Quiralis

End-to-end surgical management platform

From the operating room to billing: medical procedures, insurance authorizations and invoicing finally flow on the same platform.

SART and Institut Roura now manage all their surgical activity with Quiralis, the platform developed by Mecexis that integrates medical procedure planning, insurance authorization management using AI-powered document analysis, and billing with automatic payment reconciliation into a single system. What previously required entire days of manual review is now resolved in minutes.

Two different paths, the same destination

Decades of private medicine that needed a technological foundation to match their level

SART is an anesthesiology and resuscitation group with decades of experience in private healthcare. Its daily operations coordinate procedures, operating rooms, and medical teams in a system where every action generates clinical documentation, insurance authorizations, and billing. It was a pioneer in digitalization: in the late 1980s, it developed its own management system, a forward-thinking decision that sustained its operations for over three decades.

Institut Roura , a medical center with a long history of care, faced the same operational challenges from the other end: a management based on manual processes that depended on the daily efforts of its administrative team.

Between the two organizations, the platform serves an operation that employs between 70 and 80 professionals, including doctors, nurses, and administrative staff. These two opposing technological realities shared the same underlying problem and were looking for a partner capable of solving it without interrupting patient care.

When yesterday's innovation becomes today's constraint

Software from the eighties, mountains of PDFs, and billing that's impossible to reconcile.

SART's proprietary system, written in MUMPS in the late 80s, had been robust for decades, but had become an operational risk: outdated technology with no generational replacement, no possibility of integration, and unsuitable for current requirements of security and traceability of medical data. At Institut Roura, planning and administration relied directly on manual processes.

Adding to this was the sector's common bottleneck: insurance authorizations arrive as PDFs in over 30 different formats, one per company, and each document has to be reviewed manually to extract patients, identifiers, and procedures and link them to the corresponding services. Billing adds the final layer of complexity, because mutual insurance companies pay for transfers that group hundreds of services, and reconciling what was collected against what was billed is a manual, slow, and error-prone task.

One platform, three pillars, and AI where it adds real value.

Quiralis organizes the entire operation on three connected pillars, with artificial intelligence integrated into the actual workflow and people always in charge of the decisions.

Management of medical procedures

The central module plans each procedure with its dates, times, and operating rooms, and assigns physicians, nurses, and type of anesthesia. Procedures progress through controlled stages, from draft to completion, and can be imported in bulk from external files. Physicians have constant access to the module to view their daily assignments and responsibilities.

Documentary artificial intelligence for authorizations

Insurance authorizations are imported in bulk, and the platform automatically extracts patients, identifiers, and procedures using Google Cloud Document AI, processing over 30 different company formats. The administrative team reviews, corrects, and links each authorization to its corresponding procedure and billing: AI does the heavy lifting, and people maintain control.

Billing and reconciliation of payments

Each transaction populates its own billing document, with support for standard invoices, self-billing proformas, and credit notes. Payments are managed from start to finish, and the reconciliation module allows you to match grouped payments from mutual insurance companies against invoiced amounts, accept justified discrepancies, and generate automatic credit notes when closing each payment batch.

Security at the level required by medical data

Access is controlled by roles (medical, nursing, administrative, and management) with two-factor authentication for sensitive profiles. All downloads and exports are logged in an immutable audit trail with cryptographic chaining, and files are stored encrypted with automated backups at an external provider.

Solid technology and accumulated experience

The platform is built on Django and PostgreSQL, with Dockerized infrastructure and background processes for bulk uploads. The administration interfaces rely on Mecexis' proprietary management screen system, refined over years of projects, which accelerates development and ensures consistency across the entire application. Quiralis can also be installed as a Proactive Web App (PWA) on any device, allowing doctors and administrators to use it just like any other app.

Migrating four decades of history without stopping a single operating room

Phased rollout with healthcare activity always underway

Replacing a system with over thirty years of data and established work practices doesn't allow for a sudden change. The rollout was planned in phases, validating each module in production with real users and maintaining coexistence with the previous processes until each area was ready for the transition. Constant communication with the medical and administrative teams allowed the platform to be tailored to the specifics of their daily operations, precisely where a generic system would have failed.

From entire days to twenty minutes

The measurable impact of putting AI into the workflow.

96%
Shorter review time: from 8 hours to 20 minutes per person
+30
Insurance company forms processed automatically
70-80
Professionals working on the platform

An architecture designed to grow

New centers and more documentary intelligence

Quiralis was born with a product-centric approach: its architecture is sector-specific and designed to incorporate new surgical centers without requiring a complete overhaul. Simultaneously, the roadmap delves deeper into document automation, expanding AI capabilities to cover more document types and more steps in the administrative workflow, always adhering to the principle that has guided the project from the outset: technology handles repetitive tasks, and people make the decisions.