Include P12 V2 - PLSTISS4

PLSTISS4.CH

 #DEFINE STR0001 FWI18NLang("PLSTISS4","STR0001",1)
#DEFINE STR0002 FWI18NLang("PLSTISS4","STR0002",2)
#DEFINE STR0003 FWI18NLang("PLSTISS4","STR0003",3)
#DEFINE STR0004 FWI18NLang("PLSTISS4","STR0004",4)
#DEFINE STR0005 FWI18NLang("PLSTISS4","STR0005",5)
#DEFINE STR0006 FWI18NLang("PLSTISS4","STR0006",6)
#DEFINE STR0007 FWI18NLang("PLSTISS4","STR0007",7)
#DEFINE STR0008 FWI18NLang("PLSTISS4","STR0008",8)
#DEFINE STR0009 FWI18NLang("PLSTISS4","STR0009",9)
#DEFINE STR0010 FWI18NLang("PLSTISS4","STR0010",10)
#DEFINE STR0011 FWI18NLang("PLSTISS4","STR0011",11)
#DEFINE STR0012 FWI18NLang("PLSTISS4","STR0012",12)
#DEFINE STR0013 FWI18NLang("PLSTISS4","STR0013",13)
#DEFINE STR0014 FWI18NLang("PLSTISS4","STR0014",14)
#DEFINE STR0015 FWI18NLang("PLSTISS4","STR0015",15)
#DEFINE STR0016 FWI18NLang("PLSTISS4","STR0016",16)
#DEFINE STR0017 FWI18NLang("PLSTISS4","STR0017",17)
#DEFINE STR0018 FWI18NLang("PLSTISS4","STR0018",18)
#DEFINE STR0019 FWI18NLang("PLSTISS4","STR0019",19)
#DEFINE STR0020 FWI18NLang("PLSTISS4","STR0020",20)
#DEFINE STR0021 FWI18NLang("PLSTISS4","STR0021",21)
#DEFINE STR0022 FWI18NLang("PLSTISS4","STR0022",22)
#DEFINE STR0023 FWI18NLang("PLSTISS4","STR0023",23)
#DEFINE STR0024 FWI18NLang("PLSTISS4","STR0024",24)
#DEFINE STR0025 FWI18NLang("PLSTISS4","STR0025",25)
#DEFINE STR0026 FWI18NLang("PLSTISS4","STR0026",26)
#DEFINE STR0027 FWI18NLang("PLSTISS4","STR0027",27)
#DEFINE STR0028 FWI18NLang("PLSTISS4","STR0028",28)
#DEFINE STR0029 FWI18NLang("PLSTISS4","STR0029",29)
#DEFINE STR0030 FWI18NLang("PLSTISS4","STR0030",30)
#DEFINE STR0031 FWI18NLang("PLSTISS4","STR0031",31)
#DEFINE STR0032 FWI18NLang("PLSTISS4","STR0032",32)
#DEFINE STR0033 FWI18NLang("PLSTISS4","STR0033",33)
#DEFINE STR0034 FWI18NLang("PLSTISS4","STR0034",34)
#DEFINE STR0035 FWI18NLang("PLSTISS4","STR0035",35)
#DEFINE STR0036 FWI18NLang("PLSTISS4","STR0036",36)
#DEFINE STR0037 FWI18NLang("PLSTISS4","STR0037",37)
#DEFINE STR0038 FWI18NLang("PLSTISS4","STR0038",38)
#DEFINE STR0039 FWI18NLang("PLSTISS4","STR0039",39)
#DEFINE STR0040 FWI18NLang("PLSTISS4","STR0040",40)
#DEFINE STR0041 FWI18NLang("PLSTISS4","STR0041",41)
#DEFINE STR0042 FWI18NLang("PLSTISS4","STR0042",42)
#DEFINE STR0043 FWI18NLang("PLSTISS4","STR0043",43)
#DEFINE STR0044 FWI18NLang("PLSTISS4","STR0044",44)
#DEFINE STR0045 FWI18NLang("PLSTISS4","STR0045",45)
#DEFINE STR0046 FWI18NLang("PLSTISS4","STR0046",46)
#DEFINE STR0047 FWI18NLang("PLSTISS4","STR0047",47)
#DEFINE STR0048 FWI18NLang("PLSTISS4","STR0048",48)
#DEFINE STR0049 FWI18NLang("PLSTISS4","STR0049",49)
#DEFINE STR0050 FWI18NLang("PLSTISS4","STR0050",50)
#DEFINE STR0051 FWI18NLang("PLSTISS4","STR0051",51)
#DEFINE STR0052 FWI18NLang("PLSTISS4","STR0052",52)
