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-\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\'f3n realizada por el afiliado. S -ino, 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 {\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 -\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid7562310\charrsid13056714 \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 {\f1\fs20\insrsid7562310\charrsid13056714 Se llama al Caso de Uso \'93Generar Reporte de Consumo\'94 -\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\plain \s15\ql \li289\ri0\nowidctlpar\intbl\faauto\rin0\lin289 -\fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\f1\fs20\insrsid7562310\charrsid13056714 -\par }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 \fs24\lang1024\langfe1024\cgrid\noproof\langnp1033\langfenp1033 {\b\f1\fs20\insrsid7562310\charrsid13056714 Flujos Alternativos: }{\f1\fs20\insrsid7562310\charrsid13056714 No hay.\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 { -\f1\fs20\insrsid7562310\charrsid13056714 -\par }{\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 Flujos de Excepci\'f3n: }{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 No hay. -\par }\pard \ql \fi-360\li646\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin646 {\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 \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\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 Notas: }{\cs68\f1\fs20\lang11274\noproof0\langnp11274\insrsid7562310\charrsid13056714 \~\~\~ - La comunicaci\'f3 -n 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. +\s20\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 \sbasedon16 \snext20 List;}{\s21\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 +\sbasedon16 \snext21 Contenido de la tabla;}{\s22\qc \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \b\i\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 \sbasedon21 \snext22 Encabezado de la tabla;}{\s23\ql \li0\ri0\nowidctlpar +\tqc\tx4320\tqr\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext23 header;}{\s24\ql \li0\ri0\nowidctlpar\tqc\tx4320\tqr\tx8640\faauto\rin0\lin0\itap0 +\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext24 footer;}{\s25\ql \li0\ri0\nowidctlpar\tqc\tx4818\tqr\tx9637\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 \sbasedon15 \snext25 Pie de p\'e1gina;} +{\*\cs26 \additive RTF_Num 2 1;}{\*\cs27 \additive RTF_Num 2 2;}{\*\cs28 \additive RTF_Num 2 3;}{\*\cs29 \additive RTF_Num 2 4;}{\*\cs30 \additive RTF_Num 2 5;}{\*\cs31 \additive RTF_Num 2 6;}{\*\cs32 \additive RTF_Num 2 7;}{\*\cs33 \additive +RTF_Num 2 8;}{\*\cs34 \additive RTF_Num 2 9;}{\*\cs35 \additive \b RTF_Num 2 11;}{\*\cs36 \additive RTF_Num 3 1;}{\*\cs37 \additive RTF_Num 3 2;}{\*\cs38 \additive RTF_Num 3 3;}{\*\cs39 \additive RTF_Num 3 4;}{\*\cs40 \additive RTF_Num 3 5;}{\*\cs41 +\additive RTF_Num 3 6;}{\*\cs42 \additive RTF_Num 3 7;}{\*\cs43 \additive RTF_Num 3 8;}{\*\cs44 \additive RTF_Num 3 9;}{\*\cs45 \additive \loch\f3 RTF_Num 4 1;}{\*\cs46 \additive \loch\f2 RTF_Num 4 2;}{\*\cs47 \additive \loch\f10 RTF_Num 4 3;}{\*\cs48 +\additive \loch\f3 RTF_Num 4 4;}{\*\cs49 \additive \loch\f2 RTF_Num 4 5;}{\*\cs50 \additive \loch\f10 RTF_Num 4 6;}{\*\cs51 \additive \loch\f3 RTF_Num 4 7;}{\*\cs52 \additive \loch\f2 RTF_Num 4 8;}{\*\cs53 \additive \loch\f10 RTF_Num 4 9;}{\*\cs54 +\additive RTF_Num 5 1;}{\*\cs55 \additive RTF_Num 5 2;}{\*\cs56 \additive RTF_Num 5 3;}{\*\cs57 \additive RTF_Num 5 4;}{\*\cs58 \additive RTF_Num 5 5;}{\*\cs59 \additive RTF_Num 5 6;}{\*\cs60 \additive RTF_Num 5 7;}{\*\cs61 \additive RTF_Num 5 8;}{\* +\cs62 \additive RTF_Num 5 9;}{\*\cs63 \additive RTF_Num 7 1;}{\*\cs64 \additive \loch\f2 RTF_Num 7 2;}{\*\cs65 \additive \loch\f10 RTF_Num 7 3;}{\*\cs66 \additive \loch\f3 RTF_Num 7 4;}{\*\cs67 \additive \loch\f2 RTF_Num 7 5;}{\*\cs68 \additive \loch\f10 +RTF_Num 7 6;}{\*\cs69 \additive \loch\f3 RTF_Num 7 7;}{\*\cs70 \additive \loch\f2 RTF_Num 7 8;}{\*\cs71 \additive \loch\f10 RTF_Num 7 9;}{\*\cs72 \additive \loch\f1 RTF_Num 8 1;}{\*\cs73 \additive RTF_Num 8 2;}{\*\cs74 \additive RTF_Num 8 3;}{\*\cs75 +\additive RTF_Num 8 4;}{\*\cs76 \additive RTF_Num 8 5;}{\*\cs77 \additive RTF_Num 8 6;}{\*\cs78 \additive RTF_Num 8 7;}{\*\cs79 \additive RTF_Num 8 8;}{\*\cs80 \additive RTF_Num 8 9;}{\*\cs81 \additive RTF_Num 9 1;}{\*\cs82 \additive RTF_Num 9 2;}{\* +\cs83 \additive RTF_Num 9 3;}{\*\cs84 \additive RTF_Num 9 4;}{\*\cs85 \additive RTF_Num 9 5;}{\*\cs86 \additive RTF_Num 9 6;}{\*\cs87 \additive RTF_Num 9 7;}{\*\cs88 \additive RTF_Num 9 8;}{\*\cs89 \additive RTF_Num 9 9;}{\*\cs90 \additive RTF_Num 10 1;} +{\*\cs91 \additive RTF_Num 10 2;}{\*\cs92 \additive RTF_Num 10 3;}{\*\cs93 \additive RTF_Num 10 4;}{\*\cs94 \additive RTF_Num 10 5;}{\*\cs95 \additive RTF_Num 10 6;}{\*\cs96 \additive RTF_Num 10 7;}{\*\cs97 \additive RTF_Num 10 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}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 { +\f1\fs20\lang1024\langfe1024\langnp11274\insrsid1796952\charrsid1796952 \trowd \irow4\irowband4\ts11\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl +\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5124\clshdrawnil \cellx5016\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 +\cltxlrtb\clftsWidth3\clwWidth3822\clshdrawnil \cellx8838\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\i\f1\fs20\lang1024\langfe1024\langnp11274\insrsid1796952 Diagrama de estados: Autorizaci\'f3n Autom\'e1tica}{ +\i\f1\fs20\lang1024\langfe1024\langnp11274\insrsid1796952\charrsid1796952 \cell }\pard \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\f1\fs20\lang1024\langfe1024\langnp11274\insrsid1796952 +Diagrama de los estados, transiciones y eventos relevantes relacionados con una autorizaci\'f3n autom\'e1tica.