Rehabilitation authorisation with Sanitas: session blocks, renewal and portal
Sanitas and rehabilitation: what is clear and what is not
Sanitas keeps medicosblua.es as the provider channel for professionals with an agreement. Sanitas rehabilitation commonly appears as a split flow between an initial block handled by the clinic and renewals that may shift to the patient, though exact behaviour depends on the agreement. The centre must measure its real Sanitas pattern before automating a specific channel.
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The initial block and documented renewal
The initial Sanitas rehabilitation block request requires clinical indication, proposed number of sessions, treating professional and ICD-10-ES diagnosis. Renewal, when handled by the clinic, usually requires an evolution report justifying continuity. The gap between a block completed in window and a block that runs over without timely renewal is the gap between billing all sessions or only the first ones.
Where revenue leaks
In Sanitas rehabilitation, the most expensive leakage is not direct denial: it is the session delivered after the block was used up without anyone requesting the renewal. The patient attends a clinically appropriate session, the physiotherapist treats, the invoice goes out with an act lacking valid authorisation and the insurer returns it. Without a system flagging this before session seven, the pattern repeats every month.
How SaludComply approaches it
SaludComply links each rehabilitation block to a counter of used sessions and an expiry date. The queue alerts when three sessions remain, when expiry approaches or when a session has been delivered without valid authorisation. The agent prepares the renewal request with the evolution report the professional has loaded and the clinic admin approves before submitting to medicosblua.es.
Frequently asked questions
- Who submits rehabilitation with Sanitas and through which channel?
- Sanitas keeps its Provider Portal medicosblua.es as the handling channel for professionals with an agreement. Rehabilitation commonly appears as a split flow between an initial block handled by the clinic and renewals, which may shift to the patient. The exact behaviour depends on the agreement, so the centre should measure its real pattern before automating a specific channel.
- What documentation does a Sanitas rehabilitation block need?
- The initial block request requires clinical indication, proposed number of sessions, treating professional and ICD-10-ES diagnosis. Renewal, when handled by the clinic, usually requires an evolution report justifying continuity. The gap between a block completed in window and one that runs over without timely renewal is the gap between billing all sessions or only the first ones.
- How does SaludComply avoid the session delivered without valid authorisation?
- The most expensive leak is not direct denial but the session delivered after the block is used up without anyone requesting renewal. The agent links each block to a counter of used sessions and an expiry date, and alerts when three sessions remain, when expiry approaches or when a session has already been delivered without authorisation. It prepares the renewal and the admin approves before submitting to medicosblua.es.
Verified sources
- Sanitas — sitio oficial — referencia pública del operador
- SaludComply — diagnóstico de autorizaciones — diagnóstico de fuga por autorizaciones