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+\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1024\langfe1024\cgrid\noproof\langnp1033\langfenp1033 {\f1\fs20\insrsid7562310\charrsid13056714 \r
+\par }\trowd \irow0\irowband0\ts11\trleft-113\trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \r
+\cltxlrtb\clftsWidth3\clwWidth8951\clshdrawnil \cellx8838\pard \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 Caso de uso: }{\r
+\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 Recibir y Cotejar Consumos y Prestaciones\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\r
+\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 \trowd \irow0\irowband0\ts11\trleft-113\trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \r
+\clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8951\clshdrawnil \cellx8838\row }\trowd \irow1\irowband1\ts11\trleft-113\trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\r
+\brdrnone \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8951\clshdrawnil \cellx8838\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\r
+\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 \r
+\par }\pard \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\b\f1\fs20\insrsid7562310\charrsid13056714 Actores: }{\f1\fs20\insrsid7562310\charrsid13056714 Prestador, Pagos.\cell }\pard \r
+\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid7562310\charrsid13056714 \trowd \irow1\irowband1\ts11\trleft-113\trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \r
+\clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8951\clshdrawnil \cellx8838\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\r
+\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 \r
+\par }\pard \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 Precondiciones: }{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 Existe alg\'fa\r
+n tipo de comunicaci\'f3n entre el Prestador y el Sistema, que permita al Prestador enviar informaci\'f3n hacia \'e9ste \'faltimo; as\'ed como entre el Sistema y Pagos.\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \r
+{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 \trowd \irow2\irowband2\ts11\trleft-113\trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\r
+\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8951\clshdrawnil \cellx8838\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 \r
+\par }{\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 Poscondiciones: }{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 \r
+\par Historia cl\'ednica de los afiliados afectados actualizada.\r
+\par \'c1rea de Pagos notificada acerca de las aprobaciones/rechazos de la info enviada por el prestador acerca de prestaciones realizadas.\r
+\par \'c1rea de Pagos dispone de los reportes de consumo de los afiliados.\r
+\par }\pard \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\r
+\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 \trowd \irow3\irowband3\ts11\trleft-113\trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\r
+\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8951\clshdrawnil \cellx8838\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 \r
+\par }{\b\f1\fs20\insrsid7562310\charrsid13056714 Flujo Principal:\r
+\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid7562310\charrsid13056714 \hich\af1\dbch\af0\loch\f1 1\tab}}\pard\plain \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls2\pnrnot0\r
+\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls2\rin0\lin720 \fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\f1\fs20\insrsid7562310\charrsid13056714 El Prestador env\'eda }{\b\f1\fs20\insrsid7562310\charrsid13056714 informaci\'f3\r
+n de prestaciones e intervenciones}{\f1\fs20\insrsid7562310\charrsid13056714 de los afiliados.\r
+\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid7562310\charrsid13056714 \hich\af1\dbch\af0\loch\f1 2\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls2\pnrnot0\r
