Frequently Asked Questions

submitting authorization number q how do i submit the authorization number from an approved prior authorization (pa) to the pharmacy for the approved medication? a not all pbm/payers require an authorization number as part of their adjudication system subsequently, this value will not be applicable to all instances if included, these details can be found by reviewing the contents of the paresponse returned from the pbm/payer ideally, api calls will be used to integrate the details from accelerator into your application the status and authorization number can be included in the contents of the api response to map these values to the newrx and then automate the release of the prescription to the pharmacy storing information q how long does the accelerator store information? a the accelerator stores historical data for five years and the data is searchable through the task history filter options if the user searches for information beyond that timeframe, it will not be displayed contact for prior authorization decision q who do i contact if i do not agree with a decision that has been made on a prior authorization? a the pbm/payer should send contact information in all epa responses that indicates how to get in touch with someone who can further speak to the status of a prior authorization determination clearing out worklist q end users can’t keep up with the items needing acknowledgment in the worklist is there an easy way to clear out the worklist? a yes, there is a "bulk delete items" routine in workbench here are the steps to use this routine in workbench, the routine is under ‘product configuration’ >’accelerator admin’ > ‘bulk delete worklist’ items users will need to have admin access to be able to see the routine the user will select the appropriate account, from the drop down they will only be able to see accounts that they have access to the ‘bulk delete template’ link will open as a csv file, but the user needs to open it with notepad not excel the user can delete items for a single spi or multiple using the above template in notepad once a file is uploaded, the spi field will automatically gray out it will ask the user to confirm they want to delete press delete to delete the items when task history is viewed, it will show as ‘system generated’ that updated the item please contact surescripts support if you do not have access to the bulk delete items routine ndc data validation q what is ndc data validation? a ndc data validation is a surescripts enhancement to check the ndc on incoming painitaitionrequest messages for to see if it is obsolete if it is obsolete, it will be replaced with a valid representative ndc and then send the message on to the pbm/payer when the painitiationresponse is sent back to the provider, surescripts appends the panote to indicate that the ndc was replaced and what ndc it was replaced with pbm renewals q what are pbm renewals? a 2017071 allows for the ability of pbm/health plans to alert the provider via a “complete prior auth criteria” task that a prior authorization is expiring and needs renewal by sending an open question set, without having received a painitiationrequest first surescripts is taking a two pronged approach in rolling this out first, using clinical direct messaging followed by the full functionality in which will be available at a later date