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Indemnizaciones y auxilios funerarios a víctimas de accidentes de tránsito sin SOAT
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Tras definirse en noviembre de 2020, el valor de la prima por Departamentos que tiene como objetivo reconocer a las EPS de ambos regímenes un monto determinado para que estas asuman el riesgo derivado de garantizar la atención en salud y el transporte al centro asistencial de las víctimas afiliadas al SGSSS con ocasión de accidentes de tránsito por vehículos no asegurados por el SOAT o no identificados.
También puede leer: ADRES inició cobro coactivo a 43 mil conductores de vehículos SIN SOAT
La Administradora de los Recursos del Sistema General de Seguridad Social en Salud – ADRES- anunció este viernes que ya está listo el giro para las atenciones médicas y auxilios funerarios de las víctimas de accidentes de tránsito sin SOAT o eventos catastróficos.
En este sentido, según las entidad, esta ha pagado a 634 hospitales, clínicas y centros médicos cerca de $430.000 millones por la prestación de servicios realizados a víctimas de accidentes de tránsito ocasionados por vehículos no identificados o no asegurados, eventos catastróficos de origen natural y eventos terroristas. Así mismo, ha girado más de $26.000 millones a personas naturales que presentaron reclamaciones relacionadas con indemnizaciones por muerte y gastos funerarios e incapacidad permanente.
Dichos pagos son el resultado de la puesta en marcha de un plan de contingencia adoptado por la ADRES para auditar las cuentas radicadas por los hospitales y clínicas entre mayo de 2018 y julio de 2020.
Auditoria por atenciones médicas y auxilios funerarios de las víctimas de accidentes de tránsito sin SOAT
En cuanto al reporte entregado por la ADRES, la entidad logró en el transcurso del segundo semestre de 2020 y enero de 2021, auditar el 98% de las cuentas presentadas. Actualmente se encuentra auditando las cuentas presentadas en diciembre de 2020, cuyos resultados serán expuestos en las primeras semanas de febrero.
También puede leer: informe evalúa qué está pasando con la seguridad vial y su regulación
Prestadores que más recibieron recursos
Los diez (10) prestadores de servicios de salud que más recursos recibieron por este concepto de reclamaciones son:
| ENTIDAD | Valor(Millones de $) |
| Clínica Cristo Rey Cali | 41.874 |
| Fabilu | 33.043 |
| Especialistas Asociados – Clínica de Traumas y Fracturas | 28.637 |
| Inversiones Méedicas Barú | 17.622 |
| Inversiones Azalud | 15.087 |
| Clínica Altos de San Vicente | 13.662 |
| Fundación María Reina | 13.471 |
| Clínica de Fracturas – Centro de Ortopedia y Traumatologia | 12.831 |
| Fundación Campbell | 12.127 |
| Clinica de Fracturas Valledupar | 7.925 |
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