especificación actualizada. Falta refinar los datos a pedirle a la Clínica, pero...

diff --git a/especificaciones/recibir_y_cotejar_consumos_ y_prestaciones.rtf b/especificaciones/recibir_y_cotejar_consumos_ y_prestaciones.rtf
index 93cd569b27afb5c42c3d4c40f3317ef8ad3e299e..744b47ba7b0dc075e0d3fd29de229d528e26c289 100644 (file)
--- a/especificaciones/recibir_y_cotejar_consumos_ y_prestaciones.rtf
+++ b/especificaciones/recibir_y_cotejar_consumos_ y_prestaciones.rtf
@@ -1,18 +1,26 @@
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 \par }\trowd \irow0\irowband0\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\r
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@@ -50,15 +76,15 @@ Caso de uso: }{\f1\fs20\insrsid9206653 Analizar Consumos y Prestaciones}{\f37\no
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 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f37\noproof0\insrsid4072389 \r
 \r
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 \r

-\par }{\b\f37\fs20\noproof0\insrsid4072389 Precondiciones: }{\f37\fs20\noproof0\insrsid1194460 Existe alg\'fan tipo de comunicaci\'f3n entre }{\f37\fs20\noproof0\insrsid331756 el}{\f37\fs20\noproof0\insrsid1194460  }{\f37\fs20\noproof0\insrsid331756 Prestador\r
- y el Sistema, que permita a}{\f37\fs20\noproof0\insrsid1194460 l }{\f37\fs20\noproof0\insrsid331756 Prestador}{\f37\fs20\noproof0\insrsid1194460  enviar informaci\'f3n hacia \'e9ste \'faltimo.}{\f1\fs20\insrsid4072389\charrsid1194460 \cell }\pard \r
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-\trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \r
-\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f37\noproof0\insrsid4072389 \r
+\par }{\b\f37\fs20\noproof0\insrsid4072389 Precondiciones: }{\f37\fs20\noproof0\insrsid1194460 Existe alg\'fan tipo de comunicaci\'f3n entre }{\f37\fs20\noproof0\insrsid331756 el}{\f37\fs20\noproof0\insrsid1194460  }{\f37\fs20\noproof0\insrsid331756 \r
+Prestador y el Sistema, que permita a}{\f37\fs20\noproof0\insrsid1194460 l }{\f37\fs20\noproof0\insrsid331756 Prestador}{\f37\fs20\noproof0\insrsid1194460  enviar informaci\'f3n hacia \'e9ste \'faltimo}{\f37\fs20\noproof0\insrsid10759101 ; as\'ed como\r
+ entre el Sistema y Pagos.}{\f1\fs20\insrsid4072389\charrsid1194460 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \trowd \irow2\irowband2\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \r
+\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \r
+\cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f37\noproof0\insrsid4072389 \r

 \par }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid9206653 {\b\f37\fs20\noproof0\insrsid1275109 Poscondiciones}{\b\f37\fs20\noproof0\insrsid4072389 : }{\b\f37\fs20\noproof0\insrsid9206653 \r
 \par }{\f1\fs20\insrsid9206653 Historia cl\'ednica de los a}{\f1\fs20\insrsid5514698 filiados afectados actualizada.}{\f1\fs20\insrsid9206653 \r
 \par }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid9206653 {\b\f37\fs20\noproof0\insrsid1275109 Poscondiciones}{\b\f37\fs20\noproof0\insrsid4072389 : }{\b\f37\fs20\noproof0\insrsid9206653 \r
 \par }{\f1\fs20\insrsid9206653 Historia cl\'ednica de los a}{\f1\fs20\insrsid5514698 filiados afectados actualizada.}{\f1\fs20\insrsid9206653 \r

-\par \'c1rea de Pagos notificada acerca de las aprobaciones/rechazos de prestaciones.\r
-\par \'c1rea de Pagos dispone de los reportes de consumo.\r
+\par \'c1rea de Pagos notificada acerca de las aprobaciones/rechazos de }{\f1\fs20\insrsid10759101 la info enviada por el prestadort acerca de }{\f1\fs20\insrsid9206653 prestaciones}{\f1\fs20\insrsid10759101  realizadas.}{\f1\fs20\insrsid9206653 \r
+\par \'c1rea de Pagos dis}{\f1\fs20\insrsid662813 pone de los reportes de consumo de los afiliados.}{\f1\fs20\insrsid9206653 \r

