Agreements Social Administrator List

AgreementSocialAdministrator(id, administrator, description, contract_number, policy_number, invoice_without_contract, hiring_and_payment_method, coverage_or_benefit_plan, id_user_isis)

Field Description
Social Administrator
Description
Contract Number
Policy Number
Invoice without contract Options:
  • ---------
  • Emergency care
  • Care covered by ADRES or a SOAT insurer, voluntary health plans
  • Health care due to tutela rulings/judicial orders
  • Health care due to portability or mass assignment of affiliates - article 2.5.3.4.7.9 of Decree 780/2016
  • Health care in exceptional cases due to quotations or authorizations without a contract, exceptional additional care
  • Organ recovery management for transplants in compliance with Statutory Law 1751 of 2015
  • Independent professionals caring for private patients
Reason for billing without a contract (FACTURA_SIN_CONTRATO of the Electronic Invoice for the Health sector). Fill in only when there is no contract with the entity responsible for payment
Hiring and Payment Method Options:
  • ---------
  • Package / Basket / Comprehensive Health Package (1 RIPS)
  • Prospective global payment (2 RIPS)
  • Capitation payment (3 RIPS)
  • Payment per event (4 RIPS)
  • Another modality (5 RIPS)
Coverage or Benefit Plan Options:
  • ---------
  • Health benefits plan financed with UPC (1 RIPS)
  • Maximum budget (2 RIPS)
  • EPS/EOC premium, uninsured SOAT (3 RIPS)
  • SOAT Policy Coverage (4 RIPS)
  • ARL coverage (5 RIPS)
  • ADRES Coverage (6 RIPS)
  • Public Health Coverage (7 RIPS)
  • Territorial entity coverage, supply resources (8 RIPS)
  • Migrant population emergencies (9 RIPS)
  • Complementary health plan (10 RIPS)
  • Prepaid medicine plan (11 RIPS)
  • Other health policies (12 RIPS)
  • Coverage Special Regime or Exception (13 RIPS)
  • National Health Fund Coverage for Persons Deprived of Liberty (14 RIPS)
  • Particular (15 RIPS)

Agreements Social Administrator It has the following related modules and may be of interest to you: