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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 GlosaIQ | With GlosaIQ |
|---|---|
| Denials spread across emails, files and portals | Centralized case management |
| Fechas controladas manualmente | Alerts, priorities and deadlines |
| Soportes distribuidos | Organized, traceable case file |
| Tracking depends on individuals | Owners and statuses visible |
| Hard to prioritize | Prioritization by impact and deadline |
| Reportes preparados manualmente | Information for management follow-up |
| Repetitive lookups in other systems | Can 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