AIMEDIC offers Operator, an AI‑driven multi‑agent layer that sits on top of existing hospital and clinic HIS, billing, and analytics systems to automate data consolidation, regulatory report generation (RIPS, MIPRES), and coding validation without requiring system replacement. Using natural‑language queries and a model‑centric programming framework, it delivers actionable dashboards and real‑time alerts that reduce claim denials, streamline administrative workflows, and ensure compliance with Colombian health regulations.
Funding
Funding not disclosed
Founders
Product
Problem
Hospitals and clinics in Colombia rely on multiple legacy systems—HIS, billing, and RIPS—resulting in fragmented data, manual cross‑referencing, and extensive administrative rework. This fragmentation causes delayed reporting, regulatory non‑compliance, and high rates of claim denials (glosas), consuming up to 60 % of staff time.
Solution
AIMEDIC Operator is an AI‑driven multi‑agent layer that sits atop existing HIS and analytics stacks without requiring system replacement. Using natural‑language interfaces and a model‑centric programming (MCP) framework, the platform automatically consolidates clinical and administrative data, validates coding (CUPS/CIE‑10), and generates regulatory reports such as RIPS and MIPRES. Real‑time alerts flag missing or inconsistent information before billing, reducing claim denials and supporting compliance with Colombian health regulations (including Ley 1581). Actionable dashboards and exportable reports are produced within minutes, enabling finance, operations, and clinical leadership to make data‑driven decisions without writing SQL or undertaking lengthy integration projects.
Target Audience
Primary customers are hospitals, clinic networks, and health service providers in Colombia that need to streamline administrative processes, ensure regulatory compliance, and improve revenue cycle efficiency while retaining their existing HIS infrastructure.
Features
- Multi‑agent AI engine that extracts and cross‑references data from HIS, billing, Snowflake, Salesforce, and other sources without custom SQL queries
- Automatic generation, validation, and formatting of RIPS, MIPRES, and other regulatory files ready for electronic submission
- Real‑time coding validation (CUPS/CIE‑10) and pre‑billing alerts to prevent claim denials (glosas)
- Natural‑language query interface for clinicians and administrators to retrieve patient episodes, quality metrics, and audit information
- Configurable compliance templates that update automatically with new Colombian health regulations
- Exportable dashboards and reports for executive boards, financial control, and quality management, delivered in minutes
- Seamless integration layer that operates over existing HIS, preserving current workflows and avoiding system replacement