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    Market map · AI and healthcare in Latin America

    Who is building healthcare AI agents in Latin America

    AI agents, copilots that draft or recommend for human review, and the platforms they depend on. Six categories, 62 names with a public source each, and a count of the vendors I could verify in every category.

    Roberto Echeverría Cárdenas · · Leer en español

    Healthcare AI advisor. Founder and CEO of Flow Results and co-founder of Cumbre Advisors with Esteban Morales.

    On October 1, Scalekit published a map of who is building AI agents for healthcare in the United States: about seventy companies in twelve layers. I found nothing like it for Latin America, so I built one.

    "Agent" covers a lot of ground. Here it means AI that does work inside a healthcare workflow, and every product is marked as one of three things: it acts in another system, it drafts or suggests and a person decides, or it is a platform the others depend on. Regulators, standards and government data networks are not on the map. They do not build agents. They set the terms, and they get their own section below.

    Three things stand out.

    • Products start in one workflow and spread. Telepatia leads with the visit note and also sells clinical decision support and note audits. Tivita's agents cover the front desk, prior authorization and the patient chart.
    • Distribution decides who wins. Whoever holds the relationship with the physician, the hospital or the payer decides what gets used: EHR vendors that advertise voice-to-note, e-prescribing networks, and WhatsApp, which belongs to Meta.
    • Buyers build and buy at the same time. Hapvida reports a scribe it developed in-house and is also named in the press as a Telepatia customer.

    The map has six categories and 62 names, each with a public source. 33 are from Brazil; Mexico has 6, Argentina 5, Chile 5, Colombia 4 and Costa Rica 3. Next to every workflow category is a count of the vendors I could verify (143 across the six, from the wider research set behind the directory) and how many have documented use: a public source names a customer or a deployment using the product, or a third party reports it in use. It is an editorial selection, not a census or a ranking.

    This map has a companion, the map of health startups in Latin America (in Spanish), published four days earlier. Some companies appear on both under different categories: the startup map classifies by type of business; the agents map, by the workflow where the product acts.

    The map on one page

    One-page map: who is building healthcare AI agents in Latin America. Six categories and a strip of buyers that also build, with 41 names. A row of dots shows how many vendors were verified in each category.
    Tap the map to open it at full size. The 41 names on the one-page version. Dots are category totals from the wider research set, not only the names pictured. In the four workflow rows, filled dots mean documented use of the product. Platform rows are not scored for AI use. Dashed border: a global company with a product in the region. Download the map (Spanish version).

    The six categories, in full

    Every name links to its row in the directory, with the source. Lighter borders mark tools built or co-developed by the buyer.

    Agents by workflow

    Clinical documentation

    AI scribes: they listen to the visit and draft the note.

    Clinical decision support

    Diagnosis, imaging reads and risk alerts.

    Patient access and navigation

    Scheduling, answering and follow-up, mostly over WhatsApp.

    Revenue cycle and prior authorization

    Prior authorization for care, plus claim preparation and review, for providers and payers.

    Platforms and infrastructure

    EHR platforms

    Systems of record that build, buy or integrate AI.

    Infrastructure

    E-prescribing, payer rails and messaging: what agents plug into.

    Born in the regionGlobal, with a product hereBuyer-built or co-developedVerified vendorWith documented use

    What the map shows

    One product, several workflows

    Telepatia is the clearest case. Its site leads with the visit note, saved into the hospital system once the physician approves it. It also sells alerts on interactions, doses and allergies, protocol-based decision support, and an auditor that reviews every note. Carecode, which sells an AI receptionist, also markets its own EHR and scheduling suite. Andreessen Horowitz, which led its Series A, describes it as an AI-native clinical platform. I list it under documentation, the product its site leads with, and tag the rest.

