X-Git-Url: https://git.llucax.com/z.facultad/75.10/miklolife.git/blobdiff_plain/3b340548e369ee1cf6d898309af56e621bcdb49f..acfa54371dd7f6408ce799e8cfae0107504ca1de:/especificaciones/recibir_y_cotejar_consumos_%20y_prestaciones.rtf diff --git a/especificaciones/recibir_y_cotejar_consumos_ y_prestaciones.rtf b/especificaciones/recibir_y_cotejar_consumos_ y_prestaciones.rtf index 9128162..cbf0d84 100644 --- a/especificaciones/recibir_y_cotejar_consumos_ y_prestaciones.rtf +++ b/especificaciones/recibir_y_cotejar_consumos_ y_prestaciones.rtf @@ -1,157 +1,152 @@ -{\rtf1\ansi\deff1\adeflang1025 -{\fonttbl{\f0\froman\fprq2\fcharset0 Nimbus Roman No9 L{\*\falt Times New Roman};}{\f1\froman\fprq2\fcharset0 Times New Roman;}{\f2\fmodern\fprq1\fcharset0 Courier New;}{\f3\froman\fprq2\fcharset2 Symbol;}{\f4\fnil\fprq2\fcharset2 Wingdings;}{\f5\fswiss\fprq2\fcharset0 Trebuchet MS;}{\f6\fswiss\fprq2\fcharset0 Arial;}{\f7\fnil\fprq0\fcharset0 Arial;}{\f8\froman\fprq2\fcharset0 Times New Roman;}{\f9\fnil\fprq0\fcharset0 Tahoma{\*\falt Lucidasans};}} -{\colortbl;\red0\green0\blue0;\red128\green128\blue128;} -{\stylesheet{\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe2058\loch\f1\fs24\lang2058\snext1 Predeterminado;} -{\s2\sa120\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033\sbasedon1\snext2 Cuerpo de texto;} -{\s3\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af9\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033\sbasedon2\snext3 Lista;} -{\s4\sb120\sa120\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af9\afs20\lang1033\ai\ltrch\dbch\af1\afs20\langfe1033\ai\loch\f1\fs20\lang1033\i\sbasedon1\snext4 Etiqueta;} -{\s5\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af9\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033\sbasedon1\snext5 \'cdndice;} -{\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1024\loch\f1\fs24\lang1024\sbasedon1\snext6 Normal;} -{\s7\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033\sbasedon2\snext7 Contenido de la tabla;} -{\s8\cf0\qc{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs24\lang1033\ai\ab\ltrch\dbch\af1\afs24\langfe1033\ai\ab\loch\f1\fs24\lang1033\i\b\sbasedon7\snext8 Encabezado de la tabla;} -{\*\cs10\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 2 1;} -{\*\cs11\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 3 1;} -{\*\cs12\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 3 2;} -{\*\cs13\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 3 3;} -{\*\cs14\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 3 4;} -{\*\cs15\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 3 5;} -{\*\cs16\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 3 6;} -{\*\cs17\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 3 7;} -{\*\cs18\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 3 8;} -{\*\cs19\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 3 9;} -{\*\cs20\cf0\rtlch\af3\afs24\lang1033\ltrch\dbch\af3\afs24\langfe1033\loch\f3\fs24\lang1033 RTF_Num 4 1;} -{\*\cs21\cf0\rtlch\af2\afs24\lang1033\ltrch\dbch\af2\afs24\langfe1033\loch\f2\fs24\lang1033 RTF_Num 4 2;} -{\*\cs22\cf0\rtlch\af4\afs24\lang1033\ltrch\dbch\af4\afs24\langfe1033\loch\f4\fs24\lang1033 RTF_Num 4 3;} -{\*\cs23\cf0\rtlch\af3\afs24\lang1033\ltrch\dbch\af3\afs24\langfe1033\loch\f3\fs24\lang1033 RTF_Num 4 4;} -{\*\cs24\cf0\rtlch\af2\afs24\lang1033\ltrch\dbch\af2\afs24\langfe1033\loch\f2\fs24\lang1033 RTF_Num 4 5;} -{\*\cs25\cf0\rtlch\af4\afs24\lang1033\ltrch\dbch\af4\afs24\langfe1033\loch\f4\fs24\lang1033 RTF_Num 4 6;} -{\*\cs26\cf0\rtlch\af3\afs24\lang1033\ltrch\dbch\af3\afs24\langfe1033\loch\f3\fs24\lang1033 RTF_Num 4 7;} -{\*\cs27\cf0\rtlch\af2\afs24\lang1033\ltrch\dbch\af2\afs24\langfe1033\loch\f2\fs24\lang1033 RTF_Num 4 8;} -{\*\cs28\cf0\rtlch\af4\afs24\lang1033\ltrch\dbch\af4\afs24\langfe1033\loch\f4\fs24\lang1033 RTF_Num 4 9;} -{\*\cs29\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 5 1;} -{\*\cs30\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 5 2;} -{\*\cs31\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 5 3;} -{\*\cs32\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 5 4;} -{\*\cs33\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 5 5;} -{\*\cs34\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 