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 \par }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f37\noproof0\insrsid4072389 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \trowd \irow3\irowband3\r
 \ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\r
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@@ -67,52 +93,72 @@ Caso de uso: }{\f1\fs20\insrsid9206653 Analizar Consumos y Prestaciones}{\f37\no
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 \b\f1\fs20\insrsid9206653\charrsid1194460 informaci\'f3n de prestaciones e intervenciones}{\f1\fs20\insrsid9206653  de los afiliados.}{\f37\insrsid7029692\charrsid9206653 \r
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 \pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 \fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\f1\fs20\insrsid331756 El Prestador}{\f1\fs20\insrsid9206653  env\'eda }{\r
 \b\f1\fs20\insrsid9206653\charrsid1194460 informaci\'f3n de prestaciones e intervenciones}{\f1\fs20\insrsid9206653  de los afiliados.}{\f37\insrsid7029692\charrsid9206653 \r
 \par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid9206653 \hich\af1\dbch\af0\loch\f1 2\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\r

-\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653 El Sistema registra la informaci\'f3n recibida}{\f37\insrsid9206653\charrsid9206653 \r
+\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653 El Sistema }{\f1\fs20\insrsid10759101 valida cada linea de la informaci\'f3n recibida; si la linea pasa la validaci\'f3n, se }{\r
+\f1\fs20\insrsid9206653 registra }{\f1\fs20\insrsid10759101 en el sistema la prestaci\'f3n realizada por el afiliado.}{\f37\insrsid9206653\charrsid9206653 \r

 \par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid9206653\charrsid9206653 \hich\af1\dbch\af0\loch\f1 3\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\r
 \par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid9206653\charrsid9206653 \hich\af1\dbch\af0\loch\f1 3\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\r

-\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653\charrsid9206653 El Sistema, en base a \'e9stos datos, construye un }{\b\f1\fs20\insrsid9206653\charrsid8981056 informe de aprobaciones/rechazos\r
- de prestaciones}{\f1\fs20\insrsid9206653\charrsid9206653  y lo env\'eda a Pagos\r
-\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid9206653 \hich\af1\dbch\af0\loch\f1 4\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\r
-\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653 El Sistema genera un }{\b\f1\fs20\insrsid9206653\charrsid8981056 reporte de consumo de los afiliados}{\f1\fs20\insrsid9206653  y lo env\'eda a \r
-Pagos\r
+\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653\charrsid9206653 El Sistema, en base a \'e9stos datos}{\f1\fs20\insrsid10759101  y el resultado de la validaci\'f3n}{\r
+\f1\fs20\insrsid9206653\charrsid9206653 , construye un }{\b\f1\fs20\insrsid9206653\charrsid8981056 informe de aprobaciones/rechazos de prestaciones}{\f1\fs20\insrsid9206653\charrsid9206653  }{\b\f1\fs20\insrsid10759101\charrsid10759101 realizadas}{\r
+\f1\fs20\insrsid10759101  }{\f1\fs20\insrsid9206653\charrsid9206653 y lo env\'eda a Pagos\r
+\par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid10759101 \hich\af1\dbch\af0\loch\f1 4\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\r
+\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid10759101 Se llama al Caso de Uso \'93Generar Reporte de Consumo\'94}{\f1\fs20\insrsid9206653 \r

 \par }\pard \s15\ql \li289\ri0\nowidctlpar\intbl\faauto\rin0\lin289\pararsid9206653 {\f37\insrsid9206653 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \r
 \fs24\lang1024\langfe1024\cgrid\noproof\langnp2058\langfenp2058 {\f37\insrsid4072389 \trowd \irow4\irowband4\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \r
 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard\plain \r
 \s15\ql \li289\ri0\nowidctlpar\intbl\faauto\rin0\lin289\pararsid7029692 \fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\f37\insrsid4072389 \r
 \par }\pard \s15\ql \li289\ri0\nowidctlpar\intbl\faauto\rin0\lin289\pararsid9206653 {\f37\insrsid9206653 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \r
 \fs24\lang1024\langfe1024\cgrid\noproof\langnp2058\langfenp2058 {\f37\insrsid4072389 \trowd \irow4\irowband4\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \r
 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard\plain \r
 \s15\ql \li289\ri0\nowidctlpar\intbl\faauto\rin0\lin289\pararsid7029692 \fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\f37\insrsid4072389 \r

