13+
Years
Proven experience transforming processes in the healthcare sector
Expert Team
Multidisciplinary
Engineers, data analysts, medical auditors and lawyers
Regulatory
Up-to-date
FEV-RIPS compliance per Resolution 948/2026 (supersedes Res. 2275/2023 and 1884/2024). SIIFA readiness per Decree 228/2025.
Proprietary Tech
In-house
Solutions developed specifically for the challenges of EPS and IPS
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.”
What we do and what your organization gains
A comprehensive model designed to solve the operational and financial challenges of IPS.
What we do
- We automate auditing, billing, reconciliation and collection.
- We apply AI and advanced analytics to critical processes.
- We digitize operational workflows.
How we do it
- Proprietary technology developed in-house.
- Team of healthcare sector experts.
- Standardized and 100% traceable processes.
- Secure and scalable cloud infrastructure.
What you gain
- Significant reduction in rejections and returns.
- Greater financial and operational control.
- Agile, fast and reliable processes.
- Guaranteed regulatory compliance without stress.
Specialized solutions for the healthcare sector
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.
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
Flat file to standard JSON transformation per Resolution 948/2026 and Resolution 2284/2023.
Easy Integration
Compatible with leading billing systems on the market.
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.
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.
Services already in production.
Proven, battle-tested capabilities that extend our value proposition for the healthcare sector.
per invoice processed
Automate your current HIS
We connect and automate the system you already use — without migrating or replacing it — billing, RIPS generation, and unattended bulk download of medical records and supporting documents.
supplies cross-referenced live
MIPRES Management
Automatic cross-referencing of MIPRES supplies against authorization status on the EPS portal and MIPRES / non-PBS billing reporting per Resolution 948/2026.
verified eradication
Cybersecurity & Incident Response
Security audit, verified malicious code eradication, and formal closure reports with persistence verification.
document reconstruction rate
Historical Data Recovery
Recovery of orphaned documentary records and mass document migration for regulatory compliance and audits.
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.”
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.
The biggest change in healthcare since electronic billing.
SIIFA is the mandatory electronic registry for contracts, invoices, claim denials, returns, and payments across the entire healthcare system. It's no longer enough to bill correctly: every contract, every denial, and every payment is traced online before the Ministry.
Contract Registration
Generates the CUCON (Unique Contract Code) for each contractual relationship.
Electronic Invoice & RIPS
Standardized FEV-RIPS validation per Resolution 948/2026.
Invoice Tracking
Registry of returns and claim denials with full traceability.
Payment Tracking
Control of transfers, advances, discounts, and withholdings.
All modules must be operational before December 31, 2026.
Applies to IPS, EPS, health technology providers, ADRES, ARL, SOAT insurers, and territorial entities.
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 aligned with Resolution 948/2026 (FEV-RIPS), Decree 228/2025 (SIIFA), and Resolution 2284/2023. Monitoring of Technical Documents published in SISPRO.
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.
Real impact on your organization
Tangible results that transform financial operations.
Fewer Rejections
Reduce claim rejections with pre-validation and intelligent auditing.
Improved Cash Flow
Collect faster with automated portfolio management.
Time Reduction
Process accounts in hours, not weeks.
Greater Financial Control
Full visibility of your financial operation in real time.
Auditable Processes
Every action documented and traceable for internal and external audits.
Data-Driven Decisions
AI and advanced analytics to anticipate risks and opportunities.
Schedule meeting
Let's talk about your challenges and how we can help.
Request demo
See the platform in action with real data from your sector.
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.