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-\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 \r
-Prestador 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}{\f37\fs20\noproof0\insrsid10759101 ; as\'ed como\r
- entre el Sistema y Pagos.}{\f1\fs20\insrsid4072389\charrsid1194460 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \trowd \irow2\irowband2\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \r
-\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \r
-\cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \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 }{\f1\fs20\insrsid10759101 la info enviada por el prestadort acerca de }{\f1\fs20\insrsid9206653 prestaciones}{\f1\fs20\insrsid10759101 realizadas.}{\f1\fs20\insrsid9206653 \r
-\par \'c1rea de Pagos dis}{\f1\fs20\insrsid662813 pone de los reportes de consumo de los afiliados.}{\f1\fs20\insrsid9206653 \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 }{\f1\fs20\insrsid10759101 valida cada linea de la informaci\'f3n recibida; si la linea pasa la validaci\'f3n, se }{\r
-\f1\fs20\insrsid9206653 registra }{\f1\fs20\insrsid10759101 en el sistema la prestaci\'f3n realizada por el afiliado.}{\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}{\f1\fs20\insrsid10759101 y el resultado de la validaci\'f3n}{\r
-\f1\fs20\insrsid9206653\charrsid9206653 , construye un }{\b\f1\fs20\insrsid9206653\charrsid8981056 informe de aprobaciones/rechazos de prestaciones}{\f1\fs20\insrsid9206653\charrsid9206653 }{\b\f1\fs20\insrsid10759101\charrsid10759101 realizadas}{\r
-\f1\fs20\insrsid10759101 }{\f1\fs20\insrsid9206653\charrsid9206653 y lo env\'eda a Pagos\r
-\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid10759101 \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\insrsid10759101 Se llama al Caso de Uso \'93Generar Reporte de Consumo\'94}{\f1\fs20\insrsid9206653 \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\insrsid10759101 }{\r
-\f37\fs20\noproof0\insrsid10759101\charrsid10759101 No hay}{\f37\fs20\noproof0\insrsid10759101 .}{\b\f37\fs20\noproof0\insrsid7029692\charrsid9206653 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\r
-\f37\noproof0\insrsid4072389 \trowd \irow5\irowband5\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 \r
-\clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\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
-\r
-\par }{\b\f37\fs20\noproof0\insrsid4072389 Flujos de Excepci\'f3n:}{\b\f37\fs20\noproof0\insrsid10759101 }{\f37\fs20\noproof0\insrsid10759101\charrsid10759101 No hay}{\f37\fs20\noproof0\insrsid10759101 .}{\b\f37\fs20\noproof0\insrsid4072389 \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 \~\~\~ }{\cs16\f1\fs20\insrsid10759101 - La comunicaci\'f3n Prestador-Sistema podr\'eda ser \r
-\'93sincr\'f3nica\'94 (el prestador accede al Sistema y carga la informaci\'f3n) \'f3 bien \'93asincr\'f3nica\'94 (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.)}{\r
-\f1\noproof0\insrsid6974674\charrsid9206653 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \trowd \irow7\irowband7\lastrow \ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\r
-\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \r
-\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 {\insrsid1720812 a) Identificaci\'f3n de Prestador (n\'famero de CUIT) }{\insrsid1720812 {\field{\*\fldinst SYMBOL 224 \\f "Wingdings" \\s 12}{\fldrslt\f10\fs24}}}{\insrsid1720812 \r
- es posible no incluirlo\r
-\par b}{\insrsid12537211 ) C\'f3digo de autorizaci\'f3n relacionada a la }{\insrsid12537211\charrsid1275109 prestaci\'f3n/intervenci\'f3n}{\insrsid12537211 .}{\insrsid5050019 }{\insrsid8981056 \r
-\par }{\insrsid1720812 c) C\'f3digo de prestaci\'f3n/intervenci\'f3n }{\insrsid1720812\charrsid1720812 (\'93Pr\'e1ctica\'94, en el nomenclador)}{\insrsid1720812\charrsid1275109 \r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid3948734\charrsid1275109 \tab }{\insrsid1720812 c}{\insrsid3948734\charrsid1275109 ) Fecha de R}{\insrsid3805781 ealizaci\'f3n}{\insrsid3948734\charrsid1275109 de la prestaci\'f3n/intervenci\r