+\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls2\rin0\lin720\pararsid7757395 {\f1\fs20\insrsid7562310\charrsid13056714 El Sistema valida cada l}{\f1\fs20\insrsid7757395\charrsid13056714 \'ednea de la informaci\'f3n recibida. Validaciones\r
+ sobre la info recibida:\r
+\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid13056714 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \s15\ql \fi-360\li829\ri0\nowidctlpar\intbl\jclisttab\tx829\faauto\ls3\rin0\lin829\pararsid7757395 {\r
+\f1\fs20\insrsid13056714 La}{\f1\fs20\insrsid7757395\charrsid13056714 autorizaci\'f3n existe en el Sistema.\r
+\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid13056714 \hich\af1\dbch\af0\loch\f1 -\tab}}{\f1\fs20\insrsid13056714 La}{\f1\fs20\insrsid7757395\charrsid13056714 autorizaci\'f3n }{\f1\fs20\insrsid13056714 est\r
+\'e1}{\f1\fs20\insrsid7757395\charrsid13056714 relacionada con la prestaci\'f3n descripta por el Prestador.\r
+\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid7757395\charrsid13056714 \hich\af1\dbch\af0\loch\f1 -\tab}La autorizaci\'f3n deber ser una que est\'e9 aprobada.\r
+\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid7757395\charrsid13056714 \hich\af1\dbch\af0\loch\f1 -\tab}Porcentaje de cobertura }{\f1\fs20\insrsid13056714 debe ser igual al}{\r
+\f1\fs20\insrsid7757395\charrsid13056714 que se aplicaba al momento de la aprobaci\'f3n de la autorizaci\'f3n\r
+\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid13056714 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \s15\ql \fi-360\li829\ri0\nowidctlpar\intbl\jclisttab\tx829\faauto\ls3\rin0\lin829\pararsid11668463 {\r
+\f1\fs20\insrsid13056714 Prestador debe ser el mismo que}{\f1\fs20\insrsid7757395\charrsid13056714 }{\f1\fs20\insrsid13056714 e}{\f1\fs20\insrsid7757395\charrsid13056714 l relacionado con la autorizaci\'f3n en el Sistema}{\f1\fs20\insrsid7562310 \r
+\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid13056714 \hich\af1\dbch\af0\loch\f1 -\tab}}{\f1\fs20\insrsid13056714 El afiliado debe estar relacionado con la autorizaci\'f3n recibida.}{\r
+\f1\fs20\insrsid13056714\charrsid13056714 \r
+\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid11668463\charrsid13056714 \hich\af1\dbch\af0\loch\f1 3\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls2\pnrnot0\r
+\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls2\rin0\lin720 {\f1\fs20\insrsid11668463\charrsid13056714 Si la l\'ednea pasa la validaci\'f3n, se registra en el sistema la prestaci\'f3\r
+n realizada por el afiliado. Sino, se la marca como linea rechazada.\r
+\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid7562310\charrsid13056714 \hich\af1\dbch\af0\loch\f1 4\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls2\pnrnot0\r
+\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls2\rin0\lin720\pararsid2299470 {\f1\fs20\insrsid7562310\charrsid13056714 El Sistema, en base a estos datos y el resultado de la validaci\'f3n, construye un }{\b\f1\fs20\insrsid7562310\charrsid13056714 \r
+informe de aprobaciones/rechazos de prestaciones}{\f1\fs20\insrsid7562310\charrsid13056714 }{\b\f1\fs20\insrsid7562310\charrsid13056714 realizadas}{\f1\fs20\insrsid7562310\charrsid13056714 y lo env\'eda a Pagos}{\f1\fs20\insrsid2299470 \r
+\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid2299470 \hich\af1\dbch\af0\loch\f1 5\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls2\pnrnot0\r
+\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls2\rin0\lin720\pararsid2299470 {\f1\fs20\insrsid2299470 El Sistema }{\f1\fs20\insrsid2299470\charrsid14763021 genera un }{\b\f1\fs20\insrsid2299470\charrsid14763021 reporte de consumo de los afiliados}{\r
+\f1\fs20\insrsid2299470 , bas\'e1ndose en la informaci\'f3n recibida del prestador e informaci\'f3n disponible en el propio Sistema y lo env\'eda a Pagos}{\f1\fs20\insrsid2299470\charrsid13056714 \r
+\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid7562310\charrsid13056714 \hich\af1\dbch\af0\loch\f1 6\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls2\pnrnot0\r
