X-Git-Url: https://git.llucax.com/z.facultad/75.10/miklolife.git/blobdiff_plain/5af0a1754ae25bec7dd6a9c0de884adad4db32a8..5e6d94c8f413425837ebb2938703ddb196520ab4:/especificaciones/pedir_autorizacion_automatica.rtf diff --git a/especificaciones/pedir_autorizacion_automatica.rtf b/especificaciones/pedir_autorizacion_automatica.rtf index 39ad4de..9e75e3e 100644 --- a/especificaciones/pedir_autorizacion_automatica.rtf +++ b/especificaciones/pedir_autorizacion_automatica.rtf @@ -1,11 +1,11 @@ -{\rtf1\ansi\ansicpg1252\uc1\deff0\stshfdbch0\stshfloch0\stshfhich0\stshfbi0\deflang2058\deflangfe2058{\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;}{\f36\fswiss\fcharset0\fprq2{\*\panose 00000000000000000000}Trebuchet MS;}{\f37\froman\fcharset238\fprq2 Times New Roman CE;}{\f38\froman\fcharset204\fprq2 Times New Roman Cyr;} 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(}{\b\fs20\insrsid15951744 E1}{\fs20\insrsid15951744 ) -\par {\pntext\pard\plain\s51 \intbl\f36\fs20\insrsid15951744 \hich\af36\dbch\af0\loch\f36 4\tab}}\pard \s51\ql \fi-429\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720 { -\fs20\insrsid15951744 El sistema verifica con un algoritmo si la prestaci\'f3n puede ser aprobada (teniendo en cuenta el estado de cuenta, antig\'fcedad, plan, }{\fs20\insrsid86895 cobertura, }{\fs20\insrsid15951744 carencias}{\fs20\insrsid86895 y el l -\'edmite de la respectiva prestaci\'f3n anual}{\fs20\insrsid15951744 ) (}{\b\fs20\insrsid15951744 S1}{\fs20\insrsid15951744 ) -\par {\pntext\pard\plain\s51 \intbl\f36\fs20\insrsid15951744 \hich\af36\dbch\af0\loch\f36 5\tab}}\pard \s51\ql \fi-429\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720 { -\fs20\insrsid15951744 Se registra}{\fs20\insrsid86895 n los datos proporcionados}{\fs20\insrsid15951744 }{\fs20\insrsid86895 con }{\fs20\insrsid15951744 el pedido de autorizaci\'f3n autom\'e1tica con estado \'93aprobado\'94 -, junto con la fecha y hora de la operaci\'f3n. -\par {\pntext\pard\plain\s51 \intbl\f36\fs20\insrsid15951744 \hich\af36\dbch\af0\loch\f36 6\tab}}\pard \s51\ql \fi-429\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720 { -\fs20\insrsid15951744 Fin de caso de uso.}{\insrsid15951744 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\insrsid15951744 \trowd \irow4\irowband4 -\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb -\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8906\clshdrawnil \cellx8793\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\b\f36\fs20\insrsid15951744 Flujos Alternativos:}{ -\b\f36\fs20\insrsid15951744\charrsid86895 +\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\b\f36\fs20\insrsid15951744 Actores: }{\f36\fs20\insrsid8521837 Solicitador de autorizaciones}{\f36\insrsid15951744 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 { +\f36\insrsid15951744 \trowd \irow1\irowband1\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl +\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8906\clshdrawnil \cellx8793\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\b\f36\fs20\insrsid15951744 Precondiciones: }{ +\f36\fs20\insrsid15951744 El cliente se encuentra afiliado.}{\f36\insrsid15951744 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f36\insrsid15951744 \trowd \irow2\irowband2\ts11\trgaph7\trleft-113\trbrdrt +\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr +\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8906\clshdrawnil \cellx8793\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\b\f36\fs20\insrsid15951744 Postcondiciones: }{\f36\fs20\insrsid15951744 El pedido de autorizaci\'f3 +n queda registrado.}{\f36\insrsid15951744 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f36\insrsid15951744 \trowd \irow3\irowband3\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb +\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 +\cltxlrtb\clftsWidth3\clwWidth8906\clshdrawnil \cellx8793\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\b\f36\fs20\insrsid15951744 Flujo Principal: +\par {\pntext\pard\plain\s51 \intbl\f36\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid15951744 \hich\af36\dbch\af0\loch\f36 1\tab}}\pard\plain \s51\ql \fi-429\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnb0 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720 \f36\fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\fs20\insrsid15951744 El }{\fs20\insrsid8521837 solicitador}{\fs20\insrsid15951744 solicita registrar una autorizaci\'f3n autom\'e1 +tica.