ESTADO DE CUENTA PACIENTE DETALLE Dirección: M.A.

Matta

Comuna: Antofagasta

Chile

Rut: 95432000-6

DATOS PACIENTE

NOMBRE: MARIA REBECA SAEZ LOYOLA NRO. PACIENTE:13626666 EDAD: 57

RUT: 10441815-5 FECHA NAC: 20.02.1963 SEXO: MUJER

DATOS EPISODIO

NUMERO EPISODIO: 67706030 FECHA ADMISION: 11.12.2019 NRO PREFACTURA: 10000000000006669426

[Link] EPISODIO: Episodio hospitaliz. HORA ADMISION: [Link] FECHA DE CORTE: 18.02.2020

MEDICO TRATANTE: SEGOVIA VALLE MIGUEL ANGEL , S FECHA ALTA:31.12.2019 CONTRATO ASEGURADORA:

RUT MEDICO: 10979392-2 HORA ALTA: [Link] CAEC

ASEG. PRINCIPAL: Isapre Consalud S.A. [Link]:CUENTA CAEC [Link] CUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit Valor Ex. Valor Afecto Valor IVA Valor Final R

C020 - CM Antofagasta S.A

Consultas medicas
101402 12.12.2019 06:41 MONITOR CLATIM 1 24.471 0 20.564 3.907 24.471
101402 23.12.2019 06:41 MONITOR CLATIM 1 24.471 0 20.564 3.907 24.471
104009 11.12.2019 03:52 CONSULTA URGENCIA INHABI CLAURGAD 1 39.732 18.060 39.732 0 39.732 X

Sub Total 18.060 80.860 7.814 88.674

Exámenes de Laboratorio
301034 11.12.2019 05:49 GRUPOS SANGUINEOS ABO Y CLALBCL 1 9.437 4.845 8.704 733 9.437 X
301034 11.12.2019 05:48 GRUPOS SANGUINEOS ABO Y CLALBCL 1 9.437 4.845 8.704 733 9.437 X
301036 11.12.2019 22:21 HEMATOCRITO CLALBCL 1 1.774 940 1.641 133 1.774
301036 12.12.2019 16:49 HEMATOCRITO CLAUCI 1 1.774 940 1.641 133 1.774
301045 11.12.2019 05:28 HEMOGRAMA VHS CLALBCL 1 11.850 6.000 10.916 934 11.850 X
301045 13.12.2019 22:53 HEMOGRAMA VHS CLAUCI 1 7.900 4.000 7.277 623 7.900
301045 13.12.2019 01:06 HEMOGRAMA VHS CLALBCL 1 11.850 6.000 10.916 934 11.850 X
301045 14.12.2019 00:17 HEMOGRAMA VHS CLAUCI 1 11.850 6.000 10.916 934 11.850 X
301045 15.12.2019 23:03 HEMOGRAMA VHS CLAUCI 1 11.850 6.000 10.916 934 11.850 X
301045 16.12.2019 20:36 HEMOGRAMA VHS CLALBCL 1 7.900 4.000 7.277 623 7.900
301045 17.12.2019 22:58 HEMOGRAMA VHS CLALBCL 1 7.900 4.000 7.277 623 7.900
301045 19.12.2019 12:49 HEMOGRAMA VHS CLAMQHO1 1 7.900 4.000 7.277 623 7.900
301045 21.12.2019 10:11 HEMOGRAMA VHS CLAMQHO1 1 7.900 4.000 7.277 623 7.900
301045 25.12.2019 12:09 HEMOGRAMA VHS CLALBCL 1 11.850 6.000 10.916 934 11.850 X
301045 29.12.2019 13:26 HEMOGRAMA VHS CLALBCL 1 11.850 6.000 10.916 934 11.850 X
301059 14.12.2019 00:17 PROTROMBINA TIEMPO DE CLAUCI 1 5.960 3.030 5.492 468 5.960 X
301059 21.12.2019 10:11 PROTROMBINA TIEMPO DE CLAMQHO1 1 3.973 2.020 3.661 312 3.973
301085 21.12.2019 10:11 TROMBOPLASTINA TIEMPO DE CLAMQHO1 1 6.174 3.170 5.694 480 6.174
302004 11.12.2019 22:21 ACIDO LACTICO (LACTATO) CLALBCL 1 10.077 5.140 9.289 788 10.077
302004 12.12.2019 16:49 ACIDO LACTICO (LACTATO) CLAUCI 1 10.077 5.140 9.289 788 10.077
302004 13.12.2019 01:06 ACIDO LACTICO (LACTATO) CLALBCL 1 15.116 7.710 13.933 1.183 15.116 X
302015 12.12.2019 16:49 CALCIO CLAUCI 1 3.549 1.810 3.271 278 3.549
302015 13.12.2019 01:06 CALCIO CLALBCL 1 5.324 2.715 4.908 416 5.324 X
302023 11.12.2019 05:28 CREATININA EN SANGRE CLAURGAD 1 5.181 2.640 4.775 406 5.181 X
302023 11.12.2019 05:28 CREATININA EN SANGRE CLALBCL 1 5.181 2.640 4.775 406 5.181 X
302023 13.12.2019 22:53 CREATININA EN SANGRE CLAUCI 1 3.454 1.760 3.183 271 3.454
302023 13.12.2019 22:53 CREATININA EN SANGRE CLALBCL 1 3.454 1.760 3.183 271 3.454
302023 14.12.2019 00:17 CREATININA EN SANGRE CLAUCI 1 3.454 1.760 3.183 271 3.454
302023 16.12.2019 19:59 CREATININA EN SANGRE CLALBCL 1 3.454 1.760 3.183 271 3.454
302023 17.12.2019 22:58 CREATININA EN SANGRE CLATIM 1 3.454 1.760 3.183 271 3.454
302023 19.12.2019 12:49 CREATININA EN SANGRE CLAMQHO1 1 3.454 1.760 3.183 271 3.454
302023 25.12.2019 12:09 CREATININA EN SANGRE CLAMQHO1 1 5.181 2.640 4.775 406 5.181 X
302023 29.12.2019 13:26 CREATININA EN SANGRE CLALBCL 1 5.181 2.640 4.775 406 5.181 X
302025 11.12.2019 22:21 CK-MB (CREATINQUINASA-MB CLALBCL 1 12.679 6.620 11.712 967 12.679
302026 11.12.2019 22:21 CK- TOTAL (CREATINQUINAS CLALBCL 1 9.580 4.900 8.833 747 9.580
302026 11.12.2019 13:06 CK- TOTAL (CREATINQUINAS CLALBCL 1 9.580 4.900 8.833 747 9.580
302026 19.12.2019 12:49 CK- TOTAL (CREATINQUINAS CLAMQHO1 1 9.580 4.900 8.833 747 9.580
302026 25.12.2019 12:09 CK- TOTAL (CREATINQUINAS CLAMQHO1 1 14.370 7.350 13.249 1.121 14.370 X
302026 29.12.2019 13:26 CK- TOTAL (CREATINQUINAS CLALBCL 1 14.370 7.350 13.249 1.121 14.370 X
302032 11.12.2019 05:28 ELECTROLITOS PLASMATICOS CLALBCL 1 4.754 2.490 4.392 362 4.754 X
302032 11.12.2019 05:28 ELECTROLITOS PLASMATICOS CLAURGAD 1 4.754 2.490 4.392 362 4.754 X
302032 11.12.2019 05:28 ELECTROLITOS PLASMATICOS CLALBCL 1 4.754 2.490 4.392 362 4.754 X
302032 11.12.2019 05:28 ELECTROLITOS PLASMATICOS CLALBCL 1 4.754 2.490 4.392 362 4.754 X
302032 11.12.2019 05:28 ELECTROLITOS PLASMATICOS CLALBCL 1 4.754 2.490 4.392 362 4.754 X
302032 11.12.2019 05:28 ELECTROLITOS PLASMATICOS CLALBCL 1 4.754 2.490 4.392 362 4.754 X
302032 11.12.2019 05:28 ELECTROLITOS PLASMATICOS CLALBCL 1 4.754 2.490 4.392 362 4.754 X
302032 11.12.2019 05:28 ELECTROLITOS PLASMATICOS CLAURGAD 1 4.754 2.490 4.392 362 4.754 X
302032 11.12.2019 05:28 ELECTROLITOS PLASMATICOS CLAURGAD 1 4.754 2.490 4.392 362 4.754 X
302032 12.12.2019 16:49 ELECTROLITOS PLASMATICOS CLAUCI 1 3.169 1.660 2.928 241 3.169
302032 12.12.2019 16:49 ELECTROLITOS PLASMATICOS CLAUCI 1 3.169 1.660 2.928 241 3.169
302032 12.12.2019 16:49 ELECTROLITOS PLASMATICOS CLAUCI 1 3.169 1.660 2.928 241 3.169
302032 13.12.2019 22:53 ELECTROLITOS PLASMATICOS CLAUCI 1 3.169 1.660 2.928 241 3.169

FECHA: 16.06.2020 HOR[Link] PAGINA:1 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Exámenes de Laboratorio
302032 13.12.2019 22:53 ELECTROLITOS PLASMATICOS CLAUCI 1 3.169 1.660 2.928 241 3.169
302032 13.12.2019 22:53 ELECTROLITOS PLASMATICOS CLAUCI 1 3.169 1.660 2.928 241 3.169
302032 13.12.2019 22:53 ELECTROLITOS PLASMATICOS CLALBCL 1 3.169 1.660 2.928 241 3.169
302032 13.12.2019 22:53 ELECTROLITOS PLASMATICOS CLALBCL 1 3.169 1.660 2.928 241 3.169
302032 13.12.2019 22:53 ELECTROLITOS PLASMATICOS CLALBCL 1 3.169 1.660 2.928 241 3.169
302032 14.12.2019 00:17 ELECTROLITOS PLASMATICOS CLAUCI 1 3.169 1.660 2.928 241 3.169
302032 14.12.2019 00:17 ELECTROLITOS PLASMATICOS CLAUCI 1 3.169 1.660 2.928 241 3.169
302032 14.12.2019 00:17 ELECTROLITOS PLASMATICOS CLAUCI 1 3.169 1.660 2.928 241 3.169
302032 15.12.2019 23:03 ELECTROLITOS PLASMATICOS CLAUCI 1 4.754 2.490 4.392 362 4.754 X
302032 15.12.2019 23:03 ELECTROLITOS PLASMATICOS CLAUCI 1 4.754 2.490 4.392 362 4.754 X
302032 15.12.2019 23:03 ELECTROLITOS PLASMATICOS CLAUCI 1 4.754 2.490 4.392 362 4.754 X
302032 16.12.2019 19:59 ELECTROLITOS PLASMATICOS CLALBCL 1 3.169 1.660 2.928 241 3.169
302032 16.12.2019 19:59 ELECTROLITOS PLASMATICOS CLALBCL 1 3.169 1.660 2.928 241 3.169
302032 17.12.2019 22:58 ELECTROLITOS PLASMATICOS CLATIM 1 3.169 1.660 2.928 241 3.169
302032 17.12.2019 22:58 ELECTROLITOS PLASMATICOS CLATIM 1 3.169 1.660 2.928 241 3.169
302032 19.12.2019 12:49 ELECTROLITOS PLASMATICOS CLAMQHO1 1 3.169 1.660 2.928 241 3.169
302032 19.12.2019 12:49 ELECTROLITOS PLASMATICOS CLAMQHO1 1 3.169 1.660 2.928 241 3.169
302032 21.12.2019 10:11 ELECTROLITOS PLASMATICOS CLAMQHO1 1 3.169 1.660 2.928 241 3.169
302032 21.12.2019 10:11 ELECTROLITOS PLASMATICOS CLAMQHO1 1 3.169 1.660 2.928 241 3.169
302032 25.12.2019 12:09 ELECTROLITOS PLASMATICOS CLAMQHO1 1 4.754 2.490 4.392 362 4.754 X
302032 25.12.2019 12:09 ELECTROLITOS PLASMATICOS CLAMQHO1 1 4.754 2.490 4.392 362 4.754 X
302032 29.12.2019 13:26 ELECTROLITOS PLASMATICOS CLALBCL 1 4.754 2.490 4.392 362 4.754 X
302032 29.12.2019 13:26 ELECTROLITOS PLASMATICOS CLALBCL 1 4.754 2.490 4.392 362 4.754 X
302046 12.12.2019 16:49 GASES ARTERIALES CLAUCI 1 9.651 4.930 8.897 754 9.651
302046 13.12.2019 01:06 GASES ARTERIALES CLALBCL 1 14.477 7.395 13.346 1.131 14.477 X
302046 14.12.2019 00:17 GASES ARTERIALES CLAUCI 1 9.651 4.930 8.897 754 9.651
302056 12.12.2019 16:49 MAGNESIO CLAUCI 1 7.900 4.000 7.277 623 7.900
302056 14.12.2019 00:17 MAGNESIO CLAUCI 1 11.850 6.000 10.916 934 11.850 X
302057 12.12.2019 16:49 NITROGENO UREICO Y/O URE CLAUCI 1 3.406 1.740 3.140 266 3.406
302057 13.12.2019 22:53 NITROGENO UREICO Y/O URE CLALBCL 1 3.406 1.740 3.140 266 3.406
302057 13.12.2019 22:53 NITROGENO UREICO Y/O URE CLAUCI 1 3.406 1.740 3.140 266 3.406
302057 15.12.2019 23:03 NITROGENO UREICO Y/O URE CLAUCI 1 5.109 2.610 4.710 399 5.109 X
302060 25.12.2019 12:09 PROTEINAS TOTALES O ALBU CLAMQHO1 1 5.784 2.955 5.332 452 5.784 X
302075 11.12.2019 05:28 PERFIL BIOQUIMICO 12 PAR CLAURGAD 1 33.317 16.995 30.711 2.606 33.317 X
302075 14.12.2019 00:17 PERFIL BIOQUIMICO 12 PAR CLAUCI 1 33.317 16.995 30.711 2.606 33.317 X
302075 29.12.2019 13:26 PERFIL BIOQUIMICO 12 PAR CLALBCL 1 33.317 16.995 30.711 2.606 33.317 X
302076 11.12.2019 05:28 PRUEBAS/PERFIL HEPATICA CLAURGAD 1 41.904 21.090 38.581 3.323 41.904 X
302501 14.12.2019 00:17 PROCALCITONINA CLAUCI 1 55.421 0 46.572 8.849 55.421 X
303024 29.12.2019 13:26 TIROESTIMULANTE HORMONA CLALBCL 1 17.954 9.150 16.548 1.406 17.954 X
303026 29.12.2019 13:26 TIROXINA LIBRE (T4L) CLALBCL 1 20.544 10.515 18.943 1.601 20.544 X
303503 29.12.2019 13:26 T3 LIBRE CLAMQHO1 1 45.983 0 38.641 7.342 45.983 X
305031 12.12.2019 16:49 PROTEINA C REACTIVA NORM CLAUCI 1 16.037 8.160 14.779 1.258 16.037
305031 13.12.2019 22:53 PROTEINA C REACTIVA NORM CLAUCI 1 16.037 8.160 14.779 1.258 16.037
305031 13.12.2019 01:06 PROTEINA C REACTIVA NORM CLALBCL 1 24.056 12.240 22.169 1.887 24.056 X
305031 14.12.2019 00:17 PROTEINA C REACTIVA NORM CLAUCI 1 24.056 12.240 22.169 1.887 24.056 X
305031 15.12.2019 23:03 PROTEINA C REACTIVA NORM CLAUCI 1 24.056 12.240 22.169 1.887 24.056 X
305031 16.12.2019 20:36 PROTEINA C REACTIVA NORM CLALBCL 1 16.037 8.160 14.779 1.258 16.037
305031 17.12.2019 22:58 PROTEINA C REACTIVA NORM CLATIM 1 16.037 8.160 14.779 1.258 16.037
305031 19.12.2019 12:49 PROTEINA C REACTIVA NORM CLAMQHO1 1 16.037 8.160 14.779 1.258 16.037
305031 21.12.2019 10:11 PROTEINA C REACTIVA NORM CLAMQHO1 1 16.037 8.160 14.779 1.258 16.037
305031 25.12.2019 12:09 PROTEINA C REACTIVA NORM CLAMQHO1 1 24.056 12.240 22.169 1.887 24.056 X
305031 29.12.2019 13:26 PROTEINA C REACTIVA NORM CLALBCL 1 24.056 12.240 22.169 1.887 24.056 X
306001 11.12.2019 05:28 BACILOSCOPIA POR CONCENT CLALBCL 2 10.005 10.170 18.439 1.571 20.010 X
306011 16.12.2019 19:59 UROCULTIVO, RCTO. Y ANT CLATIM 1 9.533 4.860 8.787 746 9.533
306018 11.12.2019 05:28 KOCH, BACILO DE, CULTIVO CLALBCL 1 17.139 8.730 15.796 1.343 17.139 X
306588 11.12.2019 06:15 ENTEROCOCO VANCOMICIA RE CLALBCL 1 135.408 0 113.788 21.620 135.408 X
309022 16.12.2019 19:59 ORINA COMPLETA, (INCLUYE CLATIM 1 4.919 2.500 4.533 386 4.919

Sub Total 494.685 1.090.922 113.309 1.204.231

Imagenologia
401008 12.12.2019 16:48 TORAX, RADIOGRAFIA CON E CLAUCI 1 18.354 14.480 18.354 0 18.354
401008 13.12.2019 09:21 TORAX, RADIOGRAFIA CON E CLAUCI 1 18.354 14.480 18.354 0 18.354
401008 14.12.2019 10:49 TORAX, RADIOGRAFIA CON E CLAUCI 1 18.354 14.480 18.354 0 18.354
401008 15.12.2019 09:20 TORAX, RADIOGRAFIA CON E CLAUCI 1 27.531 21.720 27.531 0 27.531 X
401008 16.12.2019 10:10 TORAX, RADIOGRAFIA CON E CLAUCI 1 27.531 21.720 27.531 0 27.531 X
401045 26.12.2019 16:55 [Link] O DORSOLUMBAR CLARAYOS 1 32.361 24.150 32.361 0 32.361 X
401046 26.12.2019 16:55 RADIOGRAFÍA COLUMNA LUMB CLAMQHO1 1 47.510 35.430 47.510 0 47.510 X
401048 26.12.2019 16:55 COLUMNA LUMBOSACRA OBLIC CLAMQHO1 1 27.531 20.520 27.531 0 27.531 X
401049 30.12.2019 11:24 [Link] PANORAMICA CLARAYOS 2 36.948 55.110 73.896 0 73.896 X
401054 30.12.2019 11:22 BRAZO, ANTEBRAZO, CODO, CLARAYOS 2 16.411 24.520 32.822 0 32.822
401059 30.12.2019 11:22 ESTD. MUÑECA O TOBILLO ( CLAMQHO1 1 19.161 14.290 19.161 0 19.161
403001 11.12.2019 04:48 TAC CEREBRO (EN 30 CORTE CLAURGAD 1 254.115 129.555 254.115 0 254.115 X
403013 11.12.2019 05:00 TOMOGRAFÍA COMPUTARIZADA CLARAYOS 1 366.164 186.600 366.164 0 366.164 X
403013 13.12.2019 17:37 TOMOGRAFÍA COMPUTARIZADA CLARAYOS 1 244.109 124.400 244.109 0 244.109

FECHA: 16.06.2020 HOR[Link] PAGINA:2 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Imagenologia
403014 13.12.2019 17:37 ABDOMEN (HIGADO, VIAS Y CLARAYOS 1 228.475 74.080 228.475 0 228.475
405006 11.12.2019 13:02 RM COLUMNA DORSAL CLARAYOS 1 301.304 166.730 301.304 0 301.304
405007 11.12.2019 13:03 RM COLUMNA LUMBAR CLARAYOS 1 301.304 166.730 301.304 0 301.304
405007 17.12.2019 12:54 RM COLUMNA LUMBAR CLAUCI 1 301.304 166.730 301.304 0 301.304