-\'f3n }{\insrsid3948734 \r
-\par }{\insrsid1720812 \tab d) Porcentaje de cobertura a cubrir por la Obra Social.}{\insrsid1720812\charrsid1275109 \r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid3948734 {\insrsid3948734\charrsid1275109 \tab }{\insrsid1720812 e}{\insrsid3948734\charrsid1275109 ) N\'famero de afiliado}{\insrsid1720812 . }{\insrsid1720812 {\field{\*\fldinst SYMBOL\r
- 224 \\f "Wingdings" \\s 12}{\fldrslt\f10\fs24}}}{\insrsid1720812 es posible no incluirlo}{\insrsid3948734\charrsid1275109 \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 }{\insrsid1720812\charrsid6241672 \tab a) Identificaci\'f3n del Prestador\r
-\par \tab b) Nombre del Prestador\r
-\par }\pard \ql \li708\ri0\nowidctlpar\faauto\rin0\lin708\itap0\pararsid6241672 {\insrsid1720812\charrsid6241672 c) C\'f3digo de autorizaci\'f3n }{\insrsid1720812\charrsid6241672 relacionada a la prestaci\'f3n/intervenci\'f3n}{\insrsid6241672 , enviada por el \r
- Prestador.}{\insrsid1720812\charrsid6241672 \r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid15751489 {\insrsid15751489\charrsid6241672 \tab }{\insrsid6241672\charrsid6241672 d}{\insrsid15751489\charrsid6241672 ) C\'f3digo de prestaci\'f3n/intervenci\'f3n (\'93Pr\'e1ctica\'94\r
-, en el nomenclador)\r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid3948734 {\insrsid8000756\charrsid6241672 \tab }{\insrsid1720812\charrsid6241672 e) }{\insrsid6241672\charrsid6241672 Identificador de linea Aprobada/Rechazada}{\insrsid3886421\charrsid6241672 \r
-\r
-\par }{\insrsid6241672\charrsid6241672 \tab f) }{\insrsid6241672 C\'f3digo de afiliado\r
-\par \tab g) % cobertura reclamado por el prestador\r
-\par }\pard \ql \li708\ri0\nowidctlpar\faauto\rin0\lin708\itap0\pararsid6241672 {\insrsid6241672 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\pararsid3948734 {\insrsid6241672 \tab }{\insrsid662813 i) F}{\insrsid6241672 echa 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\pararsid6241672 {\insrsid6241672 j}{\insrsid662813 ) F}{\insrsid6241672 echa 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\pararsid662813 {\insrsid662813 k) Motivo del rechazo de la linea (ej: \'93Autorizaci\'f3n recibida inexistente\'94, \'93Autorizaci\'f3n Vencida\'94, \'93% cobertura recibido inv\'e1lido\'94, etc)}\r
-{\insrsid6241672 \r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid3948734 {\insrsid6241672 \tab }{\insrsid1720812\charrsid662813 \r
-\par }{\insrsid3886421\charrsid6241672 3) }{\b\insrsid3886421\charrsid6241672 Reporte de consumo de los afiliados}{\b\insrsid3948734 \r
-\par }{\b\insrsid662813 \tab Cada linea:}{\insrsid662813\charrsid6241672 \r
-\par {\listtext\pard\plain\lang1024\langfe1024\noproof\langnp2058\langfenp2058\insrsid3886421\charrsid6241672 \hich\af0\dbch\af0\loch\f0 a)\tab}}\pard \ql \fi-360\li1065\ri0\nowidctlpar\jclisttab\tx1065\faauto\ls5\rin0\lin1065\itap0\pararsid662813 {\r
-\insrsid3886421\charrsid6241672 N\'famero de afiliado}{\insrsid3948734 \r
-\par {\listtext\pard\plain\lang1024\langfe1024\noproof\langnp2058\langfenp2058\insrsid662813 \hich\af0\dbch\af0\loch\f0 b)\tab}}{\insrsid662813 Nombre, apellido del afiliado\r
-\par }\pard \ql \li1065\ri0\nowidctlpar\faauto\rin0\lin1065\itap0\pararsid662813 {\insrsid662813 Por cada afiliado:\r
-\par }\pard \ql \fi708\li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid662813 {\insrsid662813 c}{\insrsid3886421\charrsid6241672 ) C\'f3digo de prestaci\'f3n/intervenci\'f3n REALIZADA}{\insrsid3886421 \r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid662813 \tab d) Nombre de la prestaci\'f3n realizada\r
-\par \tab e) C\'f3digo del plan del afiliado\r
-\par \tab f) % Cobertura}{\insrsid662813\charrsid6241672 \r
-\par }}
\ No newline at end of file
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+\pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024
