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\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. +\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\'f3 +n recibida. Validaciones sobre la info recibida: +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid8614436 \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\insrsid8614436 El Prestador 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 existe en el Sistema.}{ +\f1\fs20\insrsid7757395 +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid8614436 \hich\af1\dbch\af0\loch\f1 -\tab}}{\f1\fs20\insrsid8614436 Prestador debe ser el mismo que}{\f1\fs20\insrsid8614436\charrsid13056714 }{ +\f1\fs20\insrsid8614436 e}{\f1\fs20\insrsid8614436\charrsid13056714 l relacionado con la autorizaci\'f3n 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\insrsid7757395\charrsid13056714 \hich\af1\dbch\af0\loch\f1 -\tab}La autorizaci\'f3n }{\f1\fs20\insrsid8614436 deber ser una que est\'e9 aprobada en la fecha de recepci +\'f3n de la }{\b\f1\fs20\insrsid8614436\charrsid13056714 informaci\'f3n de prestaciones e intervenciones}{\b\f1\fs20\insrsid8614436 }{\f1\fs20\insrsid8614436 enviada por el Prestador.}{\f1\fs20\insrsid7757395 +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid6114349 \hich\af1\dbch\af0\loch\f1 -\tab}}{\f1\fs20\insrsid6114349 La autorizaci\'f3n no debe estar realizada (en los datos del Sistema) +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid6114349 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \s15\ql \fi-360\li829\ri0\nowidctlpar\intbl\jclisttab\tx829\faauto\ls3\rin0\lin829\pararsid6114349 { +\f1\fs20\insrsid6114349 La prestaci\'f3n deber existir en el Sistema y NO tiene que estar dada de baja. +\par {\listtext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid7757395\charrsid13056714 \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\insrsid7757395\charrsid13056714 Porcentaje de cobertura }{\f1\fs20\insrsid13056714 debe ser igual al}{\f1\fs20\insrsid7757395\charrsid13056714 que se aplicaba al momento de la aprobaci\'f3 +n 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 +\f1\fs20\insrsid13056714 El afiliado }{\f1\fs20\insrsid6114349 deb}{\f1\fs20\insrsid12397594 e}{\f1\fs20\insrsid6114349 existir en el Sistema y }{\f1\fs20\insrsid13056714 estar relacionado con la autorizaci\'f3n recibida. \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. +\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. 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 {\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 +\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\insrsid13043882 (se incluyen s +\'f3lo las prestaciones realizadas que hayan sido aprobadas)}{\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. +\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls2\rin0\lin720 {\f1\fs20\insrsid7562310\charrsid13056714 Finaliza }{\f1\fs20\insrsid7490485 el }{\f1\fs20\insrsid7562310\charrsid13056714 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 +\fs24\lang1024\langfe1024\cgrid\noproof\langnp1033\langfenp1033 {\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7490485 \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\pararsid12397594 {\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid13056714 Flujos de Excepci\'f3n: }{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid12397594 No hay.} +{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid2299470 +\par }{\f1\fs20\lang1024\langfe1024\langnp11274\insrsid12397594\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 }{\cs68\f1\fs20\lang11274\noproof0\langnp11274\insrsid12397594 se da mediante un operador, el cual recibe la informaci\'f3 +n de prestaciones e intervenciones (en cualquier medio y formato) enviada por el Prestador y carga la info en el sistema.}{\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 {\listtext\pard\plain\i\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid3550631\charrsid3550631 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ql \fi-360\li1428\ri0\nowidctlpar\jclisttab\tx1428\faauto\ls6\rin0\lin1428\itap0\pararsid14755567 { +\i\fs20\lang1024\langfe1024\langnp11274\insrsid3550631\charrsid3550631 Cabecera: +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid4599262 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard \ql \fi-360\li2148\ri0\nowidctlpar\jclisttab\tx2148\faauto\ls6\ilvl1\rin0\lin2148\itap0\pararsid14755567 { +\fs20\lang1024\langfe1024\langnp11274\insrsid4599262 N\'famero de CUIT del Prestador.