}{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid1796952\charrsid1796952 \cell }\pard +\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\lang1024\langfe1024\langnp11274\insrsid1796952\charrsid1796952 \trowd \irow5\irowband5 +\ts11\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 +\cltxlrtb\clftsWidth3\clwWidth5124\clshdrawnil \cellx5016\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3822\clshdrawnil \cellx8838\row }\pard +\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\i\f1\fs20\lang1024\langfe1024\langnp11274\insrsid1796952 Especificaci\'f3n de clase: RecibirPrestacionesController}{\i\f1\fs20\lang1024\langfe1024\langnp11274\insrsid1796952\charrsid1796952 \cell }\pard +\ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\f1\fs20\lang1024\langfe1024\langnp11274\insrsid1796952 Especificaci\'f3n de la clase RecibirPrestacionesController y sus m\'e9todos.}{ +\f1\fs20\lang1024\langfe1024\langnp11274\insrsid1796952\charrsid1796952 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\lang1024\langfe1024\langnp11274\insrsid1796952\charrsid1796952 +\trowd \irow6\irowband6\lastrow \ts11\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 +\cltxlrtb\clftsWidth3\clwWidth5124\clshdrawnil \cellx5016\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3822\clshdrawnil \cellx8838\row }\pard +\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \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 +\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\brdrnone +\cltxlrtb\clftsWidth3\clwWidth4475\clshdrawnil \cellx4362\clvertalt\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4476\clshdrawnil \cellx8838\pard +\ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\b\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 Caso de uso: }{ +\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 Recibir y Cotejar Consumos y Prestaciones\cell }{\b\fs20\loch\af37\insrsid16256568 \hich\af0\dbch\af0\loch\f37 Orden: 10}{ +\fs20\loch\af37\insrsid16256568 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\loch\af37\insrsid16256568 \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\brdrnone \cltxlrtb\clftsWidth3\clwWidth4475\clshdrawnil +\cellx4362\clvertalt\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4476\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 {\b\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid12810781\charrsid12810781 \hich\af0\dbch\af0\loch\f1 Descripci}{ +\b\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid12810781\charrsid12810781 \loch\af1\dbch\af0\hich\f0 \'f3}{\b\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid12810781\charrsid12810781 \hich\af0\dbch\af0\loch\f1 n: }{ +\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid12810781\charrsid12810781 \hich\af0\dbch\af0\loch\f1 Representa la interacci}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid12810781\charrsid12810781 \loch\af1\dbch\af0\hich\f0 \'f3}{ +\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid12810781\charrsid12810781 \hich\af0\dbch\af0\loch\f1 n entre el Prestador y el Sistema, al momento que el Prestador}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid12810781 +\hich\af0\dbch\af0\loch\f1 env}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid12810781 \loch\af1\dbch\af0\hich\f0 \'ed}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid12810781 \hich\af0\dbch\af0\loch\f1 +a la informacion de prestaciones realizadas, el Sistema las procesa y emite los reportes de Consumo y de Aprobaciones/Rechazos de Prestaciones Realizadas.}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid12810781\charrsid12810781 \cell }\pard +\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid12810781\charrsid12810781 \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 {\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid12810781 +\par }\pard \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 Actores: }{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 Prestador, Pagos.\cell }\pard +\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\loch\af1\insrsid16256568 \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 { +\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 +\par }\pard \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\b\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 Precondiciones: }{ +\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 El Prestador tiene acceso y permisos suficientes para subir archivos al sitio FTP publicado por la Obra Social, a fines de establecer la comunicaci} +{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 +n entre los sistemas. Asimismo, el Sistema tiene acceso a }{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \loch\af1\dbch\af0\hich\f0 \'e9}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 +\hich\af0\dbch\af0\loch\f1 ste sitio y a los archivos que co\hich\af0\dbch\af0\loch\f1 ntiene. (Ver el documento }{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \loch\af1\dbch\af0\hich\f0 \'93}{ +\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 formato_interfaz_prestador.rtf}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \loch\af1\dbch\af0\hich\f0 \'94}{ +\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 para detalles acerca del formato de los archivos recibidos.) +\par \hich\af0\dbch\af0\loch\f1 El Sistema posee un medio de comunicaci}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{ +\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 n con Pagos. }{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568 \hich\af0\dbch\af0\loch\f1 (}{\b\f1\fs20\insrsid16256568 +pendiente de especificaci\'f3n}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568 \hich\af0\dbch\af0\loch\f1 )}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \cell }\pard +\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \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 {\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 +\par }{\b\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 Poscondiciones: +\par }{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 Historia cl}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \loch\af1\dbch\af0\hich\f0 \'ed}{ +\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 nica de los afiliados \hich\af0\dbch\af0\loch\f1 afectados actualizada. +\par }{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \loch\af1\dbch\af0\hich\f0 \'c1}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 +rea de Pagos notificada acerca de las aprobaciones/rechazos de la info enviada por el prestador acerca de prestaciones realizadas. +\par }{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \loch\af1\dbch\af0\hich\f0 \'c1}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 +rea de Pagos dispone de los reportes de consumo de los afiliados. +\par }\pard \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 { +\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \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\faauto\rin0\lin0 { +\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 +\par }{\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 Flujo Principal: +\par {\pntext\pard\plain\s15 \intbl\b\fs20\lang2058\langfe2058\loch\af1\langnp2058\langfenp2058\insrsid16256568 \hich\af0\dbch\af0\loch\f1 1\tab}}\pard\plain \s15\ql \fi-431\li751\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls7\pnrnot0\pndec\pnb1 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls7\rin0\lin751 \fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 El Prestador\hich\af0\dbch\af0\loch\f1 env}{\fs20\loch\af1\insrsid16256568 +\loch\af1\dbch\af0\hich\f0 \'ed}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 a }{\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 informaci}{\b\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{ +\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n de prestaciones e intervenciones}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 de los afiliados (deposita un archivo en el sitio FTP destinado) +\par {\pntext\pard\plain\s15 \intbl\b\fs20\lang2058\langfe2058\loch\af1\langnp2058\langfenp2058\insrsid16256568 \hich\af0\dbch\af0\loch\f1 2\tab}}\pard \s15\ql \fi-431\li751\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls7\pnrnot0\pndec\pnb1 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls7\rin0\lin751 {\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 El Sistema, peri}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid16256568 +\hich\af0\dbch\af0\loch\f1 dicamente, obtiene dicha informaci}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid13972128 \hich\af0\dbch\af0\loch\f1 n\hich\af0\dbch\af0\loch\f1 , movi}{\fs20\loch\af1\insrsid13972128 +\loch\af1\dbch\af0\hich\f0 \'e9}{\fs20\loch\af1\insrsid13972128 \hich\af0\dbch\af0\loch\f1 ndola \hich\af0\dbch\af0\loch\f1 temporalmente \hich\af0\dbch\af0\loch\f1 a un }{\fs20\loch\af1\insrsid13972128 \loch\af1\dbch\af0\hich\f0 \'93}{ +\fs20\loch\af1\insrsid13972128 \hich\af0\dbch\af0\loch\f1 directorio \hich\af0\dbch\af0\loch\f1 de procesamiento}{\fs20\loch\af1\insrsid13972128 \loch\af1\dbch\af0\hich\f0 \'94}{\fs20\loch\af1\insrsid13972128 \hich\af0\dbch\af0\loch\f1 +, en el que se mantiene hasta que\hich\af0\dbch\af0\loch\f1 finalice el proceso.}{\fs20\loch\af1\insrsid1773789\charrsid1773789 +\par }\pard \s15\ql \li320\ri0\nowidctlpar\intbl{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\rin0\lin320\pararsid1773789 {\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 [ RecibirPrestacionesController.}{\b\fs20\loch\af1\insrsid1796952 +\hich\af0\dbch\af0\loch\f1 procesar}{\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 InfoRecibida() ]}{\fs20\loch\af1\insrsid16256568 +\par {\pntext\pard\plain\s15 \intbl\b\fs20\lang2058\langfe2058\loch\af1\langnp2058\langfenp2058\insrsid16256568 \hich\af0\dbch\af0\loch\f1 3\tab}}\pard \s15\ql \fi-431\li751\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls7\pnrnot0\pndec\pnb1 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls7\rin0\lin751 {\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 El Sistema verifica el formato de la informaci}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{ +\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n recibida. Si el formato NO es v}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'e1}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 lido --> }{ +\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 E1}{\fs20\loch\af1\insrsid16256568 +\par {\pntext\pard\plain\s15 \intbl\b\fs20\lang2058\langfe2058\loch\af1\langnp2058\langfenp2058\insrsid16256568 \hich\af0\dbch\af0\loch\f1 4\tab}}\pard \s15\ql \fi-431\li751\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls7\pnrnot0\pndec\pnb1 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls7\rin0\lin751 {\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 El Sistema saca el archivo del FTP y lo mueve a una carpeta de }{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'93}{ +\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 Documentos v}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'e1}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 lidos}{\fs20\loch\af1\insrsid16256568 +\loch\af1\dbch\af0\hich\f0 \'94}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 . +\par {\pntext\pard\plain\s15 \intbl\b\fs20\lang2058\langfe2058\loch\af1\langnp2058\langfenp2058\insrsid16256568 \hich\af0\dbch\af0\loch\f1 5\tab}}\pard \s15\ql \fi-431\li751\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls7\pnrnot0\pndec\pnb1 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls7\rin0\lin751 {\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 El Sistema valida cada l}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'ed}{\fs20\loch\af1\insrsid16256568 +\hich\af0\dbch\af0\loch\f1 nea de la informaci}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n recibida. Validaciones sobr\hich\af0\dbch\af0\loch\f1 e la info recibida: +\par }\pard \s15\ql \li320\ri0\nowidctlpar\intbl\faauto\rin0\lin320\pararsid1773789 {\fs20\loch\af1\insrsid1773789 \hich\af0\dbch\af0\loch\f1 }{\i\fs20\loch\af1\insrsid1773789\charrsid1773789 \hich\af0\dbch\af0\loch\f1 A nivel global del archivo se verifica +}{\fs20\loch\af1\insrsid1773789\charrsid1773789 \hich\af0\dbch\af0\loch\f1 : +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid16256568 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \s15\ql \fi-360\li829\ri0\nowidctlpar\intbl\faauto\ls1\rin0\lin829 {\fs20\loch\af1\insrsid16256568 +\hich\af0\dbch\af0\loch\f1 El}{\fs20\loch\af1\insrsid1773789 \hich\af0\dbch\af0\loch\f1 Prestador existe en el Sistema}{\fs20\loch\af1\insrsid16256568 +\par }\pard \s15\ql \li469\ri0\nowidctlpar\intbl\faauto\rin0\lin469\pararsid1773789 {\i\fs20\loch\af1\insrsid1773789\charrsid1773789 \hich\af0\dbch\af0\loch\f1 Por cada l}{\i\fs20\loch\af1\insrsid1773789\charrsid1773789 \loch\af1\dbch\af0\hich\f0 \'ed}{ +\i\fs20\loch\af1\insrsid1773789\charrsid1773789 \hich\af0\dbch\af0\loch\f1 nea de la info recibida se verifica:}{\i\fs20\loch\af1\insrsid1773789 +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid11947796 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \s15\ql \fi-360\li829\ri0\nowidctlpar\intbl\faauto\ls1\rin0\lin829\pararsid10120182 { +\fs20\loch\af1\insrsid11947796 \hich\af0\dbch\af0\loch\f1 El Prestador\hich\af0\dbch\af0\loch\f1 NO }{\fs20\loch\af1\insrsid7414441 \hich\af0\dbch\af0\loch\f1 est}{\fs20\loch\af1\insrsid7414441 \loch\af1\dbch\af0\hich\f0 \'e1}{ +\fs20\loch\af1\insrsid11947796 \hich\af0\dbch\af0\loch\f1 dado de baja en la fecha de realizaci}{\fs20\loch\af1\insrsid11947796 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid11947796 \hich\af0\dbch\af0\loch\f1 n recibida.}{ +\fs20\loch\af1\insrsid10120182 +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid7414441 \hich\af1\dbch\af0\loch\f1 -\tab}}{\fs20\loch\af1\insrsid7414441 \hich\af0\dbch\af0\loch\f1 El afiliado \hich\af0\dbch\af0\loch\f1 exist +\hich\af0\dbch\af0\loch\f1 e}{\fs20\loch\af1\insrsid10120182 \hich\af0\dbch\af0\loch\f1 en el Sistema\hich\af0\dbch\af0\loch\f1 .}{\fs20\loch\af1\insrsid10120182\charrsid10120182 +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid11947796 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \s15\ql \fi-360\li829\ri0\nowidctlpar\intbl\faauto\ls1\rin0\lin829\pararsid11947796 { +\fs20\loch\af1\insrsid11947796 \hich\af0\dbch\af0\loch\f1 La prestaci}{\fs20\loch\af1\insrsid11947796 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid11947796 \hich\af0\dbch\af0\loch\f1 n }{\fs20\loch\af1\insrsid10120182 \hich\af0\dbch\af0\loch\f1 +exist\hich\af0\dbch\af0\loch\f1 e}{\fs20\loch\af1\insrsid11947796 \hich\af0\dbch\af0\loch\f1 en el Sistema y NO }{\fs20\loch\af1\insrsid7414441 \hich\af0\dbch\af0\loch\f1 e\hich\af0\dbch\af0\loch\f1 s}{\fs20\loch\af1\insrsid10120182 +\hich\af0\dbch\af0\loch\f1 t}{\fs20\loch\af1\insrsid10120182 \loch\af1\dbch\af0\hich\f0 \'e1}{\fs20\loch\af1\insrsid11947796 \hich\af0\dbch\af0\loch\f1 dada de baja\hich\af0\dbch\af0\loch\f1 en la }{\i\fs20\loch\af1\insrsid11947796\charrsid7303940 +\hich\af0\dbch\af0\loch\f1 fecha de realizaci}{\i\fs20\loch\af1\insrsid11947796\charrsid7303940 \loch\af1\dbch\af0\hich\f0 \'f3}{\i\fs20\loch\af1\insrsid11947796\charrsid7303940 \hich\af0\dbch\af0\loch\f1 n}{\fs20\loch\af1\insrsid11947796 +\hich\af0\dbch\af0\loch\f1 enviada por el Presta\hich\af0\dbch\af0\loch\f1 dor\hich\af0\dbch\af0\loch\f1 .