+\par \trowd\trql\trleft-113\trpaddft3\trpaddt0\trpaddfl3\trpaddl7\trpaddfb3\trpaddb0\trpaddfr3\trpaddr7\clbrdrt\brdrs\brdrw1\brdrcf1\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrb\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\cellx8838
+\pard\intbl\pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024{\loch\f5\fs20\lang1024\i0\b{\b\f5 Caso de uso: }}{\loch\f1\fs20\lang1024{\f6 Analizar Consumos y Prestaciones}}
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+\pard\intbl\pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024
+\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024{\loch\f5\fs20\lang1024\i0\b{\b\f5 Actores: }}{\loch\f1\fs20\lang1024{\f6 Prestador, Pagos.}}
+\cell\row\pard \trowd\trql\trleft-113\trpaddft3\trpaddt0\trpaddfl3\trpaddl7\trpaddfb3\trpaddb0\trpaddfr3\trpaddr7\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrb\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\cellx8838
+\pard\intbl\pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024
+\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024{\loch\f5\fs20\lang1024\i0\b\f5{\b Precondiciones: }}{\loch\f5\fs20\lang1024\f5\f5\f5Existe alg\'fan 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\row\pard \trowd\trql\trleft-113\trpaddft3\trpaddt0\trpaddfl3\trpaddl7\trpaddfb3\trpaddb0\trpaddfr3\trpaddr7\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrb\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\cellx8838
+\pard\intbl\pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024
+\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024{\loch\f5\fs20\lang1024\i0\b\b\f5 Poscondiciones: }
+\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024{\loch\f6\fs20\lang1024\i0\b0\f6 Historia cl\'ednica de los afiliados afectados actualizada.}
+\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024{\loch\f6\fs20\lang1024\i0\b0\f6 \'c1rea de Pagos notificada acerca de las aprobaciones/rechazos de la info enviada por el prestador acerca de prestaciones realizadas.}
+\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024{\loch\f6\fs20\lang1024\i0\b0\f6 \'c1rea de Pagos dispone de los reportes de consumo de los afiliados.}
+\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024
+\cell\row\pard \trowd\trql\trleft-113\trpaddft3\trpaddt0\trpaddfl3\trpaddl7\trpaddfb3\trpaddb0\trpaddfr3\trpaddr7\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrb\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\cellx8838
+\pard\intbl\pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024
+\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af5\afs20\lang1033\ab\ltrch\dbch\af5\afs20\langfe1024\ab\loch\f5\fs20\lang1024\b {\loch\f5\fs20\lang1024\i0\b Flujo Principal:}
+\par \pard\plain \intbl{\listtext\pard\plain \li720\ri0\lin720\rin0\fi-431\fs20\lang2058\fs20\langfe2058\fs20 1}\ilvl0 \ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls1\li720\ri0\lin720\rin0\fi-431\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe2058\loch\f1\fs20\lang2058{\loch\f6\fs20\lang2058\i0\b0\f6 El Prestador env\'eda {\b informaci\'f3n de prestaciones e intervenciones} de los afiliados.}
+\par \pard\plain \intbl{\listtext\pard\plain \li720\ri0\lin720\rin0\fi-431\fs20\lang2058\fs20\langfe2058\fs20 2}\ilvl0 \ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls1\li720\ri0\lin720\rin0\fi-431\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe2058\loch\f1\fs20\lang2058{\loch\f6\fs20\lang2058\i0\b0\f6 El Sistema valida cada l\'ednea de la informaci\'f3n recibida; si la l\'ednea pasa la validaci\'f3n, se registra en el sistema la prestaci\'f3n realizada por el afiliado.}
+\par \pard\plain \intbl{\listtext\pard\plain \li720\ri0\lin720\rin0\fi-431\fs20\lang2058\fs20\langfe2058\fs20 3}\ilvl0 \ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls1\li720\ri0\lin720\rin0\fi-431\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe2058\loch\f1\fs20\lang2058{\loch\f6\fs20\lang2058\i0\b0\f6 El Sistema, en base a estos datos y el resultado de la validaci\'f3n, construye un {\b informe de aprobaciones/rechazos de prestaciones} {\b realizadas} y lo env\'eda a Pagos}