-\par }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid9206653 \fs24\lang1024\langfe1024\cgrid\noproof\langnp2058\langfenp2058 {\b\f37\fs20\noproof0\insrsid4072389 Flujos Alternativos:}{\b\f37\fs20\noproof0\insrsid7029692\charrsid9206653 \r
-\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \trowd \irow5\irowband5\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\r
-\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row \r
-}\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f37\noproof0\insrsid4072389 \r
-\par }{\b\f37\fs20\noproof0\insrsid4072389 Flujos de Excepci\'f3n:\r
+\par }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid9206653 \fs24\lang1024\langfe1024\cgrid\noproof\langnp2058\langfenp2058 {\b\f37\fs20\noproof0\insrsid4072389 Flujos Alternativos:}{\b\f37\fs20\noproof0\insrsid10759101  }{\r
+\f37\fs20\noproof0\insrsid10759101\charrsid10759101 No hay}{\f37\fs20\noproof0\insrsid10759101 .}{\b\f37\fs20\noproof0\insrsid7029692\charrsid9206653 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\r
+\f37\noproof0\insrsid4072389 \trowd \irow5\irowband5\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \r
+\clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f37\noproof0\insrsid4072389 \r
+\r
+\par }{\b\f37\fs20\noproof0\insrsid4072389 Flujos de Excepci\'f3n:}{\b\f37\fs20\noproof0\insrsid10759101  }{\f37\fs20\noproof0\insrsid10759101\charrsid10759101 No hay}{\f37\fs20\noproof0\insrsid10759101 .}{\b\f37\fs20\noproof0\insrsid4072389 \r

 \par }\pard \ql \fi-360\li646\ri0\nowidctlpar\intbl\faauto\rin0\lin646\pararsid8586758 {\f37\noproof0\insrsid8586758\charrsid8586758 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \r
 \trowd \irow6\irowband6\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \r
 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\trowd \irow7\irowband7\lastrow \ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \r
 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\pard \r
 \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f1\noproof0\insrsid4072389\charrsid9206653 \r
 \par }\pard \ql \fi-360\li646\ri0\nowidctlpar\intbl\faauto\rin0\lin646\pararsid8586758 {\f37\noproof0\insrsid8586758\charrsid8586758 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \r
 \trowd \irow6\irowband6\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \r
 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\trowd \irow7\irowband7\lastrow \ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \r
 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\pard \r
 \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f1\noproof0\insrsid4072389\charrsid9206653 \r

