Care in your language
Your case is managed in English, from the first message to the final medical report. No lost-in-translation medicine.
Physician-led medical care · Costa Rica
One point of contact for private medical care in Costa Rica.
When someone needs care in Costa Rica, Relevium is the single physician-led team that handles the whole case — for international insurers and their members, and for private patients. From the first call to the trip home.
24/7Emergency physician response
<6hSpecialist evaluation
33Specialties coordinated
14Years as an EM specialist
How it works
What happens when you contact us
From the first message to your safe trip home — one specialist leads, everything is coordinated.
You reach out
You message us on WhatsApp — or your insurance company's assistance center contacts us directly.
Immediate specialist assessment
An Emergency Medicine specialist evaluates your case right away and decides the appropriate level of care. No waiting rooms, no guesswork.
We coordinate with your insurer
We work directly with your insurance company — authorization, guarantee of payment and case updates — so treatment starts without delays or surprise bills.
Expert in-hospital care
Hospitalization, procedures or outpatient management at leading private hospitals, with any of 33 specialties evaluating you in under 6 hours.
Your insurer stays informed
Clear medical reports in English go to your case manager throughout — your family and your insurer always know how you're doing.
Discharge & getting home
Discharge recommendations, fit-to-fly assessment and repatriation coordination — until you're safely home.
You reach out
You message us on WhatsApp — or your insurance company's assistance center contacts us directly.
Why Relevium
Why international patients choose Relevium
We deal with your insurance
Direct coordination with international insurers and assistance companies — authorizations, updates and billing handled for you.
A specialist from minute one
Every case starts with an Emergency Medicine specialist — rapid assessment and the right clinical decisions from the very beginning.
33 specialties, one call
Direct access to a complete network of medical and surgical specialists, with evaluations in under 6 hours.
International standards & technology
Care according to current international guidelines, with access to advanced diagnostics — POCUS, CT and MRI.
Medical transport, coordinated
Ground and air medical transport across Costa Rica, coordinated through our network of trusted providers.
Global reach
Wherever your people are, we bring them to care in Costa Rica.
Patients arrive from the U.S., Europe and across the Americas. Relevium is the single point of contact that receives them, coordinates every specialist and stays with the case — ready for any emergency, 24/7.
Where we treat
The hospitals and offices behind your care
Emergency care and hospitalization at Costa Rica's leading private hospitals — plus outpatient offices for scheduled visits.
Emergencies & hospitalization
Emergency care & hospitalizationHospital Clínica Bíblica
San José
Emergency care & hospitalizationHospital Clínica Bíblica
Aleste
Emergency care & hospitalizationHospital Internacional La Católica
GuadalupeFor a scheduled visit — outpatient offices
Outpatient consultationOutpatient consultation
Hospital Clínica Bíblica, Aleste
Office 509 · San JoséTorre Médica Guadalupe (HILC)
Office 411 · GuadalupeWe also coordinate with additional private facilities according to each case and each insurer.
What we handle · services
From the first call to final resolution
For patients and their insurers — one team coordinates every stage.
- Immediate assessment by an Emergency Medicine specialist
- Emergency coordination and stabilization
- Hospital admission coordination
- 24/7 availability, nationwide
- In-hospital medical management
- Specialist evaluations in under 6 hours
- Multidisciplinary coordination — 33 specialties
- Continuous follow-up until discharge
- Ground medical transport
- Air medical transport
- Coordinated through trusted provider alliances
- Fit-to-fly assessments
- Medical reports in English and Spanish
- Pre-authorization support and medical estimates
- CPT-coded, consolidated billing
- Case management focused on your insurer's process
Multidisciplinary network
33 specialties. One call.
18 medical and 15 surgical specialties, coordinated at Costa Rica's leading private hospitals — with specialist evaluation in under 6 hours.
