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GlosaIQ

Gestión de glosas y devoluciones para Healthcare providers (IPS).

From scattered claim denials and returns to recoverable revenue: a controlled, measurable operation ready to respond within the regulatory framework.

The challenge

What is happening with your institution's claim denials today?

Claim denials put at risk revenue the provider has already billed.

Managing them means identifying each case, understanding the cause, gathering supporting documents, assigning owners, tracking deadlines, responding and following up until closing. When that information is spread across emails, spreadsheets, portals and different systems, rework, handling times and the risk of missing response windows all go up

The solution

Centralized management of claim denials and returns, from start to finish.

GlosaIQ is a Redsis cloud SaaS solution that manages each claim denial as a controlled case, from receipt to response, reconciliation and closing. Each case keeps its information, supporting documents, owners, activities, dates, deadlines, responses and results.

Beneficios clave

Prioritize where the money is

Organizes denials by amount, payer, cause, status and deadline, so effort goes to the cases with the biggest financial impact.

Protect your response window

Manage owners, dates, priorities, alerts and escalation to act before deadlines.

Reduce manual work

Centralizes the case file and follow-up, and can connect to the provider's clinical, administrative or billing systems. That helps reduce data entry, transcription and repetitive lookups.

Give management visibility

Makes it easy to track denied amounts, payers, causes, pending items, deadlines, handling times and results, without manual consolidation.

Asegura trazabilidad

All the case's information and evidence stays linked throughout the process.

From a scattered operation to a controlled one

Sin GlosaIQWith GlosaIQ
Denials spread across emails, files and portalsCentralized case management
Fechas controladas manualmenteAlerts, priorities and deadlines
Soportes distribuidosOrganized, traceable case file
Tracking depends on individualsOwners and statuses visible
Hard to prioritizePrioritization by impact and deadline
Reportes preparados manualmenteInformation for management follow-up
Repetitive lookups in other systemsCan draw on integrated information

Ideal for

Handle a significant monthly volume of denials.

Have information spread across different systems, files, emails and portals.

Carry a heavy operational load to keep up with follow-up.

Need to control deadlines and owners.

Need more visibility of payers, causes and financial value.

Want to reduce rework and improve traceability.

Need more timely information for management decisions.

Why Redsis?

Experience in healthcare

Redsis understands providers' operational, financial and administrative processes.

Cloud solution

A managed SaaS model that makes implementation and scaling easier.

Integration with existing systems

Can use information already in clinical, administrative and billing systems, reducing rework.

Scales as you grow

The provider contracts the capacity it needs based on the monthly volume of denials processed.

Focus on results

More than recording information, it helps protect revenue, optimize receivables management and improve team productivity.

Shall we talk about GlosaIQ?

Tell us how you operate today and we will show you how it fits your business.

Contact us