Healthcare finance · Claims and payments · Mexico
GesticalAlso in Healthcare
Medical fees paid in 24 hours, and the platform that makes it possible.
The operation
Gestical sits between independent physicians and insurers in Mexico. Once an insurer authorises a procedure, Gestical advances the physician's fees within 24 hours, then carries the claim, the CFDI 4.0 invoice and the collection. Because it pays first, every claim's status has to be right.
What we built
The system of record on Zoho Creator, developed since 2015: a 17-stage claims pipeline across nine claim types, a CFDI 4.0 engine that stamps through a certified PAC with one shared folio counter, a commission calculator, SPEI dispersals through STP Mexico, two-way Zoho CRM sync and a role-based portal for physicians, companies and agents.
- CFDI invoice folios issued
- 40,282
- New claims per month
- ~1,000
- Physicians managed
- 1,100+
- Deluge functions and workflows
- 1,400
Delivered
- Claims pipeline, 17 stages
- CFDI 4.0 invoicing engine
- Commission and retention calculator
- SPEI dispersals via STP Mexico
- Two-way Zoho CRM sync
- Role-based stakeholder portal
- Native task module
- Receivables ageing and executive reporting