}{\fs20\lang1024\langfe1024\langnp11274\insrsid7562310 +\par {\listtext\pard\plain\i\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid3550631\charrsid3550631 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard \ql \fi-360\li1428\ri0\nowidctlpar\jclisttab\tx1428\faauto\ls6\rin0\lin1428\itap0\pararsid14755567 { +\i\fs20\lang1024\langfe1024\langnp11274\insrsid3550631\charrsid3550631 Detalle: +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard \ql \fi-360\li2148\ri0\nowidctlpar\jclisttab\tx2148\faauto\ls6\ilvl1\rin0\lin2148\itap0\pararsid14755567 { +\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 C\'f3digo de autorizaci\'f3n relacionada a la prestaci\'f3n}{\fs20\lang1024\langfe1024\langnp11274\insrsid4599262 . +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f0 b.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 C\'f3digo de prestaci\'f3n}{ +\fs20\lang1024\langfe1024\langnp11274\insrsid4599262 .}{\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f0 c.\tab}Fecha de Realizaci\'f3n de la prestaci\'f3n +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f0 d.\tab}Porcentaje de cobertura a cubrir por la Obra Social. +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid3550631 \hich\af0\dbch\af0\loch\f0 e.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid3550631 C\'f3digo}{\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 + de afiliado. +\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 \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 {\listtext\pard\plain\i\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid14755567\charrsid14755567 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ql \fi-360\li1428\ri0\nowidctlpar\jclisttab\tx1428\faauto\ls7\rin0\lin1428\itap0\pararsid11564094 { +\i\fs20\lang1024\langfe1024\langnp11274\insrsid14755567\charrsid14755567 Cabecera:}{\i\fs20\lang1024\langfe1024\langnp11274\insrsid14755567 +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid14755567\charrsid11821112 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard \ql \fi-360\li2148\ri0\nowidctlpar\jclisttab\tx2148\faauto\ls7\ilvl1\rin0\lin2148\itap0\pararsid11564094 { +\fs20\lang1024\langfe1024\langnp11274\insrsid14755567\charrsid11821112 Fecha de generaci\'f3n de }{\fs20\lang1024\langfe1024\langnp11274\insrsid14755567 \'e9ste informe}{\fs20\lang1024\langfe1024\langnp11274\insrsid14755567\charrsid14755567 +\par {\listtext\pard\plain\i\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid14755567\charrsid14755567 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard \ql \fi-360\li1428\ri0\nowidctlpar\jclisttab\tx1428\faauto\ls7\rin0\lin1428\itap0\pararsid11564094 { +\i\fs20\lang1024\langfe1024\langnp11274\insrsid14755567\charrsid14755567 Detalle: +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid9260979 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard \ql \fi-360\li2148\ri0\nowidctlpar\jclisttab\tx2148\faauto\ls7\ilvl1\rin0\lin2148\itap0\pararsid11564094 { +\fs20\lang1024\langfe1024\langnp11274\insrsid9260979 N\'famero de CUIT}{\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 del Prestador +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f0 b.\tab}Nombre del Prestador +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f0 c.\tab}C\'f3digo de autorizaci\'f3n relacionada a la prestaci\'f3n}{\fs20\lang1024\langfe1024\langnp11274\insrsid11494555 +, enviado}{\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 por el Prestador. +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f0 d.\tab}C\'f3digo de prestaci\'f3n}{\fs20\lang1024\langfe1024\langnp11274\insrsid11494555 enviado por el Prestador.}{ +\fs20\lang1024\langfe1024\langnp11274\insrsid9260979 +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f0 e.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 C\'f3digo de afiliado}{ +\fs20\lang1024\langfe1024\langnp11274\insrsid11494555 enviado por el Prestador}{\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f0 f.\tab}% cobertura reclamado por el prestador +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f0 g.\tab}% 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\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f0 h.\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\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f0 i.\tab}Fecha de vencimiento de la autorizaci\'f3n (si la autorizaci\'f3n existe en el Sistema)}{ +\fs20\lang1024\langfe1024\langnp11274\insrsid7562310 +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid11564094 \hich\af0\dbch\af0\loch\f0 j.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid11564094 Fecha de recepci\'f3n de la }{ +\b\fs20\lang1024\langfe1024\langnp11274\insrsid11564094\charrsid11564094 Informaci\'f3n de prestaciones e intervenciones}{\b\fs20\lang1024\langfe1024\langnp11274\insrsid11564094 }{\fs20\lang1024\langfe1024\langnp11274\insrsid11564094 +enviada por el prestador, }{\fs20\lang1024\langfe1024\langnp11274\insrsid11494555 en la cual ven\'eda la autorizaci\'f3n especificada en c).}{\fs20\lang1024\langfe1024\langnp11274\insrsid11564094\charrsid11494555 +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid11494555\charrsid7562310 \hich\af0\dbch\af0\loch\f0 k.