Sub Total 1.275.725 2.340.180 0 2.340.180

Kinesiologia y Fisioterap
601001 13.12.2019 17:05 EVALUACION KINESIOLOGICA CLAUCI 1 4.873 2.660 4.520 353 4.873
601029 19.12.2019 19:20 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 19.12.2019 17:39 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601029 19.12.2019 17:39 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601029 20.12.2019 18:48 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601029 20.12.2019 18:48 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601029 20.12.2019 18:48 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601029 21.12.2019 19:30 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 21.12.2019 16:26 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 21.12.2019 12:06 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601029 22.12.2019 19:45 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 22.12.2019 15:58 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 22.12.2019 11:36 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601029 24.12.2019 19:14 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 24.12.2019 16:24 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601029 25.12.2019 19:35 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 25.12.2019 17:00 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601029 26.12.2019 18:56 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 26.12.2019 15:50 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 26.12.2019 10:20 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601029 27.12.2019 16:48 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 27.12.2019 12:23 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 27.12.2019 09:45 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601029 28.12.2019 19:14 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 28.12.2019 17:08 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 28.12.2019 11:39 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601029 29.12.2019 18:53 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 29.12.2019 15:31 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 29.12.2019 10:55 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601029 30.12.2019 14:53 ATENCION KINESIOLOGICA I CLAKINES 1 13.814 7.890 12.868 946 13.814
601029 30.12.2019 12:13 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.874 940 13.814
601029 31.12.2019 22:32 ATENCION KINESIOLOGICA I CLAMQHO1 1 13.814 7.890 12.868 946 13.814
601031 11.12.2019 17:31 ATENCION KINESIOLOGICA I CLAKINES 1 34.110 18.430 31.606 2.504 34.110
601031 11.12.2019 12:15 ATENCION KINESIOLOGICA I CLATIM 1 34.110 18.430 31.607 2.503 34.110
601031 13.12.2019 17:23 ATENCION KINESIOLOGICA I CLAKINES 1 34.110 18.430 31.607 2.503 34.110
601031 14.12.2019 08:05 ATENCION KINESIOLOGICA I CLAKINES 1 34.110 18.430 31.607 2.503 34.110
601031 15.12.2019 16:12 ATENCION KINESIOLOGICA I CLAKINES 1 51.165 27.645 47.407 3.758 51.165 X
601031 15.12.2019 12:30 ATENCION KINESIOLOGICA I CLAUCI 1 34.110 18.430 31.607 2.503 34.110
601031 16.12.2019 14:22 ATENCION KINESIOLOGICA I CLAKINES 1 34.110 18.430 31.607 2.503 34.110
601031 16.12.2019 06:59 ATENCION KINESIOLOGICA I CLAUCI 1 34.110 18.430 31.607 2.503 34.110
601031 17.12.2019 15:30 ATENCION KINESIOLOGICA I CLAKINES 1 34.110 18.430 31.607 2.503 34.110
601031 18.12.2019 07:56 ATENCION KINESIOLOGICA I CLATIM 1 34.110 18.430 31.607 2.503 34.110

Sub Total 440.765 735.303 55.959 791.262

Med. Transfusional
702001 14.12.2019 19:18 PREPARACION DE GLOBULOS CLAUCI 1 20.414 11.220 18.946 1.468 20.414
702001 17.12.2019 08:54 PREPARACION DE GLOBULOS CLATIM 1 20.414 11.220 18.946 1.468 20.414
702003 14.12.2019 19:18 SET DE EXAMENES POR UNID CLAUCI 1 27.982 15.380 25.970 2.012 27.982
702003 17.12.2019 08:54 SET DE EXAMENES POR UNID CLATIM 1 27.982 15.380 25.970 2.012 27.982
702005 14.12.2019 19:18 PRUEBA DE COMPATIBILIDAD CLAUCI 1 4.991 2.740 4.632 359 4.991
702005 17.12.2019 08:54 PRUEBA DE COMPATIBILIDAD CLATIM 1 4.991 2.740 4.631 360 4.991
702006 14.12.2019 19:18 TRANSFUSION EN ADULTO (A CLAUCI 1 15.872 8.720 14.730 1.142 15.872
702006 17.12.2019 08:54 TRANSFUSION EN ADULTO (A CLATIM 1 15.872 8.720 14.730 1.142 15.872
702011 12.12.2019 08:00 AUTOTRANSFUSION-PREDEPOS CLATIM 1 103.747 52.330 95.537 8.210 103.747

Sub Total 128.450 224.092 18.173 242.265

Neurologia y Neurocirugia
1103050 12.12.2019 08:00 LAMINECTOMIA DESCOMPRESI CLANEUP 1 790.990 122.160 684.202 106.788 790.990
1103069 12.12.2019 08:00 FIJACION DE COLUMNA (CER CLANEUP 1 790.990 122.160 684.202 106.788 790.990

Sub Total 244.320 1.368.404 213.576 1.581.980

Ortopedia y Traumatologia
2104116 12.12.2019 08:00 LUXACIONES,LUXOFRACTURAS CLANEUP 1 644.300 100.140 557.417 86.883 644.300
2104119 23.12.2019 08:00 REEMPLAZO CUERPO VERTEBR CLATRAP 1 790.990 122.160 684.202 106.788 790.990

Sub Total 222.300 1.241.619 193.671 1.435.290

FECHA: 16.06.2020 HOR[Link] PAGINA:3 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Enfermeria
2603022 11.12.2019 03:52 INST.Y [Link], CLAURGAD 1 11.669 0 9.806 1.863 11.669

Sub Total 0 9.806 1.863 11.669

Medicamentos
4999999 19.12.2019 06:41 ARTRULINE 50 MG X 30 COM CLATIM 1 54.067 0 45.435 8.632 54.067
4999999 27.12.2019 06:41 PRADAXA 150 MG X 1 CAJA CLATIM 1 64.297 0 54.031 10.266 64.297
41012863 16.12.2019 08:24 ATROPINA 1 MG/1 ML SLN I CLANEUP 1 3.881 0 3.261 620 3.881
41012883 12.12.2019 13:16 BERIPLAST P 1 ML LIOF SL CLANEUP 1 538.346 0 452.392 85.954 538.346
41012884 11.12.2019 10:43 BERODUAL 20 ML SLN INH CLATIM 1 59.157 0 49.712 9.445 59.157
41012932 12.12.2019 17:29 CEFAZOLINA 1000 MG P SLN CLAUCI 1 9.737 0 8.182 1.555 9.737
41012932 12.12.2019 17:29 CEFAZOLINA 1000 MG P SLN CLAUCI 1 9.737 0 8.182 1.555 9.737
41012932 12.12.2019 17:29 CEFAZOLINA 1000 MG P SLN CLAUCI 1 -9.737 0 -8.182 -1.555 -9.737
41012932 12.12.2019 17:29 CEFAZOLINA 1000 MG P SLN CLAUCI 1 -9.737 0 -8.182 -1.555 -9.737
41012932 12.12.2019 14:16 CEFAZOLINA 1000 MG P SLN CLANEUP 2 9.737 0 16.365 3.109 19.474
41012932 13.12.2019 12:06 CEFAZOLINA 1000 MG P SLN CLAUCI 1 -9.737 0 -8.182 -1.555 -9.737
41012932 13.12.2019 12:06 CEFAZOLINA 1000 MG P SLN CLAUCI 1 9.737 0 8.182 1.555 9.737
41012932 13.12.2019 12:06 CEFAZOLINA 1000 MG P SLN CLAUCI 1 9.737 0 8.182 1.555 9.737
41012932 13.12.2019 12:06 CEFAZOLINA 1000 MG P SLN CLAUCI 1 9.737 0 8.182 1.555 9.737
41012932 23.12.2019 17:34 CEFAZOLINA 1000 MG P SLN CLAMQHO1 3 9.737 0 24.547 4.664 29.211
41012932 23.12.2019 11:11 CEFAZOLINA 1000 MG P SLN CLATRAP 1 9.737 0 8.182 1.555 9.737
41012937 21.12.2019 13:19 CELEBRA 200 MG (CELECOXI CLAMQHO1 1 14.013 0 11.776 2.237 14.013
41012937 22.12.2019 16:13 CELEBRA 200 MG (CELECOXI CLAMQHO1 1 14.013 0 11.776 2.237 14.013
41012959 11.12.2019 11:15 CLEXANE 40 MG/0,4 ML (EN CLATIM 1 25.812 0 21.691 4.121 25.812
41012959 12.12.2019 10:15 CLEXANE 40 MG/0,4 ML (EN CLATIM 1 25.812 0 21.691 4.121 25.812
41012959 13.12.2019 12:06 CLEXANE 40 MG/0,4 ML (EN CLAUCI 1 25.812 0 21.691 4.121 25.812
41012959 14.12.2019 11:01 CLEXANE 40 MG/0,4 ML (EN CLAUCI 1 25.812 0 21.691 4.121 25.812
41012959 15.12.2019 12:49 CLEXANE 40 MG/0,4 ML (EN CLAUCI 1 25.812 0 21.691 4.121 25.812
41012959 16.12.2019 09:52 CLEXANE 40 MG/0,4 ML (EN CLAUCI 1 25.812 0 21.691 4.121 25.812
41012959 17.12.2019 11:09 CLEXANE 40 MG/0,4 ML (EN CLATIM 1 25.812 0 21.691 4.121 25.812
41012959 18.12.2019 11:41 CLEXANE 40 MG/0,4 ML (EN CLATIM 1 25.812 0 21.691 4.121 25.812
41012959 19.12.2019 12:51 CLEXANE 40 MG/0,4 ML (EN CLAMQHO1 1 25.812 0 21.691 4.121 25.812
41012959 20.12.2019 11:43 CLEXANE 40 MG/0,4 ML (EN CLAMQHO1 1 25.812 0 21.691 4.121 25.812
41012959 21.12.2019 13:19 CLEXANE 40 MG/0,4 ML (EN CLAMQHO1 1 25.812 0 21.691 4.121 25.812
41012959 22.12.2019 17:40 CLEXANE 40 MG/0,4 ML (EN CLAMQHO1 1 25.812 0 21.691 4.121 25.812
41012959 23.12.2019 17:34 CLEXANE 40 MG/0,4 ML (EN CLAMQHO1 1 25.812 0 21.691 4.121 25.812
41012959 24.12.2019 13:57 CLEXANE 40 MG/0,4 ML (EN CLAMQHO1 1 25.812 0 21.691 4.121 25.812
41012959 25.12.2019 13:47 CLEXANE 40 MG/0,4 ML (EN CLAMQHO1 1 25.812 0 21.691 4.121 25.812
41012959 26.12.2019 15:01 CLEXANE 40 MG/0,4 ML (EN CLAMQHO1 1 25.812 0 21.691 4.121 25.812
41013024 13.12.2019 18:11 DEXAMETASONA 4 MG/ML SLN CLAUCI 1 4.524 0 3.802 722 4.524
41013024 13.12.2019 18:11 DEXAMETASONA 4 MG/ML SLN CLAUCI 1 4.524 0 3.802 722 4.524
41013024 13.12.2019 18:11 DEXAMETASONA 4 MG/ML SLN CLAUCI 1 4.524 0 3.802 722 4.524
41013024 14.12.2019 11:01 DEXAMETASONA 4 MG/ML SLN CLAUCI 1 4.524 0 3.802 722 4.524
41013024 14.12.2019 11:01 DEXAMETASONA 4 MG/ML SLN CLAUCI 1 4.524 0 3.802 722 4.524
41013024 14.12.2019 11:01 DEXAMETASONA 4 MG/ML SLN CLAUCI 1 4.524 0 3.802 722 4.524
41013024 15.12.2019 12:49 DEXAMETASONA 4 MG/ML SLN CLAUCI 1 4.524 0 3.802 722 4.524
41013024 15.12.2019 12:49 DEXAMETASONA 4 MG/ML SLN CLAUCI 1 4.524 0 3.802 722 4.524
41013024 15.12.2019 12:49 DEXAMETASONA 4 MG/ML SLN CLAUCI 1 4.524 0 3.802 722 4.524
41013024 16.12.2019 09:52 DEXAMETASONA 4 MG/ML SLN CLAUCI 1 4.524 0 3.802 722 4.524
41013024 16.12.2019 09:52 DEXAMETASONA 4 MG/ML SLN CLAUCI 1 4.524 0 3.802 722 4.524
41013024 16.12.2019 09:52 DEXAMETASONA 4 MG/ML SLN CLAUCI 1 4.524 0 3.802 722 4.524
41013024 17.12.2019 11:26 DEXAMETASONA 4 MG/ML SLN CLATIM 1 4.524 0 3.802 722 4.524
41013024 17.12.2019 11:26 DEXAMETASONA 4 MG/ML SLN CLATIM 1 4.524 0 3.802 722 4.524
41013024 17.12.2019 11:26 DEXAMETASONA 4 MG/ML SLN CLATIM 1 4.524 0 3.802 722 4.524
41013024 18.12.2019 11:41 DEXAMETASONA 4 MG/ML SLN CLATIM 1 4.524 0 3.802 722 4.524
41013024 18.12.2019 11:41 DEXAMETASONA 4 MG/ML SLN CLATIM 1 4.524 0 3.802 722 4.524
41013024 18.12.2019 11:41 DEXAMETASONA 4 MG/ML SLN CLATIM 1 4.524 0 3.802 722 4.524
41013042 16.12.2019 08:52 PROPOFOL 10 MG/ML AMP 20 CLANEUP 1 25.020 0 21.025 3.995 25.020
41013042 23.12.2019 11:11 PROPOFOL 10 MG/ML AMP 20 CLATRAP 1 25.020 0 21.025 3.995 25.020
41013073 17.12.2019 08:04 EFEDRINA 6 % SLN INY CLANEUP 1 4.743 0 3.986 757 4.743
41013073 23.12.2019 11:11 EFEDRINA 6 % SLN INY CLATRAP 1 4.743 0 3.986 757 4.743
41013098 12.12.2019 14:16 ESMERON 50 MG/5 ML (ROCU CLANEUP 1 38.547 0 32.393 6.154 38.547
41013098 23.12.2019 11:11 ESMERON 50 MG/5 ML (ROCU CLATRAP 1 38.547 0 32.393 6.154 38.547
41013131 16.12.2019 09:25 FENTANILO 0,1 MG/2 ML SL CLAUCI 2 7.417 0 12.465 2.369 14.834
41013132 12.12.2019 17:37 FENTANILO 0,5 MG/10 ML S CLAUCI 5 8.894 0 37.370 7.100 44.470
41013132 16.12.2019 09:26 FENTANILO 0,5 MG/10 ML S CLAUCI 2 8.894 0 14.948 2.840 17.788
41013132 16.12.2019 09:25 FENTANILO 0,5 MG/10 ML S CLAUCI 10 8.894 0 74.740 14.200 88.940
41013149 15.12.2019 12:49 FOLIFER CAP GRAN LP CLAUCI 1 5.035 0 4.231 804 5.035
41013149 16.12.2019 09:52 FOLIFER CAP GRAN LP CLAUCI 1 5.035 0 4.231 804 5.035
41013149 17.12.2019 11:26 FOLIFER CAP GRAN LP CLATIM 1 5.035 0 4.231 804 5.035
41013149 18.12.2019 11:41 FOLIFER CAP GRAN LP CLATIM 1 5.035 0 4.231 804 5.035
41013149 19.12.2019 12:51 FOLIFER CAP GRAN LP CLAMQHO1 1 5.035 0 4.231 804 5.035
41013149 19.12.2019 12:45 FOLIFER CAP GRAN LP CLAMQHO1 1 5.035 0 4.231 804 5.035
41013149 20.12.2019 11:43 FOLIFER CAP GRAN LP CLAMQHO1 1 5.035 0 4.231 804 5.035
41013149 21.12.2019 13:19 FOLIFER CAP GRAN LP CLAMQHO1 1 5.035 0 4.231 804 5.035

FECHA: 16.06.2020 HOR[Link] PAGINA:4 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Medicamentos
41013149 22.12.2019 17:40 FOLIFER CAP GRAN LP CLAMQHO1 1 5.035 0 4.231 804 5.035
41013149 23.12.2019 17:34 FOLIFER CAP GRAN LP CLAMQHO1 1 5.035 0 4.231 804 5.035
41013149 24.12.2019 13:57 FOLIFER CAP GRAN LP CLAMQHO1 1 5.035 0 4.231 804 5.035
41013149 25.12.2019 13:47 FOLIFER CAP GRAN LP CLAMQHO1 1 5.035 0 4.231 804 5.035
41013149 26.12.2019 15:01 FOLIFER CAP GRAN LP CLAMQHO1 1 5.035 0 4.231 804 5.035
41013149 27.12.2019 17:59 FOLIFER CAP GRAN LP CLAMQHO1 1 5.035 0 4.231 804 5.035
41013149 28.12.2019 14:13 FOLIFER CAP GRAN LP CLAMQHO1 1 5.035 0 4.231 804 5.035
41013149 29.12.2019 14:00 FOLIFER CAP GRAN LP CLAMQHO1 1 5.035 0 4.231 804 5.035
41013149 31.12.2019 13:16 FOLIFER CAP GRAN LP CLAMQHO1 1 5.035 0 4.231 804 5.035
41013157 20.12.2019 18:49 FOSFOSODA FLEET 45 ML SL CLAMQHO1 1 16.763 0 14.086 2.677 16.763
41013157 24.12.2019 17:42 FOSFOSODA FLEET 45 ML SL CLAMQHO1 1 16.763 0 14.086 2.677 16.763
41013199 12.12.2019 17:59 HEPARINA SÓDICA 25.000 U CLANEUP 1 19.894 0 16.718 3.176 19.894
41013199 12.12.2019 14:55 HEPARINA SÓDICA 25.000 U CLANEUP 1 19.894 0 16.718 3.176 19.894
41013199 12.12.2019 14:16 HEPARINA SÓDICA 25.000 U CLANEUP 1 19.894 0 16.718 3.176 19.894
41013215 19.12.2019 12:51 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 19.12.2019 12:51 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 19.12.2019 12:51 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 20.12.2019 11:43 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 20.12.2019 11:43 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 20.12.2019 11:43 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 21.12.2019 21:51 IDON 10 MG (DOMPERIDONA) CLAMQHO1 3 4.081 0 10.288 1.955 12.243
41013215 21.12.2019 13:19 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 21.12.2019 13:19 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 21.12.2019 13:19 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 22.12.2019 17:40 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 22.12.2019 17:40 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 22.12.2019 17:40 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 23.12.2019 17:34 IDON 10 MG (DOMPERIDONA) CLAMQHO1 3 4.081 0 10.288 1.955 12.243
41013215 24.12.2019 13:57 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 24.12.2019 13:57 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 24.12.2019 13:57 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 25.12.2019 13:47 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 25.12.2019 13:47 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 25.12.2019 13:47 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 26.12.2019 15:01 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 26.12.2019 15:01 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 26.12.2019 15:01 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 27.12.2019 17:59 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 27.12.2019 17:59 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 27.12.2019 14:34 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 27.12.2019 01:59 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 28.12.2019 14:13 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 28.12.2019 14:13 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 28.12.2019 14:13 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 28.12.2019 03:54 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 29.12.2019 22:48 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 29.12.2019 13:51 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 29.12.2019 13:51 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 29.12.2019 13:51 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 30.12.2019 11:50 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 30.12.2019 11:50 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013215 30.12.2019 11:50 IDON 10 MG (DOMPERIDONA) CLAMQHO1 1 4.081 0 3.429 652 4.081
41013252 12.12.2019 14:16 KOVAN 500 MG (VANCOMICIN CLANEUP 4 17.989 0 60.467 11.489 71.956
41013252 22.12.2019 17:40 KOVAN 500 MG (VANCOMICIN CLAMQHO1 2 17.989 0 30.234 5.744 35.978
41013252 23.12.2019 11:11 KOVAN 500 MG (VANCOMICIN CLATRAP 1 17.989 0 15.117 2.872 17.989
41013254 19.12.2019 12:55 LACTULOSA 65 % 200 ML SL CLAMQHO1 1 -20.166 0 -16.946 -3.220 -20.166
41013254 19.12.2019 12:55 LACTULOSA 65 % 200 ML SL CLAMQHO1 1 20.166 0 16.946 3.220 20.166
41013254 23.12.2019 17:34 LACTULOSA 65 % 200 ML SL CLAMQHO1 1 -20.166 0 -16.946 -3.220 -20.166
41013254 23.12.2019 17:34 LACTULOSA 65 % 200 ML SL CLAMQHO1 1 20.166 0 16.946 3.220 20.166
41013254 24.12.2019 13:57 LACTULOSA 65 % 200 ML SL CLAMQHO1 1 20.166 0 16.946 3.220 20.166
41013254 24.12.2019 13:57 LACTULOSA 65 % 200 ML SL CLAMQHO1 1 -20.166 0 -16.946 -3.220 -20.166
41013254 28.12.2019 14:13 LACTULOSA 65 % 200 ML SL CLAMQHO1 1 20.166 0 16.946 3.220 20.166
41013279 12.12.2019 14:16 LIDOCAINA 2 % SLN INY CLANEUP 2 2.793 0 4.694 892 5.586
41013279 23.12.2019 11:11 LIDOCAINA 2 % SLN INY CLATRAP 1 2.793 0 2.347 446 2.793
41013297 11.12.2019 11:15 LYRICA 75 MG (PREGABALIN CLATIM 1 16.815 0 14.130 2.685 16.815
41013297 11.12.2019 11:15 LYRICA 75 MG (PREGABALIN CLATIM 1 16.815 0 14.130 2.685 16.815
41013297 12.12.2019 10:15 LYRICA 75 MG (PREGABALIN CLATIM 1 16.815 0 14.130 2.685 16.815
41013297 12.12.2019 10:15 LYRICA 75 MG (PREGABALIN CLATIM 1 16.815 0 14.130 2.685 16.815
41013297 13.12.2019 12:06 LYRICA 75 MG (PREGABALIN CLAUCI 1 16.815 0 14.130 2.685 16.815
41013297 14.12.2019 11:01 LYRICA 75 MG (PREGABALIN CLAUCI 1 16.815 0 14.130 2.685 16.815
41013297 14.12.2019 11:01 LYRICA 75 MG (PREGABALIN CLAUCI 1 16.815 0 14.130 2.685 16.815
41013297 14.12.2019 08:23 LYRICA 75 MG (PREGABALIN CLAUCI 1 16.815 0 14.130 2.685 16.815
41013297 14.12.2019 08:23 LYRICA 75 MG (PREGABALIN CLAUCI 1 16.815 0 14.130 2.685 16.815
41013297 15.12.2019 12:49 LYRICA 75 MG (PREGABALIN CLAUCI 1 16.815 0 14.130 2.685 16.815
41013297 15.12.2019 12:49 LYRICA 75 MG (PREGABALIN CLAUCI 1 16.815 0 14.130 2.685 16.815

