According to the report, Comfenalco Valle, Nueva EPS, Capital Salud, Famisanar and SOS, have the greatest number of complaints.
The National Health Superintendence announced that with a cut to July 30, 2025, 1,187,759 claims were presented, of which 83.3%, that is, 990,322, were closed, through the permanent days made by the entity with the communities in the territories and with the health promoters (EPS).
The EPS with the highest claims rate, in the run of the year, Comfenalco Valle with 298.75, New EPS 295,390, Health Capital with 289.82, Famisanar 277.41, SOS 268,80 and compensate 263.79.
The report showed that In the case of Nueva EPS, a total of 295,390 claims between January and July 2025 are recorded, of which 161,179 have been closed with cut to July 30.
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The EPS Famisanar records from a total of 154,133 claims between January and July 2025, 138,551 are closed to July 2025.
In the case of compensating, of a total of 91,971 records, 87,367 correspond to claims met and properly closed.
For its part, The EPS Mutual Be has a record of 46,671 closed cases, Between January and July 2025, of a total of 50,465 cases of cases of complaints filed in the same period.
According to the reported data, in the case of special and exceptional regimes, with a cut on July 30, 2025, 93.7% of the claims were closed, of a total of 49,219 user claims.
In relation to the claims in special regime and exception, the teaching records a total of 23,470 claims from January to July 2025, of which 22,737 are closed in the same period.
As for the National Police, for example, of a total of 16,388 complaints registered between January and July 2025, 14,609 complaints are already registered as closed.
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As for the general health claims rate by EPS, not including special and exceptional regimes, in this year, with a cut to June 30, 2025the Supersalud registered a total of 202.11 claims per 10,000 affiliates In the contributory and subsidized regimes, despite the fact that in the accumulated the rate has grown.
Greater complaints
Being the five EPS with the highest claims, in the run of the year, Comfenalco Valle with 298.75, Health Capital with 289.82, Famisanar 277.41, SOS 268,80 and compensate 263.79.
In relation to the EPS with intervention measure, after SOS and Famisanar, the EPS with the highest rate are: Sanitas with 220.70, New EPS with 209.23. Below the claims of 2025, there are Savia Salud 192.05, Capresoca 177.17, Coosalud 125.03, Emsanar 124.98 and Asmetsalud, with the lowest rate of the intervened, with 93.41.
As for the EPS without intervention measure, above the cutting rate as of June 30, 2025, there are: Total health with 249.63 claims and Sura with 223.68 and below the rate, are: Health of mine 164,12 and Alianzalud with 140.52.
“The call to all EPS, not only the intervened, but to all the other EPS and the EAPB that administer their attention plans to the populationIt is to give effective solution to citizens’ claims, avoiding the reopening of already closed cases, ”said Giovanni Rubiano García, a national health superintendent.
The official said that the call has been to the EPS intervened to improve the process of delivery of medicines and health care.
“I have asked EPS managers intervened, and the supersalud user protection team, maintain actions aimed at solving cases and decreasing the total claims reopened by users,” he added.
He stressed that the above It reveals a better level of institutional response to claims filed by users to EPS and special and exceptional regimes, even when a number of claims are reopened.
“The Superintendency stressed that institutional efforts to effectively close citizen claims in health matters, contrast with the percentage of claims that are reopened by users. With a cut on August 14, 2025, 0.55 percent of the claims presented, that is 6,840 health claims. Being the three EPS with the highest reopening rate: the new EPS, compensate and emssanar, “he said.
Source: Integrated information system
