Carequality requests failing for all Delegates with a Surescripts/eClinicalWorks Principal

We have received confirmation that this issue is being caused by unexpected directory updates made by Surescripts to their Principal listings, and that the issue has been impacting Delegate queries since 3/11/2026. We are currently waiting on Surescripts for a fix.

As of 8:20 am eastern, Zus noticed authorization failures for all requests to Carequality coming from Delegate customers who have a Principal on Surescripts, including Principals on eClinicalWorks. We have escalated this issue to the Surescripts team and to our network partner.