensed

Metric units dispensed to the patient.

Qualifier Units of Measure

Unit of measure code.

Days Supply

Number of days of the prescription.

Date Written

Date the prescription was written.

Date Adjudicated

Not used for PDMP reporting.

Date Filled

Date the prescription was filled by the pharmacy.

Date Picked Up

Date the patient picked up the prescription from the pharmacy.

Refills Originally Authorized

Number of refills the prescriber initially authorized.

Refills Remaining

Number of refills which may still be filled.

Partial Fill Indicator

Valid values:
01=Prescriptions which represent a partial fill
02=Prescription that is not a partial fill.

RxNorm Code Product


Qualifier
RxNorm Code

Identifies the type of RxNorm Code.

Partial Fill Indicator

Identifies if the prescription was partially filled


Valid values:
01-Partial Fill
02-Not Partial Fill

Electronic Rx Number

For electronic prescriptions; used to provide an audit trail.

SIG Text

Text directions for how to use the medication.

LAST PUBLISHED 12/6/13

For electronic prescriptions; used to capture the prescribed drug product


identification.

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 61

Surescripts Admin Console Guide

PDMP

Medication Segment

Plan Information Segment Fields


Field Name

Field Description

Plan Code

Type of payment plan.


Valid values:
01=Private Pay
02=Medicaid
03=Medicare
04=Commercial PBM Insurance
05=Major Medical
06=Workers' Compensation.

Payment Code

Method used to pay for the prescription.


Valid values:
01=Private Pay (Cash, Charge, Credit Card)
02=Medicaid
03=Medicare
04=Commercial Insurance
05=Military Installations and VA
06=Workers' Compensation
07=Indian Nations
99=Other.

BIN

Bank identification number used to identify the state agency to which


information is transmitted.

PCN

Not used for PDMP reporting.

Group ID

Insured members group plan ID. Not used for PDMP reporting.

Cardholder
Number

Insured members cardholder number. Not used for PDMP reporting.

Plan Information Segment within the Medication History Detail

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 62

Surescripts Admin Console Guide

PDMP

Other Segment Fields


Field Name

Field Description

Drop Off/Pick Up Qualifier

Identify whether the person is dropping off the prescription or picking up


the medication.

Drop Off/Pick Up Issuing


Jurisdiction

Code identifying jurisdiction that issues ID in the Drop Off/Pick Up


Person ID field

Drop Off/Pick Up Person ID


Qualifier

Used to identify type of ID in the Drop Off/Pick Up Person ID field.


Valid values:
01=Military ID
02=State Issued ID
03=Unique System ID
04=Permanent Resident Card
05=Passport ID
06=Drivers License ID
07=Social Security Number
08=Tribal ID
99=Other (Trading partner agreed upon ID)

Drop Off/Pick Up Person ID

ID of person dropping off or picking up Rx

Drop Off/Pick Up Person


Relationship

Relationship of person dropping off or picking up Rx.


Valid values:
01=Patient
02=Parent/Legal Guardian
03=Spouse
04=Caregiver
99=Other

Drop Off/Pick Up Last Name

Last name of Person dropping off or picking up the prescription.

Pick Up First Name

First name of Person dropping off or picking up the prescription.

Message

Free-form text message. Used for more detailed information if required


by a PDMP state.

Other Segment within the Medication History Detail

Compound Ingredient Segment Fields


Field Name

Field Description

Sequence

Sequential sequence number for each ingredient. Incrementing for each


ingredient which comprises the compound drug

NDC Number

NDC Code for the ingredient

Name

Short drug or label name for the ingredient.

Quantity

Metric unit of the ingredient.

Unite of Measure

Unit of measure code for the ingredient.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 63

Surescripts Admin Console Guide

PDMP

Field Name

Field Description

Drug Schedule

Drug classification level for the ingredient.


1 = Schedule I
2 = Schedule II, etc.