#DEFINE STR0053 FWI18NLang("PLSTISS4","STR0053",53)
#DEFINE STR0054 FWI18NLang("PLSTISS4","STR0054",54)
#DEFINE STR0055 FWI18NLang("PLSTISS4","STR0055",55)
#DEFINE STR0056 FWI18NLang("PLSTISS4","STR0056",56)
#DEFINE STR0057 FWI18NLang("PLSTISS4","STR0057",57)
#DEFINE STR0058 FWI18NLang("PLSTISS4","STR0058",58)
#DEFINE STR0059 FWI18NLang("PLSTISS4","STR0059",59)
#DEFINE STR0060 FWI18NLang("PLSTISS4","STR0060",60)
#DEFINE STR0061 FWI18NLang("PLSTISS4","STR0061",61)
#DEFINE STR0062 FWI18NLang("PLSTISS4","STR0062",62)
#DEFINE STR0063 FWI18NLang("PLSTISS4","STR0063",63)
#DEFINE STR0064 FWI18NLang("PLSTISS4","STR0064",64)
#DEFINE STR0065 FWI18NLang("PLSTISS4","STR0065",65)
#DEFINE STR0066 FWI18NLang("PLSTISS4","STR0066",66)
#DEFINE STR0067 FWI18NLang("PLSTISS4","STR0067",67)
#DEFINE STR0068 FWI18NLang("PLSTISS4","STR0068",68)
#DEFINE STR0069 FWI18NLang("PLSTISS4","STR0069",69)
#DEFINE STR0070 FWI18NLang("PLSTISS4","STR0070",70)
#DEFINE STR0071 FWI18NLang("PLSTISS4","STR0071",71)
#DEFINE STR0072 FWI18NLang("PLSTISS4","STR0072",72)
#DEFINE STR0073 FWI18NLang("PLSTISS4","STR0073",73)
#DEFINE STR0074 FWI18NLang("PLSTISS4","STR0074",74)
#DEFINE STR0075 FWI18NLang("PLSTISS4","STR0075",75)
#DEFINE STR0076 FWI18NLang("PLSTISS4","STR0076",76)
#DEFINE STR0077 FWI18NLang("PLSTISS4","STR0077",77)
#DEFINE STR0078 FWI18NLang("PLSTISS4","STR0078",78)
#DEFINE STR0079 FWI18NLang("PLSTISS4","STR0079",79)
#DEFINE STR0080 FWI18NLang("PLSTISS4","STR0080",80)
#DEFINE STR0081 FWI18NLang("PLSTISS4","STR0081",81)
#DEFINE STR0082 FWI18NLang("PLSTISS4","STR0082",82)
#DEFINE STR0083 FWI18NLang("PLSTISS4","STR0083",83)
#DEFINE STR0084 FWI18NLang("PLSTISS4","STR0084",84)
#DEFINE STR0085 FWI18NLang("PLSTISS4","STR0085",85)
#DEFINE STR0086 FWI18NLang("PLSTISS4","STR0086",86)
#DEFINE STR0087 FWI18NLang("PLSTISS4","STR0087",87)
#DEFINE STR0088 FWI18NLang("PLSTISS4","STR0088",88)
#DEFINE STR0089 FWI18NLang("PLSTISS4","STR0089",89)
#DEFINE STR0090 FWI18NLang("PLSTISS4","STR0090",90)
#DEFINE STR0091 FWI18NLang("PLSTISS4","STR0091",91)
#DEFINE STR0092 FWI18NLang("PLSTISS4","STR0092",92)
#DEFINE STR0093 FWI18NLang("PLSTISS4","STR0093",93)
#DEFINE STR0094 FWI18NLang("PLSTISS4","STR0094",94)
#DEFINE STR0095 FWI18NLang("PLSTISS4","STR0095",95)
#DEFINE STR0096 FWI18NLang("PLSTISS4","STR0096",96)
#DEFINE STR0097 FWI18NLang("PLSTISS4","STR0097",97)
#DEFINE STR0098 FWI18NLang("PLSTISS4","STR0098",98)
#DEFINE STR0099 FWI18NLang("PLSTISS4","STR0099",99)
#DEFINE STR0100 FWI18NLang("PLSTISS4","STR0100",100)
#DEFINE STR0101 FWI18NLang("PLSTISS4","STR0101",101)
#DEFINE STR0102 FWI18NLang("PLSTISS4","STR0102",102)
#DEFINE STR0103 FWI18NLang("PLSTISS4","STR0103",103)
#DEFINE STR0104 FWI18NLang("PLSTISS4","STR0104",104)