-\par }{\b\f1\fs20\noproof0\insrsid4072389\charrsid9206653 Notas:}{\b\f1\fs20\noproof0\insrsid6974674\charrsid9206653  }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 \~\~\~ El reporte de consumo que genera el sistema... \'bflo genera y env\'ed\r
-a a Pagos inmediatamente despu\'e9s de haber recibido la info del }{\cs16\f1\fs20\insrsid331756 Prestador}{\cs16\f1\fs20\insrsid9206653\charrsid9206653 ? (entra}{\f1\fs20\insrsid9206653\charrsid9206653  }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 \r
-todo dentro del mismo CU)}{\f1\fs20\insrsid9206653\charrsid9206653 \line }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 \'bf \'f3 el actor Pagos en alg\'fan momento posterior pedir\'e1 el informe? (ser\'edan 2}{\cs16\f1\fs20\insrsid9206653  }{\r
-\cs16\f1\fs20\insrsid9206653\charrsid9206653 Casos de Uso: Recibir info de Cl\'ednica y Generar Reporte de Consumo)}{\f1\fs20\insrsid9206653\charrsid9206653 \line }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 \r
-El enunciado, por supuesto, no lo especifica claramente (ver los \'faltimos}{\cs16\f1\fs20\insrsid9206653  }{\f1\fs20\insrsid9206653 2}{\cs16\f1\fs20\insrsid9206653\charrsid9206653  renglones de la 1er}{\cs16\f1\fs20\insrsid5514698  }{\r
-\cs16\f1\fs20\insrsid9206653\charrsid9206653 p\'e1gina}{\cs16\f1\fs20\insrsid5514698 )}{\f1\noproof0\insrsid6974674\charrsid9206653 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \r
-\trowd \irow7\irowband7\lastrow \ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \r
-\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid4072389 \r
+\par }{\b\f1\fs20\noproof0\insrsid4072389\charrsid9206653 Notas:}{\b\f1\fs20\noproof0\insrsid6974674\charrsid9206653  }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 \~\~\~ }{\cs16\f1\fs20\insrsid10759101 - La comunicaci\'f3n Prestador-Sistema podr\'eda ser \r
+\'93sincr\'f3nica\'94 (el prestador accede al Sistema y carga la informaci\'f3n) \'f3 bien \'93asincr\'f3nica\'94 (el Prestador env\'eda un mail, deja un archivo en un FTP, etc y luego el sistema lo procesa con alg\'fan m\'e9todo scheduleado.)}{\r
+\f1\noproof0\insrsid6974674\charrsid9206653 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \trowd \irow7\irowband7\lastrow \ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\r
+\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \r
+\cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid4072389 \r

 \par }{\insrsid15751489 Especificaci\'f3n de Datos:}{\insrsid1194460 \r
 \par }{\insrsid15751489 \r
 \par }{\f1\fs20\insrsid8981056\charrsid8981056 1) }{\b\f1\fs20\insrsid1194460 I}{\b\f1\fs20\insrsid1194460\charrsid1194460 nformaci\'f3n de prestaciones e intervenciones}{\b\f1\fs20\insrsid1194460 \r
 \par }{\insrsid15751489 Especificaci\'f3n de Datos:}{\insrsid1194460 \r
