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
- 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.
- 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:
- 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.)
- 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 email@example.com.