+\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls2\rin0\lin720 {\f1\fs20\insrsid7562310\charrsid13056714 Finaliza caso de uso.\r
+\par }\pard \s15\ql \li289\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin289 {\f1\fs20\insrsid7562310\charrsid13056714 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \r
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+\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8951\clshdrawnil \cellx8838\row }\pard \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\b\f1\fs20\insrsid7562310\charrsid13056714 \r
+Flujos Alternativos: }{\f1\fs20\insrsid7562310\charrsid13056714 No hay.}{\f1\fs20\insrsid7562310 \r
+\par }{\f1\fs20\insrsid2299470\charrsid13056714 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\insrsid7562310\charrsid13056714 \trowd \irow5\irowband5\r
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+\cellx8838\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid2299470 {\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 Flujos de Excepci\'f3n: }{\r
+\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 No hay.}{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310 \r
+\par }{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid13056714 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 \r
+\trowd \irow6\irowband6\ts11\trleft-113\trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \r
+\cltxlrtb\clftsWidth3\clwWidth8951\clshdrawnil \cellx8838\row }\pard \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 Notas: }{\r
+\cs68\f1\fs20\lang11274\noproof0\langnp11274\insrsid7562310\charrsid13056714 \~\~\~ - La comunicaci\'f3n Prestador-Sistema podr\'eda ser \'93sincr\'f3nica\'94 (el prestador accede al Sistema y carga la informaci\'f3n) \'f3 bien \'93asincr\'f3nica\'94\r
+ (el Prestador env\'eda un mail, deja un archivo en un FTP, etc y luego el sistema lo procesa con alg\'fan m\'e9todo scheduleado.)}{\f1\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 \cell }\pard \r
+\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 \trowd \irow7\irowband7\lastrow \r
+\ts11\trleft-113\trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8951\clshdrawnil \r
+\cellx8838\row }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 \r
+\par }{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 Especificaci\'f3n de Datos:\r
+\par }{\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 \r
+\par }{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 1) }{\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 Informaci\'f3n de prestaciones e intervenciones}{\r
+\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 \r
+\par }\pard \ql \li708\ri0\nowidctlpar\faauto\rin0\lin708\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 a) Identificaci\'f3}{\fs20\lang1024\langfe1024\langnp11274\insrsid13056714 n de Prestador (n\'famero de CUIT)}{\r
+\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 \r
+\par b) C\'f3digo de autorizaci\'f3n relacionada a la prestaci\'f3n/intervenci\'f3n. \r
+\par c) C\'f3digo de prestaci\'f3n/intervenci\'f3n (\'93Pr\'e1ctica\'94, en el nomenclador)\r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 \tab c) Fecha de Realizaci\'f3n de la prestaci\'f3n/intervenci\'f3n \r
+\par \tab d) Porcentaje de cobertura a cubrir por la Obra Social.\r
+\par \tab e) N\'famero de afiliado. \r
+\par \r
+\par 2) }{\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 Informe de aprobaciones/rechazos de prestaciones}{\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid13056714 realizadas}{\r
+\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 \r
+\par \tab a) Identificaci\'f3n del Prestador\r
+\par \tab b) Nombre del Prestador\r
+\par }\pard \ql \li708\ri0\nowidctlpar\faauto\rin0\lin708\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 c) C\'f3digo de autorizaci\'f3n relacionada a la prestaci\'f3n/intervenci\'f3n, enviada por el Prestador.\r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 \tab d) C\'f3digo de prestaci\'f3n/intervenci\'f3n (\'93Pr\'e1ctica\'94, en el nomenclador)\r