}{\fs20\loch\af1\insrsid11947796\charrsid11947796 +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid16256568 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \s15\ql \fi-360\li829\ri0\nowidctlpar\intbl\faauto\ls1\rin0\lin829 {\fs20\loch\af1\insrsid16256568 +\hich\af0\dbch\af0\loch\f1 La autorizaci}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n existe en el Sistema. +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid11947796 \hich\af1\dbch\af0\loch\f1 -\tab}}{\fs20\loch\af1\insrsid11947796 \hich\af0\dbch\af0\loch\f1 La autorizaci}{\fs20\loch\af1\insrsid11947796 +\loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid11947796 \hich\af0\dbch\af0\loch\f1 n est}{\fs20\loch\af1\insrsid11947796 \loch\af1\dbch\af0\hich\f0 \'e1}{\fs20\loch\af1\insrsid11947796 \hich\af0\dbch\af0\loch\f1 + relacionada con el Prestador, en los datos del Sistema. +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid11947796 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \s15\ql \fi-360\li829\ri0\nowidctlpar\intbl\faauto\ls1\rin0\lin829\pararsid11947796 { +\fs20\loch\af1\insrsid11947796 \hich\af0\dbch\af0\loch\f1 La autorizaci}{\fs20\loch\af1\insrsid11947796 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid11947796 \hich\af0\dbch\af0\loch\f1 n est}{\fs20\loch\af1\insrsid11947796 +\loch\af1\dbch\af0\hich\f0 \'e1}{\fs20\loch\af1\insrsid11947796 \hich\af0\dbch\af0\loch\f1 relacionada con la prestaci}{\fs20\loch\af1\insrsid11947796 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid10120182 \hich\af0\dbch\af0\loch\f1 +n descripta por el Prestador\hich\af0\dbch\af0\loch\f1 , en los datos del Sistema}{\fs20\loch\af1\insrsid16256568 +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid10120182 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \s15\ql \fi-360\li829\ri0\nowidctlpar\intbl\faauto\ls1\rin0\lin829\pararsid10120182 { +\fs20\loch\af1\insrsid10120182 \hich\af0\dbch\af0\loch\f1 La\hich\af0\dbch\af0\loch\f1 \hich\af0\dbch\af0\loch\f1 autorizaci}{\fs20\loch\af1\insrsid10120182 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid10120182 \hich\af0\dbch\af0\loch\f1 n +\hich\af0\dbch\af0\loch\f1 est}{\fs20\loch\af1\insrsid10120182 \loch\af1\dbch\af0\hich\f0 \'e1}{\fs20\loch\af1\insrsid10120182 \hich\af0\dbch\af0\loch\f1 relacionada con\hich\af0\dbch\af0\loch\f1 \hich\af0\dbch\af0\loch\f1 el \hich\af0\dbch\af0\loch\f1 +afiliado\hich\af0\dbch\af0\loch\f1 en los datos del Sistema +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid7303940 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \s15\ql \fi-360\li829\ri0\nowidctlpar\intbl\faauto\ls1\rin0\lin829\pararsid7303940 {\fs20\loch\af1\insrsid7303940 +\hich\af0\dbch\af0\loch\f1 La autorizaci}{\fs20\loch\af1\insrsid7303940 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid7303940 \hich\af0\dbch\af0\loch\f1 n }{\fs20\ul\loch\af1\insrsid7303940 \hich\af0\dbch\af0\loch\f1 no }{ +\fs20\ul\loch\af1\insrsid7414441 \hich\af0\dbch\af0\loch\f1 est}{\fs20\ul\loch\af1\insrsid7414441 \loch\af1\dbch\af0\hich\f0 \'e1}{\fs20\ul\loch\af1\insrsid7303940 \hich\af0\dbch\af0\loch\f1 realizada}{\fs20\loch\af1\insrsid7303940 +\hich\af0\dbch\af0\loch\f1 (en los datos del Sistema)\hich\af0\dbch\af0\loch\f1 al momento del proceso de la l}{\fs20\loch\af1\insrsid7303940 \loch\af1\dbch\af0\hich\f0 \'ed}{\fs20\loch\af1\insrsid7303940 \hich\af0\dbch\af0\loch\f1 nea.}{ +\fs20\loch\af1\insrsid7303940\charrsid11947796 +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid16256568 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \s15\ql \fi-360\li829\ri0\nowidctlpar\intbl\faauto\ls1\rin0\lin829 {\fs20\loch\af1\insrsid16256568 +\hich\af0\dbch\af0\loch\f1 La autorizaci}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n }{\fs20\loch\af1\insrsid7414441 \hich\af0\dbch\af0\loch\f1 est}{ +\fs20\loch\af1\insrsid7414441 \loch\af1\dbch\af0\hich\f0 \'e1}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 }{\i\fs20\ul\loch\af1\insrsid16256568\charrsid7414441 \hich\af0\dbch\af0\loch\f1 aprobada}{\fs20\loch\af1\insrsid16256568 +\hich\af0\dbch\af0\loch\f1 en la }{\i\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 fecha de re}{\i\fs20\loch\af1\insrsid1773789 \hich\af0\dbch\af0\loch\f1 alizaci}{\i\fs20\loch\af1\insrsid1773789 \loch\af1\dbch\af0\hich\f0 \'f3}{ +\i\fs20\loch\af1\insrsid1773789 \hich\af0\dbch\af0\loch\f1 n}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 de la }{\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 informaci}{\b\fs20\loch\af1\insrsid16256568 +\loch\af1\dbch\af0\hich\f0 \'f3}{\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n\hich\af0\dbch\af0\loch\f1 de prestaciones e intervenciones }{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 enviada por el Prestador.}{ +\fs20\loch\af1\insrsid7414441 \hich\af0\dbch\af0\loch\f1 \hich\af0\dbch\af0\loch\f1 E\hich\af0\dbch\af0\loch\f1 sto\hich\af0\dbch\af0\loch\f1 \hich\af0\dbch\af0\loch\f1 implica que en dicha fecha no estaba ni vencida ni en ning}{ +\fs20\loch\af1\insrsid7414441 \loch\af1\dbch\af0\hich\f0 \'fa}{\fs20\loch\af1\insrsid7414441 \hich\af0\dbch\af0\loch\f1 n otro estado. \hich\af0\dbch\af0\loch\f1 (\hich\af0\dbch\af0\loch\f1 Ver diagramas de estado de las autorizaciones +\hich\af0\dbch\af0\loch\f1 )}{\fs20\loch\af1\insrsid16256568 +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid16256568 \hich\af1\dbch\af0\loch\f1 -\tab}\hich\af0\dbch\af0\loch\f1 Porcentaje de cobertura }{\fs20\loch\af1\insrsid7414441 \hich\af0\dbch\af0\loch\f1 es}{ +\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 igual al que se aplicaba al momento de la aprobaci}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n de la autorizaci}{ +\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n}{\fs20\loch\af1\insrsid7414441 \hich\af0\dbch\af0\loch\f1 .