FECHA: 16.06.2020 HOR[Link] PAGINA:5 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Medicamentos
41013297 16.12.2019 09:52 LYRICA 75 MG (PREGABALIN CLAUCI 1 16.815 0 14.130 2.685 16.815
41013297 16.12.2019 09:52 LYRICA 75 MG (PREGABALIN CLAUCI 1 16.815 0 14.130 2.685 16.815
41013297 17.12.2019 11:09 LYRICA 75 MG (PREGABALIN CLATIM 1 16.815 0 14.130 2.685 16.815
41013297 18.12.2019 11:41 LYRICA 75 MG (PREGABALIN CLATIM 1 16.815 0 14.130 2.685 16.815
41013297 19.12.2019 12:51 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 19.12.2019 12:51 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 19.12.2019 09:00 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 20.12.2019 11:43 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 21.12.2019 12:11 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 21.12.2019 12:11 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 22.12.2019 17:40 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 22.12.2019 17:40 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 22.12.2019 08:43 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 23.12.2019 17:31 LYRICA 75 MG (PREGABALIN CLAMQHO1 2 16.815 0 28.260 5.370 33.630
41013297 24.12.2019 13:57 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 24.12.2019 13:57 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 25.12.2019 13:47 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 25.12.2019 13:47 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 26.12.2019 15:01 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 26.12.2019 15:01 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 27.12.2019 17:59 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 27.12.2019 17:59 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 28.12.2019 12:44 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 28.12.2019 12:44 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 29.12.2019 13:51 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013297 29.12.2019 13:51 LYRICA 75 MG (PREGABALIN CLAMQHO1 1 16.815 0 14.130 2.685 16.815
41013335 11.12.2019 11:15 MULTIFLORA PLUS CAP CLATIM 1 5.756 0 4.837 919 5.756
41013335 11.12.2019 11:15 MULTIFLORA PLUS CAP CLATIM 1 5.756 0 4.837 919 5.756
41013335 12.12.2019 10:15 MULTIFLORA PLUS CAP CLATIM 1 5.756 0 4.837 919 5.756
41013335 12.12.2019 10:15 MULTIFLORA PLUS CAP CLATIM 1 5.756 0 4.837 919 5.756
41013335 13.12.2019 12:06 MULTIFLORA PLUS CAP CLAUCI 1 5.756 0 4.837 919 5.756
41013335 14.12.2019 11:01 MULTIFLORA PLUS CAP CLAUCI 1 5.756 0 4.837 919 5.756
41013335 14.12.2019 11:01 MULTIFLORA PLUS CAP CLAUCI 1 5.756 0 4.837 919 5.756
41013335 14.12.2019 08:23 MULTIFLORA PLUS CAP CLAUCI 1 5.756 0 4.837 919 5.756
41013335 15.12.2019 12:49 MULTIFLORA PLUS CAP CLAUCI 1 5.756 0 4.837 919 5.756
41013335 16.12.2019 09:52 MULTIFLORA PLUS CAP CLAUCI 1 5.756 0 4.837 919 5.756
41013335 16.12.2019 09:52 MULTIFLORA PLUS CAP CLAUCI 1 5.756 0 4.837 919 5.756
41013335 17.12.2019 11:26 MULTIFLORA PLUS CAP CLATIM 1 5.756 0 4.837 919 5.756
41013335 18.12.2019 11:41 MULTIFLORA PLUS CAP CLATIM 1 5.756 0 4.837 919 5.756
41013335 19.12.2019 12:51 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 19.12.2019 12:51 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 19.12.2019 09:00 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 20.12.2019 11:43 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 21.12.2019 12:12 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 21.12.2019 12:11 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 22.12.2019 17:40 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 22.12.2019 17:40 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 22.12.2019 08:43 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 23.12.2019 17:34 MULTIFLORA PLUS CAP CLAMQHO1 2 5.756 0 9.674 1.838 11.512
41013335 24.12.2019 13:57 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 24.12.2019 13:57 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 25.12.2019 13:47 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 25.12.2019 13:47 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 26.12.2019 15:01 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 26.12.2019 15:01 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 27.12.2019 17:59 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 27.12.2019 17:59 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 28.12.2019 12:44 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 28.12.2019 12:44 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 29.12.2019 13:51 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 29.12.2019 13:51 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 30.12.2019 11:50 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013335 30.12.2019 11:50 MULTIFLORA PLUS CAP CLAMQHO1 1 5.756 0 4.837 919 5.756
41013352 24.12.2019 20:30 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 24.12.2019 13:57 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 24.12.2019 13:57 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 24.12.2019 13:57 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 25.12.2019 13:47 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 25.12.2019 13:47 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 25.12.2019 13:47 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 26.12.2019 15:01 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 26.12.2019 15:01 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 26.12.2019 15:01 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 27.12.2019 17:59 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 27.12.2019 17:59 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815

FECHA: 16.06.2020 HOR[Link] PAGINA:6 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Medicamentos
41013352 28.12.2019 14:13 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 28.12.2019 14:13 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 28.12.2019 14:13 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 29.12.2019 13:51 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 29.12.2019 13:51 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 -6.815 0 -5.727 -1.088 -6.815
41013352 29.12.2019 13:51 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 29.12.2019 13:51 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 30.12.2019 11:50 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 30.12.2019 11:50 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 30.12.2019 11:50 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013352 30.12.2019 11:50 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 -6.815 0 -5.727 -1.088 -6.815
41013352 30.12.2019 11:50 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 -6.815 0 -5.727 -1.088 -6.815
41013352 30.12.2019 11:50 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 -6.815 0 -5.727 -1.088 -6.815
41013352 31.12.2019 13:16 NEFERSIL 125 MG (CLONIXI CLAMQHO1 1 6.815 0 5.727 1.088 6.815
41013353 11.12.2019 11:15 NEFERSIL 200 MG/4 ML (CL CLATIM 2 8.938 0 15.022 2.854 17.876
41013353 12.12.2019 10:15 NEFERSIL 200 MG/4 ML (CL CLATIM 2 8.938 0 15.022 2.854 17.876
41013353 13.12.2019 12:06 NEFERSIL 200 MG/4 ML (CL CLAUCI 2 8.938 0 15.022 2.854 17.876
41013353 13.12.2019 12:06 NEFERSIL 200 MG/4 ML (CL CLAUCI 2 -8.938 0 -15.022 -2.854 -17.876
41013353 13.12.2019 06:53 NEFERSIL 200 MG/4 ML (CL CLAUCI 2 8.938 0 15.022 2.854 17.876
41013353 14.12.2019 11:01 NEFERSIL 200 MG/4 ML (CL CLAUCI 2 8.938 0 15.022 2.854 17.876
41013353 15.12.2019 12:49 NEFERSIL 200 MG/4 ML (CL CLAUCI 2 8.938 0 15.022 2.854 17.876
41013353 16.12.2019 09:52 NEFERSIL 200 MG/4 ML (CL CLAUCI 2 8.938 0 15.022 2.854 17.876
41013353 17.12.2019 11:09 NEFERSIL 200 MG/4 ML (CL CLATIM 2 8.938 0 15.022 2.854 17.876
41013353 23.12.2019 17:34 NEFERSIL 200 MG/4 ML (CL CLAMQHO1 1 8.938 0 7.511 1.427 8.938
41013353 24.12.2019 15:11 NEFERSIL 200 MG/4 ML (CL CLAMQHO1 2 8.938 0 15.022 2.854 17.876
41013363 13.12.2019 12:06 NEXIUM 40 MG (ESOMEPRAZO CLAUCI 1 11.462 0 9.632 1.830 11.462
41013363 14.12.2019 11:01 NEXIUM 40 MG (ESOMEPRAZO CLAUCI 1 11.462 0 9.632 1.830 11.462
41013363 15.12.2019 12:49 NEXIUM 40 MG (ESOMEPRAZO CLAUCI 1 11.462 0 9.632 1.830 11.462
41013363 16.12.2019 09:52 NEXIUM 40 MG (ESOMEPRAZO CLAUCI 1 11.462 0 9.632 1.830 11.462
41013363 17.12.2019 11:26 NEXIUM 40 MG (ESOMEPRAZO CLATIM 1 11.462 0 9.632 1.830 11.462
41013363 18.12.2019 11:41 NEXIUM 40 MG (ESOMEPRAZO CLATIM 1 11.462 0 9.632 1.830 11.462
41013363 19.12.2019 12:51 NEXIUM 40 MG (ESOMEPRAZO CLAMQHO1 1 11.462 0 9.632 1.830 11.462
41013363 20.12.2019 11:43 NEXIUM 40 MG (ESOMEPRAZO CLAMQHO1 1 11.462 0 9.632 1.830 11.462
41013363 20.12.2019 11:43 NEXIUM 40 MG (ESOMEPRAZO CLAMQHO1 1 11.462 0 9.632 1.830 11.462
41013363 21.12.2019 13:19 NEXIUM 40 MG (ESOMEPRAZO CLAMQHO1 1 11.462 0 9.632 1.830 11.462
41013363 22.12.2019 17:40 NEXIUM 40 MG (ESOMEPRAZO CLAMQHO1 1 11.462 0 9.632 1.830 11.462
41013363 24.12.2019 13:57 NEXIUM 40 MG (ESOMEPRAZO CLAMQHO1 1 11.462 0 9.632 1.830 11.462
41013363 25.12.2019 13:47 NEXIUM 40 MG (ESOMEPRAZO CLAMQHO1 1 11.462 0 9.632 1.830 11.462
41013363 26.12.2019 15:01 NEXIUM 40 MG (ESOMEPRAZO CLAMQHO1 1 11.462 0 9.632 1.830 11.462
41013363 27.12.2019 17:59 NEXIUM 40 MG (ESOMEPRAZO CLAMQHO1 1 11.462 0 9.632 1.830 11.462
41013363 28.12.2019 14:13 NEXIUM 40 MG (ESOMEPRAZO CLAMQHO1 1 11.462 0 9.632 1.830 11.462
41013363 29.12.2019 13:51 NEXIUM 40 MG (ESOMEPRAZO CLAMQHO1 1 11.462 0 9.632 1.830 11.462
41013363 31.12.2019 13:16 NEXIUM 40 MG (ESOMEPRAZO CLAMQHO1 1 11.462 0 9.632 1.830 11.462
41013380 13.12.2019 16:00 NOREPINEFRINA 4MG/4ML SL CLAUCI 2 12.704 0 21.351 4.057 25.408
41013380 15.12.2019 12:49 NOREPINEFRINA 4MG/4ML SL CLAUCI 2 12.704 0 21.351 4.057 25.408
41013426 13.12.2019 07:55 PARACETAMOL 1000 MG/100 CLAUCI 1 15.425 0 12.962 2.463 15.425
41013461 13.12.2019 12:06 PRO-BEXTRA 40 MG (PARECO CLAUCI 1 18.386 0 15.450 2.936 18.386
41013461 13.12.2019 12:06 PRO-BEXTRA 40 MG (PARECO CLAUCI 1 -18.386 0 -15.450 -2.936 -18.386
41013461 17.12.2019 11:26 PRO-BEXTRA 40 MG (PARECO CLATIM 1 -18.386 0 -15.450 -2.936 -18.386
41013461 17.12.2019 11:26 PRO-BEXTRA 40 MG (PARECO CLATIM 1 18.386 0 15.450 2.936 18.386
41013585 13.12.2019 12:50 TIAMINA 30 MG/1 ML SLN I CLAUCI 3 4.178 0 10.533 2.001 12.534
41013585 14.12.2019 11:01 TIAMINA 30 MG/1 ML SLN I CLAUCI 3 4.178 0 10.533 2.001 12.534
41013595 13.12.2019 12:50 TRACELYTE (OLIGOELEMENTO CLAUCI 1 20.901 0 17.564 3.337 20.901
41013595 14.12.2019 11:01 TRACELYTE (OLIGOELEMENTO CLAUCI 1 20.901 0 17.564 3.337 20.901
41013595 14.12.2019 11:01 TRACELYTE (OLIGOELEMENTO CLAUCI 1 -20.901 0 -17.564 -3.337 -20.901
41013600 11.12.2019 11:15 TRAMAL 100 MG/2 ML (TRAM CLATIM 2 5.447 0 9.155 1.739 10.894
41013600 12.12.2019 10:15 TRAMAL 100 MG/2 ML (TRAM CLATIM 2 5.447 0 9.155 1.739 10.894
41013600 13.12.2019 12:06 TRAMAL 100 MG/2 ML (TRAM CLAUCI 2 5.447 0 9.155 1.739 10.894
41013600 13.12.2019 06:53 TRAMAL 100 MG/2 ML (TRAM CLAUCI 2 5.447 0 9.155 1.739 10.894
41013600 14.12.2019 11:01 TRAMAL 100 MG/2 ML (TRAM CLAUCI 2 -5.447 0 -9.155 -1.739 -10.894
41013600 14.12.2019 11:01 TRAMAL 100 MG/2 ML (TRAM CLAUCI 2 5.447 0 9.155 1.739 10.894
41013600 14.12.2019 11:01 TRAMAL 100 MG/2 ML (TRAM CLAUCI 2 5.447 0 9.155 1.739 10.894
41013600 15.12.2019 12:49 TRAMAL 100 MG/2 ML (TRAM CLAUCI 2 5.447 0 9.155 1.739 10.894
41013600 16.12.2019 09:52 TRAMAL 100 MG/2 ML (TRAM CLAUCI 2 5.447 0 9.155 1.739 10.894
41013600 17.12.2019 11:09 TRAMAL 100 MG/2 ML (TRAM CLATIM 2 5.447 0 9.155 1.739 10.894
41013600 18.12.2019 11:41 TRAMAL 100 MG/2 ML (TRAM CLATIM 2 5.447 0 9.155 1.739 10.894
41013600 19.12.2019 08:21 TRAMAL 100 MG/2 ML (TRAM CLAMQHO1 2 5.447 0 9.155 1.739 10.894
41013653 23.12.2019 11:55 VISIPAQUE 270 MG/ML (IOD CLATRAP 1 41.830 0 35.151 6.679 41.830
41013668 11.12.2019 11:15 ZOMETIC 7,5 MG (ZOPICLON CLATIM 1 4.273 0 3.591 682 4.273
41013668 12.12.2019 10:15 ZOMETIC 7,5 MG (ZOPICLON CLATIM 1 4.273 0 3.591 682 4.273
41013668 13.12.2019 12:06 ZOMETIC 7,5 MG (ZOPICLON CLAUCI 1 4.273 0 3.591 682 4.273
41013668 14.12.2019 11:01 ZOMETIC 7,5 MG (ZOPICLON CLAUCI 1 4.273 0 3.591 682 4.273
41013668 15.12.2019 12:49 ZOMETIC 7,5 MG (ZOPICLON CLAUCI 1 4.273 0 3.591 682 4.273
41013668 16.12.2019 09:52 ZOMETIC 7,5 MG (ZOPICLON CLAUCI 1 4.273 0 3.591 682 4.273
41013668 17.12.2019 11:09 ZOMETIC 7,5 MG (ZOPICLON CLATIM 1 4.273 0 3.591 682 4.273