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid11494555\charrsid7562310 Identificador de l\'ednea Aprobada/Rechazada}{ +\fs20\lang1024\langfe1024\langnp11274\insrsid11494555 .}{\fs20\lang1024\langfe1024\langnp11274\insrsid11494555\charrsid7562310 +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f0 l.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 Motivo del rechazo de la l\'ednea (ej: \'93 +Autorizaci\'f3n recibida inexistente\'94, \'93Autorizaci\'f3n Vencida\'94, \'93% cobertura recibido inv\'e1lido\'94, }{\fs20\lang1024\langfe1024\langnp11274\insrsid8614436 \'93Autorizaci\'f3n recibida no relacionada con el afiliado\'94, \'93Autorizaci\'f3 +n recibida no relacionada con la prestaci\'f3n\'94}{\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 ) +\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 {\listtext\pard\plain\i\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid11821112\charrsid11821112 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ql \fi-360\li1425\ri0\nowidctlpar\jclisttab\tx1425\faauto\ls5\rin0\lin1425\itap0\pararsid2299470 { +\i\fs20\lang1024\langfe1024\langnp11274\insrsid11821112\charrsid11821112 Cabecera}{\fs20\lang1024\langfe1024\langnp11274\insrsid11821112\charrsid11821112 :}{\fs20\lang1024\langfe1024\langnp11274\insrsid11821112 +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid11821112\charrsid11821112 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard \ql \fi-360\li2145\ri0\nowidctlpar\jclisttab\tx2145\faauto\ls5\ilvl1\rin0\lin2145\itap0\pararsid2299470 { +\fs20\lang1024\langfe1024\langnp11274\insrsid11821112\charrsid11821112 Fecha de generaci\'f3n de \'e9ste reporte}{\b\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid7562310 \tab }{ +\i\fs20\lang1024\langfe1024\langnp11274\insrsid11821112\charrsid11821112 +\par {\listtext\pard\plain\i\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid14755567 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard \ql \fi-360\li1425\ri0\nowidctlpar\jclisttab\tx1425\faauto\ls5\rin0\lin1425\itap0\pararsid11821112 { +\i\fs20\lang1024\langfe1024\langnp11274\insrsid14755567 Detalle (c}{\i\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid9260979 ada l\'ednea}{\i\fs20\lang1024\langfe1024\langnp11274\insrsid14755567 )}{ +\i\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid9260979 : +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid9260979\charrsid9260979 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard \ql \fi-360\li2145\ri0\nowidctlpar\jclisttab\tx2145\faauto\ls5\ilvl1\rin0\lin2145\itap0\pararsid14755567 { +\fs20\lang1024\langfe1024\langnp11274\insrsid9260979\charrsid9260979 C\'f3digo}{\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid9260979 de afiliado +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid11821112 \hich\af0\dbch\af0\loch\f0 b.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid11821112 Nombre y a}{\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid9260979 +pellido del afiliado +\par {\listtext\pard\plain\i\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid2299470\charrsid9260979 \hich\af0\dbch\af0\loch\f0 c.\tab}}{\i\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid9260979 Por cada afiliado}{ +\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid9260979 : +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid11821112 \hich\af0\dbch\af0\loch\f0 i.\tab}}\pard \ql \fi-180\li2865\ri0\nowidctlpar\jclisttab\tx2865\faauto\ls5\ilvl2\rin0\lin2865\itap0\pararsid14755567 { +\fs20\lang1024\langfe1024\langnp11274\insrsid11821112 N\'famero de CUIT del Prestador donde se realiz\'f3 la prestaci\'f3n +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid11821112 \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\insrsid2299470\charrsid7562310 \hich\af0\dbch\af0\loch\f0 iii.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid7562310 C\'f3digo de prestaci\'f3n REALIZADA +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid2299470\charrsid7562310 \hich\af0\dbch\af0\loch\f0 iv.\tab}Nombre de la prestaci\'f3n realizada}{\fs20\lang1024\langfe1024\langnp11274\insrsid2299470 +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid11821112\charrsid7562310 \hich\af0\dbch\af0\loch\f0 v.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid11821112\charrsid7562310 Fecha de Realizaci\'f3n de la prestaci\'f3n +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid2299470\charrsid7562310 \hich\af0\dbch\af0\loch\f0 vi.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid7562310 C\'f3digo del plan del afiliado +\par {\listtext\pard\plain\fs20\lang1024\langfe1024\noproof\langnp11274\insrsid2299470\charrsid11821112 \hich\af0\dbch\af0\loch\f0 vii.\tab}}{\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid11821112 % Cobertura +\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\fs20\lang1024\langfe1024\langnp11274\insrsid2299470\charrsid7562310 \par }} \ No newline at end of file