Authorization for surgery and hospitalization in private insurance
Surgery and hospital admission require strict control because they commit theatre capacity, staff and billing. ASISA confirms prior authorization for all surgery, including ambulatory surgery. Adeslas requires an exact date for admissions and interventions and a new request if it changes.
Surgery and admission are the cases where you do not improvise
ASISA confirms all surgery, including ambulatory surgery, requires prior authorization. Adeslas requires an exact date for admissions and interventions and a new request if that date changes.
Calculate revenue lost to authorisations
Use the SaludComply authorisation diagnostic to estimate monthly loss, recoverable range and operational complexity. No patient data required.
Essential clinical information
Per surgical request: main diagnosis, planned procedure with code, indication and alternatives ruled out, professional, site, planned date, anaesthesia, estimated duration and need for admission.
How to coordinate operating room and authorization
Start the request early enough to have approval before booking surgery. Document urgency in writing when needed. Do not perform with an expired authorization unless a documented clinical decision exists.
How SaludComply protects these cases
SaludComply marks surgical cases with high priority and a watched validity window. When dates shift, it reminds the team to check expiry before confirming.
Verified sources
- ASISA — Cirugía ambulatoria y autorización previa — cirugía ambulatoria requiere autorización
- Adeslas — Autorizaciones — caducidad general y ventanas quirúrgicas
- MAPFRE — Prestaciones que necesitan autorización — ingresos hospitalarios e intervenciones quirúrgicas