Prior Authorization Portal User Guide
About the Prior Authorization Portal
The Prior Authorization Portal enables providers to quickly submit fully electronic prior authorization requests, even if electronic prior authorization is not yet available through the provider vendor system. The Prior Authorization Portal is a free, easy to use, web-based solution with no application to install, and can be accessed by navigating to https://providerportal.surescripts.net/ProviderPortal/login.
About This Guide
The Surescripts Prior Authorization Portal User Guide was created to assist providers in initiating the prior authorization process.
The intended audience of this document is any user that will have direct interaction with the application. This may include users responsible for initiating, tracking, and monitoring the status of prior authorizations.
Note: Any examples provided in this user guide do not include actual patient data.
Using the Prior Authorization Portal
The Prior Authorization Portal allows users to initiate prior authorizations using two methods:
- Initiate a prior authorization using a TRX Code provided by the pharmacy through a fax notifying the provider that a prior authorization is needed.
- Initiate a prior authorization at the time of prescribing by entering patient, plan, medication and pharmacy details within the application.
What is a TRX Code?
The TRX Code is delivered via fax by the pharmacy to initiate prior authorization after a prescription drug has been rejected at the pharmacy. The code is linked to a specific patient, drug, and benefit information.
Note: The TRX Code is 8 characters (XXXX-XXXX), case sensitive, and expires after 7 days.