5 6;} -{\*\cs35\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 5 7;} -{\*\cs36\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 5 8;} -{\*\cs37\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 5 9;} -{\*\cs38\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 6 1;} -{\*\cs39\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 6 2;} -{\*\cs40\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 6 3;} -{\*\cs41\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 6 4;} -{\*\cs42\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 6 5;} -{\*\cs43\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 6 6;} -{\*\cs44\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 6 7;} -{\*\cs45\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 6 8;} -{\*\cs46\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 6 9;} -{\*\cs47\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033 RTF_Num 7 1;} -{\*\cs48\cf0\rtlch\af2\afs24\lang1033\ltrch\dbch\af2\afs24\langfe1033\loch\f2\fs24\lang1033 RTF_Num 7 2;} -{\*\cs49\cf0\rtlch\af4\afs24\lang1033\ltrch\dbch\af4\afs24\langfe1033\loch\f4\fs24\lang1033 RTF_Num 7 3;} -{\*\cs50\cf0\rtlch\af3\afs24\lang1033\ltrch\dbch\af3\afs24\langfe1033\loch\f3\fs24\lang1033 RTF_Num 7 4;} -{\*\cs51\cf0\rtlch\af2\afs24\lang1033\ltrch\dbch\af2\afs24\langfe1033\loch\f2\fs24\lang1033 RTF_Num 7 5;} -{\*\cs52\cf0\rtlch\af4\afs24\lang1033\ltrch\dbch\af4\afs24\langfe1033\loch\f4\fs24\lang1033 RTF_Num 7 6;} -{\*\cs53\cf0\rtlch\af3\afs24\lang1033\ltrch\dbch\af3\afs24\langfe1033\loch\f3\fs24\lang1033 RTF_Num 7 7;} -{\*\cs54\cf0\rtlch\af2\afs24\lang1033\ltrch\dbch\af2\afs24\langfe1033\loch\f2\fs24\lang1033 RTF_Num 7 8;} -{\*\cs55\cf0\rtlch\af4\afs24\lang1033\ltrch\dbch\af4\afs24\langfe1033\loch\f4\fs24\lang1033 RTF_Num 7 9;} -{\*\cs56\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1033\loch\f1\fs24\lang1033\sbasedon57 Default Paragraph Font;} -{\*\cs57\cf0\rtlch\af1\afs24\lang1033\ltrch\dbch\af1\afs24\langfe1024\loch\f1\fs24\lang1024 Normal;} -{\*\cs58\cf0\rtlch\af1\afs20\lang1033\ltrch\dbch\afs20\langfe1033\loch\f2\fs20\lang1033\sbasedon56 HTML Typewriter;} -}{\*\listtable{\list\listtemplateid1 -{\listlevel\levelnfc4\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'00);}{\levelnumbers\'01;}\fi-360\li1065} -{\listlevel\levelnfc4\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'01.;}{\levelnumbers\'01;}\fi-360\li1785} -{\listlevel\levelnfc2\leveljc2\levelstartat1\levelfollow2{\leveltext \'02\'02.;}{\levelnumbers\'01;}\fi-180\li2505} -{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'03.;}{\levelnumbers\'01;}\fi-360\li3225} -{\listlevel\levelnfc4\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'04.;}{\levelnumbers\'01;}\fi-360\li3945} -{\listlevel\levelnfc2\leveljc2\levelstartat1\levelfollow2{\leveltext \'02\'05.;}{\levelnumbers\'01;}\fi-180\li4665} -{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'06.;}{\levelnumbers\'01;}\fi-360\li5385} -{\listlevel\levelnfc4\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'07.;}{\levelnumbers\'01;}\fi-360\li6105} -{\listlevel\levelnfc2\leveljc2\levelstartat1\levelfollow2{\leveltext \'02\'08.;}{\levelnumbers\'01;}\fi-180\li6825}{\listname RTF_Num 6;}\listid1} -{\list\listtemplateid2\listsimple -{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'01\'00;}{\levelnumbers\'01;}\fi-431\li720} -{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'01\'01;}{\levelnumbers\'01;}\fi-431\li1440} -{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'01\'02;}{\levelnumbers\'01;}\fi-431\li2160} -{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'01\'03;}{\levelnumbers\'01;}\fi-431\li2880} -{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'01\'04;}{\levelnumbers\'01;}\fi-431\li3600} -{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'01\'05;}{\levelnumbers\'01;}\fi-431\li4320} -{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'01\'06;}{\levelnumbers\'01;}\fi-431\li5040} -{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'01\'07;}{\levelnumbers\'01;}\fi-431\li5760} -{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'01\'08;}{\levelnumbers\'01;}\fi-431\li6480} -{\*\soutlvl{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'01\'09;}{\levelnumbers\'01;}\fi-431\li7200}}{\listname