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Supporting you through the insurance authorization process.

An insurance authorization is a process made by your insurance to check the reasoning behind a medical service. This includes imaging, surgery, medications, physical therapy and other treatment plans. It is sometimes called prior authorization, pre-notification or pre-certification.

At Gunnison Valley Health, we submit the authorization to your insurance. Authorization can take anywhere from three days to fourteen days.

If you want to know the average wait time or status of your pending authorization, please contact your insurance company directly. Your member services phone number is located on the back of your insurance card.

Insurance Authorization Timelines

Different insurance companies have different timelines and procedures for how and when they authorization procedures. It is important that you check with your insurance company to obtain the most up-to-date and accurate information.

Below are general timelines for common insurance plans:

Aetna

  • 1 to 5 days for radiology services
  • 10 to 15 days for all other services

Anthem

  • 1 day for radiology services
  • 10 days for sleep studies

Blue Cross Blue Shield

  • 1 day for radiology services
  • 10 days for sleep studies

Blue Cross Federal

  • 1 day for radiology services
  • 10 days for sleep studies

CEBT

  • No pre-authorization required for high-end radiology services or sleep studies
  • 10 to 15 days for all other services

CIgna

  • 1 to 5 days for radiology
  • 10 to 15 days for all other services

CTSI

  • No pre-authorization required for high-end radiology services or sleep studies
  • 10 to 15 days for all other services

Friday Health Plan

  • 5 to 8 days for all services

GEHA

  • 2 to 10 days

HRRMC

  • No pre-authorization required for high-end radiology services or sleep studies
  • 10 to 15 days for all other services

Humana

  • 2 to 15 days for all services

Medicaid

  • 1 to 7 days for all services

PERA

  • 1 day for radiology services
  • 10 days for sleep studies

Rocky Mountain Health Plan

  • 2 to 10 days for all services

Triwest

  • 10 to 21 days for all services

VA

  • 10 to 21 days for all services

UMR

  • No pre-authorization required for high-end radiology services or sleep studies
  • 10 to 15 days for all other services

United Healthcare

  • 1 to 5 days for radiology services
  • 10 to 15 days for all other services

Gunnison Valley Health's process

An order is written by your provider and sent to the location you choose to receive the service.

If that location is Gunnison Valley Health, the order will be processed by the authorization team.

Once the authorization is approved, a Gunnison Valley Health representative will call in 3 to 5 days to schedule your appointment.

If you have additional questions about authorizations, contact the Gunnison Valley Health Admissions department at 970-641-1456.