+\par \tab e) Identificador de l\'ednea Aprobada/Rechazada\r
+\par \tab f) C\'f3digo de afiliado\r
+\par \tab g) % cobertura reclamado por el prestador\r
+\par }\pard \ql \li708\ri0\nowidctlpar\faauto\rin0\lin708\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 h) % cobertura correspondiente al momento de aprobar la autorizaci\'f3n (si la autorizaci\'f3n existe en el sistema)\r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 \tab i) Fecha de aprobaci\'f3n de la autorizaci\'f3n (si la autorizaci\'f3n existe en el Sistema)\r
+\par }\pard \ql \fi708\li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 j) Fecha de vencimiento de la autorizaci\'f3n (si la autorizaci\'f3n existe en el Sistema)\r
+\par }\pard \ql \li708\ri0\nowidctlpar\faauto\rin0\lin708\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 k) Motivo del rechazo de la l\'ednea (ej: \'93Autorizaci\'f3n recibida inexistente\'94, \'93Autorizaci\'f3n Vencida\'94, \'93\r
+% cobertura recibido inv\'e1lido\'94, etc)\r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 \tab }{\fs20\lang1024\langfe1024\langnp11274\insrsid2299470 \r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid2299470 {\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid7562310 Reporte de consumo de los afiliados}{\b\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid7562310 \r
\r
-\par }{\b\f37\fs20\noproof0\insrsid4072389 Precondiciones: }{\f37\fs20\noproof0\insrsid1194460 Existe alg\'fan tipo de comunicaci\'f3n entre }{\f37\fs20\noproof0\insrsid331756 el}{\f37\fs20\noproof0\insrsid1194460 }{\f37\fs20\noproof0\insrsid331756 Prestador\r
- y el Sistema, que permita a}{\f37\fs20\noproof0\insrsid1194460 l }{\f37\fs20\noproof0\insrsid331756 Prestador}{\f37\fs20\noproof0\insrsid1194460 enviar informaci\'f3n hacia \'e9ste \'faltimo.}{\f1\fs20\insrsid4072389\charrsid1194460 \cell }\pard \r
-\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \trowd \irow2\irowband2\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \r
-\trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \r
-\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f37\noproof0\insrsid4072389 \r
-\par }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid9206653 {\b\f37\fs20\noproof0\insrsid1275109 Poscondiciones}{\b\f37\fs20\noproof0\insrsid4072389 : }{\b\f37\fs20\noproof0\insrsid9206653 \r
-\par }{\f1\fs20\insrsid9206653 Historia cl\'ednica de los a}{\f1\fs20\insrsid5514698 filiados afectados actualizada.}{\f1\fs20\insrsid9206653 \r
-\par \'c1rea de Pagos notificada acerca de las aprobaciones/rechazos de prestaciones.\r
-\par \'c1rea de Pagos dispone de los reportes de consumo.\r
-\par }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f37\noproof0\insrsid4072389 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \trowd \irow3\irowband3\r
-\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\r
-\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f37\noproof0\insrsid4072389 \r
-\par }{\b\f37\fs20\noproof0\insrsid4072389 Flujo Principal:\r
-\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid331756 \hich\af1\dbch\af0\loch\f1 1\tab}}\pard\plain \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\r
-\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 \fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\f1\fs20\insrsid331756 El Prestador}{\f1\fs20\insrsid9206653 env\'eda }{\r
-\b\f1\fs20\insrsid9206653\charrsid1194460 informaci\'f3n de prestaciones e intervenciones}{\f1\fs20\insrsid9206653 de los afiliados.}{\f37\insrsid7029692\charrsid9206653 \r
-\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid9206653 \hich\af1\dbch\af0\loch\f1 2\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\r
-\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653 El Sistema registra la informaci\'f3n recibida}{\f37\insrsid9206653\charrsid9206653 \r
-\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid9206653\charrsid9206653 \hich\af1\dbch\af0\loch\f1 3\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\r
