Approved but unbilled authorisations: how to find them before month-end
An approved authorisation does not guarantee payment. Leakage appears when the authorisation number, date, code or evidence does not reach billing correctly. SaludComply separates these cases from denials and expiries, prioritises recoverable amounts and prepares the next action for admin review, with no patient data in the first test.
Why approved authorisations still leak
The case feels closed because the authorisation is approved, but billing lacks the right identifier, the appointment moved, the code does not match or evidence is missing.
Calculate revenue lost to authorisations
Use the SaludComply authorisation diagnostic to estimate monthly loss, recoverable range and operational complexity. No patient data required.
What the clinic should review
Review authorisation, service date, invoice, act code or description, insurer and clinical evidence. Approved cases with absent or returned invoices often have more realistic recovery than a substantive denial.
How SaludComply approaches it
SaludComply groups approved but unbilled cases, calculates amount at risk and leaves a next action: complete evidence, correct identifier, review date or prepare a claim. The clinic approves before anything is sent.
Frequently asked questions
- What is an approved but unbilled authorisation?
- It is an insurer-approved act that has not been billed correctly or whose invoice has not been paid. Causes include wrong identifier, changed date, mismatched code or incomplete evidence.
Verified sources
- SaludComply — diagnóstico de autorizaciones — diagnóstico de fuga por autorizaciones