    A scribe on its own faces a bundling problem. No AI scribe on the map claims to work without the physician, and where the source says so, the physician reviews and signs. Meanwhile, 18 of the 34 EHR platforms I verified advertise turning the physician's voice into the note, from dictation to ambient listening. Those are vendor claims, not verified deployments, but they show what a standalone scribe is up against.

    A fragmented EHR market with its own incumbents

    In the US, the EHR giants set the floor: Epic, Oracle Health and athenahealth already sell their own agents. In the public sources I reviewed through October 9, 2026, I did not find a documented Epic deployment in Latin America. Microsoft's Dragon Copilot lists no country in the region.

    That is not a market without incumbents. Two of them are in motion: Tasy moved this year from Philips to Brazil's Bionexo, and MV launched its own agents in May (no hospital has confirmed them independently yet). For nearly every EHR platform on the map, what is known about its AI comes from the vendor.

    In decision support, six in ten vendors have documented use

    12 of the 20 vendors in clinical decision support have documented use (60%), about the same share as in patient access (19 of 31, 61%). Imaging leads. Eden, from Mexico, runs radiology in the cloud and drafts part of the report. Entelai, from Argentina, sells imaging AI used at hospitals such as FLENI in Buenos Aires. HarpiAI gives second reads on X-rays across a Brazilian city's public network. TeleDx screens retinal photos for diabetic retinopathy in Chile's public network. Beyond imaging: Munai alerts care teams to clinical deterioration, and NoHarm.ai, a nonprofit, screens hospital prescriptions for pharmacists. Afya's Whitebook answers clinical questions, but I found no source documenting use of its AI assistant.

    Documented use is not proven outcomes. A University of São Paulo doctoral thesis, observational and from a single hospital, found that after a sepsis alert system called Robô Laura was deployed, sepsis mortality fell from 31.4% to 21.6% in the first year, and returned to the earlier level over the next three. It also reported alert fatigue and pandemic-era changes in patient mix, so it does not establish what the software caused.

    Robô Laura is in the directory, not on the one-page map. For the 41 names on the map, I then searched for published studies. About ten have one with a described method. Nearly all measure accuracy, process or usage, and most have authors from the company itself or from the hospital that built the tool. The only patient-level result I found is a conference abstract from Munai: over 90 days and 109 alerts recommending a switch from parenteral to oral antimicrobials, mean length of stay was 7.32 days when the team accepted the alert and 9.41 when it stayed pending. There is no group without the tool (both received alerts), and the abstract describes no adjustment between them. Four of its six authors are from Munai Health.

    Only for TeleDx and NoHarm.ai did I find evaluations signed by third parties. TeleDx has two sets of numbers: the company's study, in the journal Eye, reports 94.6% sensitivity and 74.3% specificity across 1,123 exams, and a third-party study, in Revista Médica de Chile, found 100% and 55.4% in 371 patients at a public hospital, against a different reference standard. At a public teaching hospital in Belo Horizonte, a before-and-after study with no control group, signed by hospital and university staff, found that the share of prescriptions reviewed by pharmacists rose from 0.6% to 49% after NoHarm.ai was introduced, in a period when the hospital also enlarged its clinical pharmacy team. None establishes what effect the product had on patients.

    The money

    Menlo Ventures estimates USD 1.4 billion in US spending on healthcare-specific generative AI in 2025. I found no estimate for Latin America with a comparable scope and method: the two commercial reports I found (IMARC and MarketsandMarkets) measure different things, and one contradicts itself.

    Public financing announcements are a more concrete record. R$ means Brazilian reais; each amount is shown in the currency the source reports. These are selected announcements from August 2025 through September 2026 for companies on the map that were born in the region, USD 6 million and up, in the currency reported. The table is not a complete record of each company's financing, and it mixes stages, instruments and business models, so the rows do not add up to capital invested in agents.

