How do I request Pre-Certification?

To request a pre-authorization for an upcoming procedure please call Inetico at 1-877-608-2200.

Please note: To verify patient benefits please call Sana at 1-833-726-2123

The following Outpatient procedures require preauthorization:

  • Outpatient Hospice
  • Outpatient Surgeries (Performed in a Hospital or Ambulatory Surgery Center)
  • Intensive Outpatient Substance Abuse
  • Home Health Care
  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
  • Cardiac Rehab
  • Respiratory Rehab
  • CT Scans
  • MRI
  • MRA
  • PET Scan
  • Bone Scans
  • Pain Management Epidural Steroid Injection
  • DME (Durable Medical Equipment)
  • Speciality Injectable Medications
  • Infusion Therapy
  • Dialysis
  • Pain Mgt Radiofrequency Ablation or Rhizotomy
  • Pain Management Trigger Point or Facet Injections
  • Arteriograms & Angiograms of other than the heart
  • Infusion Therapy (excluding antibiotic infusion therapy)
  • In-Vitro Fertilization

The following Inpatient Care requires Preauthorization:

  • Med/Surgical/Peds
  • Physical Rehabilitation
  • Mental Health/Substance Abuse
  • Skilled Nursing Facility (SNF)
  • Long Term Acute Care
  • Hospice
  • Maternity Longer than the Federal Mandate:
    • 48 Hour Vaginal
    • 96 Hours C-Section
  • Maternity within Federal Mandate
    • Recommended notification only for monitoring status of the case.

 

If you have any further questions, please contact Sana at 1-833-726-2123