Expired authorizations: avoid lost appointments and rejected invoices
An authorization expires when the clinic performs the service outside the validity stated by the insurer. Adeslas publishes 90 days for medical tests, analyses, rehabilitation and psychotherapy; admissions and interventions depend on an exact date. Other windows must be verified by insurer, policy and procedure.
Expiry is a silent loss
An expired authorization rarely creates a visible alarm. Appointment day arrives, a valid reference is missing, the patient is delayed or the invoice comes back rejected weeks later.
Calculate revenue lost to authorisations
Use the SaludComply authorisation diagnostic to estimate monthly loss, recoverable range and operational complexity. No patient data required.
Which dates the clinic must control
Track request date, approval date, appointment date, last valid use date, billing deadline and renewal date if the patient remains in treatment. Some windows depend on insurer and procedure.
Useful alerts: T-7, T-3 and T-1
A practical rule is to review at-risk authorizations seven days, three days and one day before appointment or expiry. This is operating discipline, not an insurer rule.
How SaludComply calculates expiry risk
The diagnostic separates denials and expiries because they are fixed differently. A denial needs corrected resubmission. An expiry needs calendar discipline, visible status and renewal before the patient arrives.
Frequently asked questions
- When is an authorisation considered expired?
- An authorisation expires when the clinic performs the service outside the stated validity. Adeslas publishes 90 days for medical tests, analyses, rehabilitation and psychotherapy; admissions and interventions depend on an exact date. The agent flags pending cases according to the verified term.
- Which dates must be controlled to avoid expiries?
- It is worth tracking the request date, approval date, appointment date, last valid use date, billing deadline and renewal date if the patient remains in treatment. Some windows depend on the insurer and the procedure; if they are not verified, they should be measured before fixing a rule. SaludComply keeps these dates visible for each scheduled procedure.
- How does SaludComply stop an approved authorisation from expiring unbilled?
- The agent separates denials and expiries because they are fixed differently: an expiry needs calendar discipline, visible status and renewal before the patient arrives. SaludComply prioritises approved-but-unbilled authorisations and prepares the renewal when applicable, always with human approval before each submission. It does not replace the clinic's HIS.