Requesting Pre-Certification

To request pre-certification for an upcoming procedure please call Valenz, our Utilization Review Accreditation Commission (URAC) accredited partner for utilization management, at (877) 608-2200.

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
  • Physical Therapy
  • 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
  • Physical Rehabilitation
  • Skilled Nursing Facility (SNF)

If you have any other questions please feel free to call us at (833) 726-2123 or send an email to hello@sanabenefits.com.