Healthcare providers have two options to request a retro authorization (retro-certification) for a completed procedure through Valenz, Sana's URAC-accredited utilization management partner.
Request Methods
Option 1: Request by Phone
Call Valenz directly at (877) 608-2200.
Option 2: Request Online (Recommended)
Visit the Valenz Portal and complete the following steps:
- Select Relation to Valenz: I am a provider
- Select Request Type: Precertification Request (or Retro-Certification Request)
- Select Admission Type: Inpatient or Outpatient
- Fill in all required fields, including subscriber, patient, and facility information.
- Attach all relevant clinical files and medical records.
Note on Review Timelines: The industry standard for standard retro authorization reviews is typically around 15 days after all required medical records are received. To verify patient benefits, please contact Sana Customer Support at (833) 726-2123.
Services Requiring Retro Authorization
Outpatient Care
- Arteriograms & Angiograms (other than heart)
- Bone Scans
- Cardiac Rehab
- CT Scans
- Dialysis
- Durable Medical Equipment (DME)
- Home Health Care
- Infusion Therapy (excluding antibiotic infusion therapy)
- Intensive Outpatient Substance Abuse
- In-Vitro Fertilization (IVF)
- Mental Health Services (Residential Treatment Facility, Partial Hospitalization, or Intensive Outpatient setting)
- MRA & MRI
- Outpatient Hospice
- Outpatient Surgeries (Hospital or Ambulatory Surgery Center)
- Pain Management: Epidural Steroid Injections, Radiofrequency Ablation / Rhizotomy, Trigger Point or Facet Injections
- PET Scans
- Radiation Therapy
- Respiratory Rehab
- Speech Therapy
- Specialty Injectable Medications
Inpatient Care
- Hospice
- Long-Term Acute Care
- Maternity stays longer than the Federal Mandate (48-hour vaginal, 96-hour C-section)
- Maternity stays within the Federal Mandate (Recommended notification only for monitoring case status)
- Med / Surg / Peds
- Mental Health / Substance Abuse
- Skilled Nursing Facility (SNF)
Have questions for Sana?
Connect with Provider Support directly through the chat icon on most Sana pages or call us at
(833) 726-2123 Monday through Friday, 7 AM to 7 PM Central.