Medical specialties · 18
Emergency Medicine
Internal Medicine
Intensive & Critical Care
Infectious Diseases
Pediatrics
Gynecology
Geriatrics
Neurology
Pneumology
Cardiology
Interventional Cardiology
Gastroenterology
Nephrology
Hematology
Rheumatology
Medical Oncology
Pain & Palliative Care
DermatologySurgical specialties · 15
Neurosurgery
Spine Surgery
Otolaryngology (ENT)
General Surgery
Pediatric Surgery
Thoracic Surgery
Cardiac Surgery
Peripheral Vascular Surgery
Surgical Oncology
Percutaneous Surgery
Urology
Hepatobiliary Surgery
Orthopedic Surgery + subspecialties
Plastic & Reconstructive Surgery
OphthalmologySee all 33 specialties
We also coordinate with additional private facilities according to each case and each insurer.
For insurers & assistance companies
One trusted point of contact in Costa Rica
Relevium gives international insurers and assistance companies a single physician-led partner for their insured patients in Costa Rica — expert care, clear communication and billing your systems understand.
Partner with Releviummedicine@releviumadvancecr.com
1 lead doctor
One doctor owns the whole case
The same emergency specialist leads it from arrival to discharge — consistent decisions, no duplicated tests, patients home sooner.
GOP · 24/7
Paperwork moving from minute one
We open your guarantee-of-payment and pre-authorization right away, 24/7 — so treatment and approval move together, not one after the other.
Reports · EN
Clear reports in English
Full medical updates in English at every step — admission, progress, discharge and fit-to-fly — sent straight to your team.
One invoice
One clean, coded bill
Every cost mapped to standard CPT codes in a single invoice — not a stack of separate provider bills to reconcile.
Air · Ground
Safely back home
We confirm the patient is fit to fly and coordinate the medical escort and transport — ground or air — the whole way.
Medical reporting
See the report your insurer receives
Every Relevium case is documented in a structured medical report — diagnosis, treatment, discharge recommendations and fit-to-fly assessment — written in English for your insurance company and your doctors back home. Here's what the format looks like (sample, no patient data):
Download sample report (PDF)This is an illustrative sample — download it to see the full format. Your actual report stays confidential: sent only to you and your insurer, never published.
Sample · no patient data
ReleviumMedical Management
Final medical report
Primary admission diagnoses
Penetrating knee trauma with a contaminated wound. Infected suprapatellar bursitis, polymicrobial soft-tissue infection and partial patellar-tendon rupture.
Surgical management
Orthopedic irrigation and debridement, suprapatellar bursectomy and foreign-body removal, with tissue cultures guiding targeted antibiotic therapy.
Clinical evolution
Day-by-day record of the 8-day admission: IV antibiotics, Infectious Diseases consultation, culture-guided escalation, and a midline catheter placed for outpatient IV therapy.
Discharge & recommendations
Full discharge medication list, orthopedic protocol — immobilizer, weight-bearing, suture removal, follow-up — and wound care for the return home.
Fit-to-Fly assessment (IATA)Cleared · special assistance
Cleared to fly under strict medical recommendations and special-assistance measures: direct hospital-to-airport transfer, wheelchair assistance, and seating allowing full extension of the affected leg.
- Written in English
- Fit-to-Fly included
- CPT-coded billing
The paperwork is part of the care
An emergency generates more than treatment — it generates documents your insurer, your pharmacy and your doctors back home depend on. Every Relevium case is backed by the full set:
Final medical report
Diagnosis, treatment and Fit-to-Fly — insurer-grade, in English. Shown above.
Pre-surgical evaluation
Risk scales and medical clearance, before any procedure.
Consultation note
History, findings and plan — every visit on the record.
Medical prescription
Structured prescriptions any pharmacy can act on.
Discharge summary
What happened and what's next, for your doctors back home.
All documents carry the Relevium format. None are published — your file is shared only with you and your insurer.
Appointments
Book an outpatient consultation
Pick an available day and send your request by WhatsApp — we'll confirm your exact time. Anything urgent goes to our 24/7 line instead.
Questions
Frequently asked questions
In most cases, yes. We work directly with international insurers and assistance companies: we handle pre-authorization, the guarantee of payment and all case reporting with them. Message us with your insurer's name and we'll take it from there.
When every minute matters, Relevium delivers.
Expert medical leadership and seamless coordination for international patients throughout Costa Rica — 24 hours a day.
Messages only — answered 24/7