RTF_Num 2;}\listid2} -}{\listoverridetable{\listoverride\listid1\listoverridecount0\ls0}{\listoverride\listid2\listoverridecount0\ls1}} - -{\info{\comment StarWriter}{\vern6450}}\deftab708 -{\*\pgdsctbl -{\pgdsc0\pgdscuse195\pgwsxn12240\pghsxn15840\marglsxn1701\margrsxn1701\margtsxn1417\margbsxn1417\pgdscnxt0 Predeterminado;}} -{\*\pgdscno0}\paperh15840\paperw12240\margl1701\margr1701\margt1417\margb1417\sectd\sbknone\pgwsxn12240\pghsxn15840\marglsxn1701\margrsxn1701\margtsxn1417\margbsxn1417\ftnbj\ftnstart1\ftnrstcont\ftnnar\aenddoc\aftnrstcont\aftnstart1\aftnnrlc -\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}} -\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{\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 +{\rtf1\ansi\ansicpg1252\uc1\deff0\stshfdbch0\stshfloch0\stshfhich0\stshfbi0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f1\fswiss\fcharset0\fprq2{\*\panose 020b0604020202020204}Arial;} +{\f2\fmodern\fcharset0\fprq1{\*\panose 02070309020205020404}Courier New;}{\f3\froman\fcharset2\fprq2{\*\panose 05050102010706020507}Symbol;}{\f10\fnil\fcharset2\fprq2{\*\panose 05000000000000000000}Wingdings;} +{\f124\froman\fcharset238\fprq2 Times New Roman CE;}{\f125\froman\fcharset204\fprq2 Times New Roman Cyr;}{\f127\froman\fcharset161\fprq2 Times New Roman Greek;}{\f128\froman\fcharset162\fprq2 Times New Roman Tur;} +{\f129\froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\f130\froman\fcharset178\fprq2 Times New Roman (Arabic);}{\f131\froman\fcharset186\fprq2 Times New Roman Baltic;}{\f132\froman\fcharset163\fprq2 Times New Roman (Vietnamese);} +{\f134\fswiss\fcharset238\fprq2 Arial CE;}{\f135\fswiss\fcharset204\fprq2 Arial Cyr;}{\f137\fswiss\fcharset161\fprq2 Arial Greek;}{\f138\fswiss\fcharset162\fprq2 Arial Tur;}{\f139\fswiss\fcharset177\fprq2 Arial (Hebrew);} +{\f140\fswiss\fcharset178\fprq2 Arial (Arabic);}{\f141\fswiss\fcharset186\fprq2 Arial Baltic;}{\f142\fswiss\fcharset163\fprq2 Arial (Vietnamese);}{\f144\fmodern\fcharset238\fprq1 Courier New CE;}{\f145\fmodern\fcharset204\fprq1 Courier New Cyr;} +{\f147\fmodern\fcharset161\fprq1 Courier New Greek;}{\f148\fmodern\fcharset162\fprq1 Courier New Tur;}{\f149\fmodern\fcharset177\fprq1 Courier New (Hebrew);}{\f150\fmodern\fcharset178\fprq1 Courier New (Arabic);} +{\f151\fmodern\fcharset186\fprq1 Courier New Baltic;}{\f152\fmodern\fcharset163\fprq1 Courier New (Vietnamese);}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0; +\red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;\red255\green255\blue255; +}{\stylesheet{\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1024\langfe1024\cgrid\noproof\langnp1033\langfenp1033 \snext0 Normal;}{\*\cs10 \additive \ssemihidden Default Paragraph Font;}{\* +\ts11\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv +\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \snext11 \ssemihidden Normal Table;}{\s15\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 +\fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 \snext15 Predeterminado;}{\s16\ql \li0\ri0\sa120\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 \sbasedon15 \snext16 Cuerpo de texto;}{ +\s17\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 \sbasedon16 \snext17 Lista;}{\s18\ql \li0\ri0\sb120\sa120\nowidctlpar\faauto\rin0\lin0\itap0 +\i\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 \sbasedon15 \snext18 Etiqueta;}{\s19\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 \sbasedon15 \snext19 \'cdndice;}{ +\s20\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 \sbasedon16 \snext20 Contenido de la tabla;}{\s21\qc \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 +\b\i\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 \sbasedon20 \snext21 Encabezado de la tabla;}{\*\cs22 \additive RTF_Num 2 1;}{\*\cs23 \additive RTF_Num 3 1;}{\*\cs24 \additive RTF_Num 3 2;}{\*\cs25 \additive RTF_Num 3 3;}{\*\cs26 \additive +RTF_Num 3 4;}{\*\cs27 \additive RTF_Num 3 5;}{\*\cs28 \additive RTF_Num 3 6;}{\*\cs29 \additive RTF_Num 3 7;}{\*\cs30 \additive RTF_Num 3 8;}{\*\cs31 \additive RTF_Num 3 9;}{\*\cs32 \additive \loch\f3 RTF_Num 4 1;}{\*\cs33 \additive \loch\f2 RTF_Num 4 2;} +{\*\cs34 \additive \loch\f10 RTF_Num 4 3;}{\*\cs35 \additive \loch\f3 RTF_Num 4 4;}{\*\cs36 \additive \loch\f2 RTF_Num 4 5;}{\*\cs37 \additive \loch\f10 RTF_Num 4 6;}{\*\cs38 \additive \loch\f3 RTF_Num 4 7;}{\*\cs39 \additive \loch\f2 RTF_Num 4 8;}{\* +\cs40 \additive \loch\f10 RTF_Num 4 9;}{\*\cs41 \additive RTF_Num 5 1;}{\*\cs42 \additive RTF_Num 5 2;}{\*\cs43 \additive RTF_Num 5 3;}{\*\cs44 \additive RTF_Num 5 4;}{\*\cs45 \additive RTF_Num 5 5;}{\*\cs46 \additive RTF_Num 5 6;}{\*\cs47 \additive +RTF_Num 5 7;}{\*\cs48 \additive RTF_Num 5 8;}{\*\cs49 \additive RTF_Num 5 9;}{\*\cs50 \additive RTF_Num 6 1;}{\*\cs51 \additive RTF_Num 6 2;}{\*\cs52 \additive RTF_Num 6 3;}{\*\cs53 \additive RTF_Num 6 4;}{\*\cs54 \additive RTF_Num 6 5;}{\*\cs55 +\additive RTF_Num 6 6;}{\*\cs56 \additive RTF_Num 6 7;}{\*\cs57 \additive RTF_Num 6 8;}{\*\cs58 \additive RTF_Num 6 9;}{\*\cs59 \additive RTF_Num 7 1;}{\*\cs60 \additive \loch\f2 RTF_Num 7 2;}{\*\cs61 \additive \loch\f10 RTF_Num 7 3;}{\*\cs62 \additive +\loch\f3 RTF_Num 7 4;}{\*\cs63 \additive \loch\f2 RTF_Num 7 5;}{\*\cs64 \additive \loch\f10 RTF_Num 7 6;}{\*\cs65 \additive \loch\f3 RTF_Num 7 7;}{\*\cs66 \additive \loch\f2 RTF_Num 7 8;}{\*\cs67 \additive \loch\f10 RTF_Num 7 9;}{\*\cs68 \additive +\fs20\loch\f2 \sbasedon10 HTML Typewriter;}}{\*\latentstyles\lsdstimax156\lsdlockeddef0}{\*\listtable{\list\listtemplateid1{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow2\levelstartat1\levelspace0\levelindent0{\leveltext +\'02\'00);}{\levelnumbers\'01;}\fi-360\li1065\lin1065 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow2\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'01.;}{\levelnumbers\'01;}\fi-360\li1785\lin1785 }{\listlevel\levelnfc2 +\levelnfcn2\leveljc2\leveljcn2\levelfollow2\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'02.;}{\levelnumbers\'01;}\fi-180\li2505\lin2505 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow2\levelstartat1\levelspace0\levelindent0 +{\leveltext\'02\'03.;}{\levelnumbers\'01;}\fi-360\li3225\lin3225 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow2\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'04.;}{\levelnumbers\'01;}\fi-360\li3945\lin3945 }{\listlevel +\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow2\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'05.;}{\levelnumbers\'01;}\fi-180\li4665\lin4665 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow2\levelstartat1\levelspace0 +\levelindent0{\leveltext\'02\'06.;}{\levelnumbers\'01;}\fi-360\li5385\lin5385 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow2\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'07.;}{\levelnumbers\'01;}\fi-360\li6105\lin6105 } +{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow2\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'08.;}{\levelnumbers\'01;}\fi-180\li6825\lin6825 }{\listname RTF_Num 6;}\listid1}{\list\listtemplateid2\listsimple{\listlevel\levelnfc0 +\levelnfcn0\leveljc0\leveljcn0\levelfollow2\levelstartat1\levelspace0\levelindent0{\leveltext\'01\'00;}{\levelnumbers\'01;}\fi-431\li720\lin720 }{\listname RTF_Num 2;}\listid2}{\list\listtemplateid419692722\listhybrid{\listlevel\levelnfc23\levelnfcn23 +\leveljc0\leveljcn0\levelfollow0\levelstartat0\levelspace0\levelindent0{\leveltext\leveltemplateid-652290896\'01-;}{\levelnumbers;}\loch\af1\hich\af1\dbch\af0\fbias0 \fi-360\li829\jclisttab\tx829\lin829 }{\listlevel\levelnfc23\levelnfcn23\leveljc0 +\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1549\jclisttab\tx1549\lin1549 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1 +\levelspace0\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2269\jclisttab\tx2269\lin2269 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0 +{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2989\jclisttab\tx2989\lin2989 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext +\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3709\jclisttab\tx3709\lin3709 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698693 +\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4429\jclisttab\tx4429\lin4429 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;} +\f3\fbias0 \fi-360\li5149\jclisttab\tx5149\lin5149 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5869 +\jclisttab\tx5869\lin5869 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6589\jclisttab\tx6589\lin6589 } +{\listname ;}\listid1606421618}}{\*\listoverridetable{\listoverride\listid1\listoverridecount0\ls1}{\listoverride\listid2\listoverridecount0\ls2}{\listoverride\listid1606421618\listoverridecount0\ls3}}{\*\rsidtbl \rsid2299470\rsid7562310\rsid7757395 +\rsid11022104\rsid11668463\rsid13056714}{\*\generator Microsoft Word 11.0.6359;}{\info{\author guille}{\operator guille}{\creatim\yr2005\mo4\dy26\hr9\min8}{\revtim\yr2005\mo4\dy27\hr11\min9}{\version6}{\edmins19}{\nofpages2}{\nofwords515}{\nofchars2941} +{\*\company Huddle Group S.A.