Providers now have two options to request pre-certification for an upcoming procedure through Valenz, our Utilization Review Accreditation Commission (URAC) accredited partner for utilization management.
Request by Phone
- Call Valenz at (877) 608-2200
- Requests are processed with 3-5 days
Request Online
- Visit the Valenz portal
- Relation to Valenz: I am a provider
- Request type: Precertification Request
- Admission type: Inpatient or Outpatient
- Fill in all related fields, including subscriber, patient, and facility information
- Attach clinical files
- Requests are processed with 5-7 days but can be completed at your convenience without hold time or transfers.
To verify patient benefits, please call Sana at (833) 726-2123.
Outpatient care requiring pre-certification:
- Arteriograms & Angiograms of other than the heart
- Bone Scans
- Cardiac Rehab
- CT Scans
- Dialysis
- DME (Durable Medical Equipment)
- Home Health Care
- Infusion Therapy (excluding antibiotic infusion therapy)
- Intensive Outpatient Substance Abuse
- In-Vitro Fertilization
- Mental Health Services performed at a Residential Treatment Facility, under Partial Hospitalization, or in an intensive outpatient setting.
- MRA
- MRI
- Occupational Therapy
- Outpatient Hospice
- Outpatient Surgeries (Performed in a Hospital or Ambulatory Surgery Center)
- Pain Management Epidural Steroid Injection
- Pain Management Radiofrequency Ablation or Rhizotomy
- Pain Management Trigger Point or Facet Injections
- PET Scan
- Radiation Therapy
- Respiratory Rehab
- Speech Therapy
- Speciality Injectable Medications
Inpatient care requiring pre-certification:
- Hospice
- Long Term Acute Care
- 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.)
- Med/Surgical/Peds
- Mental Health/Substance Abuse
- Skilled Nursing Facility (SNF)
Have additional questions for Sana? You can reach us quickly via chat at sanabenefits.com/chat Monday through Friday, 7 AM–7 PM CST, or at hello@sanabenefits.com or (833) 726-2123.