#DEFINE STR0105 FWI18NLang("PLSTISS4","STR0105",105)
#DEFINE STR0106 FWI18NLang("PLSTISS4","STR0106",106)
#DEFINE STR0107 FWI18NLang("PLSTISS4","STR0107",107)
#DEFINE STR0108 FWI18NLang("PLSTISS4","STR0108",108)
#DEFINE STR0109 FWI18NLang("PLSTISS4","STR0109",109)
#DEFINE STR0110 FWI18NLang("PLSTISS4","STR0110",110)
#DEFINE STR0111 FWI18NLang("PLSTISS4","STR0111",111)
#DEFINE STR0112 FWI18NLang("PLSTISS4","STR0112",112)
#DEFINE STR0113 FWI18NLang("PLSTISS4","STR0113",113)
#DEFINE STR0114 FWI18NLang("PLSTISS4","STR0114",114)
#DEFINE STR0115 FWI18NLang("PLSTISS4","STR0115",115)
#DEFINE STR0116 FWI18NLang("PLSTISS4","STR0116",116)
#DEFINE STR0117 FWI18NLang("PLSTISS4","STR0117",117)
#DEFINE STR0118 FWI18NLang("PLSTISS4","STR0118",118)
#DEFINE STR0119 FWI18NLang("PLSTISS4","STR0119",119)
#DEFINE STR0120 FWI18NLang("PLSTISS4","STR0120",120)
#DEFINE STR0121 FWI18NLang("PLSTISS4","STR0121",121)
#DEFINE STR0122 FWI18NLang("PLSTISS4","STR0122",122)
#DEFINE STR0123 FWI18NLang("PLSTISS4","STR0123",123)
#DEFINE STR0124 FWI18NLang("PLSTISS4","STR0124",124)
#DEFINE STR0125 FWI18NLang("PLSTISS4","STR0125",125)
#DEFINE STR0126 FWI18NLang("PLSTISS4","STR0126",126)
#DEFINE STR0127 FWI18NLang("PLSTISS4","STR0127",127)
#DEFINE STR0128 FWI18NLang("PLSTISS4","STR0128",128)
#DEFINE STR0129 FWI18NLang("PLSTISS4","STR0129",129)
#DEFINE STR0130 FWI18NLang("PLSTISS4","STR0130",130)
#DEFINE STR0131 FWI18NLang("PLSTISS4","STR0131",131)
#DEFINE STR0132 FWI18NLang("PLSTISS4","STR0132",132)
#DEFINE STR0133 FWI18NLang("PLSTISS4","STR0133",133)
#DEFINE STR0134 FWI18NLang("PLSTISS4","STR0134",134)
#DEFINE STR0135 FWI18NLang("PLSTISS4","STR0135",135)
#DEFINE STR0136 FWI18NLang("PLSTISS4","STR0136",136)
#DEFINE STR0137 FWI18NLang("PLSTISS4","STR0137",137)
#DEFINE STR0138 FWI18NLang("PLSTISS4","STR0138",138)
#DEFINE STR0139 FWI18NLang("PLSTISS4","STR0139",139)
#DEFINE STR0140 FWI18NLang("PLSTISS4","STR0140",140)
#DEFINE STR0141 FWI18NLang("PLSTISS4","STR0141",141)
#DEFINE STR0142 FWI18NLang("PLSTISS4","STR0142",142)
#DEFINE STR0143 FWI18NLang("PLSTISS4","STR0143",143)
#DEFINE STR0144 FWI18NLang("PLSTISS4","STR0144",144)
#DEFINE STR0145 FWI18NLang("PLSTISS4","STR0145",145)
#DEFINE STR0146 FWI18NLang("PLSTISS4","STR0146",146)
#DEFINE STR0147 FWI18NLang("PLSTISS4","STR0147",147)
#DEFINE STR0148 FWI18NLang("PLSTISS4","STR0148",148)
#DEFINE STR0149 FWI18NLang("PLSTISS4","STR0149",149)
#DEFINE STR0150 FWI18NLang("PLSTISS4","STR0150",150)
#DEFINE STR0151 FWI18NLang("PLSTISS4","STR0151",151)
#DEFINE STR0152 FWI18NLang("PLSTISS4","STR0152",152)
#DEFINE STR0153 FWI18NLang("PLSTISS4","STR0153",153)
#DEFINE STR0154 FWI18NLang("PLSTISS4","STR0154",154)
#DEFINE STR0155 FWI18NLang("PLSTISS4","STR0155",155)
#DEFINE STR0156 FWI18NLang("PLSTISS4","STR0156",156)
