(952) 225-5266
Minnesota's Leading Spine Center
CALL (952) 225-5266   |   REQUEST FREE CONSULTATION

Minnesota's Leading Spine Center

CALL (952) 225-5266   |   REQUEST FREE CONSULTATION

Minnesota's Leading Spine Center

COVID-19 UPDATE: To continue serving our patients, we will remain open during our regular business hours. If you are practicing social isolation, or feel sick, please take advantage of our well-established and have your appointment via in the comfort of your own home. For more Inspired Spine Coronavirus information,

Call 952-225-5266 for more information.  If you need to reschedule your appointment, please call .

Surgery Prior Authorization

Request of Records

The following records are needed for Surgery Prior Authorization per Insurance Criteria:

  • Current Imaging
  • All Physical Therapy notes within the last six months to a year along with Oswestry and/or Neck Disability Index scores from your first and last visit of Physical Therapy.
  • Physical Therapy criteria:
    • Cervical 6 weeks of 2 times a week
    • Thoracic 8 weeks of 2 times a week
    • Lumbar 12 weeks of 2 times a week
  • Any injection records from the last year pertaining to the area of proposed surgery (Cervical, Thoracic, Lumbar)
  • If you are a current smoker you need to be smoke free for 30 days prior to Inspired Spine faxing in the Surgery Prior Authorization Request to your Insurance Company
  • For Medical Insurance Carriers, we need Hemoglobin Score that is within the last 30 days prior to submitting the Insurance Carrier
  • Mental Health Evaluation which is a letter from your Primary Care Physician or a Mental Health Professional regarding any untreated, underlying, contributory mental health conditions or any psychological issues including but not limited to depression or drug/alcohol abuse
  • The letter, when finished along with all the other documents, can be faxed to: 320-200-7478

The preceding requirements are criteria from the insurance company. Once Inspired Spine receives all of the required documents, we will then compile the information and fax it on to your insurance company for the Surgery Prior Authorization Request. The insurance company then has between 10 and 15 business days to give us a decision. If you do not hear from Inspired Spine within two weeks, please call 727-MY-SPINE.

Mental Health Evaluation

A Mental Health Evaluation is a letter from the Primary Care Physician or a Mental Health Professional regarding any untreated, underlying, contributory mental health conditions or psychosocial issues including but not limited to depression or dug or alcohol abuse. The letter when finished can be faxed to: 320-200-7478.

The Mental Health Evaluation is a criterion from the insurance company. This is one requirement for the Prior Authorization process for surgery along with the many other requirements that we need to fax your Insurance Company in order to obtain the Surgery Prior Authorization.