FECHA: 16.06.2020 HOR[Link] PAGINA:7 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Medicamentos
41013668 18.12.2019 11:41 ZOMETIC 7,5 MG (ZOPICLON CLATIM 1 4.273 0 3.591 682 4.273
41013668 19.12.2019 12:51 ZOMETIC 7,5 MG (ZOPICLON CLAMQHO1 1 4.273 0 3.591 682 4.273
41013668 20.12.2019 11:43 ZOMETIC 7,5 MG (ZOPICLON CLAMQHO1 1 4.273 0 3.591 682 4.273
41013668 21.12.2019 13:19 ZOMETIC 7,5 MG (ZOPICLON CLAMQHO1 1 4.273 0 3.591 682 4.273
41013668 22.12.2019 17:40 ZOMETIC 7,5 MG (ZOPICLON CLAMQHO1 1 4.273 0 3.591 682 4.273
41013668 23.12.2019 17:31 ZOMETIC 7,5 MG (ZOPICLON CLAMQHO1 1 4.273 0 3.591 682 4.273
41013668 24.12.2019 20:30 ZOMETIC 7,5 MG (ZOPICLON CLAMQHO1 1 4.273 0 3.591 682 4.273
41013668 24.12.2019 13:57 ZOMETIC 7,5 MG (ZOPICLON CLAMQHO1 1 4.273 0 3.591 682 4.273
41013668 25.12.2019 13:47 ZOMETIC 7,5 MG (ZOPICLON CLAMQHO1 1 4.273 0 3.591 682 4.273
41013668 26.12.2019 15:01 ZOMETIC 7,5 MG (ZOPICLON CLAMQHO1 1 4.273 0 3.591 682 4.273
41013668 27.12.2019 17:59 ZOMETIC 7,5 MG (ZOPICLON CLAMQHO1 1 4.273 0 3.591 682 4.273
41013668 28.12.2019 14:13 ZOMETIC 7,5 MG (ZOPICLON CLAMQHO1 1 4.273 0 3.591 682 4.273
41013668 29.12.2019 13:51 ZOMETIC 7,5 MG (ZOPICLON CLAMQHO1 1 4.273 0 3.591 682 4.273
41013668 30.12.2019 11:50 ZOMETIC 7,5 MG (ZOPICLON CLAMQHO1 1 4.273 0 3.591 682 4.273
41013678 11.12.2019 11:15 PROFENID EV 100 MG (KETO CLATIM 2 8.231 0 13.834 2.628 16.462
41013678 11.12.2019 05:25 PROFENID EV 100 MG (KETO CLAURGAD 2 8.231 0 13.834 2.628 16.462
41013678 12.12.2019 10:15 PROFENID EV 100 MG (KETO CLATIM 2 8.231 0 13.834 2.628 16.462
41013678 13.12.2019 12:06 PROFENID EV 100 MG (KETO CLAUCI 2 8.231 0 13.834 2.628 16.462
41013678 13.12.2019 06:53 PROFENID EV 100 MG (KETO CLAUCI 2 8.231 0 13.834 2.628 16.462
41013678 14.12.2019 11:01 PROFENID EV 100 MG (KETO CLAUCI 2 8.231 0 13.834 2.628 16.462
41013678 14.12.2019 11:01 PROFENID EV 100 MG (KETO CLAUCI 2 8.231 0 13.834 2.628 16.462
41013678 15.12.2019 12:49 PROFENID EV 100 MG (KETO CLAUCI 2 8.231 0 13.834 2.628 16.462
41013678 16.12.2019 09:52 PROFENID EV 100 MG (KETO CLAUCI 2 8.231 0 13.834 2.628 16.462
41013678 17.12.2019 11:09 PROFENID EV 100 MG (KETO CLATIM 2 8.231 0 13.834 2.628 16.462
41013678 18.12.2019 12:02 PROFENID EV 100 MG (KETO CLATIM 2 8.231 0 13.834 2.628 16.462
41013678 18.12.2019 11:41 PROFENID EV 100 MG (KETO CLATIM 2 8.231 0 13.834 2.628 16.462
41013678 19.12.2019 08:21 PROFENID EV 100 MG (KETO CLAMQHO1 2 8.231 0 13.834 2.628 16.462
41013678 23.12.2019 17:34 PROFENID EV 100 MG (KETO CLAMQHO1 1 8.231 0 6.917 1.314 8.231
41013678 23.12.2019 13:33 PROFENID EV 100 MG (KETO CLAMQHO1 2 8.231 0 13.834 2.628 16.462
41013678 24.12.2019 15:11 PROFENID EV 100 MG (KETO CLAMQHO1 3 8.231 0 20.750 3.943 24.693
41013678 24.12.2019 02:19 PROFENID EV 100 MG (KETO CLAMQHO1 2 8.231 0 13.834 2.628 16.462
41014408 11.12.2019 10:43 ONDANSETRON 4 MG / 2 ML CLATIM 1 7.383 0 6.204 1.179 7.383
41014408 11.12.2019 10:43 ONDANSETRON 4 MG / 2 ML CLATIM 1 7.383 0 6.204 1.179 7.383
41014408 12.12.2019 14:16 ONDANSETRON 4 MG / 2 ML CLANEUP 1 7.383 0 6.204 1.179 7.383
41014408 12.12.2019 10:15 ONDANSETRON 4 MG / 2 ML CLATIM 1 7.383 0 6.204 1.179 7.383
41014408 12.12.2019 10:15 ONDANSETRON 4 MG / 2 ML CLATIM 1 7.383 0 6.204 1.179 7.383
41014408 23.12.2019 11:11 ONDANSETRON 4 MG / 2 ML CLATRAP 1 7.383 0 6.204 1.179 7.383
41014449 12.12.2019 20:26 REMIFENTANILO 1 MG FA P CLANEUP 10 43.327 0 364.093 69.177 433.270
41014449 23.12.2019 19:34 REMIFENTANILO 1 MG FA P CLATRAP 5 43.327 0 182.046 34.589 216.635
41015590 13.12.2019 12:50 SOLUVIT + VITALIPID ADUL CLAUCI 1 40.270 0 33.840 6.430 40.270
41015590 14.12.2019 11:01 SOLUVIT + VITALIPID ADUL CLAUCI 1 40.270 0 33.840 6.430 40.270
41015606 15.12.2019 12:33 MINTAVIT C (VITAMINA C) CLAUCI 1 2.572 0 2.161 411 2.572
41015606 16.12.2019 09:52 MINTAVIT C (VITAMINA C) CLAUCI 1 2.572 0 2.161 411 2.572
41015606 17.12.2019 11:26 MINTAVIT C (VITAMINA C) CLATIM 1 2.572 0 2.161 411 2.572
41015606 18.12.2019 11:41 MINTAVIT C (VITAMINA C) CLATIM 1 2.572 0 2.161 411 2.572
41015606 19.12.2019 12:51 MINTAVIT C (VITAMINA C) CLAMQHO1 1 2.572 0 2.161 411 2.572
41015606 19.12.2019 12:45 MINTAVIT C (VITAMINA C) CLAMQHO1 1 2.572 0 2.161 411 2.572
41015606 20.12.2019 11:43 MINTAVIT C (VITAMINA C) CLAMQHO1 1 2.572 0 2.161 411 2.572
41015606 21.12.2019 13:19 MINTAVIT C (VITAMINA C) CLAMQHO1 1 2.572 0 2.161 411 2.572
41015606 22.12.2019 16:13 MINTAVIT C (VITAMINA C) CLAMQHO1 1 2.572 0 2.161 411 2.572
41015606 23.12.2019 17:34 MINTAVIT C (VITAMINA C) CLAMQHO1 1 2.572 0 2.161 411 2.572
41015606 24.12.2019 13:57 MINTAVIT C (VITAMINA C) CLAMQHO1 1 2.572 0 2.161 411 2.572
41015606 25.12.2019 13:47 MINTAVIT C (VITAMINA C) CLAMQHO1 1 2.572 0 2.161 411 2.572
41015606 26.12.2019 15:01 MINTAVIT C (VITAMINA C) CLAMQHO1 1 2.572 0 2.161 411 2.572
41015606 27.12.2019 17:59 MINTAVIT C (VITAMINA C) CLAMQHO1 1 2.572 0 2.161 411 2.572
41015606 28.12.2019 14:13 MINTAVIT C (VITAMINA C) CLAMQHO1 1 2.572 0 2.161 411 2.572
41015606 29.12.2019 13:51 MINTAVIT C (VITAMINA C) CLAMQHO1 1 2.572 0 2.161 411 2.572
41015606 31.12.2019 13:16 MINTAVIT C (VITAMINA C) CLAMQHO1 1 2.572 0 2.161 411 2.572
41015607 17.12.2019 11:09 XUMADOL (PARACETAMOL) 1 CLATIM 1 4.698 0 3.948 750 4.698
41015607 17.12.2019 11:09 XUMADOL (PARACETAMOL) 1 CLATIM 1 4.698 0 3.948 750 4.698
41015607 17.12.2019 11:09 XUMADOL (PARACETAMOL) 1 CLATIM 1 4.698 0 3.948 750 4.698
41015607 18.12.2019 11:41 XUMADOL (PARACETAMOL) 1 CLATIM 1 4.698 0 3.948 750 4.698
41015607 18.12.2019 11:41 XUMADOL (PARACETAMOL) 1 CLATIM 1 4.698 0 3.948 750 4.698
41015607 18.12.2019 11:41 XUMADOL (PARACETAMOL) 1 CLATIM 1 4.698 0 3.948 750 4.698
41015607 19.12.2019 12:51 XUMADOL (PARACETAMOL) 1 CLAMQHO1 1 4.698 0 3.948 750 4.698
41015607 19.12.2019 12:51 XUMADOL (PARACETAMOL) 1 CLAMQHO1 1 4.698 0 3.948 750 4.698
41015607 19.12.2019 12:51 XUMADOL (PARACETAMOL) 1 CLAMQHO1 1 4.698 0 3.948 750 4.698
41015607 20.12.2019 11:43 XUMADOL (PARACETAMOL) 1 CLAMQHO1 1 4.698 0 3.948 750 4.698
41015607 20.12.2019 11:43 XUMADOL (PARACETAMOL) 1 CLAMQHO1 1 4.698 0 3.948 750 4.698
41015607 20.12.2019 11:43 XUMADOL (PARACETAMOL) 1 CLAMQHO1 1 4.698 0 3.948 750 4.698
41015607 21.12.2019 13:19 XUMADOL (PARACETAMOL) 1 CLAMQHO1 1 4.698 0 3.948 750 4.698
41015607 21.12.2019 13:19 XUMADOL (PARACETAMOL) 1 CLAMQHO1 1 4.698 0 3.948 750 4.698
41015607 21.12.2019 13:19 XUMADOL (PARACETAMOL) 1 CLAMQHO1 1 4.698 0 3.948 750 4.698
41015607 22.12.2019 17:40 XUMADOL (PARACETAMOL) 1 CLAMQHO1 1 4.698 0 3.948 750 4.698
41015607 22.12.2019 17:40 XUMADOL (PARACETAMOL) 1 CLAMQHO1 1 4.698 0 3.948 750 4.698

FECHA: 16.06.2020 HOR[Link] PAGINA:8 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Medicamentos
41015607 22.12.2019 17:40 XUMADOL (PARACETAMOL) 1 CLAMQHO1 1 4.698 0 3.948 750 4.698
41015638 11.12.2019 11:15 EPRAL (ESOMEPRAZOL) 40MG CLATIM 1 14.777 0 12.418 2.359 14.777
41015638 11.12.2019 11:15 EPRAL (ESOMEPRAZOL) 40MG CLATIM 1 14.777 0 12.418 2.359 14.777
41015638 12.12.2019 10:15 EPRAL (ESOMEPRAZOL) 40MG CLATIM 1 14.777 0 12.418 2.359 14.777
41015638 12.12.2019 10:15 EPRAL (ESOMEPRAZOL) 40MG CLATIM 1 14.777 0 12.418 2.359 14.777
41015638 12.12.2019 10:15 EPRAL (ESOMEPRAZOL) 40MG CLATIM 1 14.777 0 12.418 2.359 14.777
41015638 23.12.2019 17:34 EPRAL (ESOMEPRAZOL) 40MG CLAMQHO1 2 14.777 0 24.835 4.719 29.554

Sub Total 0 4.289.989 815.097 5.105.086

Insumos
5999999 12.12.2019 08:00 PÍNZA BIPOLAR CON SIST I CLATIM 1 630.537 0 529.855 100.682 630.537
5999999 23.12.2019 08:00 CIFOPLASTIA CON CEMENTO CLAMQHO1 1 2.697.334 0 2.266.692 430.642 2.697.334
50014074 11.12.2019 23:57 A_AGUA DESTILADA ESTERIL CLATIM 1 10.767 0 9.048 1.719 10.767
50014074 11.12.2019 07:34 A_AGUA DESTILADA ESTERIL CLAURGAD 5 10.767 0 45.240 8.595 53.835
50014074 12.12.2019 16:09 A_AGUA DESTILADA ESTERIL CLAUCI 1 10.767 0 9.048 1.719 10.767
50014074 12.12.2019 14:55 A_AGUA DESTILADA ESTERIL CLANEUP 1 10.767 0 9.048 1.719 10.767
50014074 12.12.2019 10:29 A_AGUA DESTILADA ESTERIL CLANEUP 1 10.767 0 9.048 1.719 10.767
50014074 15.12.2019 21:07 A_AGUA DESTILADA ESTERIL CLAUCI 1 10.767 0 9.048 1.719 10.767
50014074 16.12.2019 23:18 A_AGUA DESTILADA ESTERIL CLATIM 1 10.767 0 9.048 1.719 10.767
50014074 16.12.2019 12:15 A_AGUA DESTILADA ESTERIL CLAUCI 1 10.767 0 9.048 1.719 10.767
50014074 18.12.2019 08:17 A_AGUA DESTILADA ESTERIL CLATIM 2 10.767 0 18.096 3.438 21.534
50014074 23.12.2019 11:05 A_AGUA DESTILADA ESTERIL CLATRAP 1 10.767 0 9.048 1.719 10.767
50014112 11.12.2019 12:21 A_AGUJA DESECHABLE G-18 CLATIM 6 748 0 3.772 716 4.488
50014112 12.12.2019 16:09 A_AGUJA DESECHABLE G-18 CLAUCI 1 748 0 628 120 748
50014112 12.12.2019 14:16 A_AGUJA DESECHABLE G-18 CLANEUP 1 748 0 628 120 748
50014112 12.12.2019 11:01 A_AGUJA DESECHABLE G-18 CLATIM 5 748 0 3.143 597 3.740
50014112 13.12.2019 18:26 A_AGUJA DESECHABLE G-18 CLAUCI 2 748 0 1.257 239 1.496
50014112 13.12.2019 06:53 A_AGUJA DESECHABLE G-18 CLAUCI 1 748 0 628 120 748
50014112 16.12.2019 09:06 A_AGUJA DESECHABLE G-18 CLAUCI 2 748 0 1.257 239 1.496
50014112 16.12.2019 08:13 A_AGUJA DESECHABLE G-18 CLAUCI 2 748 0 1.257 239 1.496
50014112 17.12.2019 17:48 A_AGUJA DESECHABLE G-18 CLATIM 4 748 0 2.514 478 2.992
50014112 17.12.2019 11:26 A_AGUJA DESECHABLE G-18 CLATIM 1 748 0 628 120 748
50014112 18.12.2019 12:02 A_AGUJA DESECHABLE G-18 CLATIM 2 748 0 1.257 239 1.496
50014119 12.12.2019 23:22 A_AGUJA DESECHABLE G-25 CLAUCI 1 694 0 583 111 694
50014119 12.12.2019 14:16 A_AGUJA DESECHABLE G-25 CLANEUP 1 694 0 583 111 694
50014119 23.12.2019 11:11 A_AGUJA DESECHABLE G-25 CLATRAP 1 694 0 583 111 694
50014177 12.12.2019 14:16 A_ALARGADOR ARTERIA PT24 CLANEUP 1 4.286 0 3.602 684 4.286
50014177 16.12.2019 18:23 A_ALARGADOR ARTERIA PT24 CLAUCI 1 4.286 0 3.602 684 4.286
50014177 23.12.2019 11:11 A_ALARGADOR ARTERIA PT24 CLATRAP 1 4.286 0 3.602 684 4.286
50014179 11.12.2019 07:34 A_ALARGADOR SAFESITE Y 4 CLAURGAD 10 10.900 0 91.597 17.403 109.000
50014179 19.12.2019 13:20 A_ALARGADOR SAFESITE Y 4 CLAMQHO1 1 10.900 0 9.160 1.740 10.900
50014179 23.12.2019 06:43 A_ALARGADOR SAFESITE Y 4 CLAMQHO1 1 10.900 0 9.160 1.740 10.900
50014183 11.12.2019 12:21 A_ALCOHOL 70º PAD DESECH CLATIM 15 585 0 7.374 1.401 8.775
50014183 11.12.2019 07:34 A_ALCOHOL 70º PAD DESECH CLAURGAD 20 585 0 9.832 1.868 11.700
50014183 11.12.2019 06:48 A_ALCOHOL 70º PAD DESECH CLAURGAD 2 585 0 983 187 1.170
50014183 12.12.2019 14:16 A_ALCOHOL 70º PAD DESECH CLANEUP 1 585 0 492 93 585
50014183 12.12.2019 11:01 A_ALCOHOL 70º PAD DESECH CLATIM 1 585 0 492 93 585
50014183 13.12.2019 19:03 A_ALCOHOL 70º PAD DESECH CLAUCI 10 585 0 4.916 934 5.850
50014183 13.12.2019 09:36 A_ALCOHOL 70º PAD DESECH CLAUCI 10 585 0 4.916 934 5.850
50014183 14.12.2019 09:22 A_ALCOHOL 70º PAD DESECH CLAUCI 15 585 0 7.374 1.401 8.775
50014183 15.12.2019 10:19 A_ALCOHOL 70º PAD DESECH CLAUCI 10 585 0 4.916 934 5.850
50014183 16.12.2019 09:06 A_ALCOHOL 70º PAD DESECH CLAUCI 20 585 0 9.832 1.868 11.700
50014183 17.12.2019 11:26 A_ALCOHOL 70º PAD DESECH CLATIM 10 585 0 4.916 934 5.850
50014183 19.12.2019 13:20 A_ALCOHOL 70º PAD DESECH CLAMQHO1 2 585 0 983 187 1.170
50014183 19.12.2019 01:00 A_ALCOHOL 70º PAD DESECH CLAMQHO1 10 585 0 4.916 934 5.850
50014183 22.12.2019 23:57 A_ALCOHOL 70º PAD DESECH CLAMQHO1 10 585 0 4.916 934 5.850
50014183 22.12.2019 07:12 A_ALCOHOL 70º PAD DESECH CLAMQHO1 10 585 0 4.916 934 5.850
50014183 23.12.2019 11:11 A_ALCOHOL 70º PAD DESECH CLATRAP 2 585 0 983 187 1.170
50014183 23.12.2019 06:43 A_ALCOHOL 70º PAD DESECH CLAMQHO1 2 585 0 983 187 1.170
50014183 25.12.2019 23:24 A_ALCOHOL 70º PAD DESECH CLAMQHO1 2 585 0 983 187 1.170
50014183 27.12.2019 00:50 A_ALCOHOL 70º PAD DESECH CLAMQHO1 5 585 0 2.458 467 2.925
50014222 12.12.2019 14:55 A_APOSITO CHICO 7 X 17 C CLANEUP 1 2.632 0 2.212 420 2.632
50014225 18.12.2019 08:17 A_APOSITO DESECHABLE PRI CLATIM 1 6.570 0 5.521 1.049 6.570
50014225 19.12.2019 17:43 A_APOSITO DESECHABLE PRI CLAMQHO1 1 6.570 0 5.521 1.049 6.570
50014225 21.12.2019 22:05 A_APOSITO DESECHABLE PRI CLAMQHO1 1 6.570 0 5.521 1.049 6.570
50014225 21.12.2019 21:54 A_APOSITO DESECHABLE PRI CLAMQHO1 1 6.570 0 5.521 1.049 6.570
50014225 23.12.2019 11:05 A_APOSITO DESECHABLE PRI CLATRAP 1 6.570 0 5.521 1.049 6.570
50014225 27.12.2019 13:48 A_APOSITO DESECHABLE PRI CLAMQHO1 1 6.570 0 5.521 1.049 6.570
50014225 28.12.2019 19:25 A_APOSITO DESECHABLE PRI CLAMQHO1 1 6.570 0 5.521 1.049 6.570
50014225 28.12.2019 18:54 A_APOSITO DESECHABLE PRI CLAMQHO1 1 6.570 0 5.521 1.049 6.570
50014225 31.12.2019 19:59 A_APOSITO DESECHABLE PRI CLAMQHO1 1 6.570 0 5.521 1.049 6.570
50014226 12.12.2019 13:43 A_APOSITO PRIMAPORE 20 X CLANEUP 2 8.910 0 14.975 2.845 17.820
50014226 17.12.2019 07:05 A_APOSITO PRIMAPORE 20 X CLATIM 2 8.910 0 14.975 2.845 17.820
50014226 18.12.2019 08:17 A_APOSITO PRIMAPORE 20 X CLATIM 1 8.910 0 7.487 1.423 8.910

