Introduction: Asynchronous Teledermatology (ATD) is a valuable tool that provides remote dermatological care and helps improve access and timeliness of specialized medical care. Through ATD, dermatologists can remotely review patients' images and medical history, making diagnostic and therapeutic suggestions. Objective: To assess the level of agreement between the diagnosis given by the general practitioner in primary care and the diagnosis given by a dermatologist using the ATD platform, globally and by diagnostic group. To evaluate how many of the patients that through the platform could continue their treatment and controls in primary care. Materials and methods: 12,459 teleconsultations uploaded to the Ministry of Health's (MINSAL) electronic platform of ATD from January 2011 to September 2017, from the health services of Valparaiso-San Antonio, Metropolitano Oriente, Metropolitano Occidente and Valdivia. Results: The level of global diagnostic agreement was 65.3%. However, when analyzing the agreement of the diagnoses that presented a prevalence greater than 1% of the sample, this concordance rises to 72.4%. Finally, 64% of the teleconsultations continued the treatment in the context of primary care, while 30.1% were referred to face to face dermatological care. Discussion: This study shows a moderate to high level of agreement between the doctor in the primary care and the dermatologist remotely. In this context, ATD helps to ratify the diagnosis of the general practitioner in 65 to 72% of the cases, but also helps to correct diagnoses in 38 to 45% of cases. In addition, it allows for more than 60% of the patients to continue their treatment and follow up in the primary care, thus, avoiding unnecessary referral to the secondary care.