Invoice rejected for missing authorization: how to recover revenue
A rejected invoice points to an operations issue, not an accounting one
When the insurer returns the invoice with "no authorization" or "expired authorization", the problem is rarely accounting. It usually sits in how the authorization was requested, linked to the act or tracked for validity.
What to document before disputing
Gather prescription, original authorization number, request date, approval date, service date, billing date and literal rejection reason. If the act was performed within the valid window, the dispute is reasonable.
Which invoices to dispute and which to archive
Dispute first invoices with valid authorization at service time. Then recent expiries with the procedure done. Archive cases with no prior authorization where one was required.
How SaludComply prevents the invoice coming back rejected
SaludComply keeps the authorization number linked to patient, act and appointment date from approval. It alerts before expiry and flags approved-but-unbilled authorizations.
Verified sources
- DGSFP — Memoria del Servicio de Reclamaciones 2024 — rechazo del siniestro: 56% expedientes salud
- Adeslas — Autorizaciones — proceso oficial y caducidad
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.