CCSS AI Wait-list Cleanup
Institution: Costa Rican Social Security Fund
What it is
CCSS bot that cleans up administrative wait lists (outpatient consultations, procedures and surgeries) by cross-referencing data from the Unified Digital Health Record (EDUS), Civil Registry, institutional service networks and external provider registries. Trained on historical cleanup patterns, it operates over 15 official resolution categories (deceased, treated at another center, medical contraindication, declines surgery, no longer needs the procedure, etc.). Every case the system flags goes through prior human validation before being removed from the list. Includes automated patient outreach to confirm status. Run by the Wait-List Technical Unit (UTLE) of the Medical Management.
Verified results
Between 2023 and Q1 2026, the CCSS resolved 367,403 patients from the surgical wait list and cleaned up 136,774 cases. The ratio of patients operated to cases cleaned improved from 2.21 (2023) to 4.50 (Q1 2026) and the cleanup rate dropped from 31.2% to 18.2%, indicating more accurate lists. The 2026-2030 Institutional Strategic Plan targets resolving 100,125 additional patients between May and October 2026, backed by ₡7,122 million in extraordinary work shifts.
Context
Official announcement May 7-8, 2026 by Medical Manager Dr. Alexánder León Sánchez Cabo (press alias: Alexander Sánchez Cabo; full name verified in CCSS Board of Directors Minutes N.° 9589 of March 10, 2026), as part of the 2026-2030 Institutional Strategic Plan for wait lists. The technical spokesperson for the Wait-List Technical Unit (UTLE) is Enué Arrieta Espinoza, and the bot's operational figures are backed by the CCSS LEQ March 2026 Report. Since May 8, 2026, Marvin Palma serves as interim Medical Manager. The system claims compliance with the Personal Data Protection Law and operates with control and audit mechanisms. Functionally distinct from CCSS's other AI projects: AIDA is a clinical assistant for physicians during consultation; LIDIA runs predictive models for 4 diseases; REDIMED prioritizes medical images by urgency. This tool is administrative data quality on the queue itself.
Official source
↗ https://www.teletica.com/nacional/ccss-implementa-herramienta-de-inteligencia-artificial-en-intento-por-bajar-listas-de-espera_408381Related projects
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