-\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653\charrsid9206653 El Sistema, en base a \'e9stos datos, construye un }{\b\f1\fs20\insrsid9206653\charrsid8981056 informe de aprobaciones/rechazos\r
- de prestaciones}{\f1\fs20\insrsid9206653\charrsid9206653 y lo env\'eda a Pagos\r
-\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid9206653 \hich\af1\dbch\af0\loch\f1 4\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\r
-\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653 El Sistema genera un }{\b\f1\fs20\insrsid9206653\charrsid8981056 reporte de consumo de los afiliados}{\f1\fs20\insrsid9206653 y lo env\'eda a \r
-Pagos\r
-\par }\pard \s15\ql \li289\ri0\nowidctlpar\intbl\faauto\rin0\lin289\pararsid9206653 {\f37\insrsid9206653 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \r
-\fs24\lang1024\langfe1024\cgrid\noproof\langnp2058\langfenp2058 {\f37\insrsid4072389 \trowd \irow4\irowband4\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \r
-\trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard\plain \r
-\s15\ql \li289\ri0\nowidctlpar\intbl\faauto\rin0\lin289\pararsid7029692 \fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\f37\insrsid4072389 \r
-\par }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid9206653 \fs24\lang1024\langfe1024\cgrid\noproof\langnp2058\langfenp2058 {\b\f37\fs20\noproof0\insrsid4072389 Flujos Alternativos:}{\b\f37\fs20\noproof0\insrsid7029692\charrsid9206653 \r
-\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \trowd \irow5\irowband5\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\r
-\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row \r
-}\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f37\noproof0\insrsid4072389 \r
-\par }{\b\f37\fs20\noproof0\insrsid4072389 Flujos de Excepci\'f3n:\r
-\par }\pard \ql \fi-360\li646\ri0\nowidctlpar\intbl\faauto\rin0\lin646\pararsid8586758 {\f37\noproof0\insrsid8586758\charrsid8586758 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \r
-\trowd \irow6\irowband6\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \r
-\clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\trowd \irow7\irowband7\lastrow \ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \r
-\trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\pard \r
-\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f1\noproof0\insrsid4072389\charrsid9206653 \r
-\par }{\b\f1\fs20\noproof0\insrsid4072389\charrsid9206653 Notas:}{\b\f1\fs20\noproof0\insrsid6974674\charrsid9206653 }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 \~\~\~ El reporte de consumo que genera el sistema... \'bflo genera y env\'ed\r
-a a Pagos inmediatamente despu\'e9s de haber recibido la info del }{\cs16\f1\fs20\insrsid331756 Prestador}{\cs16\f1\fs20\insrsid9206653\charrsid9206653 ? (entra}{\f1\fs20\insrsid9206653\charrsid9206653 }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 \r
-todo dentro del mismo CU)}{\f1\fs20\insrsid9206653\charrsid9206653 \line }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 \'bf \'f3 el actor Pagos en alg\'fan momento posterior pedir\'e1 el informe? (ser\'edan 2}{\cs16\f1\fs20\insrsid9206653 }{\r
-\cs16\f1\fs20\insrsid9206653\charrsid9206653 Casos de Uso: Recibir info de Cl\'ednica y Generar Reporte de Consumo)}{\f1\fs20\insrsid9206653\charrsid9206653 \line }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 \r
-El enunciado, por supuesto, no lo especifica claramente (ver los \'faltimos}{\cs16\f1\fs20\insrsid9206653 }{\f1\fs20\insrsid9206653 2}{\cs16\f1\fs20\insrsid9206653\charrsid9206653 renglones de la 1er}{\cs16\f1\fs20\insrsid5514698 }{\r
-\cs16\f1\fs20\insrsid9206653\charrsid9206653 p\'e1gina}{\cs16\f1\fs20\insrsid5514698 )}{\f1\noproof0\insrsid6974674\charrsid9206653 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \r
-\trowd \irow7\irowband7\lastrow \ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \r
-\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid4072389 \r