FECHA: 16.06.2020 HOR[Link] PAGINA:9 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Insumos
50014226 19.12.2019 17:43 A_APOSITO PRIMAPORE 20 X CLAMQHO1 1 8.910 0 7.487 1.423 8.910
50014226 21.12.2019 22:05 A_APOSITO PRIMAPORE 20 X CLAMQHO1 1 8.910 0 7.487 1.423 8.910
50014226 21.12.2019 21:54 A_APOSITO PRIMAPORE 20 X CLAMQHO1 1 8.910 0 7.487 1.423 8.910
50014226 23.12.2019 11:05 A_APOSITO PRIMAPORE 20 X CLATRAP 1 8.910 0 7.487 1.423 8.910
50014226 25.12.2019 22:23 A_APOSITO PRIMAPORE 20 X CLAMQHO1 1 8.910 0 7.487 1.423 8.910
50014226 27.12.2019 13:48 A_APOSITO PRIMAPORE 20 X CLAMQHO1 2 8.910 0 14.975 2.845 17.820
50014226 30.12.2019 10:22 A_APOSITO PRIMAPORE 20 X CLAMQHO1 3 8.910 0 22.462 4.268 26.730
50014226 31.12.2019 19:59 A_APOSITO PRIMAPORE 20 X CLAMQHO1 1 8.910 0 7.487 1.423 8.910
50014257 11.12.2019 12:21 A_BAJADA PRIMARIA P/BOM. CLATIM 1 19.653 0 16.515 3.138 19.653
50014257 11.12.2019 07:34 A_BAJADA PRIMARIA P/BOM. CLAURGAD 6 19.653 0 99.091 18.827 117.918
50014257 23.12.2019 13:16 A_BAJADA PRIMARIA P/BOM. CLAMQHO1 1 19.653 0 16.515 3.138 19.653
50014302 12.12.2019 17:59 A_BOLSA RECOLECTORA BIL CLANEUP 1 24.440 0 20.538 3.902 24.440
50014386 12.12.2019 16:09 A_CANISTER SUCCION 1000C CLAUCI 2 9.513 0 15.988 3.038 19.026
50014388 23.12.2019 11:05 A_CANISTER SUCCION 3000C CLATRAP 1 10.410 0 8.748 1.662 10.410
50014400 12.12.2019 13:16 A_CANULA FRAZIER 10 FR R CLANEUP 1 15.156 0 12.736 2.420 15.156
50014400 23.12.2019 11:05 A_CANULA FRAZIER 10 FR R CLATRAP 1 15.156 0 12.736 2.420 15.156
50014428 12.12.2019 13:16 A_CANULA YANKAHUER PTA B CLANEUP 1 8.171 0 6.866 1.305 8.171
50014437 12.12.2019 10:29 A_CARTUCHO SCALPFIX 10 E CLANEUP 2 40.287 0 67.709 12.865 80.574
50014487 12.12.2019 14:16 A_CATETER ARTERIOFIX 80M CLANEUP 1 44.245 0 37.181 7.064 44.245
50014487 23.12.2019 11:11 A_CATETER ARTERIOFIX 80M CLATRAP 1 44.245 0 37.181 7.064 44.245
50014638 19.12.2019 12:55 A_CAVILON [Link] S CLAMQHO1 1 26.856 0 22.568 4.288 26.856
50014659 12.12.2019 10:29 A_CERA P/HUESOS 2.5 GR # CLANEUP 1 10.900 0 9.160 1.740 10.900
50014662 12.12.2019 14:55 A_CERTOFIX TRIO V720 # 4 CLANEUP 1 65.918 0 55.393 10.525 65.918
50014662 12.12.2019 14:16 A_CERTOFIX TRIO V720 # 4 CLANEUP 1 65.918 0 55.393 10.525 65.918
50014674 12.12.2019 14:16 A_CIRCUITO ANESTESIA AD CLANEUP 1 32.442 0 27.262 5.180 32.442
50014674 23.12.2019 11:11 A_CIRCUITO ANESTESIA AD CLATRAP 1 32.442 0 27.262 5.180 32.442
50014714 13.12.2019 07:55 A_CLORHEXIDINA 2% 125 ML CLAUCI 1 11.788 0 9.906 1.882 11.788
50014714 21.12.2019 22:05 A_CLORHEXIDINA 2% 125 ML CLAMQHO1 1 11.788 0 9.906 1.882 11.788
50014714 23.12.2019 11:05 A_CLORHEXIDINA 2% 125 ML CLATRAP 1 11.788 0 9.906 1.882 11.788
50014741 23.12.2019 14:25 A_COMPRESA FRIO-CALOR RE CLAMQHO1 1 11.961 0 10.051 1.910 11.961
50014765 12.12.2019 14:16 A_CONEXION P/PERFUSOR 87 CLANEUP 1 12.406 0 10.425 1.981 12.406
50014765 23.12.2019 11:11 A_CONEXION P/PERFUSOR 87 CLATRAP 1 12.406 0 10.425 1.981 12.406
50014770 11.12.2019 12:21 A_CONEXIONES SUERO ADULT CLATIM 1 2.786 0 2.341 445 2.786
50014770 11.12.2019 07:34 A_CONEXIONES SUERO ADULT CLAURGAD 15 2.786 0 35.118 6.672 41.790
50014770 11.12.2019 06:48 A_CONEXIONES SUERO ADULT CLAURGAD 1 2.786 0 2.341 445 2.786
50014770 12.12.2019 14:16 A_CONEXIONES SUERO ADULT CLANEUP 3 2.786 0 7.023 1.335 8.358
50014770 22.12.2019 17:40 A_CONEXIONES SUERO ADULT CLAMQHO1 1 2.786 0 2.341 445 2.786
50014770 23.12.2019 11:11 A_CONEXIONES SUERO ADULT CLATRAP 2 2.786 0 4.682 890 5.572
50014811 12.12.2019 13:16 A_COTONOIDES 1/2 X 1 1/2 CLANEUP 1 32.882 0 27.632 5.250 32.882
50014846 12.12.2019 10:29 A_DELANTAL DESECHABLE ST CLANEUP 1 12.510 0 10.513 1.997 12.510
50014846 14.12.2019 12:48 A_DELANTAL DESECHABLE ST CLANEUP 3 12.510 0 31.538 5.992 37.530
50014846 23.12.2019 11:05 A_DELANTAL DESECHABLE ST CLATRAP 1 12.510 0 10.513 1.997 12.510
50014847 12.12.2019 15:42 A_DERMABOND X 12 UD # AD CLANEUP 1 55.901 0 46.976 8.925 55.901
50014847 12.12.2019 14:50 A_DERMABOND X 12 UD # AD CLANEUP 1 55.901 0 46.976 8.925 55.901
50014847 23.12.2019 11:05 A_DERMABOND X 12 UD # AD CLATRAP 1 55.901 0 46.976 8.925 55.901
50014863 18.12.2019 17:58 A_DIBEN DRINK 200 ML CAP CLATIM 1 13.739 0 11.545 2.194 13.739
50014863 20.12.2019 16:58 A_DIBEN DRINK 200 ML CAP CLATIM 2 13.739 0 23.091 4.387 27.478
50014863 26.12.2019 17:38 A_DIBEN DRINK 200 ML CAP CLATIM 1 13.739 0 11.545 2.194 13.739
50014863 30.12.2019 18:00 A_DIBEN DRINK 200 ML CAP CLATIM 2 13.739 0 23.091 4.387 27.478
50014863 30.12.2019 16:19 A_DIBEN DRINK 200 ML CAP CLATIM 1 13.739 0 11.545 2.194 13.739
50014864 20.12.2019 16:58 A_DIBEN DRINK 200 ML FR. CLATIM 2 13.739 0 23.091 4.387 27.478
50014864 26.12.2019 17:38 A_DIBEN DRINK 200 ML FR. CLATIM 4 13.739 0 46.181 8.775 54.956
50014864 30.12.2019 16:40 A_DIBEN DRINK 200 ML FR. CLATIM 2 13.739 0 23.091 4.387 27.478
50014864 31.12.2019 12:24 A_DIBEN DRINK 200 ML FR. CLATIM 2 13.739 0 23.091 4.387 27.478
50014865 17.12.2019 13:46 A_DIBEN DRINK 200 ML VAI CLATIM 2 13.739 0 23.091 4.387 27.478
50014865 20.12.2019 16:58 A_DIBEN DRINK 200 ML VAI CLATIM 2 13.739 0 23.091 4.387 27.478
50014865 26.12.2019 17:38 A_DIBEN DRINK 200 ML VAI CLATIM 4 13.739 0 46.181 8.775 54.956
50014865 30.12.2019 17:22 A_DIBEN DRINK 200 ML VAI CLATIM 2 13.739 0 23.091 4.387 27.478
50014865 31.12.2019 17:13 A_DIBEN DRINK 200 ML VAI CLATIM 2 13.739 0 23.091 4.387 27.478
50014914 14.12.2019 16:36 A_EJERCITADOR PULM.1200M CLAUCI 1 16.067 0 13.502 2.565 16.067
50014917 12.12.2019 14:16 A_ELECTRODO ADULTO DES. CLANEUP 3 1.924 0 4.850 922 5.772
50014917 13.12.2019 16:00 A_ELECTRODO ADULTO DES. CLAUCI 2 1.924 0 3.234 614 3.848
50014917 23.12.2019 11:11 A_ELECTRODO ADULTO DES. CLATRAP 3 1.924 0 4.850 922 5.772
50014941 12.12.2019 17:59 A_EQ.HEMOTRANS SENDAL AD CLANEUP 1 8.998 0 7.561 1.437 8.998
50014941 14.12.2019 12:48 A_EQ.HEMOTRANS SENDAL AD CLANEUP 1 8.998 0 7.561 1.437 8.998
50014941 16.12.2019 08:18 A_EQ.HEMOTRANS SENDAL AD CLABANS 1 8.998 0 7.561 1.437 8.998
50014941 17.12.2019 08:54 A_EQ.HEMOTRANS SENDAL AD CLABANS 1 8.998 0 7.561 1.437 8.998
50014957 11.12.2019 23:57 A_ESPONJA RADIOPACA LAPA CLATIM 1 7.884 0 6.625 1.259 7.884
50014957 11.12.2019 10:15 A_ESPONJA RADIOPACA LAPA CLATIM 1 7.884 0 6.625 1.259 7.884
50014957 12.12.2019 23:22 A_ESPONJA RADIOPACA LAPA CLAUCI 1 7.884 0 6.625 1.259 7.884
50014957 12.12.2019 18:49 A_ESPONJA RADIOPACA LAPA CLAUCI 1 7.884 0 6.625 1.259 7.884
50014957 12.12.2019 16:09 A_ESPONJA RADIOPACA LAPA CLAUCI 1 7.884 0 6.625 1.259 7.884
50014957 13.12.2019 16:00 A_ESPONJA RADIOPACA LAPA CLAUCI 1 7.884 0 6.625 1.259 7.884
50014957 13.12.2019 09:36 A_ESPONJA RADIOPACA LAPA CLAUCI 1 7.884 0 6.625 1.259 7.884
50014957 14.12.2019 22:26 A_ESPONJA RADIOPACA LAPA CLAUCI 1 7.884 0 6.625 1.259 7.884

FECHA: 16.06.2020 HOR[Link] PAGINA:10 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Insumos
50014957 15.12.2019 21:07 A_ESPONJA RADIOPACA LAPA CLAUCI 1 7.884 0 6.625 1.259 7.884
50014957 15.12.2019 18:35 A_ESPONJA RADIOPACA LAPA CLAUCI 1 7.884 0 6.625 1.259 7.884
50014957 15.12.2019 10:51 A_ESPONJA RADIOPACA LAPA CLAUCI 1 7.884 0 6.625 1.259 7.884
50014957 16.12.2019 23:18 A_ESPONJA RADIOPACA LAPA CLATIM 2 7.884 0 13.250 2.518 15.768
50014957 16.12.2019 21:57 A_ESPONJA RADIOPACA LAPA CLATIM 1 7.884 0 6.625 1.259 7.884
50014957 16.12.2019 09:06 A_ESPONJA RADIOPACA LAPA CLAUCI 1 7.884 0 6.625 1.259 7.884
50014957 17.12.2019 17:48 A_ESPONJA RADIOPACA LAPA CLATIM 1 7.884 0 6.625 1.259 7.884
50014957 18.12.2019 08:17 A_ESPONJA RADIOPACA LAPA CLATIM 1 7.884 0 6.625 1.259 7.884
50014957 19.12.2019 21:26 A_ESPONJA RADIOPACA LAPA CLAMQHO1 1 7.884 0 6.625 1.259 7.884
50014957 21.12.2019 21:54 A_ESPONJA RADIOPACA LAPA CLAMQHO1 1 7.884 0 6.625 1.259 7.884
50014957 22.12.2019 20:46 A_ESPONJA RADIOPACA LAPA CLAMQHO1 2 7.884 0 13.250 2.518 15.768
50014957 25.12.2019 21:44 A_ESPONJA RADIOPACA LAPA CLAMQHO1 1 7.884 0 6.625 1.259 7.884
50014957 25.12.2019 07:13 A_ESPONJA RADIOPACA LAPA CLAMQHO1 1 7.884 0 6.625 1.259 7.884
50014957 26.12.2019 21:06 A_ESPONJA RADIOPACA LAPA CLAMQHO1 1 7.884 0 6.625 1.259 7.884
50014957 27.12.2019 20:51 A_ESPONJA RADIOPACA LAPA CLAMQHO1 1 7.884 0 6.625 1.259 7.884
50014957 28.12.2019 21:11 A_ESPONJA RADIOPACA LAPA CLAMQHO1 1 7.884 0 6.625 1.259 7.884
50014957 29.12.2019 21:28 A_ESPONJA RADIOPACA LAPA CLAMQHO1 1 7.884 0 6.625 1.259 7.884
50014957 30.12.2019 20:47 A_ESPONJA RADIOPACA LAPA CLAMQHO1 1 7.884 0 6.625 1.259 7.884
50014977 12.12.2019 14:16 A_EXTENSOR VENOSO 100CM CLANEUP 2 6.731 0 11.313 2.149 13.462
50014977 23.12.2019 11:11 A_EXTENSOR VENOSO 100CM CLATRAP 2 6.731 0 11.313 2.149 13.462
50015000 12.12.2019 16:09 A_FILTRO [Link](13 CLAUCI 1 11.495 0 9.660 1.835 11.495
50015022 16.12.2019 19:38 A_FRASCO PLAST. [Link] CLATIM 1 2.536 0 2.131 405 2.536
50015048 12.12.2019 10:29 A_GASA 5X70CM DESECHABLE CLANEUP 8 5.080 0 34.151 6.489 40.640
50015048 23.12.2019 12:37 A_GASA 5X70CM DESECHABLE CLANEUP 1 5.080 0 4.269 811 5.080
50015048 23.12.2019 11:05 A_GASA 5X70CM DESECHABLE CLATRAP 2 5.080 0 8.538 1.622 10.160
50015049 17.12.2019 17:48 A_GASA CHICA 5 X 7 CM DE CLATIM 4 1.462 0 4.914 934 5.848
50015049 19.12.2019 17:43 A_GASA CHICA 5 X 7 CM DE CLAMQHO1 2 1.462 0 2.457 467 2.924
50015049 21.12.2019 22:05 A_GASA CHICA 5 X 7 CM DE CLAMQHO1 4 1.462 0 4.914 934 5.848
50015049 21.12.2019 21:50 A_GASA CHICA 5 X 7 CM DE CLAMQHO1 4 1.462 0 4.914 934 5.848
50015049 22.12.2019 21:49 A_GASA CHICA 5 X 7 CM DE CLAMQHO1 4 1.462 0 4.914 934 5.848
50015049 27.12.2019 13:48 A_GASA CHICA 5 X 7 CM DE CLAMQHO1 3 1.462 0 3.686 700 4.386
50015049 30.12.2019 10:22 A_GASA CHICA 5 X 7 CM DE CLAMQHO1 2 1.462 0 2.457 467 2.924
50015075 13.12.2019 16:00 A_GLUCOSA 5 % 250 ML CLAUCI 1 6.506 0 5.467 1.039 6.506
50015076 13.12.2019 12:50 A_GLUCOSA 5 % 500 ML CLAUCI 1 6.089 0 5.117 972 6.089
50015076 14.12.2019 11:01 A_GLUCOSA 5 % 500 ML CLAUCI 1 6.089 0 5.117 972 6.089
50015079 11.12.2019 17:39 A_GLUCOSALINO 1000 ML CLATIM 2 5.741 0 9.649 1.833 11.482
50015081 11.12.2019 10:43 A_GLUCOSALINO 500 ML CLATIM 1 6.258 0 5.259 999 6.258
50015081 12.12.2019 10:15 A_GLUCOSALINO 500 ML CLATIM 1 6.258 0 5.259 999 6.258
50015081 12.12.2019 10:15 A_GLUCOSALINO 500 ML CLATIM 1 6.258 0 5.259 999 6.258
50015199 12.12.2019 10:29 A_HOJA DE BISTURI N0 10 CLANEUP 1 3.143 0 2.641 502 3.143
50015200 19.12.2019 13:20 A_HOJA DE BISTURI N0 11 CLAMQHO1 1 3.046 0 2.560 486 3.046
50015200 23.12.2019 12:37 A_HOJA DE BISTURI N0 11 CLANEUP 1 3.046 0 2.560 486 3.046
50015201 12.12.2019 10:29 A_HOJA DE BISTURI N0 15 CLANEUP 1 3.046 0 2.560 486 3.046
50015201 17.12.2019 17:48 A_HOJA DE BISTURI N0 15 CLATIM 1 3.046 0 2.560 486 3.046
50015201 23.12.2019 11:05 A_HOJA DE BISTURI N0 15 CLATRAP 1 3.046 0 2.560 486 3.046
50015281 11.12.2019 17:39 A_JERINGA 2 CC PUNTA S CLATIM 1 1.078 0 906 172 1.078
50015281 12.12.2019 11:01 A_JERINGA 2 CC PUNTA S CLATIM 3 1.078 0 2.718 516 3.234
50015281 13.12.2019 18:26 A_JERINGA 2 CC PUNTA S CLAUCI 3 1.078 0 2.718 516 3.234
50015281 14.12.2019 09:22 A_JERINGA 2 CC PUNTA S CLAUCI 3 1.078 0 2.718 516 3.234
50015281 15.12.2019 10:19 A_JERINGA 2 CC PUNTA S CLAUCI 3 1.078 0 2.718 516 3.234
50015281 16.12.2019 23:18 A_JERINGA 2 CC PUNTA S CLATIM 3 1.078 0 2.718 516 3.234
50015281 16.12.2019 09:06 A_JERINGA 2 CC PUNTA S CLAUCI 3 1.078 0 2.718 516 3.234
50015281 16.12.2019 08:25 A_JERINGA 2 CC PUNTA S CLANEUP 2 1.078 0 1.812 344 2.156
50015281 17.12.2019 11:26 A_JERINGA 2 CC PUNTA S CLATIM 3 1.078 0 2.718 516 3.234
50015281 18.12.2019 18:56 A_JERINGA 2 CC PUNTA S CLATIM 3 1.078 0 2.718 516 3.234
50015281 19.12.2019 01:00 A_JERINGA 2 CC PUNTA S CLAMQHO1 3 1.078 0 2.718 516 3.234
50015281 20.12.2019 11:43 A_JERINGA 2 CC PUNTA S CLAMQHO1 1 1.078 0 906 172 1.078
50015281 23.12.2019 11:11 A_JERINGA 2 CC PUNTA S CLATRAP 1 1.078 0 906 172 1.078
50015282 12.12.2019 18:49 A_JERINGA 5 CC PIVOTE CLAUCI 3 1.115 0 2.811 534 3.345
50015282 12.12.2019 11:01 A_JERINGA 5 CC PIVOTE CLATIM 5 1.115 0 4.685 890 5.575
50015282 14.12.2019 16:36 A_JERINGA 5 CC PIVOTE CLAUCI 1 1.115 0 937 178 1.115
50015282 16.12.2019 12:15 A_JERINGA 5 CC PIVOTE CLAUCI 1 1.115 0 937 178 1.115
50015282 16.12.2019 09:06 A_JERINGA 5 CC PIVOTE CLAUCI 4 1.115 0 3.748 712 4.460
50015282 17.12.2019 17:48 A_JERINGA 5 CC PIVOTE CLATIM 2 1.115 0 1.874 356 2.230
50015282 23.12.2019 14:25 A_JERINGA 5 CC PIVOTE CLAMQHO1 2 1.115 0 1.874 356 2.230
50015282 24.12.2019 09:00 A_JERINGA 5 CC PIVOTE CLATRAP 6 1.115 0 5.622 1.068 6.690
50015282 25.12.2019 21:44 A_JERINGA 5 CC PIVOTE CLAMQHO1 1 1.115 0 937 178 1.115
50015283 11.12.2019 23:57 A_JERINGA 5 CC PUNTA S CLATIM 6 1.115 0 5.622 1.068 6.690
50015283 11.12.2019 12:21 A_JERINGA 5 CC PUNTA S CLATIM 8 1.115 0 7.496 1.424 8.920
50015283 11.12.2019 07:34 A_JERINGA 5 CC PUNTA S CLAURGAD 10 1.115 0 9.370 1.780 11.150
50015283 11.12.2019 06:48 A_JERINGA 5 CC PUNTA S CLAURGAD 1 1.115 0 937 178 1.115
50015283 12.12.2019 23:22 A_JERINGA 5 CC PUNTA S CLAUCI 3 1.115 0 2.811 534 3.345
50015283 13.12.2019 21:35 A_JERINGA 5 CC PUNTA S CLAUCI 3 1.115 0 2.811 534 3.345
50015283 13.12.2019 16:00 A_JERINGA 5 CC PUNTA S CLAUCI 3 1.115 0 2.811 534 3.345
50015283 13.12.2019 09:36 A_JERINGA 5 CC PUNTA S CLAUCI 5 1.115 0 4.685 890 5.575

