Service Authorization — Timeframes for Prior Authorization and Concurrent Review Requests
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Defines Vns Health's decision timeframes for prior authorization and concurrent review requests and who it affects (members and providers requesting service authorization).
Member handbook updated to include new service authorization timeframes effective April 1, 2026.
Actionable Timeframes & Contact
Prior authorization decision timeframe
For standard prior authorization requests, Vns Health will make a decision within 3 work days of when we have all the information we need, but no later than 7 days after we receive your request. Vns Health will notify you by the 7th day if more information is required.
- Decision within 3 work days after all necessary information is received
- If additional information is needed, provider/member will be notified by day 7
Concurrent review decision timeframe
For concurrent review requests, Vns Health will make a decision within 1 work day of when we have all the information we need, but no later than 7 days after we receive your request. Vns Health will notify you by the 7th day if more information is required.
- Decision within 1 work day after all necessary information is received
- If additional information is needed, provider/member will be notified by day 7
Inpatient rehabilitation decision timeframe
For inpatient rehabilitation services requested after an inpatient hospital admission, Vns Health will make a decision within 1 work day of when we have all the information we need, but no later than 7 days after we receive your request. Vns Health will notify you by the 7th day if more information is required.
- Applies specifically to inpatient rehabilitation requests made after inpatient hospital admission
- Decision within 1 work day after all necessary information is received; notification by day 7 if more information is required
Care Team contact for authorization assistance
Providers or members may contact the Care Team at 1-888-867-6555 (TTY: 711) Monday - Friday, 9 am - 5 pm for assistance with service authorization.
- Phone: 1-888-867-6555
- TTY: 711
- Hours: Monday–Friday, 9:00 AM–5:00 PM
Defined Timeframe Terms
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.