Provision of Professional Services for the Management of Review, Verification, and Control of Medical Bills Presented by Entities to ADRES

ADRES (Administradora de los Recursos del Sistema General de Seguridad Social en Salud) is seeking professional services to support the Directorate of Other Benefits (Dirección de Otras Prestaciones). The services will focus on the review, verification, and control of medical bills submitted by entities. This involves analyzing and validating documentation, ensuring consistency between services rendered, diagnoses, and billing for audited health services and technologies. The contract is for the provision of services, operating under a direct contracting modality, and will last for eight months. The services will be provided in Bogotá, Distrito Capital de Bogotá. The aim is to ensure the accurate and compliant processing of medical claims, particularly those related to services and technologies not financed by the UPC (Unit of Personal Capitation) or other specific budgets, thereby safeguarding the financial resources of the health system.

This is a services contract in the health and medical services and audit and accounting sectors, with a focus on Health Financing and Forensic Accounting. Located in Colombia, Latin America, this opportunity is open to firms and consortiums, with an estimated budget of COP 960.0 million.

Published through SECOP II Colombia (Date-Filtered), a national government procurement portal. Public procurement tenders follow the country's national bidding regulations and may have specific eligibility and documentation requirements for services in the health and medical services sector. Service contracts are typically evaluated on both technical quality and price, and may require bidders to demonstrate relevant experience and qualified personnel. This contract has already been awarded. The information is published for transparency and market intelligence purposes.