Electronic Prior Authorization
Welcome to the Electronic Prior Authorization home page! Your central resource for onboarding and transacting on the Surescripts network. Electronic Prior Authorization enables healthcare professionals to easily obtain prior authorizations at the point of care using the NCPDP SCRIPT standard.
Implementation Documentation Links
Upgrade guidance and network‑specific requirements for NCPDP SCRIPT Electronic Prior Authorization.
Implement Electronic Prior Authorization using APIs and an embedded user interface that integrates seamlessly into your provider system.
What You Can Build
- Electronic Prior Authorization (ePA) initiation workflows using PAInitiationRequest and PAInitiationResponse
- Electronic appeals workflows using PAAppealRequest and PAAppealResponse
- Prior authorization cancellation workflows using PACancelRequest and PACancelResponse
- Pharmacy/provider notification systems using PANotification
User Guide Documentation Links
Configure Electronic Prior Authorization automation and workflows.
📋 Benefit Plan Initiated Prior Authorization Portal User Guide Initiate benefit plan prior authorizations through a web-based portal.
Manage Electronic Prior Authorization requests from submission through determination.
Submit pharmacy-initiated prior authorizations or generate TRX codes.
Key Resources
Get connected to your testing environment and key implementation tools
Manage your organization's data within Surescripts Staging Directory
Search for, troubleshoot and review transactions
Test your upgrade messages in real time for E-Prescribing
The self-driving Certification built by Surescripts to support NCPDP Standards
Find the right way to get support from Surescripts based on your role
Open a support ticket to troubleshoot the issue
Standards Information
Electronic Prior Authorization utilizes the NCPDP (National Council for Prescription Drug Programs) messaging standard as a baseline.
- Use official NCPDP guides for full implementation details
- Surescripts documentation highlights how those standards are applied within the network
- Official standards documentation and NCPDP membership information are available at ncpdp.org
You’ll see NCPDP referenced in milestone names, descriptions, and acceptance criteria. These references indicate which industry standard the milestone supports, not a full list of technical requirements. Always use the official NCPDP implementation guides for detailed specifications.