+\par \pard\plain \intbl{\listtext\pard\plain \li720\ri0\lin720\rin0\fi-431\f6\fs20\lang2058\f6\fs20\langfe2058\f6\fs20 4}\ilvl0 \ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls1\li720\ri0\lin720\rin0\fi-431\rtlch\af6\afs20\lang1033\ltrch\dbch\af6\afs20\langfe2058\loch\f6\fs20\lang2058 {\loch\f6\fs20\lang2058\i0\b0 Se llama al Caso de Uso \ldblquote Generar Reporte de Consumo\rdblquote }
+\par \pard\plain \intbl{\listtext\pard\plain \li720\ri0\lin720\rin0\fi-431\f6\fs20\lang2058\f6\fs20\langfe2058\f6\fs20 5}\ilvl0 \ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls1\li720\ri0\lin720\rin0\fi-431\rtlch\af6\afs20\lang1033\ltrch\dbch\af6\afs20\langfe2058\loch\f6\fs20\lang2058 {\loch\f6\fs20\lang2058\i0\b0 Finaliza caso de uso.}
+\par \pard\plain \intbl\ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\li289\ri0\lin289\rin0\fi0\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe2058\loch\f5\fs20\lang2058
+\cell\row\pard \trowd\trql\trleft-113\trpaddft3\trpaddt0\trpaddfl3\trpaddl7\trpaddfb3\trpaddb0\trpaddfr3\trpaddr7\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrb\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\cellx8838
+\pard\intbl\pard\plain \intbl\ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li289\ri0\lin289\rin0\fi0\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe2058\loch\f5\fs20\lang2058
+\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024{\loch\f5\fs20\lang1024\i0\b{\b Flujos Alternativos: }}{\loch\f5\fs20\lang1024No hay.}
+\cell\row\pard \trowd\trql\trleft-113\trpaddft3\trpaddt0\trpaddfl3\trpaddl7\trpaddfb3\trpaddb0\trpaddfr3\trpaddr7\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrb\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\cellx8838
+\pard\intbl\pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024
+\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024{\loch\f5\fs20\lang1024\i0\b{\b Flujos de Excepci\'f3n: }}{\loch\f5\fs20\lang1024No hay.}
+\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\li646\ri0\lin646\rin0\fi-360\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024
+\cell\row\pard \trowd\trql\trleft-113\trpaddft3\trpaddt0\trpaddfl3\trpaddl7\trpaddfb3\trpaddb0\trpaddfr3\trpaddr7\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrb\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\cellx8838
+\pard\intbl\pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af6\afs20\lang1033\ltrch\dbch\af6\afs20\langfe1024\loch\f6\fs20\lang1024
+\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af6\afs24\lang1033\ltrch\dbch\af6\afs24\langfe1024\loch\f6\fs24\lang1024{\loch\f6\fs20\lang1024\i0\b{\b\fs20 Notas: }}{\loch\f6\fs24\lang1024{\*\cs58\cf0\rtlch\ltrch\dbch\loch\f2\fs20\lang1033\fs20 \~\~\~ - La comunicaci\'f3n Prestador-Sistema podr\'eda ser \ldblquote sincr\'f3nica\rdblquote (el prestador accede al Sistema y carga la informaci\'f3n) \'f3 bien \ldblquote asincr\'f3nica\rdblquote (el Prestador env\'eda un mail, deja un archivo en un FTP, etc y luego el sistema lo procesa con alg\'fan m\'e9todo s
+cheduleado.)}}
+\cell\row\pard \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024
+\par {\loch\f1\fs20\lang1024\i0\b0 Especificaci\'f3n de Datos:}
+\par
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024{\loch\f6\fs20\lang1024\i0\b0\f6 1) {\b Informaci\'f3n de prestaciones e intervenciones}}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li708\ri0\lin708\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 a) Identificaci\'f3n de Prestador (n\'famero de CUIT) {\af\f4 \'e0} es posible no incluirlo}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li708\ri0\lin708\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 b) C\'f3digo de autorizaci\'f3n relacionada a la prestaci\'f3n/intervenci\'f3n. }
