From: Guillermo Rugilo Date: Tue, 26 Apr 2005 12:26:40 +0000 (+0000) Subject: - Faltaba cambiar el nombre dentro del CU. X-Git-Tag: svn_import~609 X-Git-Url: https://git.llucax.com/z.facultad/75.10/miklolife.git/commitdiff_plain/8a087df498d26dd614f8a79079a33f22c44de459?hp=6603308870b90a0ebe05726c756679c8df71aa4f - Faltaba cambiar el nombre dentro del CU. - Se pasó la especificación de datos del reporte de consumo al CU "Generar Reporte de Consumo" --- diff --git a/especificaciones/recibir_y_cotejar_consumos_ y_prestaciones.rtf b/especificaciones/recibir_y_cotejar_consumos_ y_prestaciones.rtf index 9128162..02e4344 100644 --- a/especificaciones/recibir_y_cotejar_consumos_ y_prestaciones.rtf +++ b/especificaciones/recibir_y_cotejar_consumos_ y_prestaciones.rtf @@ -1,157 +1,138 @@ -{\rtf1\ansi\deff1\adeflang1025 -{\fonttbl{\f0\froman\fprq2\fcharset0 Nimbus Roman No9 L{\*\falt Times New Roman};}{\f1\froman\fprq2\fcharset0 Times New Roman;}{\f2\fmodern\fprq1\fcharset0 Courier New;}{\f3\froman\fprq2\fcharset2 Symbol;}{\f4\fnil\fprq2\fcharset2 Wingdings;}{\f5\fswiss\fprq2\fcharset0 Trebuchet 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\intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024{\loch\f5\fs20\lang1024\i0\b\b\f5 Poscondiciones: } -\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024{\loch\f6\fs20\lang1024\i0\b0\f6 Historia cl\'ednica de los afiliados afectados actualizada.} -\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024{\loch\f6\fs20\lang1024\i0\b0\f6 \'c1rea de Pagos notificada acerca de las aprobaciones/rechazos de la info enviada por el prestador acerca de prestaciones realizadas.} -\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024{\loch\f6\fs20\lang1024\i0\b0\f6 \'c1rea de Pagos dispone de los reportes de consumo de los afiliados.} -\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024 -\cell\row\pard \trowd\trql\trleft-113\trpaddft3\trpaddt0\trpaddfl3\trpaddl7\trpaddfb3\trpaddb0\trpaddfr3\trpaddr7\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrb\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\cellx8838 -\pard\intbl\pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024 -\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af5\afs20\lang1033\ab\ltrch\dbch\af5\afs20\langfe1024\ab\loch\f5\fs20\lang1024\b {\loch\f5\fs20\lang1024\i0\b Flujo Principal:} -\par \pard\plain \intbl{\listtext\pard\plain \li720\ri0\lin720\rin0\fi-431\fs20\lang2058\fs20\langfe2058\fs20 1}\ilvl0 \ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls1\li720\ri0\lin720\rin0\fi-431\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe2058\loch\f1\fs20\lang2058{\loch\f6\fs20\lang2058\i0\b0\f6 El Prestador env\'eda {\b informaci\'f3n de prestaciones e intervenciones} de los afiliados.} -\par \pard\plain \intbl{\listtext\pard\plain \li720\ri0\lin720\rin0\fi-431\fs20\lang2058\fs20\langfe2058\fs20 2}\ilvl0 \ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls1\li720\ri0\lin720\rin0\fi-431\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe2058\loch\f1\fs20\lang2058{\loch\f6\fs20\lang2058\i0\b0\f6 El Sistema valida cada l\'ednea de la informaci\'f3n recibida; si la l\'ednea pasa la validaci\'f3n, se registra en el sistema la prestaci\'f3n realizada por el afiliado.} -\par \pard\plain \intbl{\listtext\pard\plain \li720\ri0\lin720\rin0\fi-431\fs20\lang2058\fs20\langfe2058\fs20 3}\ilvl0 \ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls1\li720\ri0\lin720\rin0\fi-431\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe2058\loch\f1\fs20\lang2058{\loch\f6\fs20\lang2058\i0\b0\f6 El Sistema, en base a estos datos y el resultado de la validaci\'f3n, construye un {\b informe de aprobaciones/rechazos de prestaciones} {\b realizadas} y lo env\'eda a Pagos} -\par \pard\plain \intbl{\listtext\pard\plain \li720\ri0\lin720\rin0\fi-431\f6\fs20\lang2058\f6\fs20\langfe2058\f6\fs20 4}\ilvl0 \ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls1\li720\ri0\lin720\rin0\fi-431\rtlch\af6\afs20\lang1033\ltrch\dbch\af6\afs20\langfe2058\loch\f6\fs20\lang2058 {\loch\f6\fs20\lang2058\i0\b0 Se llama al Caso de Uso \ldblquote Generar Reporte de Consumo\rdblquote } -\par \pard\plain \intbl{\listtext\pard\plain \li720\ri0\lin720\rin0\fi-431\f6\fs20\lang2058\f6\fs20\langfe2058\f6\fs20 5}\ilvl0 \ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls1\li720\ri0\lin720\rin0\fi-431\rtlch\af6\afs20\lang1033\ltrch\dbch\af6\afs20\langfe2058\loch\f6\fs20\lang2058 {\loch\f6\fs20\lang2058\i0\b0 Finaliza caso de uso.