}{\nofcharsws3450}{\vern24703}}\margl1701\margr1701\margt1417\margb1417 \deftab708\widowctrl\ftnbj\aenddoc\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\hyphcaps0\horzdoc\dghspace120\dgvspace120\dghorigin1701 +\dgvorigin1984\dghshow0\dgvshow3\jcompress\viewkind1\viewscale100\nolnhtadjtbl\rsidroot7562310 \fet0\sectd \sbknone\linex0\sectdefaultcl\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang +{\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang +{\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain +\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1024\langfe1024\cgrid\noproof\langnp1033\langfenp1033 {\f1\fs20\insrsid7562310\charrsid13056714 +\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 +\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: }{ +\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 { +\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 +\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 +\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 { +\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 +\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 +\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 +\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 { +\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 +\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 +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 +{\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 +\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 +\par }{\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 Poscondiciones: }{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 +\par Historia cl\'ednica de los afiliados afectados actualizada. +\par \'c1rea de Pagos notificada acerca de las aprobaciones/rechazos de la info enviada por el prestador acerca de prestaciones realizadas. +\par \'c1rea de Pagos dispone de los reportes de consumo de los afiliados. +\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 { +\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 +\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 +\par }{\b\f1\fs20\insrsid7562310\charrsid13056714 Flujo Principal: +\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 +\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 +n de prestaciones e intervenciones}{\f1\fs20\insrsid7562310\charrsid13056714 de los afiliados. +\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 +\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 + sobre la info recibida: +\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 { +\f1\fs20\insrsid13056714 La}{\f1\fs20\insrsid7757395\charrsid13056714 autorizaci\'f3n existe en el Sistema. +\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 +\'e1}{\f1\fs20\insrsid7757395\charrsid13056714 relacionada con la prestaci\'f3n descripta por el Prestador. +\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. +\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}{ +\f1\fs20\insrsid7757395\charrsid13056714 que se aplicaba al momento de la aprobaci\'f3n de la autorizaci\'f3n +\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 { +\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 +\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.