There are Surescripts Pharmacy Benefits requirements for finding a patient match. The Surecripts patient match for Pharmacy Benefits also applies for Medication History since eligibility response information is sent in the medication history request for a particular patient.
There are five key fields that are recommended by Surescripts:
- First Name
- Last Name
- Date of Birth
- Zip Code
Message Responses in OP
- Insufficient Information: When insufficient identifying information is sent to Surescripts to uniquely identify a patient the following message is returned "Subscriber/Insured Not Found" or "Patient Not Found". If appropriate will also send recommendations for future searches.
- Multiple Matches: When there are multiple matches found the following message is returned "Subscriber/Insured Not Found" or "Patient Not Found". If possible you will receive a list of the missing data needed to help identify an exact patient match.
- Demographic Discrepancy: When a patient match is found, but there is a discrepancy with the information found in OP, a conflict flag is shown in OP on the Pharmacy Benefits tab and a warning displayed.
Note: Currently there is no method to reconcile or accept demographics from Surescripts.