SAT Health Ministry Colombia: irregular EPS transfers and rights violations
## SAT Minsalud: what it is and why it matters
The **Transactional Affiliation System (SAT)** of the **Ministry of Health and Social Protection of Colombia** is the official digital platform for **health affiliation, updates, and EPS transfers** through the **Mi Seguridad Social** portal.
Although designed to **streamline processes** and ensure continuity, it is now widely reported as a **source of rights violations**. Citizens across Colombia have faced **irregular EPS transfers** in SAT **without their consent**, amounting to **identity theft and digital fraud**.
## Illustrative case in Medellín: irregular transfer in SAT
In Medellín, a member of **EPS Sura** and his **90-year-old dependent** were **irregularly transferred to EPS Salud Total** via SAT.
The system falsely recorded that the user himself requested the transfer, which never happened. This situation involved:
- **Identity theft.**
- **Unauthorized use of sensitive personal data.**
- **Violation of privacy and digital security.**
- **Falsification of official electronic records.**
The case was reported to the **Prosecutor’s Office, the National Superintendency of Health, and the Office of the Inspector General (Procuraduría)**. However, to date, no effective action has been taken, leaving the users unprotected.
### Rights violated in this case
- **Personal data protection** (Law 1581 of 2012).
- **Right to health and life**, due to the risk of interrupted treatments.
- **Right to due process**, with an administrative act carried out without consent.
- **Right to privacy and human dignity.**
- **Right to social security.**
This example shows how **SAT has become a platform that violates citizens’ rights** due to weak security and oversight.

## Legal framework regulating SAT
- **Decree 2353 of 2015:** Creates SAT as a single affiliation system.
- **Decree 780 of 2016 (DUR Health):** Establishes continuity and transfer rules.
- **Resolution 768 of 2018:** Defines SAT’s operational conditions.
- **Resolution 1128 of 2020:** Prohibits irregular transfers and reinforces data protection.
Despite this legal framework, **irregular transfers and identity fraud cases** remain a serious problem.
## SAT and data protection risks
The Ministry of Health claims its systems are certified under **ISO 27001**. In practice, however, multiple citizens have reported:
- **Non-consensual transfers** carried out through SAT.
- Lack of transparency on how these transfers occur.
- Exposure of personal data to **cybercrime and fraud risks**.
Instead of protecting users, SAT has turned into a **risk for privacy and health rights**.
## Who can reverse an irregular transfer in SAT?
It is essential to clarify:
- **EPS cannot reverse transfers.**
- The **only entity authorized to reverse an irregular transfer is the Ministry of Health through SAT**.
- To proceed, the Ministry requires the user to **submit a copy of the criminal complaint filed with the Prosecutor’s Office** for crimes such as **identity theft, computer fraud, and misuse of personal data**.
This means victims must take both **administrative and criminal action** for a transfer to be reversed.
## Legal and administrative actions in case of irregular transfer
### 1. Verify and collect evidence
- Check your affiliation status on **Mi Seguridad Social**.
- Save **screenshots and official certificates**.
### 2. Notify your EPS
- Inform both the origin and destination EPS.
- EPS cannot reverse transfers but must ensure **continuity of services** while the case is resolved.
### 3. File a criminal complaint
- Report to the **Prosecutor’s Office** for **identity theft, computer fraud, and data misuse**.
- Attach a copy of the complaint to the Ministry of Health request.
### 4. Request reversal from the Ministry of Health – SAT
- File a **PQRD** (petition, complaint, or request) with the Ministry of Health.
- Attach the criminal complaint and request reversal of the irregular transfer.
### 5. File a complaint with the Inspector General’s Office
- Submit a **disciplinary complaint** against public officials who may have been negligent or complicit.
- The **Procuraduría** can investigate and sanction public servants for **negligence, abuse of authority, or corruption**.
### 6. Complaint before the Superintendency of Health
- File a formal complaint so the **Supersalud** oversees the Ministry’s handling of the case.
### 7. Constitutional protection (tutela)
- If your health or life is at imminent risk, file a **tutela action** so a judge orders immediate reversal and continuity of treatment.

## Frequently asked questions (FAQ)
**1. What is SAT in Colombia?**
It is the official platform for health affiliation and EPS transfers.
**2. What risks exist in SAT?**
Irregular EPS transfers, identity theft, and misuse of personal data.
**3. Who can reverse an irregular transfer?**
Only the **Ministry of Health**, and only after a **criminal complaint** is filed.
**4. What rights are violated in an irregular transfer?**
Health, life, privacy, personal data, due process, human dignity, and social security.
**5. What should a victim do?**
- Gather evidence.
- Notify EPS.
- File a criminal complaint.
- Request reversal from the Ministry.
- File complaints with Supersalud and Procuraduría.
- File tutela if urgent.
**6. Can EPS reverse transfers?**
No, EPS have no legal authority. Only the Ministry of Health through SAT can reverse them.
## Conclusion
The **SAT platform**, intended to improve efficiency, has become a **system that violates fundamental rights**. Cases like the one in Medellín show that without strong oversight, citizens face serious risks to their health, dignity, and security.
*Consult with an expert lawyer in SAT, health, and data protection to guarantee your rights against irregular transfers and identity theft.*