    CompanyWhat it does (per the company)Financing and leadAnnounced
    Konko AI (Costa Rica; team in New York)Assistant that answers patients on WhatsApp and follows up until they bookUSD 6M (stage not disclosed), Hi VenturesSep 2026
    Telepatia (Colombia; based in São Paulo)Clinical AI for hospitals: documentation, decision support and note auditsUSD 33M (Series A), Andreessen HorowitzJun 2026
    Memed (Brazil)E-prescribing networkR$80M (stage not disclosed), DGF and BridgeOneMay 2026
    Mevo (Brazil)E-prescribing networkR$95M (Series B extension; includes an undisclosed secondary component), ProsusMar 2026
    Revena (Brazil)Agents that build the hospital claimR$40M (seed), CanaryJan 2026
    Rivio (Brazil)Agents that audit the hospital claimUSD 20M (two rounds disclosed together), Monashees led one and Valor Capital the otherDec 2025
    Leona Health (Mexico)Copilot on top of the physician's WhatsAppUSD 14M (seed), Andreessen HorowitzDec 2025
    Eden (Mexico)Cloud radiology with AI-assisted reportsUSD 22M (Series A), Sierra Ventures, Liquid 2 Ventures and Daniel Servitje (sources differ on who led)Oct 2025
    Arvo (Brazil)Claims audit for health plansR$106M (Series A), Kaszek and Base10Sep 2025
    Osigu (Guatemala; based in Miami)Platform connecting providers and payersUSD 10M (strategic investment, part of its Series B), Eos VenturesAug 2025
    Axenya (Brazil)Employer health with risk predictionUSD 12M (Series A), Canary and Indicator CapitalAug 2025

    Andreessen Horowitz is in at least three companies on the map: it led Telepatia's Series A and Leona Health's seed, and backed Carecode's USD 4.3 million pre-seed in December 2024 alongside QED. The directory also includes global vendors. Australia's Heidi Health, which has Spanish-language plans for Mexico, announced in September a USD 100 million Series C and a separate USD 240 million growth investment.

    Revenue cycle: mostly Brazil, mostly the payer's side

    My sample here is mostly Brazilian, and it covers two different moments: authorizing care before it happens, and auditing the claim afterward. On the payer's side, Arvo and Carefy review claims for Brazilian health plans, Orizon uses AI to decide which claims go to a human auditor (per a Databricks case study), and ADRES does it for the Colombian state. On the provider's side, Revena and Rivio build and audit the hospital's claim before it goes out, Rede Mater Dei deployed a surgical authorization agent with A3Data, and Tivita says its agent requests authorizations from health plans.

    One case to read closely is Maida.health. According to the company, in the first half of 2024 its rules engine answered 95.1% of nine million authorization requests for one plan on its own: it released just over 90% at once and rejected 4.8% as mistaken requests, and the rest went to a technical team. The source does not say whether those rejections were administrative or clinical, or what review they received. For current medical uses of AI, the medical council's 2026 resolution requires human oversight, and Brazil's 2013 Medical Act reserves medical audits for physicians. Neither establishes how those 2024 rejections were handled.

    What providers are fighting is the glosa, the payer's dispute of a claim. According to ANAHP's 2026 Observatory, its member hospitals in Brazil took about 77 days on average to collect in 2025, and payers initially disputed 15.9% of the amounts receivable. Initial disputes are not final losses. Those are Brazilian figures. I did not find the equivalent for Mexico or Colombia.

    WhatsApp is the front door, and Meta owns it

    Patient access is the most crowded workflow: 31 vendors. Several of them use WhatsApp as the patient interface. Leona Health put a copilot on top of the physician's own WhatsApp. Carecode and Konko say they serve patients there. They still have to integrate with scheduling, clinical and payment systems, so dependence on one channel is an added constraint, not a shortcut.

    Meta controls the channel's access rules, its pricing and now a competing product. Since January its terms bar AI providers whose main product is the assistant itself (Meta told TechCrunch this does not reach a business that uses AI to serve its own customers, and in Brazil the competition authority kept the change suspended). In June it launched its own business agent, which books appointments, the basic task of many products in this category. And since October 1, on the WhatsApp Business Platform, it charges again for service messages beyond the first thousand a month per business number.