}{\fs20\loch\af1\insrsid16256568 +\par {\pntext\pard\plain\s15 \intbl\b\fs20\lang2058\langfe2058\loch\af1\langnp2058\langfenp2058\insrsid16256568 \hich\af0\dbch\af0\loch\f1 6\tab}}\pard \s15\ql \fi-431\li751\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls7\pnrnot0\pndec\pnb1 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls7\rin0\lin751 {\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 Si la l}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'ed}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 +nea pasa la validaci}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n, se registra en el s\hich\af0\dbch\af0\loch\f1 istema la prestaci}{\fs20\loch\af1\insrsid16256568 +\loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n realizada por el afiliado. Sino, se la marca como l}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'ed}{\fs20\loch\af1\insrsid16256568 +\hich\af0\dbch\af0\loch\f1 nea rechazada. +\par {\pntext\pard\plain\s15 \intbl\b\fs20\lang2058\langfe2058\loch\af1\langnp2058\langfenp2058\insrsid16256568 \hich\af0\dbch\af0\loch\f1 7\tab}}\pard \s15\ql \fi-431\li751\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls7\pnrnot0\pndec\pnb1 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls7\rin0\lin751 {\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 El Sistema, en base a estos datos y el resultado de la validaci}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{ +\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n, construye un }{\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 informe de aprobaciones/rechazos de prestaciones}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 }{ +\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 realizadas}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 y lo env}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'ed}{\fs20\loch\af1\insrsid16256568 +\hich\af0\dbch\af0\loch\f1 a a Pagos. +\par {\pntext\pard\plain\s15 \intbl\b\fs20\lang2058\langfe2058\loch\af1\langnp2058\langfenp2058\insrsid16256568 \hich\af0\dbch\af0\loch\f1 8\tab}}\pard \s15\ql \fi-431\li751\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls7\pnrnot0\pndec\pnb1 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls7\rin0\lin751 {\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 El S\hich\af0\dbch\af0\loch\f1 istema genera un }{\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 +reporte de consumo de los afiliados}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 , bas}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'e1}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 ndose en la informaci}{ +\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n recibida del prestador e informaci}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid16256568 +\hich\af0\dbch\af0\loch\f1 n disponible en el propio Sistema y lo env}{\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'ed}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 a a Pagos (se incluyen s}{\fs20\loch\af1\insrsid16256568 +\loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 lo las prestaciones realizadas que hayan sido aprobadas) +\par {\pntext\pard\plain\s15 \intbl\b\fs20\lang2058\langfe2058\loch\af1\langnp2058\langfenp2058\insrsid13972128 \hich\af0\dbch\af0\loch\f1 9\tab}}\pard \s15\ql \fi-431\li751\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls7\pnrnot0\pndec\pnb1 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls7\rin0\lin751 {\fs20\loch\af1\insrsid13972128 \hich\af0\dbch\af0\loch\f1 El Sistema mueve el archivo del directorio temporal de \hich\af0\dbch\af0\loch\f1 procesamient\hich\af0\dbch\af0\loch\f1 +o y lo ubica en un directorio de }{\fs20\loch\af1\insrsid13972128 \loch\af1\dbch\af0\hich\f0 \'93}{\fs20\loch\af1\insrsid13972128 \hich\af0\dbch\af0\loch\f1 documentos\hich\af0\dbch\af0\loch\f1 aceptados}{\fs20\loch\af1\insrsid13972128 +\loch\af1\dbch\af0\hich\f0 \'94}{\fs20\loch\af1\insrsid13972128 \hich\af0\dbch\af0\loch\f1 . +\par {\pntext\pard\plain\s15 \intbl\b\fs20\lang2058\langfe2058\loch\af1\langnp2058\langfenp2058\insrsid16256568 \hich\af0\dbch\af0\loch\f1 10\tab}}\pard \s15\ql \fi-431\li751\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls7\pnrnot0\pndec\pnb1 +\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls7\rin0\lin751 {\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 Finaliza el\hich\af0\dbch\af0\loch\f1 caso de uso. +\par }\pard \s15\ql \li289\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin289 {\fs20\loch\af1\insrsid16256568 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 +\fs24\lang1024\langfe1024\cgrid\noproof\langnp1033\langfenp1033 {\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \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\aspalpha\faauto\rin0\lin0 { +\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 Flujos Alternativos: }{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 No hay. +\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\loch\af1\insrsid16256568 \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\faauto\rin0\lin0 {\b\fs20\loch\af1\insrsid16256568 +\hich\af0\dbch\af0\loch\f1 Flujos de Excepci}{\b\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n: +\par \hich\af0\dbch\af0\loch\f1 E1}{\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 : +\par {\listtext\pard\plain\intbl\fs20\lang1024\langfe1024\loch\af1\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li780\ri0\nowidctlpar\intbl\faauto\ls2\rin0\lin780 { +\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 El sistema mueve el archivo del sitio FTP hacia un directorio de documentos rechazados. +\par {\listtext\pard\plain\intbl\fs20\lang1024\langfe1024\loch\af1\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 2.