Which portal is used to request an MRI authorisation with Sanitas?

Sanitas maintains a Provider Portal at medicosblua.es through which clinics can request procedure authorisations. Some outpatient authorisations may be patient-mediated, and the exact expiry window by imaging subtype is not confirmed in public sources (TO_VERIFY): it depends on the agreement with the centre. It is worth measuring real Sanitas behaviour rather than assuming transversal rules.

How does SaludComply stop revenue being lost on a Sanitas MRI?

The most frequent leak is not the initial denial but the gap between the authorisation date and the real appointment date: if the appointment moves, the invoice's authorisation number may not match the act date. The agent measures volume and rejections first, prepares resubmissions and aligns dates, and leaves the final decision to the billing lead, with human approval before each submission.

MRI authorisation with Sanitas: portal, documentation and traceability

By Andrew Swiler · CEO, SaludComply

CEO of SaludComply. Works on authorization automation for Spanish private healthcare and how the main insurers’ provider portals (Adeslas, Sanitas, ASISA, DKV, MAPFRE) operate. Based in Barcelona.

What is verified about Sanitas for authorisations

Sanitas maintains a Provider Portal at medicosblua.es through which clinics can request authorisations. The exact validity window for Sanitas MRI authorisations and the preferred channel (clinic or patient) by imaging subtype is not confirmed in public sources and depends on the specific clinic agreement. Clinics must measure real Sanitas behaviour rather than assume transversal rules.

Calculate revenue lost to authorisations

Use the SaludComply authorisation diagnostic to estimate monthly loss, recoverable range and operational complexity. No patient data required.

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Usual MRI request documentation

An MRI request always shares the same documentary core, regardless of the insurer: clinical report justifying the indication, prescription with the prescribing physician identifier number, procedure code (MRI with or without contrast, anatomical area) and ICD-10-ES diagnosis code. When any of these fields arrives incomplete, rejection happens at first review and the imaging schedule slips.

Where revenue leaks in MRI with Sanitas

The most frequent leakage in Sanitas MRI does not appear in the initial denial but in the gap between authorisation date and actual appointment date. If the appointment moves, the authorisation hangs and the authorisation number on the invoice does not match the act date. The insurer may request a resubmission, adjust the tariff or return the invoice for date inconsistency. Recurring cost is low per unit, high in volume.

How SaludComply approaches it

SaludComply measures first. How many Sanitas MRIs the clinic performs monthly, what percentage end with valid authorisation on the actual appointment date, how many invoices are returned for date inconsistency and how many authorisations expire before being used. From that baseline, the authorisation agent prepares resubmissions, aligns dates and leaves the final decision to the clinic billing lead. Human approval before every submission remains the rule.

Frequently asked questions

Which portal is used to request an MRI authorisation with Sanitas?: Sanitas maintains a Provider Portal at medicosblua.es through which clinics can request procedure authorisations. Some outpatient authorisations may be patient-mediated, and the exact expiry window by imaging subtype is not confirmed in public sources (TO_VERIFY): it depends on the agreement with the centre. It is worth measuring real Sanitas behaviour rather than assuming transversal rules.
What documentation does an MRI authorisation require?: The documentary core is the same with any insurer: clinical report justifying the indication, prescription with the prescribing physician's identifier number, procedure code (MRI with or without contrast and anatomical area) and the ICD-10-ES diagnosis code. When any of these fields arrives incomplete, rejection happens at first review and the imaging schedule slips.
How does SaludComply stop revenue being lost on a Sanitas MRI?: The most frequent leak is not the initial denial but the gap between the authorisation date and the real appointment date: if the appointment moves, the invoice's authorisation number may not match the act date. The agent measures volume and rejections first, prepares resubmissions and aligns dates, and leaves the final decision to the billing lead, with human approval before each submission.

Verified sources

Sanitas — sitio oficial — referencia pública del operador
SaludComply — diagnóstico de autorizaciones — diagnóstico de fuga por autorizaciones