Expired authorization in private insurance: what to do and how to avoid it
An expired authorization is not an admin mistake, it is revenue at risk
When the authorization expires before the appointment, the clinic has three options, none of them good: reschedule, perform the act without valid cover or rush a renewal. All three cost money.
Why authorizations expire
Insurers cap validity to control cost, prevent late use of authorized acts and force clinical review when too much time passes. Adeslas publishes a 30-day general validity from the date in the request, with longer windows for some surgical cases.
What to do when the authorization has already expired
First, do not perform the act assuming a later renewal. Expired authorizations rarely reactivate without a new request. Then recover prescription, original report, expired number and real appointment date, request renewal with the prior number and clinical justification, and log status and new validity in writing.
How SaludComply prevents expiry
SaludComply treats every authorization as a queued item with a visible expiry. The agent flags approaching limits and proposes renewal or rescheduling before the appointment lands.
Verified sources
- Adeslas — Autorizaciones — caducidad general 30 días y ventanas quirúrgicas
- MAPFRE — Solicitar autorización médica — canales y trámite paciente
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