-\par }{\insrsid15751489 Especificaci\'f3n de Datos:}{\insrsid1194460 \r
-\par }{\insrsid15751489 \r
-\par }{\f1\fs20\insrsid8981056\charrsid8981056 1) }{\b\f1\fs20\insrsid1194460 I}{\b\f1\fs20\insrsid1194460\charrsid1194460 nformaci\'f3n de prestaciones e intervenciones}{\b\f1\fs20\insrsid1194460 \r
-\par }\pard \ql \li708\ri0\nowidctlpar\faauto\rin0\lin708\itap0\pararsid3805781 {\insrsid12537211 a) C\'f3digo de autorizaci\'f3n relacionada a la }{\insrsid12537211\charrsid1275109 prestaci\'f3n/intervenci\'f3n}{\insrsid12537211 .}{\insrsid5050019 }{\r
-\insrsid5050019\charrsid1275109 (\'93Pr\'e1ctica\'94, en el nomenclador)}{\insrsid8981056\charrsid1275109 \r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid3948734\charrsid1275109 \tab b) Identificador de prestaci\'f3n Realizada \'f3 }{\insrsid3805781 NO }{\insrsid3948734\charrsid1275109 Re}{\insrsid3805781 alizada}{\r
-\insrsid3948734\charrsid1275109 (flag)}{\insrsid3805781 }{\insrsid3805781 {\field{\*\fldinst SYMBOL 224 \\f "Wingdings" \\s 12}{\fldrslt\f10\fs24}}}{\insrsid3805781 ANALIZAR SI HACE FALTA}{\insrsid3948734\charrsid1275109 \r
-\par \tab c) Fecha de R}{\insrsid3805781 ealizaci\'f3n}{\insrsid3948734\charrsid1275109 de la prestaci\'f3n/intervenci\'f3n \r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid3948734 {\insrsid3948734\charrsid1275109 \tab d) N\'famero de afiliado\r
-\par }{\insrsid3948734 \r
-\par 2) }{\b\f1\fs20\insrsid3948734\charrsid986895 I}{\b\f1\fs20\insrsid3948734\charrsid8000756 nforme de aprobaciones/rechazos de prestaciones}{\b\f1\fs20\insrsid3948734 \r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid15751489 {\b\insrsid15751489\charrsid1275109 \tab }{\insrsid15751489\charrsid1275109 a) C\'f3digo de prestaci\'f3n/intervenci\'f3n (\'93Pr\'e1ctica\'94, en el nomenclador)\r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid3948734 {\insrsid15751489\charrsid1275109 \tab b) Cantidad }{\insrsid16676310\charrsid1275109 total }{\insrsid15751489\charrsid1275109 de aprobaciones}{\insrsid16676310\charrsid1275109 de la \r
-prestaci\'f3n/intervenci\'f3n}{\insrsid15751489\charrsid1275109 \r
-\par \tab c) Cantidad }{\insrsid16676310\charrsid1275109 total }{\insrsid15751489\charrsid1275109 de rechazos}{\insrsid16676310\charrsid1275109 de la prestaci\'f3n/intervenci\'f3n}{\insrsid15751489\charrsid1275109 \r
-\par }{\b\f1\fs20\insrsid8000756 \tab }{\b\f1\fs20\insrsid3886421 \r
-\par }{\insrsid3886421\charrsid3886421 3)}{\f1\fs20\insrsid3886421 }{\b\f1\fs20\insrsid3886421\charrsid3886421 R}{\b\f1\fs20\insrsid3886421\charrsid8981056 eporte de consumo de los afiliados}{\insrsid3948734 \r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid3886421\charrsid1275109 \tab a) N\'famero de afiliado}{\insrsid3948734\charrsid1275109 \r
-\par }{\insrsid3886421\charrsid1275109 \tab b) C\'f3digo de prestaci\'f3n/intervenci\'f3n REALIZADA\r
+\par \tab }{\b\fs20\insrsid2299470 Cada l\'ednea:\r
+\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\insrsid2299470 \hich\af0\dbch\af0\loch\f0 a)\tab}}\pard \ql \fi-360\li1065\ri0\nowidctlpar\faauto\ls1\rin0\lin1065\itap0\pararsid2299470 {\fs20\insrsid2299470 N\'famero de afiliado\r
+\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\insrsid2299470 \hich\af0\dbch\af0\loch\f0 b)\tab}Nombre, apellido del afiliado\r
+\par }\pard \ql \li1065\ri0\nowidctlpar\faauto\rin0\lin1065\itap0\pararsid2299470 {\fs20\insrsid2299470 Por cada afiliado:\r
+\par }\pard \ql \fi708\li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid2299470 {\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid7562310 c) C\'f3digo de prestaci\'f3n/intervenci\'f3n REALIZADA\r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid2299470 {\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid7562310 \tab d) Nombre de la prestaci\'f3n realizada\r
+\par \tab e) C\'f3digo del plan del afiliado\r
+\par \tab }{\fs20\insrsid2299470 f) % Cobertura\r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid7562310 \r
\par }}
\ No newline at end of file
projects / z.facultad / 75.10 / miklolife.git / blobdiff