#DEFINE STR0157 FWI18NLang("PLSTISS4","STR0157",157)
#DEFINE STR0158 FWI18NLang("PLSTISS4","STR0158",158)
#DEFINE STR0159 FWI18NLang("PLSTISS4","STR0159",159)
#DEFINE STR0160 FWI18NLang("PLSTISS4","STR0160",160)
#DEFINE STR0161 FWI18NLang("PLSTISS4","STR0161",161)
#DEFINE STR0162 FWI18NLang("PLSTISS4","STR0162",162)
#DEFINE STR0163 FWI18NLang("PLSTISS4","STR0163",163)
#DEFINE STR0164 FWI18NLang("PLSTISS4","STR0164",164)
#DEFINE STR0165 FWI18NLang("PLSTISS4","STR0165",165)
#DEFINE STR0166 FWI18NLang("PLSTISS4","STR0166",166)
#DEFINE STR0167 FWI18NLang("PLSTISS4","STR0167",167)
#DEFINE STR0168 FWI18NLang("PLSTISS4","STR0168",168)
#DEFINE STR0169 FWI18NLang("PLSTISS4","STR0169",169)
#DEFINE STR0170 FWI18NLang("PLSTISS4","STR0170",170)
#DEFINE STR0171 FWI18NLang("PLSTISS4","STR0171",171)
#DEFINE STR0172 FWI18NLang("PLSTISS4","STR0172",172)
#DEFINE STR0173 FWI18NLang("PLSTISS4","STR0173",173)
#DEFINE STR0174 FWI18NLang("PLSTISS4","STR0174",174)
#DEFINE STR0175 FWI18NLang("PLSTISS4","STR0175",175)
#DEFINE STR0176 FWI18NLang("PLSTISS4","STR0176",176)
#DEFINE STR0177 FWI18NLang("PLSTISS4","STR0177",177)
#DEFINE STR0178 FWI18NLang("PLSTISS4","STR0178",178)
#DEFINE STR0179 FWI18NLang("PLSTISS4","STR0179",179)
#DEFINE STR0180 FWI18NLang("PLSTISS4","STR0180",180)
#DEFINE STR0181 FWI18NLang("PLSTISS4","STR0181",181)
#DEFINE STR0182 FWI18NLang("PLSTISS4","STR0182",182)
#DEFINE STR0183 FWI18NLang("PLSTISS4","STR0183",183)
#DEFINE STR0184 FWI18NLang("PLSTISS4","STR0184",184)
#DEFINE STR0185 FWI18NLang("PLSTISS4","STR0185",185)
#DEFINE STR0186 FWI18NLang("PLSTISS4","STR0186",186)
#DEFINE STR0187 FWI18NLang("PLSTISS4","STR0187",187)
#DEFINE STR0188 FWI18NLang("PLSTISS4","STR0188",188)
#DEFINE STR0189 FWI18NLang("PLSTISS4","STR0189",189)
#DEFINE STR0190 FWI18NLang("PLSTISS4","STR0190",190)
#DEFINE STR0191 FWI18NLang("PLSTISS4","STR0191",191)
#DEFINE STR0192 FWI18NLang("PLSTISS4","STR0192",192)
 

PLSTISS4_EN.TRES

 0001#STR0001#ALL#No.
0002#STR0002#ALL#ANS Record Number
0003#STR0003#ALL#Beneficiary Data
0004#STR0004#ALL#Employee Card Number
0005#STR0005#ALL#Plan
0006#STR0006#ALL#Name
0007#STR0007#ALL#Provider / CNPJ / CPF Code
0008#STR0008#ALL#Contracted Name
0009#STR0009#ALL#CNES Code
0010#STR0010#ALL#State
0011#STR0011#ALL#Name of Executor Professional
0012#STR0012#ALL#Code CBO S
0013#STR0013#ALL#Table Code
0014#STR0014#ALL#Note
0015#STR0015#ALL#Authorization Date
0016#STR0016#ALL#Password
0017#STR0017#ALL#Password Validity Date
0018#STR0018#ALL#Name of Requester Professional
0019#STR0019#ALL#Table
0020#STR0020#ALL#Procedure Code
0021#STR0021#ALL#Description
0022#STR0022#ALL#Contractor Data
0023#STR0023#ALL#Start Time
0024#STR0024#ALL#End Time
0025#STR0025#ALL#Qty.
0026#STR0026#ALL#% Red./Add.