 \par }{\insrsid15751489 \r
 \par }{\f1\fs20\insrsid8981056\charrsid8981056 1) }{\b\f1\fs20\insrsid1194460 I}{\b\f1\fs20\insrsid1194460\charrsid1194460 nformaci\'f3n de prestaciones e intervenciones}{\b\f1\fs20\insrsid1194460 \r

-\par }\pard \ql \li708\ri0\nowidctlpar\faauto\rin0\lin708\itap0\pararsid3805781 {\insrsid12537211 a) C\'f3digo de autorizaci\'f3n relacionada a la }{\insrsid12537211\charrsid1275109 prestaci\'f3n/intervenci\'f3n}{\insrsid12537211 .}{\insrsid5050019  }{\r
-\insrsid5050019\charrsid1275109 (\'93Pr\'e1ctica\'94, en el nomenclador)}{\insrsid8981056\charrsid1275109 \r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid3948734\charrsid1275109 \tab b) Identificador de prestaci\'f3n Realizada \'f3 }{\insrsid3805781 NO }{\insrsid3948734\charrsid1275109 Re}{\insrsid3805781 alizada}{\r
-\insrsid3948734\charrsid1275109  (flag)}{\insrsid3805781  }{\insrsid3805781 {\field{\*\fldinst SYMBOL 224 \\f "Wingdings" \\s 12}{\fldrslt\f10\fs24}}}{\insrsid3805781  ANALIZAR SI HACE FALTA}{\insrsid3948734\charrsid1275109 \r
-\par \tab c) Fecha de R}{\insrsid3805781 ealizaci\'f3n}{\insrsid3948734\charrsid1275109  de la prestaci\'f3n/intervenci\'f3n \r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid3948734 {\insrsid3948734\charrsid1275109 \tab d) N\'famero de afiliado\r
+\par }\pard \ql \li708\ri0\nowidctlpar\faauto\rin0\lin708\itap0\pararsid3805781 {\insrsid1720812 a) Identificaci\'f3n de Prestador (n\'famero de CUIT) }{\insrsid1720812 {\field{\*\fldinst SYMBOL 224 \\f "Wingdings" \\s 12}{\fldrslt\f10\fs24}}}{\insrsid1720812 \r
+ es posible no incluirlo\r
+\par b}{\insrsid12537211 ) C\'f3digo de autorizaci\'f3n relacionada a la }{\insrsid12537211\charrsid1275109 prestaci\'f3n/intervenci\'f3n}{\insrsid12537211 .}{\insrsid5050019  }{\insrsid8981056 \r
+\par }{\insrsid1720812 c) C\'f3digo de prestaci\'f3n/intervenci\'f3n }{\insrsid1720812\charrsid1720812 (\'93Pr\'e1ctica\'94, en el nomenclador)}{\insrsid1720812\charrsid1275109 \r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid3948734\charrsid1275109 \tab }{\insrsid1720812 c}{\insrsid3948734\charrsid1275109 ) Fecha de R}{\insrsid3805781 ealizaci\'f3n}{\insrsid3948734\charrsid1275109  de la prestaci\'f3n/intervenci\r
+\'f3n }{\insrsid3948734 \r
+\par }{\insrsid1720812 \tab d) Porcentaje de cobertura a cubrir por la Obra Social.}{\insrsid1720812\charrsid1275109 \r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid3948734 {\insrsid3948734\charrsid1275109 \tab }{\insrsid1720812 e}{\insrsid3948734\charrsid1275109 ) N\'famero de afiliado}{\insrsid1720812 .  }{\insrsid1720812 {\field{\*\fldinst SYMBOL\r
+ 224 \\f "Wingdings" \\s 12}{\fldrslt\f10\fs24}}}{\insrsid1720812  es posible no incluirlo}{\insrsid3948734\charrsid1275109 \r

