Case Studies

Powering Secure Healthcare Payment Delegations Across the Regional Digital Ecosystem

11 May 2025 No comments yet
Powering Secure Healthcare Payment Delegations Across the Regional Digital Ecosystem

Organization

A central regional authority responsible for procurement and public health services across a Southern European healthcare network. In its expanded mandate, the authority also assumed the role of Central Payment Authority (CUP), managing over €100 million per month in digital payment delegations on behalf of hospitals, health units, and administrative bodies.

The organization acts under strict regulatory oversight and interoperates directly with the Central Bank of Europe, ensuring that all healthcare-related financial flows are authorized, signed, and transmitted through certified national infrastructures.

The Challenge

With the mandatory adoption of the national SIOPE+ system—managed by the Central Bank of Europe—regional public entities were required to:

  1. Digitally prepare and transmit all payment orders (OPI flows) through certified channels.
  2. Manage delegations of payment with full traceability and compliance to legal and financial regulations.
  3. Ensure tight integration with the centralized financial system (SIOPE+), SAP, and digital signature infrastructure.
  4. Handle a high transaction volume, including document signing, archival, and reconciliation, all within strict timeframes.
  5. Support over 100 million euros of payment delegations each month, with no room for delays or errors.
  6. Ensure strict compliance with legal standards, including digital preservation, XAdES signature, and data traceability.

The existing systems lacked full interoperability, required manual certified email (PEC ) processing, and failed to offer real-time visibility on the payment lifecycle. Additionally, the regional agency needed to assume the role of a Central Payment Authority, acting on behalf of dozens of public healthcare entities across the territory.

The challenge was not only technical but also operational, as the existing fragmented systems lacked real-time interoperability and automation.

The Solution

The regional authority deployed the Coopera BOAT platform as an enterprise-grade, mission-critical solution to digitize and orchestrate the full lifecycle of financial delegations and payments.

Key features included:

  1. A dedicated SIOPE+ Payment Management Module, supporting both direct and delegated payments across all healthcare entities executed by the Central Payment Authority.
  2. Certified integration with the Central Bank of Europe’s infrastructure enabling secure OPI flow generation and transmission via the SIOPE+ protocol.
  3. A connectivity to the regional SAP accounting system and HSM/XAdES infrastructure for secure digital signing of mandates.
  4. An intelligent certified emails (PEC) processing engine to automate receipt, validation, and storage of digitally signed delegations.
  5. Role-based dashboards for Central Payment Authority operators, healthcare approvers, and financial controllers with real-time visibility and SLA tracking.
  6. Microservices-based architecture, ensuring high availability, asynchronous processing, and cross-entity orchestration.
  7. Full compliance with national law and EU eIDAS, including long-term preservation (PDF/A) and audit readiness for all processed payment records.

Coopera Modules Involved

Coopera powered the full digitalization of healthcare-related payment delegations and active invoicing through a certified, high-availability platform integrated with SAP, SDI, PEC, and the Central Bank infrastructure.

Benefits & Results

Coopera enabled the Regional Payment Authority to manage over €100 million in monthly healthcare payments across dozens of entities, fully digitalizing financial delegation flows. The platform ensured secure signing, asynchronous processing, automated certified email and SDI exchange, and centralized observability—while meeting all compliance and legal preservation standards.

Results achieved:

  1. 100% of mandated payment operations by regional health entities are now digitally managed and traceable end-to-end.
  2. The Coopera platform now manages over 100 million euros per month in digital payment delegations, with seamless transmission to the Central Bank of Europe via SIOPE+.
  3. All public health entities in the region now operate within a standardized delegation model, drastically reducing administrative effort and legal risk.
  4. Over 15,000 payment flows are processed monthly, with full traceability and digitally signed records.
  5. Processing times have been reduced by over 70%, even as transaction volumes increased.
  6. The Central Payment Authority has achieved automated handling of PEC and signature workflows, enabling real-time status tracking and reducing manual intervention.
  7. All digital documents are archived in compliance with national law and EU eIDAS regulations, including long-term archiving (PDF/A) and audit readiness.
  8. The regional Central Payment Authority now operates at enterprise-grade scale, with zero downtime and full observability across all payment and signature activities.

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