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Kobanateam
Kobana Team · industry
Healthcare

TISS, claim denials, doctor pay, private patients. All at once.

Kobana Team understands hospitals, clinics, payers, and labs. From TISS to claim denials, from private collections to physician payouts.

  • TISS / ANS
  • Claim denials
  • Physician payouts
  • Multi-payer
Karin collecting from private patients and payers — Brazilian healthcare solution
Healthcare challenges

Billing and payroll in one CNPJ.

01

TISS billing

ANS standard, tight deadlines, inconsistent integrations.

02

Payer claim denials

Appeals, settlements, disputes — too manual today.

03

Private collections

Installments, boleto, Pix, WhatsApp.

04

Physician payouts

CLT, PJ, cooperative — calculated per procedure.

05

10 active payers

Amil, Bradesco, Unimed, SulAmérica, Hapvida and more.

06

Plans and IDs

Online validation, prior authorization, eligibility.

07

Procedure bundles

Fees, materials, charges — all on the same bill.

08

ANS compliance

Underreporting, reimbursements, monitoring.

How Kobana Team solves it

Finance team for the hospital, clinic, and lab.

karin
karin

Dual collections

Cadence for payers (denial, appeal, settlement) and private patients (installments via WhatsApp).

kelly
kelly

Physician payouts

Payout calculation per procedure, payer, and doctor. PJ with ISS withholding. CLT with integrated payroll.

kevin
kevin

Lagged cash flow

Forecast accounting for payer receipts at D+60 to D+90. Liquidity management to cover the gap.

klaus
klaus

Healthcare payroll

CLT doctors, PJ, cooperatives, on-call. Night-shift, unhealthy work, radiology hazard pay.

klaudinho
klaudinho

Unit-level analysis

Profitability per specialty, payer, and surgical center.

Production results

Hospital network with 4 sites, 1,400 employees.

9 months with Kobana Team connected to MV, Tasy, and the 10 largest payers.

−4.3 p.p.
Denial rate from 8.4% to 4.1%
−21 days
Payer DSO from 72 to 51 days
0.4%
Payout errors (from 3.2%)
−7 days
Monthly close from 12 to 5 days
R$ 4.8M
Working capital freed
100%
Denial appeals automated
Healthcare integrations

Plugged into the care flow.

HIS / HMS

  • MV
  • Soul MV
  • Tasy (Philips)
  • Wareline

TISS billing

  • PixeonMED
  • Bionexo
  • Benner Saúde

Payers

  • Amil
  • Bradesco
  • Unimed
  • SulAmérica
  • Hapvida
  • NotreDame
  • Prevent
  • GNDI
  • Assim
  • Mediservice

Hospital CRM

  • Salesforce Health Cloud

HCM

  • Senior
  • TOTVS RH
  • LG Lugar de Gente
Healthcare

Hospitals run 24/7. Your finance team has to as well.

Book a call — we'll co-design how Kobana Team fits into your HIS without swapping anything that already works.