}{\b\fs20\lang0\langfe2058\langnp0\insrsid15951744 +\par {\pntext\pard\plain\s51 \intbl\f36\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid15951601 \hich\af36\dbch\af0\loch\f36 2\tab}}\pard \s51\ql \fi-429\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnb0 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720 {\fs20\insrsid15951601 El sistema pide el c\'f3digo}{\fs20\insrsid15951744 de afiliado}{\fs20\insrsid7609257 ,}{\fs20\insrsid15951744 el c\'f3digo de prestaci\'f3n que se desea autorizar, }{ +\fs20\insrsid7609257 y c\'f3digo de prestador}{\fs20\insrsid15951744 . +\par {\pntext\pard\plain\s51 \intbl\f36\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid15951744 \hich\af36\dbch\af0\loch\f36 3\tab}}\pard \s51\ql \fi-429\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnb0 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720 {\fs20\insrsid15951744 El }{\fs20\insrsid8521837 solicitador}{\fs20\insrsid15951744 completa los datos. (}{\b\fs20\insrsid15951744 E1}{\fs20\insrsid15951744 ) +\par {\pntext\pard\plain\s51 \intbl\f36\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid15951744 \hich\af36\dbch\af0\loch\f36 4\tab}}\pard \s51\ql \fi-429\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnb0 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720 {\fs20\insrsid15951744 El sistema verifica con un algoritmo si la prestaci\'f3n puede ser aprobada (teniendo en cuenta el estado de cuenta, antig\'fcedad, plan, }{\fs20\insrsid86895 cobertura, +}{\fs20\insrsid15951744 carencias}{\fs20\insrsid86895 y el l\'edmite de la respectiva prestaci\'f3n anual}{\fs20\insrsid15951744 ) (}{\b\fs20\insrsid15951744 S1}{\fs20\insrsid15951744 ) +\par {\pntext\pard\plain\s51 \intbl\f36\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid15951744 \hich\af36\dbch\af0\loch\f36 5\tab}}\pard \s51\ql \fi-429\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnb0 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720 {\fs20\insrsid15951744 Se registra}{\fs20\insrsid86895 n los datos proporcionados}{\fs20\insrsid15951744 }{\fs20\insrsid86895 con }{\fs20\insrsid15951744 el pedido de autorizaci\'f3n autom\'e1 +tica con estado \'93aprobado\'94, junto con la fecha y hora de la operaci\'f3n}{\fs20\insrsid941481 y se establece la fecha de vencimiento como 2 meses a partir de la fecha actual}{\fs20\insrsid15951744 . +\par {\pntext\pard\plain\s51 \intbl\f36\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid15951744 \hich\af36\dbch\af0\loch\f36 6\tab}}\pard \s51\ql \fi-429\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnb0 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720 {\fs20\insrsid15951744 Fin de caso de uso.}{\insrsid15951744 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 +\fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\insrsid15951744 \trowd \irow4\irowband4\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 +\trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8906\clshdrawnil \cellx8793\row }\pard +\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\b\f36\fs20\insrsid15951744 Flujos Alternativos:}{\b\f36\fs20\insrsid15951744\charrsid86895 \par }\pard \ql \fi-540\li824\ri0\nowidctlpar\intbl\faauto\rin0\lin824 {\f36\fs20\insrsid15951744\charrsid86895 S1 }{\f36\fs20\insrsid614618 }{\f36\fs20\insrsid15951744\charrsid86895 }{\f36\fs20\insrsid86895\charrsid86895 Se registra la }{ \f36\fs20\insrsid15951744\charrsid86895 autorizaci\'f3n autom\'e1tica es rechazada}{\f36\fs20\insrsid86895\charrsid86895 , junto con los datos proporcionados. Y se registra el motivo del rechazo.}{\f36\insrsid15951744 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f36\insrsid15951744 \trowd \irow5\irowband5\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 @@ -82,10 +84,10 @@ y opcionalmente que se ingrese una nota del afiliado o su medico ampliando los m \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f36\insrsid15951744 \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\brdrw5 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8906\clshdrawnil \cellx8793\row }\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\brdrw5 \clbrdrl\brdrs\brdrw5 -\clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth8906\clshdrawnil \cellx8793\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\b\f36\fs20\insrsid15951744 Notas: }{\f36\insrsid15951744 \cell }\pard -\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f36\insrsid15951744 \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\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth8906\clshdrawnil \cellx8793\row }\pard -\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f36\insrsid15951744 +\clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth8906\clshdrawnil \cellx8793\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\b\f36\fs20\insrsid15951744 Notas: }{\f36\fs20\insrsid1012340 Ver diagrama de secuencia para m\'e1 +s detalles.}{\f36\insrsid15951744\charrsid1012340 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f36\insrsid15951744 \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\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 +\cltxlrtb\clftsWidth3\clwWidth8906\clshdrawnil \cellx8793\row }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f36\insrsid15951744 \par }{\b\f36\fs20\insrsid15951744 \par }{\insrsid15951744 \par }} \ No newline at end of file