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