FECHA: 16.06.2020 HOR[Link] PAGINA:11 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Insumos
50015283 14.12.2019 22:26 A_JERINGA 5 CC PUNTA S CLAUCI 2 1.115 0 1.874 356 2.230
50015283 14.12.2019 09:22 A_JERINGA 5 CC PUNTA S CLAUCI 6 1.115 0 5.622 1.068 6.690
50015283 15.12.2019 21:07 A_JERINGA 5 CC PUNTA S CLAUCI 2 1.115 0 1.874 356 2.230
50015283 15.12.2019 10:19 A_JERINGA 5 CC PUNTA S CLAUCI 3 1.115 0 2.811 534 3.345
50015283 15.12.2019 08:25 A_JERINGA 5 CC PUNTA S CLAUCI 1 1.115 0 937 178 1.115
50015283 16.12.2019 23:18 A_JERINGA 5 CC PUNTA S CLATIM 4 1.115 0 3.748 712 4.460
50015283 16.12.2019 21:57 A_JERINGA 5 CC PUNTA S CLATIM 1 1.115 0 937 178 1.115
50015283 16.12.2019 08:53 A_JERINGA 5 CC PUNTA S CLANEUP 5 1.115 0 4.685 890 5.575
50015283 16.12.2019 08:53 A_JERINGA 5 CC PUNTA S CLANEUP 2 1.115 0 1.874 356 2.230
50015283 17.12.2019 11:26 A_JERINGA 5 CC PUNTA S CLATIM 4 1.115 0 3.748 712 4.460
50015283 18.12.2019 18:56 A_JERINGA 5 CC PUNTA S CLATIM 3 1.115 0 2.811 534 3.345
50015283 18.12.2019 12:02 A_JERINGA 5 CC PUNTA S CLATIM 5 1.115 0 4.685 890 5.575
50015283 18.12.2019 08:17 A_JERINGA 5 CC PUNTA S CLATIM 2 1.115 0 1.874 356 2.230
50015283 19.12.2019 13:20 A_JERINGA 5 CC PUNTA S CLAMQHO1 1 1.115 0 937 178 1.115
50015283 19.12.2019 01:00 A_JERINGA 5 CC PUNTA S CLAMQHO1 5 1.115 0 4.685 890 5.575
50015283 20.12.2019 11:43 A_JERINGA 5 CC PUNTA S CLAMQHO1 1 1.115 0 937 178 1.115
50015283 23.12.2019 11:11 A_JERINGA 5 CC PUNTA S CLATRAP 2 1.115 0 1.874 356 2.230
50015283 23.12.2019 06:43 A_JERINGA 5 CC PUNTA S CLAMQHO1 1 1.115 0 937 178 1.115
50015283 28.12.2019 10:11 A_JERINGA 5 CC PUNTA S CLAMQHO1 1 1.115 0 937 178 1.115
50015283 29.12.2019 21:28 A_JERINGA 5 CC PUNTA S CLAMQHO1 1 1.115 0 937 178 1.115
50015286 12.12.2019 18:49 A_JERINGA 10 CC PIVOTE L CLAUCI 1 1.385 0 1.164 221 1.385
50015286 12.12.2019 11:01 A_JERINGA 10 CC PIVOTE L CLATIM 1 1.385 0 1.164 221 1.385
50015286 16.12.2019 09:06 A_JERINGA 10 CC PIVOTE L CLAUCI 1 1.385 0 1.164 221 1.385
50015286 17.12.2019 17:48 A_JERINGA 10 CC PIVOTE L CLATIM 3 1.385 0 3.492 663 4.155
50015286 20.12.2019 11:43 A_JERINGA 10 CC PIVOTE L CLAMQHO1 1 1.385 0 1.164 221 1.385
50015287 11.12.2019 07:34 A_JERINGA 10 CC PUNTA SL CLAURGAD 10 1.385 0 11.639 2.211 13.850
50015287 11.12.2019 06:48 A_JERINGA 10 CC PUNTA SL CLAURGAD 1 1.385 0 1.164 221 1.385
50015287 12.12.2019 14:16 A_JERINGA 10 CC PUNTA SL CLANEUP 6 1.385 0 6.983 1.327 8.310
50015287 13.12.2019 21:35 A_JERINGA 10 CC PUNTA SL CLAUCI 1 1.385 0 1.164 221 1.385
50015287 13.12.2019 16:00 A_JERINGA 10 CC PUNTA SL CLAUCI 2 1.385 0 2.328 442 2.770
50015287 14.12.2019 22:26 A_JERINGA 10 CC PUNTA SL CLAUCI 2 1.385 0 2.328 442 2.770
50015287 15.12.2019 21:07 A_JERINGA 10 CC PUNTA SL CLAUCI 1 1.385 0 1.164 221 1.385
50015287 15.12.2019 08:25 A_JERINGA 10 CC PUNTA SL CLAUCI 1 1.385 0 1.164 221 1.385
50015287 18.12.2019 08:17 A_JERINGA 10 CC PUNTA SL CLATIM 1 1.385 0 1.164 221 1.385
50015287 19.12.2019 13:20 A_JERINGA 10 CC PUNTA SL CLAMQHO1 1 1.385 0 1.164 221 1.385
50015287 21.12.2019 13:19 A_JERINGA 10 CC PUNTA SL CLAMQHO1 1 1.385 0 1.164 221 1.385
50015287 22.12.2019 17:40 A_JERINGA 10 CC PUNTA SL CLAMQHO1 1 1.385 0 1.164 221 1.385
50015287 23.12.2019 11:11 A_JERINGA 10 CC PUNTA SL CLATRAP 5 1.385 0 5.819 1.106 6.925
50015287 24.12.2019 15:11 A_JERINGA 10 CC PUNTA SL CLAMQHO1 1 1.385 0 1.164 221 1.385
50015287 25.12.2019 23:24 A_JERINGA 10 CC PUNTA SL CLAMQHO1 1 1.385 0 1.164 221 1.385
50015287 28.12.2019 10:11 A_JERINGA 10 CC PUNTA SL CLAMQHO1 1 1.385 0 1.164 221 1.385
50015287 29.12.2019 14:33 A_JERINGA 10 CC PUNTA SL CLAMQHO1 1 1.385 0 1.164 221 1.385
50015289 12.12.2019 14:16 A_JERINGA 20 CC BRAUN ( CLANEUP 5 2.438 0 10.244 1.946 12.190
50015289 23.12.2019 11:11 A_JERINGA 20 CC BRAUN ( CLATRAP 2 2.438 0 4.098 778 4.876
50015290 12.12.2019 18:49 A_JERINGA 20 CC PIVOTE L CLAUCI 2 1.536 0 2.581 491 3.072
50015290 12.12.2019 11:01 A_JERINGA 20 CC PIVOTE L CLATIM 3 1.536 0 3.872 736 4.608
50015290 16.12.2019 12:15 A_JERINGA 20 CC PIVOTE L CLAUCI 1 1.536 0 1.291 245 1.536
50015290 23.12.2019 14:25 A_JERINGA 20 CC PIVOTE L CLAMQHO1 3 1.536 0 3.872 736 4.608
50015291 11.12.2019 23:57 A_JERINGA 20 CC PUNTA SL CLATIM 3 2.063 0 5.201 988 6.189
50015291 11.12.2019 12:21 A_JERINGA 20 CC PUNTA SL CLATIM 2 2.063 0 3.467 659 4.126
50015291 11.12.2019 10:15 A_JERINGA 20 CC PUNTA SL CLATIM 1 2.063 0 1.734 329 2.063
50015291 12.12.2019 16:09 A_JERINGA 20 CC PUNTA SL CLAUCI 1 2.063 0 1.734 329 2.063
50015291 12.12.2019 14:55 A_JERINGA 20 CC PUNTA SL CLANEUP 1 2.063 0 1.734 329 2.063
50015291 12.12.2019 14:16 A_JERINGA 20 CC PUNTA SL CLANEUP 3 2.063 0 5.201 988 6.189
50015291 13.12.2019 18:26 A_JERINGA 20 CC PUNTA SL CLAUCI 2 2.063 0 3.467 659 4.126
50015291 13.12.2019 16:00 A_JERINGA 20 CC PUNTA SL CLAUCI 2 2.063 0 3.467 659 4.126
50015291 13.12.2019 09:36 A_JERINGA 20 CC PUNTA SL CLAUCI 5 2.063 0 8.668 1.647 10.315
50015291 13.12.2019 06:53 A_JERINGA 20 CC PUNTA SL CLAUCI 1 2.063 0 1.734 329 2.063
50015291 16.12.2019 23:18 A_JERINGA 20 CC PUNTA SL CLATIM 1 2.063 0 1.734 329 2.063
50015291 16.12.2019 18:57 A_JERINGA 20 CC PUNTA SL CLATIM 1 2.063 0 1.734 329 2.063
50015291 17.12.2019 11:26 A_JERINGA 20 CC PUNTA SL CLATIM 1 2.063 0 1.734 329 2.063
50015291 18.12.2019 12:02 A_JERINGA 20 CC PUNTA SL CLATIM 2 2.063 0 3.467 659 4.126
50015291 23.12.2019 11:11 A_JERINGA 20 CC PUNTA SL CLATRAP 2 2.063 0 3.467 659 4.126
50015293 12.12.2019 10:29 A_JERINGA 50 CC PIV. DEL CLANEUP 1 2.924 0 2.457 467 2.924
50015293 23.12.2019 11:05 A_JERINGA 50 CC PIV. DEL CLATRAP 1 2.924 0 2.457 467 2.924
50015294 12.12.2019 16:09 A_JERINGA 50/60 CC PIVOT CLAUCI 1 3.144 0 2.642 502 3.144
50015295 23.12.2019 11:05 A_JERINGA 60 CC PIVOTE L CLATRAP 1 3.144 0 2.642 502 3.144
50015300 12.12.2019 18:49 A_JERINGA GASES SANGRE(P CLAUCI 1 5.922 0 4.977 945 5.922
50015300 13.12.2019 21:35 A_JERINGA GASES SANGRE(P CLAUCI 1 5.922 0 4.977 945 5.922
50015300 14.12.2019 22:26 A_JERINGA GASES SANGRE(P CLAUCI 1 5.922 0 4.977 945 5.922
50015300 16.12.2019 12:15 A_JERINGA GASES SANGRE(P CLAUCI 1 5.922 0 4.977 945 5.922
50015319 12.12.2019 14:16 A_KIT MONITOREO [Link] CLANEUP 1 45.942 0 38.607 7.335 45.942
50015319 16.12.2019 18:23 A_KIT MONITOREO [Link] CLAUCI 1 45.942 0 38.607 7.335 45.942
50015319 23.12.2019 11:11 A_KIT MONITOREO [Link] CLATRAP 1 45.942 0 38.607 7.335 45.942
50015323 11.12.2019 09:26 A_KIT PACIENTE ADULTO #3 CLATIM 1 8.020 0 6.740 1.280 8.020

FECHA: 16.06.2020 HOR[Link] PAGINA:12 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Insumos
50015323 11.12.2019 07:34 A_KIT PACIENTE ADULTO #3 CLAURGAD 5 8.020 0 33.698 6.402 40.100
50015323 22.12.2019 20:46 A_KIT PACIENTE ADULTO #3 CLAMQHO1 1 8.020 0 6.740 1.280 8.020
50015348 15.12.2019 10:19 A_LANCETA ULTRA TLC PRES CLAUCI 2 724 0 1.217 231 1.448
50015348 16.12.2019 23:18 A_LANCETA ULTRA TLC PRES CLATIM 12 724 0 7.301 1.387 8.688
50015390 12.12.2019 14:16 A_LLAVE 3 PASOS CLANEUP 3 4.133 0 10.419 1.980 12.399
50015390 23.12.2019 11:11 A_LLAVE 3 PASOS CLATRAP 2 4.133 0 6.946 1.320 8.266
50015433 12.12.2019 14:16 A_MANITOL 15% - 500 ML CLANEUP 1 8.930 0 7.504 1.426 8.930
50015440 19.12.2019 13:20 A_MARIPOSA 21 G CLAMQHO1 1 2.046 0 1.719 327 2.046
50015440 21.12.2019 13:19 A_MARIPOSA 21 G CLAMQHO1 1 2.046 0 1.719 327 2.046
50015440 25.12.2019 23:24 A_MARIPOSA 21 G CLAMQHO1 1 2.046 0 1.719 327 2.046
50015440 29.12.2019 14:33 A_MARIPOSA 21 G CLAMQHO1 1 2.046 0 1.719 327 2.046
50015484 19.12.2019 23:52 A_MEDIAS T.E.D. TALLA L CLAMQHO1 1 22.805 0 19.164 3.641 22.805
50015485 11.12.2019 09:26 A_MEDIAS T.E.D. TALLA M CLATIM 1 22.805 0 19.164 3.641 22.805
50015485 20.12.2019 21:38 A_MEDIAS T.E.D. TALLA M CLAMQHO1 1 22.805 0 19.164 3.641 22.805
50015564 24.12.2019 14:07 A_ORTESIS (BOTA [Link] CLAMQHO1 1 55.120 0 46.319 8.801 55.120
50015575 11.12.2019 23:57 A_PAÑAL ADULTO DESECHABL CLATIM 1 3.188 0 2.679 509 3.188
50015575 11.12.2019 10:15 A_PAÑAL ADULTO DESECHABL CLATIM 1 3.188 0 2.679 509 3.188
50015575 11.12.2019 08:07 A_PAÑAL ADULTO DESECHABL CLATIM 1 3.188 0 2.679 509 3.188
50015575 12.12.2019 23:22 A_PAÑAL ADULTO DESECHABL CLAUCI 2 3.188 0 5.358 1.018 6.376
50015575 12.12.2019 16:09 A_PAÑAL ADULTO DESECHABL CLAUCI 2 3.188 0 5.358 1.018 6.376
50015575 13.12.2019 09:36 A_PAÑAL ADULTO DESECHABL CLAUCI 4 3.188 0 10.716 2.036 12.752
50015575 14.12.2019 22:26 A_PAÑAL ADULTO DESECHABL CLAUCI 4 3.188 0 10.716 2.036 12.752
50015575 15.12.2019 21:07 A_PAÑAL ADULTO DESECHABL CLAUCI 2 3.188 0 5.358 1.018 6.376
50015575 15.12.2019 18:35 A_PAÑAL ADULTO DESECHABL CLAUCI 1 3.188 0 2.679 509 3.188
50015575 15.12.2019 10:51 A_PAÑAL ADULTO DESECHABL CLAUCI 1 3.188 0 2.679 509 3.188
50015575 16.12.2019 21:57 A_PAÑAL ADULTO DESECHABL CLATIM 1 3.188 0 2.679 509 3.188
50015575 16.12.2019 09:06 A_PAÑAL ADULTO DESECHABL CLAUCI 2 3.188 0 5.358 1.018 6.376
50015575 17.12.2019 17:48 A_PAÑAL ADULTO DESECHABL CLATIM 1 3.188 0 2.679 509 3.188
50015575 18.12.2019 18:56 A_PAÑAL ADULTO DESECHABL CLATIM 2 3.188 0 5.358 1.018 6.376
50015575 18.12.2019 08:17 A_PAÑAL ADULTO DESECHABL CLATIM 2 3.188 0 5.358 1.018 6.376
50015575 19.12.2019 21:26 A_PAÑAL ADULTO DESECHABL CLAMQHO1 2 3.188 0 5.358 1.018 6.376
50015575 21.12.2019 17:56 A_PAÑAL ADULTO DESECHABL CLAMQHO1 6 3.188 0 16.074 3.054 19.128
50015575 22.12.2019 20:46 A_PAÑAL ADULTO DESECHABL CLAMQHO1 2 3.188 0 5.358 1.018 6.376
50015575 24.12.2019 23:05 A_PAÑAL ADULTO DESECHABL CLAMQHO1 4 3.188 0 10.716 2.036 12.752
50015575 25.12.2019 21:44 A_PAÑAL ADULTO DESECHABL CLAMQHO1 2 3.188 0 5.358 1.018 6.376
50015575 25.12.2019 15:08 A_PAÑAL ADULTO DESECHABL CLAMQHO1 10 3.188 0 26.790 5.090 31.880
50015575 25.12.2019 07:13 A_PAÑAL ADULTO DESECHABL CLAMQHO1 1 3.188 0 2.679 509 3.188
50015575 26.12.2019 21:06 A_PAÑAL ADULTO DESECHABL CLAMQHO1 2 3.188 0 5.358 1.018 6.376
50015575 27.12.2019 20:51 A_PAÑAL ADULTO DESECHABL CLAMQHO1 1 3.188 0 2.679 509 3.188
50015575 27.12.2019 17:59 A_PAÑAL ADULTO DESECHABL CLAMQHO1 2 3.188 0 5.358 1.018 6.376
50015575 28.12.2019 21:11 A_PAÑAL ADULTO DESECHABL CLAMQHO1 2 3.188 0 5.358 1.018 6.376
50015575 28.12.2019 21:11 A_PAÑAL ADULTO DESECHABL CLAMQHO1 1 3.188 0 2.679 509 3.188
50015575 30.12.2019 20:47 A_PAÑAL ADULTO DESECHABL CLAMQHO1 2 3.188 0 5.358 1.018 6.376
50015578 12.12.2019 23:22 A_PAÑO BAÑO SECO PCTE BI CLAUCI 1 5.856 0 4.921 935 5.856
50015578 12.12.2019 16:09 A_PAÑO BAÑO SECO PCTE BI CLAUCI 1 5.856 0 4.921 935 5.856
50015578 13.12.2019 21:35 A_PAÑO BAÑO SECO PCTE BI CLAUCI 1 5.856 0 4.921 935 5.856
50015578 13.12.2019 09:36 A_PAÑO BAÑO SECO PCTE BI CLAUCI 1 5.856 0 4.921 935 5.856
50015578 14.12.2019 22:26 A_PAÑO BAÑO SECO PCTE BI CLAUCI 1 5.856 0 4.921 935 5.856
50015578 15.12.2019 10:51 A_PAÑO BAÑO SECO PCTE BI CLAUCI 1 5.856 0 4.921 935 5.856
50015578 16.12.2019 09:06 A_PAÑO BAÑO SECO PCTE BI CLAUCI 1 5.856 0 4.921 935 5.856
50015578 16.12.2019 08:13 A_PAÑO BAÑO SECO PCTE BI CLAUCI 2 5.856 0 9.842 1.870 11.712
50015578 19.12.2019 21:26 A_PAÑO BAÑO SECO PCTE BI CLAMQHO1 1 5.856 0 4.921 935 5.856
50015578 21.12.2019 21:54 A_PAÑO BAÑO SECO PCTE BI CLAMQHO1 1 5.856 0 4.921 935 5.856
50015578 22.12.2019 20:46 A_PAÑO BAÑO SECO PCTE BI CLAMQHO1 1 5.856 0 4.921 935 5.856
50015578 25.12.2019 21:44 A_PAÑO BAÑO SECO PCTE BI CLAMQHO1 1 5.856 0 4.921 935 5.856
50015578 25.12.2019 07:13 A_PAÑO BAÑO SECO PCTE BI CLAMQHO1 2 5.856 0 9.842 1.870 11.712
50015578 26.12.2019 21:06 A_PAÑO BAÑO SECO PCTE BI CLAMQHO1 1 5.856 0 4.921 935 5.856
50015578 27.12.2019 20:51 A_PAÑO BAÑO SECO PCTE BI CLAMQHO1 1 5.856 0 4.921 935 5.856
50015578 28.12.2019 21:11 A_PAÑO BAÑO SECO PCTE BI CLAMQHO1 1 5.856 0 4.921 935 5.856
50015578 29.12.2019 21:28 A_PAÑO BAÑO SECO PCTE BI CLAMQHO1 1 5.856 0 4.921 935 5.856
50015578 30.12.2019 20:47 A_PAÑO BAÑO SECO PCTE BI CLAMQHO1 1 5.856 0 4.921 935 5.856
50015611 14.12.2019 12:48 A_PAQUETE ARTROSCOPIA RO CLANEUP 1 62.061 0 52.152 9.909 62.061
50015613 12.12.2019 10:29 A_PAQUETE CIRUGIA GNRAL CLANEUP 1 66.128 0 55.570 10.558 66.128
50015613 23.12.2019 11:05 A_PAQUETE CIRUGIA GNRAL CLATRAP 1 66.128 0 55.570 10.558 66.128
50015852 12.12.2019 10:29 A_PLASTICO MESA PAB.1X1 CLANEUP 3 6.424 0 16.195 3.077 19.272
50015852 23.12.2019 11:05 A_PLASTICO MESA PAB.1X1 CLATRAP 1 6.424 0 5.398 1.026 6.424
50015887 12.12.2019 13:43 A_PREMILENE 2/0 2 X HR-2 CLANEUP 2 13.739 0 23.091 4.387 27.478
50015887 23.12.2019 11:05 A_PREMILENE 2/0 2 X HR-2 CLATRAP 1 13.739 0 11.545 2.194 13.739
50015951 16.12.2019 18:57 A_RECOLECTOR ORINA ADULT CLATIM 1 9.077 0 7.628 1.449 9.077
50015955 13.12.2019 07:55 A_REMOVEDOR ADHESIVOS (P CLAUCI 2 2.387 0 4.012 762 4.774
50015969 12.12.2019 18:49 A_RINGER 500 ML CLAUCI 1 5.473 0 4.599 874 5.473
50015969 12.12.2019 17:29 A_RINGER 500 ML CLAUCI 3 -5.473 0 -13.798 -2.621 -16.419
50015969 12.12.2019 17:29 A_RINGER 500 ML CLAUCI 3 5.473 0 13.798 2.621 16.419
50015969 13.12.2019 12:06 A_RINGER 500 ML CLAUCI 3 5.473 0 13.798 2.621 16.419
50015969 13.12.2019 12:06 A_RINGER 500 ML CLAUCI 1 -5.473 0 -4.599 -874 -5.473

FECHA: 16.06.2020 HOR[Link] PAGINA:13 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Insumos
50015970 12.12.2019 14:16 A_RINGER LACTATO - 500 M CLANEUP 6 4.654 0 23.465 4.459 27.924
50015970 23.12.2019 11:11 A_RINGER LACTATO - 500 M CLATRAP 4 4.654 0 15.644 2.972 18.616
50015982 12.12.2019 10:29 A_SABANA MESA [Link] CLANEUP 1 22.171 0 18.631 3.540 22.171
50015982 23.12.2019 11:05 A_SABANA MESA [Link] CLATRAP 1 22.171 0 18.631 3.540 22.171
50015983 23.12.2019 12:40 A_SABANILLAS DESECHABLES CLANEUP 1 4.606 0 3.871 735 4.606
50015996 12.12.2019 14:55 A_SEDA 2/0 C/AGUJA HR-26 CLANEUP 1 6.827 0 5.737 1.090 6.827
50015996 12.12.2019 14:16 A_SEDA 2/0 C/AGUJA HR-26 CLANEUP 2 6.827 0 11.474 2.180 13.654
50015996 23.12.2019 11:11 A_SEDA 2/0 C/AGUJA HR-26 CLATRAP 1 6.827 0 5.737 1.090 6.827
50016060 14.12.2019 16:36 A_SET INFUSION FOTOPROT CLAUCI 1 18.255 0 15.340 2.915 18.255
50016062 12.12.2019 18:49 A_SET INFUSION SITIO INY CLAUCI 3 16.810 0 42.378 8.052 50.430
50016062 13.12.2019 16:00 A_SET INFUSION SITIO INY CLAUCI 1 16.810 0 14.126 2.684 16.810
50016062 16.12.2019 18:23 A_SET INFUSION SITIO INY CLAUCI 1 16.810 0 14.126 2.684 16.810
50016074 14.12.2019 12:48 A_SEVORANE ( SEVOFLURANE CLANEUP 22 34.107 0 630.549 119.805 750.354
50016100 12.12.2019 16:09 A_SISTEMA [Link] 570 CLAUCI 1 49.206 0 41.349 7.857 49.206
50016135 16.12.2019 18:57 A_SONDA FOLEY 100%SILIC CLATIM 1 21.854 0 18.365 3.489 21.854
50016144 11.12.2019 10:15 A_SONDA FOLEY 14 FR,2 V CLATIM 1 7.956 0 6.686 1.270 7.956
50016161 12.12.2019 14:16 A_SONDA NASOGASTRICA 18 CLANEUP 1 3.496 0 2.938 558 3.496
50016161 23.12.2019 11:11 A_SONDA NASOGASTRICA 18 CLATRAP 1 3.496 0 2.938 558 3.496
50016173 12.12.2019 16:09 A_SONDA NELATON 12 FR PO CLAUCI 5 2.290 0 9.622 1.828 11.450
50016173 13.12.2019 19:03 A_SONDA NELATON 12 FR PO CLAUCI 1 2.290 0 1.924 366 2.290
50016174 12.12.2019 16:09 A_SONDA NELATON 14 FR PO CLAUCI 5 2.353 0 9.886 1.879 11.765
50016185 11.12.2019 07:34 A_SONDA OXIGENO HUDSON H CLAURGAD 5 3.477 0 14.609 2.776 17.385
50016217 12.12.2019 10:29 A_STERI DRAPE II 50 X 45 CLANEUP 1 36.964 0 31.062 5.902 36.964
50016218 28.12.2019 19:25 A_STERI STRIP # 1541 (1/ CLAMQHO1 1 5.874 0 4.936 938 5.874
50016229 11.12.2019 12:21 A_SUERO FISIOLOGICO 0.9 CLATIM 2 2.353 0 3.955 751 4.706
50016229 11.12.2019 10:15 A_SUERO FISIOLOGICO 0.9 CLATIM 1 2.353 0 1.977 376 2.353
50016229 12.12.2019 23:22 A_SUERO FISIOLOGICO 0.9 CLAUCI 2 2.353 0 3.955 751 4.706
50016229 12.12.2019 18:49 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 2.353 0 1.977 376 2.353
50016229 12.12.2019 14:55 A_SUERO FISIOLOGICO 0.9 CLANEUP 1 2.353 0 1.977 376 2.353
50016229 12.12.2019 14:16 A_SUERO FISIOLOGICO 0.9 CLANEUP 20 2.353 0 39.546 7.514 47.060
50016229 13.12.2019 09:36 A_SUERO FISIOLOGICO 0.9 CLAUCI 4 2.353 0 7.909 1.503 9.412
50016229 14.12.2019 09:22 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 2.353 0 1.977 376 2.353
50016229 16.12.2019 18:57 A_SUERO FISIOLOGICO 0.9 CLATIM 1 2.353 0 1.977 376 2.353
50016229 18.12.2019 08:17 A_SUERO FISIOLOGICO 0.9 CLATIM 1 2.353 0 1.977 376 2.353
50016229 19.12.2019 17:43 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 1 2.353 0 1.977 376 2.353
50016229 23.12.2019 14:25 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 3 2.353 0 5.932 1.127 7.059
50016229 23.12.2019 11:11 A_SUERO FISIOLOGICO 0.9 CLATRAP 6 2.353 0 11.864 2.254 14.118
50016229 25.12.2019 21:44 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 1 2.353 0 1.977 376 2.353
50016229 27.12.2019 13:48 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 2 2.353 0 3.955 751 4.706
50016229 29.12.2019 21:28 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 1 2.353 0 1.977 376 2.353
50016229 30.12.2019 10:22 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 1 2.353 0 1.977 376 2.353
50016230 11.12.2019 23:57 A_SUERO FISIOLOGICO 0.9 CLATIM 4 1.842 0 6.192 1.176 7.368
50016230 11.12.2019 12:21 A_SUERO FISIOLOGICO 0.9 CLATIM 6 1.842 0 9.287 1.765 11.052
50016230 12.12.2019 23:22 A_SUERO FISIOLOGICO 0.9 CLAUCI 3 1.842 0 4.644 882 5.526
50016230 12.12.2019 11:01 A_SUERO FISIOLOGICO 0.9 CLATIM 5 1.842 0 7.740 1.470 9.210
50016230 13.12.2019 21:35 A_SUERO FISIOLOGICO 0.9 CLAUCI 2 1.842 0 3.096 588 3.684
50016230 13.12.2019 09:36 A_SUERO FISIOLOGICO 0.9 CLAUCI 5 1.842 0 7.740 1.470 9.210
50016230 14.12.2019 16:36 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 1.842 0 1.548 294 1.842
50016230 14.12.2019 09:22 A_SUERO FISIOLOGICO 0.9 CLAUCI 6 1.842 0 9.287 1.765 11.052
50016230 15.12.2019 21:07 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 1.842 0 1.548 294 1.842
50016230 17.12.2019 17:48 A_SUERO FISIOLOGICO 0.9 CLATIM 2 1.842 0 3.096 588 3.684
50016230 17.12.2019 11:26 A_SUERO FISIOLOGICO 0.9 CLATIM 4 1.842 0 6.192 1.176 7.368
50016230 18.12.2019 12:02 A_SUERO FISIOLOGICO 0.9 CLATIM 5 1.842 0 7.740 1.470 9.210
50016230 18.12.2019 08:17 A_SUERO FISIOLOGICO 0.9 CLATIM 1 1.842 0 1.548 294 1.842
50016230 19.12.2019 13:20 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 1 1.842 0 1.548 294 1.842
50016230 19.12.2019 01:00 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 5 1.842 0 7.740 1.470 9.210
50016230 20.12.2019 11:43 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 1 1.842 0 1.548 294 1.842
50016230 22.12.2019 21:49 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 4 1.842 0 6.192 1.176 7.368
50016230 23.12.2019 14:25 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 2 1.842 0 3.096 588 3.684
50016230 23.12.2019 06:43 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 1 1.842 0 1.548 294 1.842
50016230 29.12.2019 21:28 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 1 1.842 0 1.548 294 1.842
50016231 16.12.2019 09:06 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 4.235 0 3.559 676 4.235
50016231 17.12.2019 17:48 A_SUERO FISIOLOGICO 0.9 CLATIM 1 4.235 0 3.559 676 4.235
50016232 12.12.2019 14:16 A_SUERO FISIOLOGICO 0.9 CLANEUP 2 5.581 0 9.380 1.782 11.162
50016232 12.12.2019 13:43 A_SUERO FISIOLOGICO 0.9 CLANEUP 1 5.581 0 4.690 891 5.581
50016232 12.12.2019 10:29 A_SUERO FISIOLOGICO 0.9 CLANEUP 2 5.581 0 9.380 1.782 11.162
50016232 16.12.2019 18:23 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 5.581 0 4.690 891 5.581
50016232 23.12.2019 11:11 A_SUERO FISIOLOGICO 0.9 CLATRAP 1 5.581 0 4.690 891 5.581
50016233 12.12.2019 23:22 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 5.563 0 4.675 888 5.563
50016233 12.12.2019 16:09 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 5.563 0 4.675 888 5.563
50016233 12.12.2019 14:16 A_SUERO FISIOLOGICO 0.9 CLANEUP 1 5.563 0 4.675 888 5.563
50016233 22.12.2019 17:40 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 1 5.563 0 4.675 888 5.563
50016233 23.12.2019 11:11 A_SUERO FISIOLOGICO 0.9 CLATRAP 1 5.563 0 4.675 888 5.563
50016234 12.12.2019 23:22 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 6.603 0 5.549 1.054 6.603
50016234 12.12.2019 14:16 A_SUERO FISIOLOGICO 0.9 CLANEUP 1 6.603 0 5.549 1.054 6.603

FECHA: 16.06.2020 HOR[Link] PAGINA:14 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Insumos
50016235 11.12.2019 11:15 A_SUERO FISIOLOGICO 0.9 CLATIM 1 5.969 0 5.016 953 5.969
50016235 11.12.2019 05:25 A_SUERO FISIOLOGICO 0.9 CLAURGAD 1 5.969 0 5.016 953 5.969
50016235 12.12.2019 18:49 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 5.969 0 5.016 953 5.969
50016235 12.12.2019 10:15 A_SUERO FISIOLOGICO 0.9 CLATIM 1 5.969 0 5.016 953 5.969
50016235 13.12.2019 21:35 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 5.969 0 5.016 953 5.969
50016235 13.12.2019 12:06 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 5.969 0 5.016 953 5.969
50016235 13.12.2019 09:36 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 5.969 0 5.016 953 5.969
50016235 13.12.2019 06:53 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 5.969 0 5.016 953 5.969
50016235 14.12.2019 11:01 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 5.969 0 5.016 953 5.969
50016235 15.12.2019 12:49 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 5.969 0 5.016 953 5.969
50016235 15.12.2019 10:19 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 5.969 0 5.016 953 5.969
50016235 16.12.2019 09:52 A_SUERO FISIOLOGICO 0.9 CLAUCI 1 5.969 0 5.016 953 5.969
50016235 17.12.2019 11:09 A_SUERO FISIOLOGICO 0.9 CLATIM 1 5.969 0 5.016 953 5.969
50016235 18.12.2019 18:56 A_SUERO FISIOLOGICO 0.9 CLATIM 1 5.969 0 5.016 953 5.969
50016235 18.12.2019 12:02 A_SUERO FISIOLOGICO 0.9 CLATIM 2 5.969 0 10.032 1.906 11.938
50016235 18.12.2019 11:41 A_SUERO FISIOLOGICO 0.9 CLATIM 1 5.969 0 5.016 953 5.969
50016235 23.12.2019 17:34 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 1 5.969 0 5.016 953 5.969
50016235 24.12.2019 15:11 A_SUERO FISIOLOGICO 0.9 CLAMQHO1 1 5.969 0 5.016 953 5.969
50016236 12.12.2019 14:16 A_SUERO FISIOLOGICO 0.9 CLANEUP 2 12.162 0 20.440 3.884 24.324
50016241 12.12.2019 18:49 A_SUJETADOR INMOVILIZADO CLAUCI 2 9.649 0 16.217 3.081 19.298
50016246 12.12.2019 10:29 A_SURGICEL 5 X 75 CM 195 CLANEUP 1 54.107 0 45.468 8.639 54.107
50016281 11.12.2019 07:34 A_TAPA ROJA M/H LUER LO CLAURGAD 10 1.133 0 9.521 1.809 11.330
50016281 25.12.2019 21:44 A_TAPA ROJA M/H LUER LO CLAMQHO1 2 1.133 0 1.904 362 2.266
50016285 11.12.2019 17:39 A_TAPON LIBRE AGUJA C100 CLATIM 4 7.591 0 25.516 4.848 30.364
50016285 12.12.2019 18:49 A_TAPON LIBRE AGUJA C100 CLAUCI 2 7.591 0 12.758 2.424 15.182
50016285 12.12.2019 16:09 A_TAPON LIBRE AGUJA C100 CLAUCI 1 7.591 0 6.379 1.212 7.591
50016285 13.12.2019 16:00 A_TAPON LIBRE AGUJA C100 CLAUCI 1 7.591 0 6.379 1.212 7.591
50016285 14.12.2019 16:36 A_TAPON LIBRE AGUJA C100 CLAUCI 1 7.591 0 6.379 1.212 7.591
50016285 15.12.2019 08:25 A_TAPON LIBRE AGUJA C100 CLAUCI 1 7.591 0 6.379 1.212 7.591
50016285 16.12.2019 18:23 A_TAPON LIBRE AGUJA C100 CLAUCI 1 7.591 0 6.379 1.212 7.591
50016285 19.12.2019 23:52 A_TAPON LIBRE AGUJA C100 CLAMQHO1 2 7.591 0 12.758 2.424 15.182
50016285 19.12.2019 13:20 A_TAPON LIBRE AGUJA C100 CLAMQHO1 2 7.591 0 12.758 2.424 15.182
50016285 23.12.2019 06:43 A_TAPON LIBRE AGUJA C100 CLAMQHO1 1 7.591 0 6.379 1.212 7.591
50016285 24.12.2019 17:42 A_TAPON LIBRE AGUJA C100 CLAMQHO1 1 7.591 0 6.379 1.212 7.591
50016285 25.12.2019 21:44 A_TAPON LIBRE AGUJA C100 CLAMQHO1 1 7.591 0 6.379 1.212 7.591
50016293 19.12.2019 13:20 A_TEGADERM + PAD 5 X 7CM CLAMQHO1 2 6.011 0 10.102 1.920 12.022
50016294 14.12.2019 08:23 A_TEGADERM + PAD 9 X 25 CLAUCI 2 14.387 0 24.180 4.594 28.774
50016295 12.12.2019 14:55 A_TEGADERM 10X12 CM # 16 CLANEUP 1 9.064 0 7.617 1.447 9.064
50016296 12.12.2019 14:16 A_TEGADERM 15X20 CM # 16 CLANEUP 1 14.574 0 12.247 2.327 14.574
50016296 23.12.2019 11:05 A_TEGADERM 15X20 CM # 16 CLATRAP 1 14.574 0 12.247 2.327 14.574
50016297 11.12.2019 07:34 A_TEGADERM 6X7 CM # 1624 CLAURGAD 10 3.798 0 31.916 6.064 37.980
50016297 11.12.2019 06:48 A_TEGADERM 6X7 CM # 1624 CLAURGAD 2 3.798 0 6.383 1.213 7.596
50016297 12.12.2019 14:16 A_TEGADERM 6X7 CM # 1624 CLANEUP 1 3.798 0 3.192 606 3.798
50016297 13.12.2019 21:35 A_TEGADERM 6X7 CM # 1624 CLAUCI 1 3.798 0 3.192 606 3.798
50016297 14.12.2019 22:26 A_TEGADERM 6X7 CM # 1624 CLAUCI 1 3.798 0 3.192 606 3.798
50016297 19.12.2019 13:20 A_TEGADERM 6X7 CM # 1624 CLAMQHO1 1 3.798 0 3.192 606 3.798
50016297 23.12.2019 11:11 A_TEGADERM 6X7 CM # 1624 CLATRAP 3 3.798 0 9.575 1.819 11.394
50016297 23.12.2019 06:43 A_TEGADERM 6X7 CM # 1624 CLAMQHO1 1 3.798 0 3.192 606 3.798
50016300 13.12.2019 07:55 A_TEGADERM IV TRANSPA.8, CLAUCI 1 7.880 0 6.622 1.258 7.880
50016807 11.12.2019 10:04 A_TORULERO PLASTICO (FCO CLATIM 1 6.587 0 5.535 1.052 6.587
50016841 11.12.2019 06:48 A_TUBO C/CITR. SODIO DES CLAURGAD 1 2.504 0 2.104 400 2.504
50016841 16.12.2019 12:15 A_TUBO C/CITR. SODIO DES CLAUCI 1 2.504 0 2.104 400 2.504
50016841 21.12.2019 13:19 A_TUBO C/CITR. SODIO DES CLAMQHO1 1 2.504 0 2.104 400 2.504
50016843 11.12.2019 23:57 A_TUBO C/EDTA DESECHABLE CLATIM 1 2.248 0 1.889 359 2.248
50016843 11.12.2019 06:48 A_TUBO C/EDTA DESECHABLE CLAURGAD 1 2.248 0 1.889 359 2.248
50016843 12.12.2019 18:49 A_TUBO C/EDTA DESECHABLE CLAUCI 1 2.248 0 1.889 359 2.248
50016843 13.12.2019 21:35 A_TUBO C/EDTA DESECHABLE CLAUCI 1 2.248 0 1.889 359 2.248
50016843 13.12.2019 07:55 A_TUBO C/EDTA DESECHABLE CLAUCI 1 2.248 0 1.889 359 2.248
50016843 14.12.2019 22:26 A_TUBO C/EDTA DESECHABLE CLAUCI 1 2.248 0 1.889 359 2.248
50016843 15.12.2019 21:07 A_TUBO C/EDTA DESECHABLE CLAUCI 1 2.248 0 1.889 359 2.248
50016843 16.12.2019 23:18 A_TUBO C/EDTA DESECHABLE CLATIM 1 2.248 0 1.889 359 2.248
50016843 16.12.2019 12:15 A_TUBO C/EDTA DESECHABLE CLAUCI 1 2.248 0 1.889 359 2.248
50016843 18.12.2019 08:17 A_TUBO C/EDTA DESECHABLE CLATIM 1 2.248 0 1.889 359 2.248
50016843 19.12.2019 13:20 A_TUBO C/EDTA DESECHABLE CLAMQHO1 1 2.248 0 1.889 359 2.248
50016843 21.12.2019 13:19 A_TUBO C/EDTA DESECHABLE CLAMQHO1 1 2.248 0 1.889 359 2.248
50016843 25.12.2019 23:24 A_TUBO C/EDTA DESECHABLE CLAMQHO1 1 2.248 0 1.889 359 2.248
50016843 29.12.2019 14:33 A_TUBO C/EDTA DESECHABLE CLAMQHO1 1 2.248 0 1.889 359 2.248
50016844 11.12.2019 23:57 A_TUBO CODIO HEPARINA T/ CLATIM 1 2.387 0 2.006 381 2.387
50016844 12.12.2019 18:49 A_TUBO CODIO HEPARINA T/ CLAUCI 1 2.387 0 2.006 381 2.387
50016844 13.12.2019 21:35 A_TUBO CODIO HEPARINA T/ CLAUCI 1 2.387 0 2.006 381 2.387
50016844 13.12.2019 07:55 A_TUBO CODIO HEPARINA T/ CLAUCI 1 2.387 0 2.006 381 2.387
50016844 16.12.2019 12:15 A_TUBO CODIO HEPARINA T/ CLAUCI 1 2.387 0 2.006 381 2.387
50016867 12.12.2019 14:16 A_TUBO ENDOT. ESPIRAL RE CLANEUP 1 25.196 0 21.173 4.023 25.196
50016867 23.12.2019 11:11 A_TUBO ENDOT. ESPIRAL RE CLATRAP 1 25.196 0 21.173 4.023 25.196
50016940 12.12.2019 16:09 A_TUBO NO CONDUCTIVO 3 CLAUCI 2 7.281 0 12.237 2.325 14.562