\tab}\hich\af0\dbch\af0\loch\f1 Finaliza el caso de uso. +\par }\pard \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 { +\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \trowd \irow7\irowband7\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\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 Notas}{\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid1796952 : }{ +\cs162\f1\fs20\lang11274\noproof0\langnp11274\insrsid16256568\charrsid1796952 \~\~\~ - La comunicaci\'f3n Prestador-Sistema es \'93asincr\'f3nica\'94: el Prestador deja un archivo en un sitio FTP y luego el sistema lo procesa con un m\'e9 +todo que se ejecuta peri\'f3dicamente: }{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid1796952 RecibirPrestacionesController.}{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid1796952 procesar}{ +\f1\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid1796952 InfoRecibida()}{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7303940 . Ver el documento \'93}{\i\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid7303940\charrsid7499839 +\hich\af0\dbch\af0\loch\f1 Especificaci}{\i\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid7303940\charrsid7499839 \loch\af1\dbch\af0\hich\f0 \'f3}{\i\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid7303940\charrsid7499839 +\hich\af0\dbch\af0\loch\f1 n de \hich\af0\dbch\af0\loch\f1 Interfaces con el Prestador}{\i\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid7303940 \loch\af1\dbch\af0\hich\f0 \'94}{\i\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid7303940 +\hich\af0\dbch\af0\loch\f1 }{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid7303940 \hich\af0\dbch\af0\loch\f1 para detalles de formato,\hich\af0\dbch\af0\loch\f1 medio y\hich\af0\dbch\af0\loch\f1 peri\hich\af0\dbch\af0\loch\f1 o +\hich\af0\dbch\af0\loch\f1 dicidad\hich\af0\dbch\af0\loch\f1 de la comunicaci}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid7303940 \loch\af1\dbch\af0\hich\f0 \'f3}{\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid7303940 +\hich\af0\dbch\af0\loch\f1 n.}{\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid7303940 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 { +\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \trowd \irow8\irowband8\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 { +\b\fs20\ul\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 +\par }{\b\f1\fs20\ul\insrsid16256568 Especificaci\'f3n de Datos}{\b\f1\fs20\insrsid16256568 :}{\fs20\insrsid16256568 +\par +\par {\listtext\pard\plain\b\fs20\lang1024\langfe1024\loch\af1\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f1 1)\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\faauto\ls3\rin0\lin720\itap0 {\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 +Informaci}{\b\fs20\loch\af1\insrsid16256568 \loch\af1\dbch\af0\hich\f0 \'f3}{\b\fs20\loch\af1\insrsid16256568 \hich\af0\dbch\af0\loch\f1 n de prestaciones e intervenciones +\par {\listtext\pard\plain\i\f3\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af3\dbch\af0\loch\f3 1.\tab}}\pard \ql \fi-360\li1428\ri0\nowidctlpar\faauto\ls5\rin0\lin1428\itap0 {\i\fs20\insrsid16256568 Cabecera: +\par {\listtext\pard\plain\f2\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af2\dbch\af0\loch\f2 a.\tab}}\pard \ql \fi-360\li2148\ri0\nowidctlpar\faauto\ls5\ilvl1\rin0\lin2148\itap0 { +\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 N\'famero de CUIT del Prestador. +\par {\listtext\pard\plain\i\f3\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af3\dbch\af0\loch\f3 2.\tab}}\pard \ql \fi-360\li1428\ri0\nowidctlpar\faauto\ls5\rin0\lin1428\itap0 {\i\fs20\insrsid16256568 Detalle (cada l\'ednea): +\par {\listtext\pard\plain\f2\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af2\dbch\af0\loch\f2 a.\tab}}\pard \ql \fi-360\li2148\ri0\nowidctlpar\faauto\ls5\ilvl1\rin0\lin2148\itap0 { +\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 C\'f3digo de autorizaci\'f3n relacionada a la prestaci\'f3n. +\par {\listtext\pard\plain\f2\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af2\dbch\af0\loch\f2 b.\tab}}{\fs20\insrsid16256568 C\'f3digo de prestaci\'f3n. +\par {\listtext\pard\plain\f2\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af2\dbch\af0\loch\f2 c.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 Fecha de Realizaci\'f3n de la prestaci\'f3n + +\par {\listtext\pard\plain\f2\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af2\dbch\af0\loch\f2 d.\tab}Porcentaje de cobertura a cubrir por la Obra Social. +\par {\listtext\pard\plain\f2\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af2\dbch\af0\loch\f2 e.\tab}}{\fs20\insrsid16256568 C\'f3digo de afiliado. +\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\insrsid16256568 +\par {\listtext\pard\plain\b\f1\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af1\dbch\af0\loch\f1 2)\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\faauto\ls3\rin0\lin720\itap0 { +\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 Informe de aprobaciones/rechazos de prestaciones realizadas}{\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 +\par {\listtext\pard\plain\i\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ql \fi-360\li1428\ri0\nowidctlpar\faauto\ls4\rin0\lin1428\itap0 {\i\fs20\insrsid16256568 Cabecera: +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard \ql \fi-360\li2148\ri0\nowidctlpar\faauto\ls4\ilvl1\rin0\lin2148\itap0 { +\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 Fecha de generaci\'f3n de \'e9ste informe +\par {\listtext\pard\plain\i\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard \ql \fi-360\li1428\ri0\nowidctlpar\faauto\ls4\rin0\lin1428\itap0 {\i\fs20\insrsid16256568 Detalle (cada l\'ednea): +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard \ql \fi-360\li2148\ri0\nowidctlpar\faauto\ls4\ilvl1\rin0\lin2148\itap0 {\fs20\insrsid16256568 N\'famero de CUIT del Prestador +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 b.