 \par }{\insrsid3948734 \r
 \par 2) }{\b\f1\fs20\insrsid3948734\charrsid986895 I}{\b\f1\fs20\insrsid3948734\charrsid8000756 nforme de aprobaciones/rechazos de prestaciones}{\b\f1\fs20\insrsid3948734 \r
 \par }{\insrsid3948734 \r
 \par 2) }{\b\f1\fs20\insrsid3948734\charrsid986895 I}{\b\f1\fs20\insrsid3948734\charrsid8000756 nforme de aprobaciones/rechazos de prestaciones}{\b\f1\fs20\insrsid3948734 \r

-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid15751489 {\b\insrsid15751489\charrsid1275109 \tab }{\insrsid15751489\charrsid1275109 a) C\'f3digo de prestaci\'f3n/intervenci\'f3n (\'93Pr\'e1ctica\'94, en el nomenclador)\r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid3948734 {\insrsid15751489\charrsid1275109 \tab b) Cantidad }{\insrsid16676310\charrsid1275109 total }{\insrsid15751489\charrsid1275109 de aprobaciones}{\insrsid16676310\charrsid1275109  de la \r
-prestaci\'f3n/intervenci\'f3n}{\insrsid15751489\charrsid1275109 \r
-\par \tab c) Cantidad }{\insrsid16676310\charrsid1275109 total }{\insrsid15751489\charrsid1275109 de rechazos}{\insrsid16676310\charrsid1275109  de la prestaci\'f3n/intervenci\'f3n}{\insrsid15751489\charrsid1275109 \r
-\par }{\b\f1\fs20\insrsid8000756 \tab }{\b\f1\fs20\insrsid3886421 \r
-\par }{\insrsid3886421\charrsid3886421 3)}{\f1\fs20\insrsid3886421  }{\b\f1\fs20\insrsid3886421\charrsid3886421 R}{\b\f1\fs20\insrsid3886421\charrsid8981056 eporte de consumo de los afiliados}{\insrsid3948734 \r
-\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid3886421\charrsid1275109 \tab a) N\'famero de afiliado}{\insrsid3948734\charrsid1275109 \r
-\par }{\insrsid3886421\charrsid1275109 \tab b) C\'f3digo de prestaci\'f3n/intervenci\'f3n REALIZADA\r
+\par }{\insrsid1720812\charrsid6241672 \tab a) Identificaci\'f3n del Prestador\r
+\par \tab b) Nombre del Prestador\r
+\par }\pard \ql \li708\ri0\nowidctlpar\faauto\rin0\lin708\itap0\pararsid6241672 {\insrsid1720812\charrsid6241672 c) C\'f3digo de autorizaci\'f3n }{\insrsid1720812\charrsid6241672 relacionada a la prestaci\'f3n/intervenci\'f3n}{\insrsid6241672 , enviada por el \r
+ Prestador.}{\insrsid1720812\charrsid6241672 \r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid15751489 {\insrsid15751489\charrsid6241672 \tab }{\insrsid6241672\charrsid6241672 d}{\insrsid15751489\charrsid6241672 ) C\'f3digo de prestaci\'f3n/intervenci\'f3n (\'93Pr\'e1ctica\'94\r
+, en el nomenclador)\r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid3948734 {\insrsid8000756\charrsid6241672 \tab }{\insrsid1720812\charrsid6241672 e) }{\insrsid6241672\charrsid6241672 Identificador de linea Aprobada/Rechazada}{\insrsid3886421\charrsid6241672 \r
+\r
+\par }{\insrsid6241672\charrsid6241672 \tab f) }{\insrsid6241672 C\'f3digo de afiliado\r
+\par \tab g) % cobertura reclamado por el prestador\r
+\par }\pard \ql \li708\ri0\nowidctlpar\faauto\rin0\lin708\itap0\pararsid6241672 {\insrsid6241672 h) % cobertura correspondiente al momento de aprobar la autorizaci\'f3n (si la autorizaci\'f3n existe en el sistema)\r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid3948734 {\insrsid6241672 \tab }{\insrsid662813 i) F}{\insrsid6241672 echa de aprobaci\'f3n de la autorizaci\'f3n (si la autorizaci\'f3n existe en el Sistema)\r
+\par }\pard \ql \fi708\li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid6241672 {\insrsid6241672 j}{\insrsid662813 ) F}{\insrsid6241672 echa de vencimiento de la autorizaci\'f3n (si la autorizaci\'f3n existe en el Sistema)\r
+\par }\pard \ql \li708\ri0\nowidctlpar\faauto\rin0\lin708\itap0\pararsid662813 {\insrsid662813 k) Motivo del rechazo de la linea (ej: \'93Autorizaci\'f3n recibida inexistente\'94, \'93Autorizaci\'f3n Vencida\'94, \'93% cobertura recibido inv\'e1lido\'94, etc)}\r
+{\insrsid6241672 \r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid3948734 {\insrsid6241672 \tab }{\insrsid1720812\charrsid662813 \r
+\par }{\insrsid3886421\charrsid6241672 3) }{\b\insrsid3886421\charrsid6241672 Reporte de consumo de los afiliados}{\b\insrsid3948734 \r
+\par }{\b\insrsid662813 \tab Cada linea:}{\insrsid662813\charrsid6241672 \r
+\par {\listtext\pard\plain\lang1024\langfe1024\noproof\langnp2058\langfenp2058\insrsid3886421\charrsid6241672 \hich\af0\dbch\af0\loch\f0 a)\tab}}\pard \ql \fi-360\li1065\ri0\nowidctlpar\jclisttab\tx1065\faauto\ls5\rin0\lin1065\itap0\pararsid662813 {\r
+\insrsid3886421\charrsid6241672 N\'famero de afiliado}{\insrsid3948734 \r
+\par {\listtext\pard\plain\lang1024\langfe1024\noproof\langnp2058\langfenp2058\insrsid662813 \hich\af0\dbch\af0\loch\f0 b)\tab}}{\insrsid662813 Nombre, apellido del afiliado\r
+\par }\pard \ql \li1065\ri0\nowidctlpar\faauto\rin0\lin1065\itap0\pararsid662813 {\insrsid662813 Por cada afiliado:\r
+\par }\pard \ql \fi708\li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid662813 {\insrsid662813 c}{\insrsid3886421\charrsid6241672 ) C\'f3digo de prestaci\'f3n/intervenci\'f3n REALIZADA}{\insrsid3886421 \r
+\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid662813 \tab d) Nombre de la prestaci\'f3n realizada\r
+\par \tab e) C\'f3digo del plan del afiliado\r
+\par \tab f) % Cobertura}{\insrsid662813\charrsid6241672 \r

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