0027#STR0027#ALL#Unitary Value - R$
0028#STR0028#ALL#Total Value - R$
0029#STR0029#ALL#Total Material R$
0030#STR0030#ALL#Total Medication R$
0031#STR0031#ALL#Daily Total R$
0032#STR0032#ALL#Medical Gases Total R$
0033#STR0033#ALL#Professional Name
0034#STR0034#ALL#Total
0035#STR0035#ALL#Grand Total R$
0036#STR0036#ALL#Part. Degree
0037#STR0037#ALL#FORM OF OTHER EXPENSES
0038#STR0038#ALL#Reference Form No.
0039#STR0039#ALL#Expenses Executed Code
0040#STR0040#ALL#CD = 
0041#STR0041#ALL#Medical Gases
0042#STR0042#ALL#Medication
0043#STR0043#ALL#Material
0044#STR0044#ALL#Several Rates
0045#STR0045#ALL#Daily Rates
0046#STR0046#ALL#Rents
0047#STR0047#ALL#CD
0048#STR0048#ALL#Item Code
0049#STR0049#ALL#Several Rates Total R$
0050#STR0050#ALL#Total Rent R$
0051#STR0051#ALL#MEDICAL ACCOUNT STATEMENT ANALISIS
0052#STR0052#ALL#MEDICAL ACCOUNT STATEMENT ANALISIS
0053#STR0053#ALL#Provider Name
0054#STR0054#ALL#Provider CNPJ 
0055#STR0055#ALL#Statement Number
0056#STR0056#ALL#Statement Issue Date
0057#STR0057#ALL#Provider Data
0058#STR0058#ALL#Provider / CNPJ / CPF Code
0059#STR0059#ALL#Account Data
0060#STR0060#ALL#Invoice Number
0061#STR0061#ALL#Batch Number
0062#STR0062#ALL#Batch Delivery Date
0063#STR0063#ALL#Protocol Number
0064#STR0064#ALL#Protocol Value (R$)
0065#STR0065#ALL#Protocol Disallowance Value (R$)
0066#STR0066#ALL#Protocol Disallowance Code
0067#STR0067#ALL#Form/Password Number
0068#STR0068#ALL#Beneficiary Name
0069#STR0069#ALL#Beneficiary Code
0070#STR0070#ALL#Performance Date
0071#STR0071#ALL#Service Description
0072#STR0072#ALL#Service Code
0073#STR0073#ALL#Exec. Qty.
0074#STR0074#ALL#Processed Value (R$)
0075#STR0075#ALL#Released Value (R$)
0076#STR0076#ALL#Disallowance Value (R$)
0077#STR0077#ALL#Disallowance Code
0078#STR0078#ALL#Form Total
0079#STR0079#ALL#Form Processed Value (R$)
0080#STR0080#ALL#Form Released Value (R$)
0081#STR0081#ALL#Form Disallowance Value (R$)
0082#STR0082#ALL#Form Disallowance Code
0083#STR0083#ALL#Invoice Total
0084#STR0084#ALL#Invoice Processed Value (R$)
0085#STR0085#ALL#Invoice Released Value (R$)
0086#STR0086#ALL#Invoice Disallowance Value (R$)
0087#STR0087#ALL#Grand Total
0088#STR0088#ALL#Grand Processed Value (R$)
0089#STR0089#ALL#Grand Released Value (R$)
0090#STR0090#ALL#Grand Disallowance Value (R$)
0091#STR0091#ALL#PAYMENT STATEMENTS
0092#STR0092#ALL#Payment Data
0093#STR0093#ALL#Payment Date
0094#STR0094#ALL#Payment Term
0095#STR0095#ALL#Credit in Account
0096#STR0096#ALL#Portfolio
0097#STR0097#ALL#Bank Bill
0098#STR0098#ALL#Bank
0099#STR0099#ALL#Bank Branch
0100#STR0100#ALL#Check/Account number
0101#STR0101#ALL#Summary Data
0102#STR0102#ALL#Indicated Value (R$)
0103#STR0103#ALL#Disallowance value (R$)
0104#STR0104#ALL#Indicated Value Grand Total (R$)
0105#STR0105#ALL#Processed Value Grand Total (R$)
0106#STR0106#ALL#Released Value Grand Total (R$)
0107#STR0107#ALL#Disallowance Total Value (R$)
0108#STR0108#ALL#Total Value
0109#STR0109#ALL#Other Discounts and Credits
0110#STR0110#ALL#Released Total Value
0111#STR0111#ALL#Form Issue Date
0112#STR0112#ALL#Number of the Main Form
0113#STR0113#ALL#Company
0114#STR0114#ALL#Employee Card Validity Date
0115#STR0115#ALL#Phone Number
0116#STR0116#ALL#Plan Holder Name
0117#STR0117#ALL#Number at CRO
0118#STR0118#ALL#Procedures Carried Out
0119#STR0119#ALL#Tooth/Region
0120#STR0120#ALL#Face
0121#STR0121#ALL#Qty
0122#STR0122#ALL#Quantity US
0123#STR0123#ALL#Value
0124#STR0124#ALL#Franchise / Co-Participation R$
0125#STR0125#ALL#Signature
0126#STR0126#ALL#Treatment Estimation End Date