} -\par \pard\plain \intbl\ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\li289\ri0\lin289\rin0\fi0\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe2058\loch\f5\fs20\lang2058 -\cell\row\pard \trowd\trql\trleft-113\trpaddft3\trpaddt0\trpaddfl3\trpaddl7\trpaddfb3\trpaddb0\trpaddfr3\trpaddr7\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrb\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\cellx8838 -\pard\intbl\pard\plain \intbl\ltrpar\s1\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li289\ri0\lin289\rin0\fi0\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe2058\loch\f5\fs20\lang2058 -\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024{\loch\f5\fs20\lang1024\i0\b{\b Flujos Alternativos: }}{\loch\f5\fs20\lang1024No hay.} -\cell\row\pard \trowd\trql\trleft-113\trpaddft3\trpaddt0\trpaddfl3\trpaddl7\trpaddfb3\trpaddb0\trpaddfr3\trpaddr7\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrb\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\cellx8838 -\pard\intbl\pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024 -\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024{\loch\f5\fs20\lang1024\i0\b{\b Flujos de Excepci\'f3n: }}{\loch\f5\fs20\lang1024No hay.} -\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\li646\ri0\lin646\rin0\fi-360\rtlch\af5\afs20\lang1033\ltrch\dbch\af5\afs20\langfe1024\loch\f5\fs20\lang1024 -\cell\row\pard \trowd\trql\trleft-113\trpaddft3\trpaddt0\trpaddfl3\trpaddl7\trpaddfb3\trpaddb0\trpaddfr3\trpaddr7\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrb\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\cellx8838 -\pard\intbl\pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af6\afs20\lang1033\ltrch\dbch\af6\afs20\langfe1024\loch\f6\fs20\lang1024 -\par \pard\plain \intbl\ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af6\afs24\lang1033\ltrch\dbch\af6\afs24\langfe1024\loch\f6\fs24\lang1024{\loch\f6\fs20\lang1024\i0\b{\b\fs20 Notas: }}{\loch\f6\fs24\lang1024{\*\cs58\cf0\rtlch\ltrch\dbch\loch\f2\fs20\lang1033\fs20 \~\~\~ - La comunicaci\'f3n Prestador-Sistema podr\'eda ser \ldblquote sincr\'f3nica\rdblquote (el prestador accede al Sistema y carga la informaci\'f3n) \'f3 bien \ldblquote asincr\'f3nica\rdblquote (el Prestador env\'eda un mail, deja un archivo en un FTP, etc y luego el sistema lo procesa con alg\'fan m\'e9todo s -cheduleado.)}} -\cell\row\pard \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 -\par {\loch\f1\fs20\lang1024\i0\b0 Especificaci\'f3n de Datos:} -\par -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024{\loch\f6\fs20\lang1024\i0\b0\f6 1) {\b Informaci\'f3n de prestaciones e intervenciones}} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li708\ri0\lin708\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 a) Identificaci\'f3n de Prestador (n\'famero de CUIT) {\af\f4 \'e0} es posible no incluirlo} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li708\ri0\lin708\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 b) C\'f3digo de autorizaci\'f3n relacionada a la prestaci\'f3n/intervenci\'f3n. } -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li708\ri0\lin708\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 c) C\'f3digo de prestaci\'f3n/intervenci\'f3n (\ldblquote Pr\'e1ctica\rdblquote , en el nomenclador)} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab c) Fecha de Realizaci\'f3n de la prestaci\'f3n/intervenci\'f3n } -\par {\loch\f1\fs20\lang1024\i0\b0 \tab d) Porcentaje de cobertura a cubrir por la Obra Social.} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab e) N\'famero de afiliado. {\af\f4 \'e0} es posible no incluirlo} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 2) {\b\f6 Informe de aprobaciones/rechazos de prestaciones}} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab a) Identificaci\'f3n del Prestador} -\par {\loch\f1\fs20\lang1024\i0\b0 \tab b) Nombre del Prestador} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li708\ri0\lin708\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 c) C\'f3digo de autorizaci\'f3n relacionada a la prestaci\'f3n/intervenci\'f3n, enviada por el Prestador.} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab d) C\'f3digo de prestaci\'f3n/intervenci\'f3n (\ldblquote Pr\'e1ctica\rdblquote , en el nomenclador)} -\par {\loch\f1\fs20\lang1024\i0\b0 \tab e) Identificador de l\'ednea Aprobada/Rechazada} -\par {\loch\f1\fs20\lang1024\i0\b0 \tab f) C\'f3digo de afiliado} -\par {\loch\f1\fs20\lang1024\i0\b0 \tab g) % cobertura reclamado por el prestador} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li708\ri0\lin708\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 h) % cobertura correspondiente al momento de aprobar la autorizaci\'f3n (si la autorizaci\'f3n existe en el sistema)} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab i) Fecha de aprobaci\'f3n de la autorizaci\'f3n (si la autorizaci\'f3n existe en el Sistema)} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li0\ri0\lin0\rin0\fi708\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 j) Fecha de vencimiento de la autorizaci\'f3n (si la autorizaci\'f3n existe en el Sistema)} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li708\ri0\lin708\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 k) Motivo del rechazo de la l\'ednea (ej: \ldblquote Autorizaci\'f3n recibida inexistente\rdblquote , \ldblquote Autorizaci\'f3n Vencida\rdblquote , \ldblquote % cobertura recibido inv\'e1lido\rdblquote , etc)} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab } -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ab\ltrch\dbch\af1\afs20\langfe1024\ab\loch\f1\fs20\lang1024\b {\loch\f1\fs20\lang1024\i0\b 3){\f7 Reporte de consumo de los afiliados}} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ab\ltrch\dbch\af1\afs20\langfe1024\ab\loch\f1\fs20\lang1024\b {\loch\f1\fs20\lang1024\i0\b \tab Cada l\'ednea:} -\par \pard\plain {\listtext\pard\plain \li1065\ri0\lin1065\rin0\fi-360\fs20\lang1024\fs20\langfe1024\fs20 a)}\ilvl0 \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls0\li1065\ri0\lin1065\rin0\fi-360\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 N\'famero de afiliado} -\par \pard\plain {\listtext\pard\plain \li1065\ri0\lin1065\rin0\fi-360\fs20\lang1024\fs20\langfe1024\fs20 b)}\ilvl0 \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls0\li1065\ri0\lin1065\rin0\fi-360\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 Nombre, apellido del afiliado} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li1065\ri0\lin1065\rin0\fi0\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 Por cada afiliado:} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li0\ri0\lin0\rin0\fi708\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 c) C\'f3digo de prestaci\'f3n/intervenci\'f3n REALIZADA} -\par \pard\plain \ltrpar\s6\cf0{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\rtlch\af1\afs20\lang1033\ltrch\dbch\af1\afs20\langfe1024\loch\f1\fs20\lang1024 {\loch\f1\fs20\lang1024\i0\b0 \tab d) Nombre de la prestaci\'f3n realizada} -\par {\loch\f1\fs20\lang1024\i0\b0 \tab e) C\'f3digo del plan del afiliado} -\par {\loch\f1\fs20\lang1024\i0\b0 \tab f) % Cobertura} -\par } \ No newline at end of file +{\rtf1\ansi\ansicpg1252\uc1\deff0\stshfdbch0\stshfloch0\stshfhich0\stshfbi0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f1\fswiss\fcharset0\fprq2{\*\panose 020b0604020202020204}Arial;} +{\f2\fmodern\fcharset0\fprq1{\*\panose 02070309020205020404}Courier 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\intbl\fs20\lang2058\langfe2058\loch\af1\langnp2058\langfenp2058\insrsid7562310 \hich\af0\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 {\fs20\loch\af1\insrsid7562310 \hich\af0\dbch\af0\loch\f1 Se\hich\af0\dbch\af0\loch\f1 llama al Caso de Uso }{\fs20\loch\af1\insrsid7562310 \loch\af1\dbch\af0\hich\f0 \'93}{ +\fs20\loch\af1\insrsid7562310 \hich\af0\dbch\af0\loch\f1 Generar Reporte de Consumo}{\fs20\loch\af1\insrsid7562310 \loch\af1\dbch\af0\hich\f0 \'94}{\fs20\loch\af1\insrsid7562310 +\par {\pntext\pard\plain\s15 \intbl\fs20\lang2058\langfe2058\loch\af1\langnp2058\langfenp2058\insrsid7562310 \hich\af0\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 {\fs20\loch\af1\insrsid7562310 \hich\af0\dbch\af0\loch\f1 Finaliza caso de uso. +\par }\pard \s15\ql \li289\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin289 {\fs20\loch\af38\insrsid7562310 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 +\fs24\lang1024\langfe1024\cgrid\noproof\langnp1033\langfenp1033 {\fs20\loch\af38\insrsid7562310 \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 {\fs20\loch\af38\insrsid7562310 +\par }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 \fs24\lang1024\langfe1024\cgrid\noproof\langnp1033\langfenp1033 {\b\fs20\loch\af38\insrsid7562310 \hich\af0\dbch\af0\loch\f38 Flujos Alternativos: }{\fs20\loch\af38\insrsid7562310 +\hich\af0\dbch\af0\loch\f38 No hay.