En el mes de junio se radicaron ante la Administradora de los Recursos del Sistema de Seguridad Social en Salud – ADRES, 34.551 reclamaciones por un valor de $69.750 millones, de las cuales 21.089 son nuevas por $50.010 millones. La información la dio a conocer la entidad en el boletín oficial que publica cada mes sobre este rubro.
Dentro de las funciones de la ADRES está la recepción, auditoría, y pago de las reclamaciones presentadas por personas jurídicas (IPS) y naturales por los servicios de salud, indemnizaciones y gastos derivados de accidentes de tránsito ocasionados por vehículos no identificados o sin póliza SOAT, eventos catastróficos de origen natural, eventos terroristas y los demás eventos aprobados por el Ministerio de Salud y Protección Social.
Según el mapa, los departamentos sombreados con un color azul más oscuro son los que radicaron reclamaciones por un mayor valor. El Atlántico concentró el 20.9% del total reclamado en el mes con $14.608 millones. Le siguen el Valle del Cauca con $11.779 millones (16.9%) y Córdoba con $6.708 millones (9.6%). Los departamentos de Amazonas, Vaupés, Arauca, Guainía, Vichada y San Andrés no radicaron reclamaciones este mes.
Por número de reclamaciones el 24.4% fueron radicadas por IPS del departamento del Valle del Cauca, seguido por Magdalena (10.6%), Córdoba (10.3%) y Atlántico (8.4%).
Valores reclamados por IPS
Para el mes de junio, la IPS Fabilu Ltda. del departamento del Valle del Cauca es la que tiene el mayor valor reclamado, con $4.709 millones, que representan el 6.8% del total de la nación. Esta IPS radicó un total de 2.977 reclamaciones este mes.
En segundo lugar, se encuentra la IPS Especialistas Asociados S.A., del departamento de Córdoba, con reclamaciones por $4.159millones, que equivalen al 6% del total nacional. Presentó 1.557 reclamaciones en junio.
El tercer lugar lo ocupa la Clínica Primero de Mayo Integral S.A.S., de Santander, con reclamaciones por $1.998 millones, equivalentes al 2.9% del valor total nacional. Esta IPS registró 259 reclamaciones.
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