0127#STR0127#ALL#Attendance Type
0128#STR0128#ALL#Radiological treatment
0129#STR0129#ALL#Radiological examination
0130#STR0130#ALL#Orthodontics
0131#STR0131#ALL#Urgency/Emergency 
0132#STR0132#ALL#Type of Invoicing
0133#STR0133#ALL#Partial 
0134#STR0134#ALL#Total Quantity US
0135#STR0135#ALL#Total Value R$
0136#STR0136#ALL#Total Franchise / Co-Participation R$
0137#STR0137#ALL#Date, Location and Dentist Signature
0138#STR0138#ALL#Date, Location and Beneficiary/Responsible Party Signature
0139#STR0139#ALL#Date, Location and Company Stamp
0140#STR0140#ALL#DENTAL FORM - REQUEST
0141#STR0141#ALL#Start Situation
0142#STR0142#ALL#Permanent
0143#STR0143#ALL#Deciduous
0144#STR0144#ALL#Clinical Signs of periodontal disease?
0145#STR0145#ALL#Yes
0146#STR0146#ALL#No
0147#STR0147#ALL#Change of Soft Tissue 
0148#STR0148#ALL#CAPTION AND NOTES ON START SITUATION
0149#STR0149#ALL#A - Absent
0150#STR0150#ALL#E - Extraction Indicated
0151#STR0151#ALL#H - Healthy
0152#STR0152#ALL#C - Carious
0153#STR0153#ALL#R - Restored
0154#STR0154#ALL#Aut.
0155#STR0155#ALL#DENTAL FORM - PAYMENT STATEMENT
0156#STR0156#ALL#DENTAL TREATMENT FORM - PAYMENT STATEMENT
0157#STR0157#ALL#Processing Period
0158#STR0158#ALL# to 
0159#STR0159#ALL#Provider Code
0160#STR0160#ALL#Hired CPF/CNPJ
0161#STR0161#ALL#Form Number
0162#STR0162#ALL#Execution Date
0163#STR0163#ALL#Processed Value (R$)
0164#STR0164#ALL#Disallowance/Reversal Value (R$)
0165#STR0165#ALL#Released Value (R$)
0166#STR0166#ALL#Disallowance Reason
0167#STR0167#ALL#Form Processed Total Value (R$)
0168#STR0168#ALL#Form Disallowance Total Value (R$)
0169#STR0169#ALL#Form Released Total Value (R$)
0170#STR0170#ALL#Batch Processed Total Value (R$)
0171#STR0171#ALL#Batch Disallowance Total Value (R$)
0172#STR0172#ALL#Batch Released Total Value (R$)
0173#STR0173#ALL#Form from Hospitalization for Printing go to Hospitalization Routine
0174#STR0174#ALL#Newborn Attendance
0175#STR0175#ALL#DENTAL TREATMENT GUIDE
0176#STR0176#ALL#Data from Hired Responsible by Treatment
0177#STR0177#ALL#Date, Location and Requesting Dentist Signature
0178#STR0178#ALL#Hired Data
0179#STR0179#ALL#DENTAL TREATMENT FORM - START STATUS
0180#STR0180#ALL#Processed General Value (R$)
0181#STR0181#ALL#Disallowance General Value (R$)
0182#STR0182#ALL#Released General Value (R$)
0183#STR0183#ALL#Other Debits/Credits
0184#STR0184#ALL#Value (R$)
0185#STR0185#ALL#Other debits/credits not taxable
0186#STR0186#ALL#Taxes
0187#STR0187#ALL#Totals
0188#STR0188#ALL#Taxable Total Value (R$)
0189#STR0189#ALL#Withholding Taxes Total Value (R$)
0190#STR0190#ALL#Not Taxable Total Value (R$)
0191#STR0191#ALL#End Value Receivable (R$)
0192#STR0192#ALL#Company
 

PLSTISS4_ES.TRES

 0001#STR0001#ALL#N�
0002#STR0002#ALL#Registro ANS
0003#STR0003#ALL#Datos del beneficiario
0004#STR0004#ALL#Numero de la tarjeta
0005#STR0005#ALL#Plan
0006#STR0006#ALL#Nombre
0007#STR0007#ALL#Codigo en la operadora / RCPJ / RCPF
0008#STR0008#ALL#Nombre del contratado
0009#STR0009#ALL#Codigo CNES
0010#STR0010#ALL#Est/Prov/Reg
0011#STR0011#ALL#Nombre del profesional ejecutante
0012#STR0012#ALL#Codigo CBO S
0013#STR0013#ALL#C�digo tabla
0014#STR0014#ALL#Observacion
0015#STR0015#ALL#Fecha de la autorizacion
0016#STR0016#ALL#Contrasena
0017#STR0017#ALL#Fecha de validez de la contrasena
0018#STR0018#ALL#Nombre del profesional solicitante
0019#STR0019#ALL#Tabla
0020#STR0020#ALL#Codigo del procedimiento
0021#STR0021#ALL#Descripcion
0022#STR0022#ALL#Datos del contratado ejecutante
0023#STR0023#ALL#Hora inicial
0024#STR0024#ALL#Hora final
0025#STR0025#ALL#Cant.
