Clinical Network Services:

Clinical Direct Messaging

Secure Clinical Message Exchange

Until recently, care providers have been limited in their ability to electronically exchange clinical messages with one another. Clinical message exchange is generally conducted by fax, phone and paper – often far after a patient encounter is completed – compromising both the efficiency and effectiveness of care coordination. At the same time, the transition to electronic exchange can be difficult due to the disparate and disconnected health information technology (HIT) platforms used by other care providers.

Surescripts Clinical Direct Messaging provides Direct secure messaging, allowing you to securely exchange up-to-date patient information across all care settings – ambulatory, acute, post-acute, long term, and specialty – while meeting current and future standards for Meaningful Use.


represent the largest
directory nationwide

entities by driving
directory exchange
through industry partners

for health information
exchange beyond
Meaningful Use

HISP Services

Surescripts HISP services include access to Direct addresses, Direct domains, digital certificates and connectivity to care partners participating in another DTAAP certified network

Meet Regulatory Requirements

With at least half of all CMS payments being made through shared-savings/risk models by 2018, Clinical Direct Messaging is a vital component to coordinating care and improving patient outcomes.

Access Providers Across the Care Continuum

Surescripts provides a single point of connectivity to a broad reach of community partners. Our connectivity expands to 530,000 entities by driving directory exchange through industry partners.

Improve Care Coordination and Align Care Teams

The Surescripts directory enables you to efficiently access community partners with whom you need to exchange clinical information.

EHR Integration

Seamlessly leverage workflow with integration into current EHR

How to Get Started

In addition to technical implementation, Surescripts provides activation services that drive adoption and utilization, helping you get maximum value out of the Surescripts Network. For more information, contact a Surescripts Activation team member today.

How It Works

Surescripts Clinical Direct Messaging is based on Direct messaging protocols launched in 2010 by the Office of the National Coordinator for Health Information Technology as part of the Direct Project to specify a simple, secure, scalable, standards-based way to send authenticated, encrypted health information directly to known, trusted recipients over the Internet.

Our network connects care providers within a community and across the country through a single point of connectivity and enables you to securely exchange health information with:

  • Care providers and hospitals using EHRs connected to the Surescripts network
  • Care providers and hospitals participating in a Direct Trusted Agent Accreditation Program (DTAAP)
  • HIEs and HISPs
  • Retail clinics
  • Pharmacies

Surescripts enables you to meet the MU Stage 2 transitions of care objective, and securely exchange an expanding range of health information—reducing reliance on fax for critical clinical workflows. Examples include:

  • Send and receive MU Stage 2 compliant summary of care records with other community partners connected to the network (MU Stage 2 aligned)
  • Send and receive general messages from other providers
  • Receive Immunization Notifications from pharmacies
  • Receive Patient Visit Summaries from retail clinics

Directory Reach:
As of May 2014, Surescripts has 41,000 direct-enabled providers listed in our directory for Clinical Network Services. The overall reach of the Surescripts directory is approximately 170,000 clinicians, which is comprised of the categories below. These are in varying phases of being loaded into the Directory; the 41,000 physician number represented earlier is a subset of the first two categories below:

  • 65,000 direct enabled provider addresses represented by 22 vendors natively connected to our network and in production. There are another 17 vendors in implementation.
  • 17,000 providers enabled by our hosted HIE or HISP to HISP connections. There are approx. 24 of those connections today across the country.
  • 90,000 providers reachable through DTAAP certified connections as defined by
Get Started

Get Started

Surescripts is already enabling broader health information sharing between care providers using various EHR and HIE solutions. We look forward to working with you.

Related Content

Network Connections

With the Surescripts network you can electronically exchange information with a wide array of community care partners via a single point of connectivity—regardless of your technology platform.

Why choose Surescripts?

We ensure the free and secure flow of vital health information to get it to the right place at the right time.