Compound Ingredient Segment within the Medication History Detail

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 64

Surescripts Admin Console Guide

SECTION 8

Support Case Management (Self-Service Portal)

SUPPORT CASE MANAGEMENT


(SELF-SERVICE PORTAL)

The Surescripts Self-Service Portal provides a centralized process for case management.
Vendor participants who connect directly to the Surescripts network will use the self-service
portal to log and manage support-related cases and issues.
Vendor participants who connect to the Surescripts network through a gateway aggregator
vendor will use support protocols as identified by their vendor.
Participant vendors may have an integration component applied to their Admin Console
account that will enable them to log and manage, on a limited basis, support-related cases.
This integration will link their Self-Service Portal account with their Admin Console account.
To determine whether or not a vendor account has access, check the left menu bar for the
Case Management button. If the Case Management button is not present and the vendor
participant is a direct-connect to the Surescripts network, the participant should contact
Surescripts Customer Care for assistance in establishing the link.
There are two ways to log a case within the Admin Console: through the Case
Management menu item, or through the details of a provider/organization/message detail
record.

8.1

CASE MANAGEMENT LINK


Click on Case Management in the left menu. The Active window will display a
New Case link and a date range to search for open or closed cases through the
Admin Console.

To create a new case, click on the New Case button to display the support case
template.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 65

Surescripts Admin Console Guide

Support Case Management (Self-Service Portal)

Note: Patient PHI (Protected Healthcare Information) is not permitted within the case details in the
Self-Service Portal or the Admin Console.

Complete the appropriate fields to highlight information to support the case. As


with the Self-Service Portal, some fields have a red asterisk (*) and must be
included to successfully submit the case. Where provided, be sure to indicate the
appropriate case type and priority you wish to assign to the case.

8.1.1

Drop-down Option

Description

Case Category

Select the case category which best represents your inquiry:


For Example:
- Admin (Admin Console, Acct Contacts, Password Resets)
- Provider Update Request (Complete Section D)
- Retail
- Mail Order
- Medication History

Type

Select the case type which best represents your inquiry:


For Example:
- Acute Medication History
- Administrative
- Ambulatory Medication History
- Directories

Case Initial Reason

Some of the Case Category/Type combinations require an initial reason to


be populated as well.

Priority

Severity 3 = Minor impact


Severity 2 = Moderate impact
Severity 1 = Use sparingly**
**Severity 1 cases are reserved for outages and potential patient safety
issue (PPSI) instances only.

Email

Contact information for Surescripts support to use in follow-up questions.

User Call Back Phone

Phone number of the user reporting the issue.

CASE MANAGEMENT
Managing cases from the Admin Console is limited to only those cases created
within the Admin Console interface. Cases created in the account-holders SelfService Portal interface will not be visible in the Admin Console.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 66

Surescripts Admin Console Guide

Support Case Management (Self-Service Portal)

To view all cases for an account, you must utilize the Self-Service Portal interface.
To view cases created in the Admin Console, click on Case Management in the
left menu and set the date range under the New Case link. By default, open cases
will display. Click the Closed Cases Only check-box to display cases created in
the Admin Console which have since been resolved and closed.

To access case details, click on the Case Number link. The case details will
appear including any attachments or comments that have been appended to the
case. The user can add case comments and attachments as needed.
Important Note: If attaching a document that contains PHI, the user must first password protect
and encrypt the document to ensure the patient information is not exposed.
Once uploaded the user should contact Surescripts Customer Care to provide
the associated password.

8.2

CASE CREATION USING RECORD DETAILS


Within the provider and organization record details, click the Open a Support
Case link.

To create a case from a specific message detail, click the Create Support Case
link. The resulting window (shown below) will be similar to the new case window as
described in Section 8.1. Specific information on the provider, organization, or
message details will pre-populate the form. All other steps in completing and
transmitting the case apply.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 67

Surescripts Admin Console Guide

Support Case Management (Self-Service Portal)

To manage a case, refer to Section 8.1.1 Case Management.

8.3

ACCESSING SUPPORT SOLUTIONS


As within the Self-Service Portal, the Admin Console Case Management
Integration feature does provide access to the Surescripts Knowledge Base
(Surescripts Solutions).

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 68

Surescripts Admin Console Guide

Support Case Management (Self-Service Portal)

Note: The links to the solutions are read-only and non-interactive; whereas documents are
available for download in the Self-Service Portal, they are not available for download in the
Admin Console view.

Click the Access Support Solutions link within the support case template window
and the Surescripts Admin Console Support Solutions window opens.

The various sub-categories listed can be reviewed for appropriate issue resolution
listings. Click on the appropriate subject link to provide the details of the solution
you seek.

LAST PUBLISHED 12/6/13

COPYRIGHT 2013 BY SURESCRIPTS, LLC,


ALL RIGHTS RESERVED. PROPRIETARY AND CONFIDENTIAL

PAGE 69

You might also like