0026#STR0026#ALL#% Red./Aumen.
0027#STR0027#ALL#Valor unitario - R$
0028#STR0028#ALL#Valor total - R$
0029#STR0029#ALL#Total materiales R$
0030#STR0030#ALL#Total medicamentos R$
0031#STR0031#ALL#Total gastos diarios R$
0032#STR0032#ALL#Total gases medicinales R$
0033#STR0033#ALL#Nombre del profesional
0034#STR0034#ALL#Total
0035#STR0035#ALL#Total general R$
0036#STR0036#ALL#Grado Part.
0037#STR0037#ALL#FORMULARIO DE OTROS GASTOS
0038#STR0038#ALL#N� de formulario autorizado
0039#STR0039#ALL#Codigo de gastos realizados
0040#STR0040#ALL#Cod. 
0041#STR0041#ALL#Gases medicinales
0042#STR0042#ALL#Medicamentos
0043#STR0043#ALL#Materiales
0044#STR0044#ALL#Tasas diversas
0045#STR0045#ALL#Gastos diarios
0046#STR0046#ALL#Alquileres
0047#STR0047#ALL#CD
0048#STR0048#ALL#Codigo del item
0049#STR0049#ALL#Total tasas diversas R$
0050#STR0050#ALL#Total alquileres R$
0051#STR0051#ALL#INFORME DE ANALISIS DE LA CUENTA MEDICA
0052#STR0052#ALL#INFORME DE ANALISIS DE LA CUENTA MEDICA
0053#STR0053#ALL#Nombre de la operadora
0054#STR0054#ALL#RCPJ Operadora
0055#STR0055#ALL#N�mero del informe
0056#STR0056#ALL#Fecha de emision del informe
0057#STR0057#ALL#Datos del prestador
0058#STR0058#ALL#Codigo del prestador / RCPJ / RCPF
0059#STR0059#ALL#Datos de la cuenta 
0060#STR0060#ALL#Numero de la factura
0061#STR0061#ALL#Numero del lote
0062#STR0062#ALL#Fecha de envio del lote
0063#STR0063#ALL#Numero del comprobante
0064#STR0064#ALL#Valor del comprobante (R$)
0065#STR0065#ALL#Valor glosa comprobante (R$)
0066#STR0066#ALL#Codigo glosa comprobante
0067#STR0067#ALL#Numero del Formulario/Contrasena
0068#STR0068#ALL#Nombre del beneficiario
0069#STR0069#ALL#Codigo del beneficiario
0070#STR0070#ALL#Fecha de realizacion
0071#STR0071#ALL#Descripcion del servicio
0072#STR0072#ALL#Codigo del servicio
0073#STR0073#ALL#Cant. Ejec.