    Colombia spelled this out in Resolution 1644: messaging apps such as WhatsApp do not meet the telemedicine-platform requirements. That provision addresses telemedicine platforms. It does not, by itself, settle the requirements for a separate scheduling workflow.

    Buyers also build

    The directory also includes hospitals, payers and governments deploying AI. Some report internal development, others co-development with a vendor. For a startup, the same institution can be a customer, a development partner or a competitor. Hapvida says it developed its voice system in-house and transcribed 604,383 visits with it between January and May 2026. Press coverage of Telepatia's round also names Hapvida as a Telepatia customer, and no public source says whether the two overlap. Rede Mater Dei built its agents with A3Data. Hospital Italiano de Buenos Aires and TecSalud run clinical assistants of their own.

    Governments do it too. El Salvador has Doctor SV, a government app that, according to the BBC, runs on Google Cloud AI (the government reports 1.1 million downloads; the BBC could not verify them). In Costa Rica, the public health system said in May that an AI bot flags cases on the surgical waiting list that no longer need surgery, with a person validating each one before it is removed.

    The rules arrived in 2026

    Regulators are not on the map, but this year several rules took effect or reached their deadlines, and one more takes effect on December 1.

    DateCountryRuleWhat it requires
    Apr 15ColombiaResolution 1888 of 2025Deadline, per the Health Ministry, to join the health record interoperability network and issue the digital care summary.
    Jul 31ColombiaResolution 1644AI supports clinical judgment and does not replace it. Messaging apps do not meet the telemedicine-platform requirements. Providers already authorized for telemedicine have twelve months to adapt.
    Aug 26BrazilCFM Resolution 2.454/2026Classifies medical AI by risk, requires logging its use in the record and telling the patient. Scheduling is low risk.
    Sep 10PeruSupreme Decree 115-2025-PCMHigh risk for AI that guides screening, diagnosis or prognosis. That day was the deadline on transparency and human oversight for private developers and deployers in health.
    Dec 1ChileLaw 21.719 on personal dataTakes effect. The government asked for a one-year delay; as of October 2, Congress had not approved it.

    What I did not find

    These are search results, not proof of an open market. A suite may have absorbed the function, or buyers may be using general-purpose software.

    • Agent infrastructure. This is Scalekit's own layer. I found no company in the region selling identity or permissions for healthcare agents. The closest is Prontuário Verde, an EHR from Porto Alegre that offers an MCP server (the standard connector between agents and systems). For now the permission comes from the physician: at Memed, the physician approves the signature from a phone and chooses how long the token lasts, from one to twelve hours.
    • Compliance vendors. There are rules now. I did not find a company selling compliance with them. On the US map, the governance layer lists companies. Here it would list only public agencies.
    • Coding and clinical trials. I found no company dedicated to medical coding with documented use. For AI patient recruitment I found one pilot and two proposals with no documented use.
    • Scribe evaluations that measure accuracy, time or outcomes. I found three published studies on AI scribes in Spanish, all from Spain. The largest was written by employees of the health system that deployed it. I found none from Latin America that measures those things. What does exist is two documents that count usage and one trial in progress. An experience report on Voa Health, published in 2025 in the Journal of Medical Artificial Intelligence, describes five months of use (2,006 registered users) and satisfaction surveys. Three of its nine authors list a Voa affiliation (two are co-founders, one a partner), and it does not measure documentation time or outcomes. A Telepatia preprint, dated May 24, 2026 and not peer reviewed, counts 52 institutions and 3,123 physicians, and states that it does not evaluate clinical effectiveness. And the SOAR randomized trial compares visits with and without Voa's scribe at the Federal University of Paraná's Hospital de Clínicas: it plans 300 visits, is still recruiting and has posted no results.