\tab}Nombre del Prestador +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 c.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 C\'f3digo de autorizaci\'f3 +n relacionada a la prestaci\'f3n, enviado por el Prestador.}{\fs20\lang1024\langfe1024\langnp11274\insrsid16256568 +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid7414441 \hich\af0\dbch\af0\loch\f0 d.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid7414441 Tipo de autorizaci\'f3n (Manual/Autom\'e1tica)}{ +\fs20\lang1024\langfe1024\langnp11274\insrsid7414441\charrsid16256568 +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 e.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 C\'f3digo de prestaci\'f3 +n enviado por el Prestador. +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 f.\tab}C\'f3digo de afiliado enviado por el Prestador +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 g.\tab}}{\fs20\insrsid16256568 % cobertura reclamado por el prestador +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 h.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 +% cobertura correspondiente al momento de aprobar la autorizaci\'f3n (si la autorizaci\'f3n existe en el sistema) +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 i.\tab}Fecha de aprobaci\'f3n de la autorizaci\'f3n (si la autorizaci\'f3n existe en el Sistema) +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 j.\tab}Fecha de vencimiento de la autorizaci\'f3n (si la autorizaci\'f3n existe en el Sistema) +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 k.\tab}Fecha de recepci\'f3n de la }{\b\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 Informaci\'f3 +n de prestaciones e intervenciones }{\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 enviada por el prestador, en la cual ven\'eda la autorizaci\'f3n especificada en c). +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 l.\tab}Identificador de l\'ednea Aprobada/Rechazada. +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 m.\tab}Motivo del rechazo de la l\'ednea (ej: \'93Autorizaci\'f3n recibida inexistente\'94, \'93Autorizaci\'f3n Vencida\'94, +\'93% cobertura recibido inv\'e1lido\'94, \'93Autorizaci\'f3n recibida no relacionada con el afiliado\'94, \'93Autorizaci\'f3n recibida no relacionada con la prestaci\'f3n\'94) +\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 \tab +\par +\par {\listtext\pard\plain\b\fs20\lang1024\langfe1024\loch\af1\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 3)\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\faauto\ls3\rin0\lin720\itap0 { +\b\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f1 Reporte de consumo de los afiliados +\par {\listtext\pard\plain\i\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ql \fi-360\li1425\ri0\nowidctlpar\faauto\ls6\rin0\lin1425\itap0 {\i\fs20\insrsid16256568 Cabecera}{\fs20\insrsid16256568 : +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard \ql \fi-360\li2145\ri0\nowidctlpar\faauto\ls6\ilvl1\rin0\lin2145\itap0 { +\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 Fecha de generaci\'f3n de \'e9ste reporte}{\b\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 \tab }{ +\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 +\par {\listtext\pard\plain\i\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard \ql \fi-360\li1425\ri0\nowidctlpar\faauto\ls6\rin0\lin1425\itap0 {\i\fs20\insrsid16256568 Detalle (cada l\'ednea): +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard \ql \fi-360\li2145\ri0\nowidctlpar\faauto\ls6\ilvl1\rin0\lin2145\itap0 {\fs20\insrsid16256568 C\'f3digo de afiliado +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 b.\tab}Nombre y apellido del afiliado +\par {\listtext\pard\plain\i\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 c.\tab}}{\i\fs20\insrsid16256568 Por cada afiliado}{\fs20\insrsid16256568 : +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 i.\tab}}\pard \ql \fi-180\li2865\ri0\nowidctlpar\faauto\ls6\ilvl2\rin0\lin2865\itap0 { +\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 N\'famero de CUIT del Prestador donde se realiz\'f3 la prestaci\'f3n +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 ii.\tab}Nombre Prestador donde se realiz\'f3 la prestaci\'f3n +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 iii.\tab}C\'f3digo de autorizaci\'f3n asociado a la prestaci\'f3n realizada. +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 iv.\tab}}{\fs20\insrsid16256568 C\'f3digo de prestaci\'f3n REALIZADA +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 v.\tab}Nombre de la prestaci\'f3n realizada +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid16256568\charrsid16256568 \hich\af0\dbch\af0\loch\f0 vi.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid16256568\charrsid16256568 Fecha de Realizaci\'f3n de la prestaci\'f3n + +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 vii.\tab}}{\fs20\insrsid16256568 C\'f3digo del plan del afiliado +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\insrsid16256568 \hich\af0\dbch\af0\loch\f0 viii.\tab}% Cobertura +\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\insrsid16256568 \par }} \ No newline at end of file