FECHA: 16.06.2020 HOR[Link] PAGINA:15 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Insumos
50016940 23.12.2019 11:05 A_TUBO NO CONDUCTIVO 3 CLATRAP 1 7.281 0 6.119 1.162 7.281
50016946 11.12.2019 23:57 A_TUBO T/AMARILLO 4ML - CLATIM 1 2.710 0 2.277 433 2.710
50016946 11.12.2019 06:48 A_TUBO T/AMARILLO 4ML - CLAURGAD 1 2.710 0 2.277 433 2.710
50016946 12.12.2019 18:49 A_TUBO T/AMARILLO 4ML - CLAUCI 1 2.710 0 2.277 433 2.710
50016946 13.12.2019 07:55 A_TUBO T/AMARILLO 4ML - CLAUCI 1 2.710 0 2.277 433 2.710
50016946 15.12.2019 21:07 A_TUBO T/AMARILLO 4ML - CLAUCI 1 2.710 0 2.277 433 2.710
50016946 16.12.2019 23:18 A_TUBO T/AMARILLO 4ML - CLATIM 1 2.710 0 2.277 433 2.710
50016946 16.12.2019 12:15 A_TUBO T/AMARILLO 4ML - CLAUCI 1 2.710 0 2.277 433 2.710
50016946 18.12.2019 08:17 A_TUBO T/AMARILLO 4ML - CLATIM 1 2.710 0 2.277 433 2.710
50016946 19.12.2019 13:20 A_TUBO T/AMARILLO 4ML - CLAMQHO1 1 2.710 0 2.277 433 2.710
50016946 21.12.2019 13:19 A_TUBO T/AMARILLO 4ML - CLAMQHO1 1 2.710 0 2.277 433 2.710
50016946 25.12.2019 23:24 A_TUBO T/AMARILLO 4ML - CLAMQHO1 1 2.710 0 2.277 433 2.710
50016946 29.12.2019 14:33 A_TUBO T/AMARILLO 4ML - CLAMQHO1 2 2.710 0 4.555 865 5.420
50016970 12.12.2019 18:49 A_UREOFIX 500 # 4415000 CLAUCI 1 40.252 0 33.825 6.427 40.252
50016986 12.12.2019 10:29 A_VASOCAN G-14 / INTROCA CLANEUP 1 6.866 0 5.770 1.096 6.866
50016986 23.12.2019 11:05 A_VASOCAN G-14 / INTROCA CLATRAP 1 6.866 0 5.770 1.096 6.866
50016988 11.12.2019 07:34 A_VASOCAN G-18 / INTROCA CLAURGAD 6 6.866 0 34.619 6.577 41.196
50016988 23.12.2019 11:11 A_VASOCAN G-18 / INTROCA CLATRAP 1 6.866 0 5.770 1.096 6.866
50016989 11.12.2019 07:34 A_VASOCAN G-20 / INTROCA CLAURGAD 5 5.103 0 21.441 4.074 25.515
50016989 11.12.2019 06:48 A_VASOCAN G-20 / INTROCA CLAURGAD 2 5.103 0 8.577 1.629 10.206
50016989 19.12.2019 13:20 A_VASOCAN G-20 / INTROCA CLAMQHO1 1 5.103 0 4.288 815 5.103
50016989 23.12.2019 06:43 A_VASOCAN G-20 / INTROCA CLAMQHO1 1 5.103 0 4.288 815 5.103
50016990 19.12.2019 13:20 A_VASOCAN G-22 / INTROCA CLAMQHO1 1 6.866 0 5.770 1.096 6.866
50017016 12.12.2019 13:43 A_VICRYL 1 C/AGUJA CT X CLANEUP 3 11.961 0 30.154 5.729 35.883
50017018 12.12.2019 14:18 A_VICRYL 2/0 C/AGUJA MH CLANEUP 2 10.900 0 18.319 3.481 21.800
50017019 12.12.2019 14:18 A_VICRYL 2/0 C/AGUJA SH CLANEUP 2 9.654 0 16.225 3.083 19.308
50019384 12.12.2019 16:09 A_VENTSTAR OXYLOG 3000F( CLAUCI 1 106.204 0 89.247 16.957 106.204
50019470 11.12.2019 07:34 A_LLAVE 3 VIAS C/2 VALVU CLAURGAD 15 8.054 0 101.521 19.289 120.810
50019470 11.12.2019 06:48 A_LLAVE 3 VIAS C/2 VALVU CLAURGAD 2 8.054 0 13.536 2.572 16.108
50021138 16.12.2019 08:18 A_BOLSA COMPOSELECT 4F # CLABANS 1 87.219 0 73.293 13.926 87.219
50021138 17.12.2019 08:54 A_BOLSA COMPOSELECT 4F # CLABANS 1 87.219 0 73.293 13.926 87.219
50021193 16.12.2019 08:13 A_VENTSTAR CARINA LEAKV CLAUCI 1 62.114 0 52.197 9.917 62.114
50021421 19.12.2019 13:29 A_TORNILLO POLIAXIAL 5.5 CLANEUP 2 615.981 0 1.035.262 196.700 1.231.962
50021423 16.12.2019 08:47 A_TUERCA P/TORNILLO DIAM CLANEUP 2 133.088 0 223.677 42.499 266.176
50021423 19.12.2019 13:29 A_TUERCA P/TORNILLO DIAM CLANEUP 10 133.088 0 1.118.386 212.494 1.330.880
50021662 19.12.2019 13:29 A_TORNILLO POLYAXIAL 5.5 CLANEUP 4 615.981 0 2.070.524 393.400 2.463.924
50021663 19.12.2019 13:29 A_TORNILLO POLYAXIAL 5.5 CLANEUP 4 615.981 0 2.070.524 393.400 2.463.924
50021701 19.12.2019 13:29 A_CROSS LINK 35-38MM MED CLANEUP 2 1.174.222 0 1.973.482 374.962 2.348.444
50021906 12.12.2019 16:09 A_VENT SET BASIC #MP0030 CLAUCI 1 22.008 0 18.494 3.514 22.008
50022302 12.12.2019 10:29 A_GUANTE PLOMADO DESECHA CLANEUP 1 124.075 0 104.265 19.810 124.075
50022302 24.12.2019 10:31 A_GUANTE PLOMADO DESECHA CLATRAP 2 124.075 0 208.529 39.621 248.150
50023189 19.12.2019 13:29 A_TORNILLO POLIAXIAL 5.5 CLANEUP 2 615.981 0 1.035.262 196.700 1.231.962
50023327 14.12.2019 12:48 A_HEMOSTATICO PERCLOT 1 CLANEUP 1 232.630 0 195.487 37.143 232.630
50023335 12.12.2019 13:43 A_POLYSORB 0 #UL-877 CLANEUP 4 12.361 0 41.549 7.895 49.444
50023345 16.12.2019 08:47 A_FRESA ADEOR B48 CLANEUP 1 765.804 0 643.533 122.271 765.804
50023435 14.12.2019 12:25 A_MEDYFUSE DBM 5CC MEDYS CLANEUP 1 912.334 0 912.334 0 912.334
50023435 14.12.2019 12:25 A_MEDYFUSE DBM 5CC MEDYS CLANEUP 1 -912.334 0 -912.334 0 -912.334
50023435 19.12.2019 13:29 A_MEDYFUSE DBM 5CC MEDYS CLANEUP 2 912.334 0 1.824.668 0 1.824.668
50023516 20.12.2019 16:58 A_ABINTRA POLVO 27 GR. N CLATIM 4 28.385 0 95.412 18.128 113.540
50023516 26.12.2019 17:38 A_ABINTRA POLVO 27 GR. N CLATIM 4 28.385 0 95.412 18.128 113.540
50023516 30.12.2019 18:00 A_ABINTRA POLVO 27 GR. N CLATIM 1 28.385 0 23.853 4.532 28.385
50023516 30.12.2019 17:22 A_ABINTRA POLVO 27 GR. N CLATIM 1 28.385 0 23.853 4.532 28.385
50023516 30.12.2019 16:40 A_ABINTRA POLVO 27 GR. N CLATIM 1 28.385 0 23.853 4.532 28.385
50023516 30.12.2019 16:19 A_ABINTRA POLVO 27 GR. N CLATIM 1 28.385 0 23.853 4.532 28.385
50023516 31.12.2019 17:13 A_ABINTRA POLVO 27 GR. N CLATIM 1 28.385 0 23.853 4.532 28.385
50023516 31.12.2019 12:24 A_ABINTRA POLVO 27 GR. N CLATIM 1 28.385 0 23.853 4.532 28.385
50023839 14.12.2019 12:25 A_ALMOHADILLA CAB.5 INTU CLANEUP 1 45.595 0 38.315 7.280 45.595
50023923 30.12.2019 18:00 A_HYFIBERLIQUID BOTTLES( CLATIM 2 14.742 0 24.777 4.707 29.484
50023923 30.12.2019 17:22 A_HYFIBERLIQUID BOTTLES( CLATIM 2 14.742 0 24.777 4.707 29.484
50023923 30.12.2019 16:40 A_HYFIBERLIQUID BOTTLES( CLATIM 2 14.742 0 24.777 4.707 29.484
50023923 30.12.2019 16:19 A_HYFIBERLIQUID BOTTLES( CLATIM 2 14.742 0 24.777 4.707 29.484
50023923 31.12.2019 17:13 A_HYFIBERLIQUID BOTTLES( CLATIM 1 14.742 0 12.388 2.354 14.742
50023923 31.12.2019 12:24 A_HYFIBERLIQUID BOTTLES( CLATIM 2 14.742 0 24.777 4.707 29.484
50024072 19.12.2019 13:29 A_MEDIO III 20CC #03G305 CLANEUP 4 664.521 0 2.233.684 424.400 2.658.084
50024274 16.12.2019 06:32 A_TAPA SWABCAP CLAUCI 3 5.099 0 12.855 2.442 15.297
50025170 13.12.2019 14:07 A_KIT PROCESAMIENTO TX/1 CLANEUP 1 583.219 0 490.100 93.119 583.219
50025246 23.12.2019 11:05 A_SUERO FISIOLOGICO 0.9% CLATRAP 1 4.948 0 4.158 790 4.948
50025404 11.12.2019 08:07 A_TERMOMETRO DIGITAL PAC CLATIM 1 4.500 0 3.781 719 4.500
50025406 11.12.2019 08:07 A_MANGO PRESION ARTERIAL CLATIM 1 19.503 0 16.389 3.114 19.503
50025418 19.12.2019 13:20 A_DICHLOREXAN (CLORHEXID CLAMQHO1 1 6.113 0 5.137 976 6.113

Sub Total 0 24.307.164 4.271.643 28.578.807

Dias Cama Especialidad

202009 12.12.2019 06:41 RECUPERACION CLATIM 1 17.405 3.760 15.226 2.179 17.405

FECHA: 16.06.2020 HOR[Link] PAGINA:16 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

Codigo Fecha Hora Descripción Unidad Cant. Valor Unit. Valor Ex. Valor Afecto Valor IVA Valor Final R
Dias Cama Especialidad
202009 23.12.2019 06:41 RECUPERACION CLATIM 1 17.405 3.760 15.226 2.179 17.405
202102 18.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202102 19.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202102 20.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202102 21.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202102 22.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202102 23.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202102 24.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202102 25.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202102 26.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202102 27.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202102 28.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202102 29.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202102 30.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202102 31.12.2019 00:00 DÍA CAMA HABITACION DOBL CLAMQHO1 1 94.686 6.810 80.655 14.031 94.686
202201 12.12.2019 00:00 DÍA CAMA UCI ADULTO CLAUCI 1 376.533 52.230 324.753 51.780 376.533
202201 13.12.2019 00:00 DÍA CAMA UCI ADULTO CLAUCI 1 376.533 52.230 324.753 51.780 376.533
202201 14.12.2019 00:00 DÍA CAMA UCI ADULTO CLAUCI 1 376.533 52.230 324.753 51.780 376.533
202201 15.12.2019 00:00 DÍA CAMA UCI ADULTO CLAUCI 1 376.533 52.230 324.753 51.780 376.533
202301 11.12.2019 06:41 DÍA CAMA UTI ADULTO CLATIM 1 349.282 25.100 297.522 51.760 349.282
202301 16.12.2019 00:00 DÍA CAMA UTI ADULTO CLATIM 1 349.282 25.100 297.522 51.760 349.282
202301 17.12.2019 00:00 DÍA CAMA UTI ADULTO CLATIM 1 349.282 25.100 297.522 51.760 349.282

Sub Total 387.080 3.351.200 563.192 3.914.392

Codigo Fecha Hora Descripción Unidad Cant. Rut Nombre Profesional Valor Unit. Valor Final R

Honorarios Médicos
101008 11.12.2019 06:41 VISITA MEDICO PACIENTE H CLATIM 1 7745423-3 PUMARINO MELENDEZ RENE 50.000 50.000
ANDRES
101008 11.12.2019 06:41 VISITA MEDICO PACIENTE H CLATIM 1 10979392-2 SEGOVIA VALLE MIGUEL 44.000 44.000
ANGEL
101008 13.12.2019 06:41 VISITA MEDICO PACIENTE H CLATIM 1 10316515-6 BAEZA CORDERO JUAN 0 0
CARLOS
101008 13.12.2019 06:41 VISITA MEDICO PACIENTE H CLATIM 1 8546982-7 GONZALEZ VALLEJOS MARCO 0 0
ALBERTO
H1103050AN 12.12.2019 08:00 ANESTESISTA CLANEUP 1 08546982-7 GONZALEZ VALLEJO MARCO 0 0
ALBERTO
H1103050AR 12.12.2019 08:00 ARSENALERA CLANEUP 1 15382989-6 PALTA GEISSER GIORDANA 80.205 80.205
H1103050C2 12.12.2019 08:00 SEGUNDO CIRUJANO CLANEUP 1 10563540-0 MUÑOZ MOLINA ROBERTO 200.512 200.512
ENRIQUE
H1103050CX 12.12.2019 08:00 PRIMER CIRUJANO CLANEUP 1 10979392-2 SEGOVIA VALLE MIGUEL 802.048 802.048
ANGEL
H1103069AN 12.12.2019 08:00 ANESTESISTA CLANEUP 1 08546982-7 GONZALEZ VALLEJO MARCO 0 0
ALBERTO
H1103069AR 12.12.2019 08:00 ARSENALERA CLANEUP 1 15382989-6 PALTA GEISSER GIORDANA 39.700 39.700
H1103069C2 12.12.2019 08:00 SEGUNDO CIRUJANO CLANEUP 1 10563540-0 MUÑOZ MOLINA ROBERTO 99.251 99.251
ENRIQUE
H1103069CX 12.12.2019 08:00 PRIMER CIRUJANO CLANEUP 1 10979392-2 SEGOVIA VALLE MIGUEL 397.005 397.005
ANGEL
H1701037AN 12.12.2019 13:45 ANESTESISTA CLATIM 1 8546982-7 GONZALEZ VALLEJOS MARCO 0 0
ALBERTO
H2104116AN 12.12.2019 08:00 ANESTESISTA CLANEUP 1 08546982-7 GONZALEZ VALLEJO MARCO 0 0
ALBERTO
H2104116AR 12.12.2019 08:00 ARSENALERA CLANEUP 1 15382989-6 PALTA GEISSER GIORDANA 24.659 24.659
H2104116C2 12.12.2019 08:00 SEGUNDO CIRUJANO CLANEUP 1 10563540-0 MUÑOZ MOLINA ROBERTO 61.647 61.647
ENRIQUE
H2104116CX 12.12.2019 08:00 PRIMER CIRUJANO CLANEUP 1 10979392-2 SEGOVIA VALLE MIGUEL 246.589 246.589
ANGEL
H2104119AN 23.12.2019 08:00 ANESTESISTA CLATRAP 1 08546982-7 GONZALEZ VALLEJO MARCO 0 0
ALBERTO
H2104119AR 23.12.2019 08:00 ARSENALERA CLATRAP 1 15382989-6 PALTA GEISSER GIORDANA 105.562 105.562
H2104119C2 23.12.2019 08:00 SEGUNDO CIRUJANO CLATRAP 1 10563540-0 MUÑOZ MOLINA ROBERTO 263.905 263.905
ENRIQUE
H2104119CX 23.12.2019 08:00 PRIMER CIRUJANO CLATRAP 1 10979392-2 SEGOVIA VALLE MIGUEL 1.055.622 1.055.622
ANGEL

Resumen Documento

C020 - CM Antofagasta S.A TOTAL 48.764.541

FECHA: 16.06.2020 HOR[Link] PAGINA:17 / 18 USUARIO:LDIAZT

 ESTADO DE CUENTA PACIENTE DETALLE

DATOS PACIENTE:

NOMBRE:MARIA REBECA SAEZ LOYOLA PREFACTURA:10000000000006669426 TIPO CUENTA:CUENTA CAEC EPISODIO:67706030

RUT:10441815-5 ASEGURADORA:Isapre Consalud S.A. T. SUBCUENTA:CUENTA CAEC

TOTAL 42.463.784 6.254.297 48.764.541

FECHA: 16.06.2020 HOR[Link] PAGINA:18 / 18 USUARIO:LDIAZT