\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\loch\af38\insrsid7562310 \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 {\fs20\loch\af38\insrsid7562310 +\par }{\b\fs20\lang1024\langfe1024\loch\af38\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f38 Flujos de Excepci}{\b\fs20\lang1024\langfe1024\loch\af38\langnp11274\insrsid7562310\charrsid7562310 \loch\af38\dbch\af0\hich\f0 \'f3}{ +\b\fs20\lang1024\langfe1024\loch\af38\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f38 n: }{\fs20\lang1024\langfe1024\loch\af38\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f38 No hay. +\par }\pard \ql \fi-360\li646\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin646 {\fs20\lang1024\langfe1024\loch\af38\langnp11274\insrsid7562310\charrsid7562310 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 { +\fs20\lang1024\langfe1024\loch\af38\langnp11274\insrsid7562310\charrsid7562310 \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 {\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid7562310\charrsid7562310 +\par }\pard \ql \li0\ri0\nowidctlpar\intbl\aspalpha\faauto\rin0\lin0 {\b\fs20\lang1024\langfe1024\loch\af1\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f1 Notas: }{ +\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \~\~\~}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f2 - La comunicaci}{ +\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \loch\af2\dbch\af0\hich\f0 \'f3}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f2 n Prestador-Sistema podr}{ +\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \loch\af2\dbch\af0\hich\f0 \'ed}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f2 a ser }{ +\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \loch\af2\dbch\af0\hich\f0 \'93}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f2 sincr}{ +\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \loch\af2\dbch\af0\hich\f0 \'f3}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f2 nica}{ +\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \loch\af2\dbch\af0\hich\f0 \'94}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f2 + (el prestador accede al Sistema y carga la informaci}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \loch\af2\dbch\af0\hich\f0 \'f3}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 +\hich\af0\dbch\af0\loch\f2 n) }{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \loch\af2\dbch\af0\hich\f0 \'f3}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 +\hich\af0\dbch\af0\loch\f2 bien }{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \loch\af2\dbch\af0\hich\f0 \'93}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 +\hich\af0\dbch\af0\loch\f2 asincr}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \loch\af2\dbch\af0\hich\f0 \'f3}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 +\hich\af0\dbch\af0\loch\f2 nica}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \loch\af2\dbch\af0\hich\f0 \'94}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 +\hich\af0\dbch\af0\loch\f2 (el Prestador env}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \loch\af2\dbch\af0\hich\f0 \'ed}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 +\hich\af0\dbch\af0\loch\f2 a un mail, deja un archivo en un FTP, etc y luego el sistema lo procesa con alg}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \loch\af2\dbch\af0\hich\f0 \'fa}{ +\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f2 n m}{\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \loch\af2\dbch\af0\hich\f0 \'e9}{ +\cs68\fs20\lang11274\loch\af2\noproof0\langnp11274\insrsid7562310\charrsid7562310 \hich\af0\dbch\af0\loch\f2 todo scheduleado.)}{\lang1024\langfe1024\loch\af1\langnp11274\insrsid7562310\charrsid7562310 \cell }\pard +\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\lang1024\langfe1024\loch\af1\langnp11274\insrsid7562310\charrsid7562310 \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 Especificaci\'f3n de Datos: +\par +\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\'f3n de Prestador (n\'famero de CUIT) }{\f10\fs20\cgrid0\noproof0\insrsid7562310 \'e0}{ +\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 es posible no incluirlo +\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. }{\f10\fs20\cgrid0\noproof0\insrsid7562310 \'e0}{\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 es posible no incluirlo +\par +\par 2) }{\b\f1\fs20\lang1024\langfe1024\langnp11274\insrsid7562310\charrsid7562310 Informe de aprobaciones/rechazos de prestaciones}{\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 }} \ No newline at end of file