Hospital Services Authorizations

Procedure for denial of PBS and Non-PBS services

The Authorizations area of EPS Delagente will inform you through the authorizations web application through which you carried out your authorization process, if your request for PBS and Non-PBS technologies was approved or not approved when the following causes arise:

Causes of non-approval for PBS services

• Service excluded from the PBS Benefit Plan
• Typing error
• medical relevance
• Service request error
• Exceeds maximum amount indicated per service
• Inconsistency in the user's affiliation status
• Does not comply with INVIMA indication
• repeat request

In the case of technologies not included in the PBS, the following grounds for non-addressing will apply: