Surgery authorisation with Sanitas: surgical calendar and clinical documentation
What is verified about Sanitas surgery
Surgery and hospitalisation consistently appear as flows handled by the clinic with the insurer, not by the patient. Sanitas keeps its Provider Portal medicosblua.es as the main channel. Exact mandatory fields, validity windows and attachment requirements per surgery subtype depend on the centre agreement and are not fully exposed publicly.
Minimum documentation for a surgical request
A scheduled surgery request is built on a clinical report justifying the intervention, surgical procedure code, ICD-10-ES diagnosis, prescribing physician identifier number, proposed centre and planned surgery date. When the request is incomplete, the insurer may return it for insufficient justification, wrong code or missing document. The denial taxonomy appears transversal across insurers.
Surgical calendar and cost of delay
In a clinic with its own operating theatre, a late authorisation is not only an invoice at risk. It is unused theatre time, an idle clinical team and a patient the admin must call to reschedule. The compounded cost of the delay far exceeds the nominal cost of the act. Surgery is, per economic unit, the procedure where the difference between a well-coordinated and a poorly-coordinated authorisation shows the most.
How SaludComply approaches it
For Sanitas surgery, SaludComply works the request against the surgical calendar rather than the general queue. The authorisation is requested with the lead time the clinic decides, status is watched on the portal, renewal is triggered if the date moves and the case is linked to the patient record with the authorisation number that will later appear on the invoice. Clinic admin approves every submission before it goes out.
Verified sources
- Sanitas — sitio oficial — referencia pública del operador
- SaludComply — diagnóstico de autorizaciones — diagnóstico de fuga por autorizaciones
Related pages
Calculate revenue lost to authorisations
Use the SaludComply authorisation diagnostic to estimate monthly loss, recoverable range and operational complexity. No patient data required.