Submitting an Access Request for Providers Who Won't Bill Sana

You can submit an Access Request (previously called Invite a Provider) when:

• Your provider will not agree to bill Sana after you've asked them
• Your provider indicates a written agreement is required to bill Sana directly (see a list at the end of this article of providers that always require an agreement)
• Your provider is hesitant to book your appointment or is considering cancellation due to your insurance coverage

Creating an Access Request

Once you verify the provider refuses to work with Sana:

1. Try to make an appointment — providers are more willing to work with us when you have an appointment scheduled
   • Tip: Try to book as self-pay in the meantime
2. Go to Provider Directory 
   • Search by provider name, specialty, or location to verify the provider is not already contracted
     • Sana accepts claims from out-of-network providers without any penalties and welcomes billing from any provider
   • Scroll to the bottom of the results
3. Click Create Access Request
4. Submit your request - please fill out all details

Next Steps

Our Care Navigation team will contact your provider directly to see if we can resolve your access issue.

87% of providers agree to work with Sana, but if needed, we can help you find an alternate provider. 

Expected Timeline

• Future members - If your provider requires an SCA, please reach out once your plan is active and you have confirmed the provider won't bill Sana directly.
• New and existing members - During busy months like January and February, we prioritize access requests by upcoming appointment dates. 
  • Urgent need - Please share all details in your request to help us coordinate with your provider.
  • No appointment - In order for our team to confirm billing, most providers will require a scheduled appointment. Please schedule your appointment before submitting an Access Request, or if the provider is not allowing you to schedule, please submit an Access Request to let us know.
• Best practice - While we recommend giving us 30 days' notice, please ensure your request is submitted via the portal no later than 5–7 business days before your appointment so our team has enough time to help.

What is a Single Case Agreement?

While the majority of providers will bill us directly, occasionally, providers may request a single case agreement (SCA), which is a one-time billing contract. While Sana does not require a contract in order to bill us directly, your provider may require one!

SCAs are typically executed for one service or episode of care within a specific date range.

*Please submit an Access Request for each appointment, at least 5-7 business days before, with the following providers that require an SCA for every visit:

• Baylor Scott & White Health
• Children’s Health
• The Christ Hospital
• Cook Children’s
• MD Anderson
• Texas Children's
• Texas Health
• UT Southwestern Medical Center

Learn more about getting care with Sana in this two-minute video.