    Five questions before buying an agent

    1. Does it act or draft? From public product descriptions, the directory labels 12 entries as taking action in another system and 36 as assistive. Those are labels for the main workflow, not verified deployments, and some companies do both.
    2. Which system does it write to? Ask for the name of the EHR and of a customer using it that way. A logo is not a customer.
    3. Who owns the patient relationship? The phone number, the messaging account and the data. Ask whether you can export the data and change vendors.
    4. Who signs the contract, and which budget pays? Ask for pricing, implementation cost and renewal data.
    5. Who signed the study, and how long did it run? Almost all the evidence I found comes from the companies themselves.

    The directory

    All 62 entries, each with a sentence quoted from its source in the original language, mostly Portuguese or Spanish. The summary above each quote is my English rendering. "Documented use" means a public source names a customer or a deployment using the product, or a third party reports it in use. That source can be the company's own website. It does not mean independent validation or clinical effectiveness. "No documented use" means I found no such source. In infrastructure entries, the label describes use of the platform, which may have no AI.

    62 entries

    How it was made and what it is not

    This is an editorial market map based on public sources reviewed through October 9, 2026. It is not a census or a ranking. AI tools assisted discovery, source checking and relevance screening. I made the final decisions on inclusion and classification, and the errors are mine.

    • Procedure. A first pass produced 260 candidate records under one rule: nothing gets in without a page anyone can open. A second pass, run separately, reopened every source: it removed 15 records and corrected 183. After duplicates and announced-only agents were set aside, 210 remained. Established platforms stay even when their AI is only announced, and the directory marks them that way. Regulators and public networks then came out, and a relevance screen, a review by a second AI system and comments from early readers cut the list to the 62 shown.
    • Counts. The dots count vendors in the wider research set, 143 in all, not only the 62 entries in the directory. Another 21 projects run by hospitals, payers and governments are counted separately. Documented use means a public source names a customer or a deployment using the specific product, or a third party reports it in use: a launch announcement or a platform's existing customer base does not qualify. The counts describe what I could verify, not market size or the total number of competitors. 33 of the 62 entries are Brazilian, which describes my sample as much as the market.
    • What gets in. Companies born or based in the region whose product does work in a healthcare workflow, the platforms those products depend on, and in-house builds by hospitals, payers and governments. Global companies get in only when there is a source for their product in the region (4 did). The 58 regional entries come from 8 countries.
    • Figures. Customer counts, volumes and results are company statements and are attributed as such. So are regulatory clearances. Where sources disagree, the entry says so.
    • Country. Each company is listed under the country where it was born or, when that is not on record, where it launched. The entry gives the headquarters when it differs.

    This map is not a recommendation to buy or to invest. No company paid to appear or saw its entry before publication. If a company is missing, or a fact is wrong, email me with the source. Corrections are free of charge.

    Disclosure. I am an advisor to Konko AI, and a client of my agency, Flow Results, appears on Konko's website as a Konko customer. I co-founded Costa Rica's medical marketing congress together with Huli and have spoken at Huli events.

    Update, October 12, 2026. A reader asked whether the 41 names on the one-page map have published outcome studies. I searched again, name by name, and corrected three things. The item on scribe evaluations said I had found none from Latin America: a Voa Health report and a Telepatia preprint exist, and both count usage. I added what has been published on Munai, TeleDx and NoHarm.ai. And Afya Whitebook moved to "no documented use", because its source names no customer, date or usage figure for its AI: decision support now stands at 12 of 20 vendors with documented use, not 13. I also re-checked the source cited in every documented-use entry on the one-page map and replaced it in ten, with one that names a customer or reports the use: Munai, Sofya, Voa Health, NoHarm.ai, Rivio, Tivita, Huli, imed, Memed and Osigu. And I settled on a single definition of documented use, which had appeared in two wordings.

    The next revision is due in January.