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li708\ri0\lin708\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 c) C\'f3digo de prestaci\'f3n/intervenci\'f3n (\ldblquote Pr\'e1ctica\rdblquote , en el nomenclador)}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab c) Fecha de Realizaci\'f3n de la prestaci\'f3n/intervenci\'f3n }
+\par {\loch\f1\fs20\lang1024\i0\b0 \tab d) Porcentaje de cobertura a cubrir por la Obra Social.}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab e) N\'famero de afiliado. {\af\f4 \'e0} es posible no incluirlo}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 2) {\b\f6 Informe de aprobaciones/rechazos de prestaciones}}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab a) Identificaci\'f3n del Prestador}
+\par {\loch\f1\fs20\lang1024\i0\b0 \tab b) Nombre del Prestador}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li708\ri0\lin708\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 c) C\'f3digo de autorizaci\'f3n relacionada a la prestaci\'f3n/intervenci\'f3n, enviada por el Prestador.}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab d) C\'f3digo de prestaci\'f3n/intervenci\'f3n (\ldblquote Pr\'e1ctica\rdblquote , en el nomenclador)}
+\par {\loch\f1\fs20\lang1024\i0\b0 \tab e) Identificador de l\'ednea Aprobada/Rechazada}
+\par {\loch\f1\fs20\lang1024\i0\b0 \tab f) C\'f3digo de afiliado}
+\par {\loch\f1\fs20\lang1024\i0\b0 \tab g) % cobertura reclamado por el prestador}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li708\ri0\lin708\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 h) % cobertura correspondiente al momento de aprobar la autorizaci\'f3n (si la autorizaci\'f3n existe en el sistema)}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab i) Fecha de aprobaci\'f3n de la autorizaci\'f3n (si la autorizaci\'f3n existe en el Sistema)}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li0\ri0\lin0\rin0\fi708\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 j) Fecha de vencimiento de la autorizaci\'f3n (si la autorizaci\'f3n existe en el Sistema)}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li708\ri0\lin708\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 k) Motivo del rechazo de la l\'ednea (ej: \ldblquote Autorizaci\'f3n recibida inexistente\rdblquote , \ldblquote Autorizaci\'f3n Vencida\rdblquote , \ldblquote % cobertura recibido inv\'e1lido\rdblquote , etc)}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab }
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ab\ltrch\dbch\af1\afs20\langfe1024\ab\loch\f1\fs20\lang1024\b {\loch\f1\fs20\lang1024\i0\b 3){\f7 Reporte de consumo de los afiliados}}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ab\ltrch\dbch\af1\afs20\langfe1024\ab\loch\f1\fs20\lang1024\b {\loch\f1\fs20\lang1024\i0\b \tab Cada l\'ednea:}
+\par \pard\plain {\listtext\pard\plain \li1065\ri0\lin1065\rin0\fi-360\fs20\lang1024\fs20\langfe1024\fs20 a)}\ilvl0 \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls0\li1065\ri0\lin1065\rin0\fi-360\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 N\'famero de afiliado}
+\par \pard\plain {\listtext\pard\plain \li1065\ri0\lin1065\rin0\fi-360\fs20\lang1024\fs20\langfe1024\fs20 b)}\ilvl0 \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls0\li1065\ri0\lin1065\rin0\fi-360\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 Nombre, apellido del afiliado}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li1065\ri0\lin1065\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 Por cada afiliado:}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li0\ri0\lin0\rin0\fi708\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 c) C\'f3digo de prestaci\'f3n/intervenci\'f3n REALIZADA}
+\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab d) Nombre de la prestaci\'f3n realizada}
+\par {\loch\f1\fs20\lang1024\i0\b0 \tab e) C\'f3digo del plan del afiliado}
+\par {\loch\f1\fs20\lang1024\i0\b0 \tab f) % Cobertura}
+\par }
\ No newline at end of file
projects / z.facultad / 75.10 / miklolife.git / blobdiff