}{ +\f1\fs20\insrsid13056714\charrsid13056714 +\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 +\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 +n realizada por el afiliado. Sino, se la marca como linea rechazada. +\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 +\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 +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 +\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 +\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}{ +\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 +\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 +\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls2\rin0\lin720 {\f1\fs20\insrsid7562310\charrsid13056714 Finaliza caso de uso. +\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 +\fs24\lang1024\langfe1024\cgrid\noproof\langnp1033\langfenp1033 {\f1\fs20\insrsid7562310\charrsid13056714 \trowd \irow4\irowband4\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 \cellx8838\row }\pard \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\b\f1\fs20\insrsid7562310\charrsid13056714 +Flujos Alternativos: }{\f1\fs20\insrsid7562310\charrsid13056714 No hay.}{\f1\fs20\insrsid7562310 +\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 +\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 +\cellx8838\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid2299470 {\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 Flujos de Excepci\'f3n: }{ +\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 No hay.}{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310 +\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 +\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 +\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: }{ +\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 + (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 +\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 \trowd \irow7\irowband7\lastrow +\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 +\cellx8838\row }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 +\par }{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 Especificaci\'f3n de Datos: +\par }{\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 +\par }{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 1) }{\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 Informaci\'f3n de prestaciones e intervenciones}{ +\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 +\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)}{ +\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 +\par b) C\'f3digo de autorizaci\'f3n relacionada a la prestaci\'f3n/intervenci\'f3n. +\par c) C\'f3digo de prestaci\'f3n/intervenci\'f3n (\'93Pr\'e1ctica\'94, en el nomenclador) +\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 +\par \tab d) Porcentaje de cobertura a cubrir por la Obra Social. +\par \tab e) N\'famero de afiliado. +\par +\par 2) }{\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 Informe de aprobaciones/rechazos de prestaciones}{\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid13056714 realizadas}{ +\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 +\par \tab a) Identificaci\'f3n del Prestador +\par \tab b) Nombre del Prestador +\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. +\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) +\par \tab e) Identificador de l\'ednea Aprobada/Rechazada +\par \tab f) C\'f3digo de afiliado +\par \tab g) % cobertura reclamado por el prestador +\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) +\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) +\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) +\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 +% cobertura recibido inv\'e1lido\'94, etc) +\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 \tab }{\fs20\lang1024\langfe1024\langnp11274\insrsid2299470 +\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 + +\par \tab }{\b\fs20\insrsid2299470 Cada l\'ednea: +\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 +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\insrsid2299470 \hich\af0\dbch\af0\loch\f0 b)\tab}Nombre, apellido del afiliado +\par }\pard \ql \li1065\ri0\nowidctlpar\faauto\rin0\lin1065\itap0\pararsid2299470 {\fs20\insrsid2299470 Por cada afiliado: +\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 +\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 +\par \tab e) C\'f3digo del plan del afiliado +\par \tab }{\fs20\insrsid2299470 f) % Cobertura +\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid7562310 +\par }} \ No newline at end of file