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Reto Inteligencia de Negocios Ars Primera

Nilda Stephany Montero

Created on October 17, 2025

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Transcript

Reto Inteligencia de Negocios Ars Primera

Procesar y analizar datos de reclamos de consulta médica ambulatoria en ARS Primera (con y sin cirugía) en un tablero de control orientado a explorar casos anómalos.

Todo comenzó con una llamada...

¿Alguna vez han escuchado una historia que comienza con una simple llamada… y termina revelando un fraude? ¿Qué pasaría si les dijera que hay personas que aparecen en consultas médicas… sin haber ido jamás?

¿Qué nos preguntamos para llegar al fondo?

“Cada reclamo cuenta una historia. Algunas son verdaderas. Otras… no tanto.”

¿Qu

La inteligencia de negocios no solo visualiza, sino que analiza, alerta y apoya la toma de decisiones.

Problem
Solution
Product-Service
Market
this is an index
Business Model
Current status
Team
Financing

PROBLEM

¿Qué hay detrás de los números?

Pose a dramatic question; this is the essential ingredient for holding the audience's attention. It is usually posed in an intriguing way at the beginning of the story to captivate the audience and is resolved at the end.

Did you know that Genially allows you to share your creation directly, with no need to download? All ready for your audience to view it from any device and share it anywhere.

We don’t like to bore. We don’t want to be repetitive. Communicating in the same old ways is boring and doesn’t engage people. We do it differently. We annihilate boredom. We create things the brain likes to consume because they stimulate it.

Visual content is a transversal, universal language, like music. We can understand images from millions of years ago, even from other cultures.

FINANCINg

Down with boring content in your presentation: make it entertaining

$ 17M

of visual information is assimilated better.

$ 39M

$ 10M

When giving a presentation, you need to go after two main objectives: to convey information and avoid yawns. To do this, it can be good practice to make an outline and use words that will be imprinted in the memories of your audience.

of purchases are emotional.

of our brain is involved in the processing of visual stimulus.

$ 12M

And the data will be imprinted in their minds.

¿Dónde están los focos rojos?

Si un prestador atiende un número inusualmente alto de afiliados, puede estar generando reclamaciones falsas.

Fraude de cara no médico que tiene mayor discrepancia entre la cantidad que ellos reclaman y la que tenemos en sistema.

Si el afiliado confirma que no recibió el servicio, es una señal directa de fraude.