Authorization for rehabilitation and physiotherapy in private insurance
Why rehabilitation is the category that expires most
Rehabilitation and physiotherapy are authorized in blocks, not as a single act. Sessions run multiple times and renewal may be required. MAPFRE lists rehabilitation and physiotherapy among services that need prior authorization.
What data the clinic should track per block
Per block: patient, prescriber, authorization number, authorized sessions, performed sessions, billed sessions, start date, expiry date and any pauta limit. That sheet usually reveals two common problems.
How to handle renewals without stopping the patient
Start renewal when three or four sessions remain. Ask the professional for a brief progress note, not a fresh report. Document the insurer reply before scheduling the next series.
How SaludComply works for this case
SaludComply treats every session block as an authorization with expiry and counter. It alerts before exhaustion and prepares the renewal request with prior-block data, leaving approval to the admin team.
Verified sources
- MAPFRE — Prestaciones que necesitan autorización — rehabilitación y fisioterapia mencionadas
- ASISA — Qué servicios tengo que autorizar — lista oficial de servicios
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.