Starling Nexus is our new secure, single-sign-on online portal. It enables healthcare providers and their staff to easily submit and track prior authorization requests for medical oncology, specifically chemotherapy regimens. It works by bringing prior authorization processes together into a single workflow designed for oncology. Providers and their teams can use it to streamline the treatment approval process.
Starling Nexus is available to use as of August 17, 2026, with a range of existing capabilities and new ones coming soon. Currently, Starling Nexus exclusively handles medical oncology prior authorization requests. The platform will later include pharmacy services and clinical trials, but these are not part of it now. For radiation oncology and office visit or administrative code requests, you will continue to use Quick Cap.
Here’s what Starling Nexus does today:
Starling Nexus is designed to provide quicker turnarounds. On custom requests that need manual review, you get a decision in 48 to 72 hours. Urgent requests get a decision within 24 hours. While you’re waiting on decisions, you can check a central dashboard to see the progress of your submissions without having to call an insurance company.
Once you’ve signed up, you can begin finding patients and providers. Here’s how:
Search for a patient using their member ID, or by entering a combination of their first name, last name, and date of birth. If they don’t show up, double-check the details entered and ensure they have active eligibility under the correct health plan. If they still don’t appear, you can contact PNS Support and provide the Member ID, health plan, and eligibility information.
Search by name, NPI, or Provider ID. You can only select requesting providers affiliated with your organization. For referring providers, you can search the broader network and filter by specialty if needed. If the referring provider is the same as the requesting provider (a self-referral), check the “Same as Requesting Provider” box.
If you can’t find a provider, contact PNS Support. Include the organization name, provider name, NPI, tax ID, and health plan in your request.
Start by gathering the patient’s key identifying information, diagnosis codes, clinical documents, and regimen details. Then, you can follow these steps:
PNS Support is your single point of contact for Nexus questions, account access, technical issues, and routing support. Here are the contact details:
When you reach out, PNS Support will email you a ticket number. You can use this to follow up on your request or track its status.
We eventually plan to integrate ancillary services to make Starling Nexus a hub to support your patient care. Starling Nexus will include pharmacy services and clinical trials in the future. However, these features are in development and not currently part of the platform’s capabilities. Our team at Starling Oncology will announce these capabilities as they become available, so you can begin to use them.
Starling Oncology’s Nexus is designed to replace slow, fragmented systems with a streamlined, all-in-one portal. It helps reduce administrative workload for providers, enabling you to deliver recommended cancer treatments to patients faster.
You can access Nexus today with your Starling Oncology account. If you are unable to log in, you can reach out to PNS Support for help.
