Diseñando Soluciones
HEALTHCARE SOLUTIONS

We reduce rejections, optimize collections
and ensure compliance.

Specialized technology innovation for IPS, independents and insurers, powered by Artificial Intelligence.

13+

Years

Proven experience transforming processes in the healthcare sector

Expert Team

Multidisciplinary

Engineers, data analysts, medical auditors and lawyers

Regulatory

Up-to-date

Compliance with the FEV-RIPS standard and Resolutions 2284, 2335 and 2275 of 2023 and 1884 of 2024

Proprietary Tech

In-house

Solutions developed specifically for the challenges of EPS and IPS

CURRENT CHALLENGES

The critical challenges affecting the sustainability of the healthcare sector

Claim rejections

They directly impact cash flow and operational liquidity.

Manual processes

Slow management, prone to human errors and with little traceability.

Regulatory risks

Constant risks of non-compliance and legal sanctions.

Complex audits

Costly processes that consume valuable IPS resources.

Lack of information

Absence of reliable data for strategic decision-making.

Overdue portfolio

Inefficient reconciliations that delay portfolio recovery.

These problems don't just affect operations — they affect profitability.

OUR VALUE PROPOSITION

What we do and what your organization gains

A comprehensive model designed to solve the operational and financial challenges of IPS.

AUTOMATION & AI

What we do

  • We automate auditing, billing, reconciliation and collection.
  • We apply AI and advanced analytics to critical processes.
  • We digitize operational workflows.
TECHNOLOGY + EXPERTS

How we do it

  • Proprietary technology developed in-house.
  • Team of healthcare sector experts.
  • Standardized and 100% traceable processes.
  • Secure and scalable cloud infrastructure.
TANGIBLE RESULTS

What you gain

  • Significant reduction in rejections and returns.
  • Greater financial and operational control.
  • Agile, fast and reliable processes.
  • Guaranteed regulatory compliance without stress.
SERVICES

Specialized solutions for the healthcare sector

MAIN FEATURES

Intelligent Auditing to reduce rejections and control costs

We combine cutting-edge technology with medical expertise to protect your billing processes.

Comprehensive Review

Full analysis of medical claims with clinical and regulatory criteria.

Document AI

Automated processing of clinical documents with artificial intelligence.

Compliance

Updated regulatory verification according to Minsalud regulation.

Expert Support

Guidance from medical auditors and specialized lawyers.

Rejection reductionFewer reworksGreater cost controlFaster audits
PREPARATION & VALIDATION

Correct invoices from the first attempt

Ensure acceptance of your medical claims with pre-validation tools and regulatory compliance.

Pre-Validation

Automated verification before filing with the EPS.

Fewer Rejections

Error correction at source to avoid returns.

FEV-RIPS Converter

Transformation of flat files to standard JSON format per Resolutions 2284, 2335 and 2275 of 2023 and 1884 of 2024.

Easy Integration

Compatible with leading billing systems on the market.

Higher acceptance rateTime and resource savingsAssured regulatory compliance
PORTFOLIO RECOVERY

We improve your cash flow with efficient collection processes

We implement management and negotiation strategies to recover resources and ensure financial sustainability.

Specialized Management

Detailed portfolio tracking by age and collection status.

Effective Negotiation

Conciliation strategies with EPS to accelerate payments.

Automation

Automatic billing flows and intelligent payer notifications.

Full Transparency

Real-time dashboard with status of each account.

Reduced overdue portfolioAgility in collection processesGreater financial efficiency
AI & ANALYTICS

Strategic decisions based on reliable data

We turn raw data into high-impact strategic actions.

Predictive and descriptive analysis

AI models that anticipate rejections, risks and opportunities.

Risk identification

Early warnings about anomalous billing patterns.

Fraud detection

Specialized algorithms to identify irregularities.

Information to decide

Executive dashboards with healthcare sector KPIs.

Data-driven decisionsRisk reductionGreater operational efficiency
SOFTWARE & APPLICATIONS

Platforms designed for real healthcare operations

Digital Filing

Electronic filing of medical claims with complete traceability.

Comprehensive Audit

Medical audit module with configurable rules per EPS.

IPS-EPS Reconciliation

Automated reconciliation and claim resolution process.

Real-Time Reports

Executive dashboards with financial and operational indicators.

Automatic Flows

Automation of repetitive tasks and intelligent notifications.

We optimize operations to guarantee fewer reworks and more control.

INFRASTRUCTURE & SUPPORT

Secure, scalable and always-available technology

We guarantee the operational continuity of your IPS with a robust cloud platform.

Cloud Infrastructure

Deployed on AWS with high-availability architecture.

24/7 High Availability

Guaranteed uptime with continuous monitoring and automatic alerts.

Automatic Backups

Daily backups with configurable retention.

Specialized Support

Help desk with defined SLAs and healthcare expert team.

IT Cost Reduction

No own servers: pay only for what you use.

OUR DIFFERENTIATORS

Why Diseñando Soluciones?

What makes us unique in the market and guarantees the success of your operation.

Proprietary Technology

In-house developed platform, with no third-party dependency.

Applied AI

Artificial intelligence specialized in healthcare sector processes.

Regulatory Compliance

Permanent updates with the FEV-RIPS standard and Minsalud / Supersalud regulation, including Resolutions 2284, 2335 and 2275 of 2023 and 1884 of 2024.

Proven Experience

13+ years working with IPS, EPS and independents in Colombia.

Ongoing Support

We don't deliver software and leave: we're with you at every stage.

Total Security

Data encryption, GDPR compliance and regular security audits.

ROI & BENEFITS

Real impact on your organization

Tangible results that transform financial operations.

↓ Significant reduction

Fewer Rejections

Reduce claim rejections with pre-validation and intelligent auditing.

↑ Financial optimization

Improved Cash Flow

Collect faster with automated portfolio management.

⚡ Greater agility

Time Reduction

Process accounts in hours, not weeks.

Full control

Greater Financial Control

Full visibility of your financial operation in real time.

Traceability

Auditable Processes

Every action documented and traceable for internal and external audits.

Intelligence

Data-Driven Decisions

AI and advanced analytics to anticipate risks and opportunities.

RESERVE SPOT

Schedule meeting

Let's talk about your challenges and how we can help.

SEE PLATFORM

Request demo

See the platform in action with real data from your sector.

TALK NOW

Current diagnosis

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NEXT STEP

Let's transform healthcare management together.

At Diseñando Soluciones we help healthcare organizations become more efficient, secure and sustainable, combining technology, artificial intelligence and sector expertise.