0074#STR0074#ALL#Valor procesado (R$)
0075#STR0075#ALL#Valor liberado (R$)
0076#STR0076#ALL#Valor glosa (R$)
0077#STR0077#ALL#Codigo glosa
0078#STR0078#ALL#Total de formulario
0079#STR0079#ALL#Valor procesado formulario (R$)
0080#STR0080#ALL#Valor liberado formulario (R$)
0081#STR0081#ALL#Valor glosa formulario (R$)
0082#STR0082#ALL#Codigo glosa formulario
0083#STR0083#ALL#Total factura
0084#STR0084#ALL#Valor procesado factura (R$)
0085#STR0085#ALL#Valor liberado factura (R$)
0086#STR0086#ALL#Valor glosa factura (R$)
0087#STR0087#ALL#Total general
0088#STR0088#ALL#Valor procesado general (R$)
0089#STR0089#ALL#Valor liberado general (R$)
0090#STR0090#ALL#Valor glosa general (R$)
0091#STR0091#ALL#DEMONSTRATIVO DE PAGAMENTO
0092#STR0092#ALL#Datos del pago
0093#STR0093#ALL#Fecha del pago
0094#STR0094#ALL#Forma de pago
0095#STR0095#ALL#Credito en cuenta
0096#STR0096#ALL#Cartera
0097#STR0097#ALL#Boleta bancaria
0098#STR0098#ALL#Banco
0099#STR0099#ALL#Agencia
0100#STR0100#ALL#Numero de la cuenta/Cheque
0101#STR0101#ALL#Datos del resumen
0102#STR0102#ALL#Valor informado (R$)
0103#STR0103#ALL#Valor de la glosa (R$)
0104#STR0104#ALL#Total general valor informado (R$)
0105#STR0105#ALL#Total general valor procesado (R$)
0106#STR0106#ALL#Total general valor liberado (R$)
0107#STR0107#ALL#Total general glosa (R$)
0108#STR0108#ALL#Total valor
0109#STR0109#ALL#Otros descuentos o creditos
0110#STR0110#ALL#Total valor liberado
0111#STR0111#ALL#Fecha emision formulario
0112#STR0112#ALL#Numero del formulario principal
0113#STR0113#ALL#Empresa
0114#STR0114#ALL#Fecha de validez de la tarjeta
0115#STR0115#ALL#Telefono
0116#STR0116#ALL#Nombre del titular del plan
0117#STR0117#ALL#Numero en el CRO
0118#STR0118#ALL#Procedimientos ejecutados
0119#STR0119#ALL#Diente/Region
0120#STR0120#ALL#Cara
0121#STR0121#ALL#Cant.
0122#STR0122#ALL#Cantidad US
0123#STR0123#ALL#Valor
0124#STR0124#ALL#Franquicia/Coparticipacion R$
0125#STR0125#ALL#Firma
0126#STR0126#ALL#Fecha prevision termino del tratamiento
0127#STR0127#ALL#Tipo de atencion
0128#STR0128#ALL#Tratamiento odontologico
0129#STR0129#ALL#Examen radiologico
0130#STR0130#ALL#Ortodoncia
0131#STR0131#ALL#Urgencia/Emergencia 
0132#STR0132#ALL#Tipo de facturacion
0133#STR0133#ALL#Parcial 
0134#STR0134#ALL#Total cantidad US
0135#STR0135#ALL#Valor total R$
0136#STR0136#ALL#Total franquicia / Coparticipacion R$
0137#STR0137#ALL#Fecha, Lugar y Firma del cirujano dentista
0138#STR0138#ALL#Fecha, Lugar y firma del beneficiario/responsable
0139#STR0139#ALL#Fecha, Lugar y Sello de la empresa
0140#STR0140#ALL#FORMULARIO ODONTOLOGICO - SOLICITUD
0141#STR0141#ALL#Situaci�n inicial
0142#STR0142#ALL#Permanentes
0143#STR0143#ALL#Temporales
0144#STR0144#ALL#�Senales clinicas de enfermedad periodontal?
0145#STR0145#ALL#Si
0146#STR0146#ALL#No
0147#STR0147#ALL#�Modificacion de los tejidos blandos?
0148#STR0148#ALL#LEYENDA Y OBSERVACIONES SOBRE LA SITUACION INICIAL
0149#STR0149#ALL#A - Ausente
0150#STR0150#ALL#E - Extraccion indicada
0151#STR0151#ALL#H - Saludable
0152#STR0152#ALL#C - Cariado
0153#STR0153#ALL#R - Restaurado
0154#STR0154#ALL#Aut.
0155#STR0155#ALL#FORMULARIO ODONTOLOGICO - INFORME DE PAGO
0156#STR0156#ALL#FORMULARIO DE TRATAMIENTO ODONTOLOGICO - INFORME DE PAGO
0157#STR0157#ALL#Periodo de procesamiento
0158#STR0158#ALL# a la 
0159#STR0159#ALL#Codigo de la operadora
0160#STR0160#ALL#RFC/RCPJ contratado
0161#STR0161#ALL#Numero del formulario
0162#STR0162#ALL#Fecha de realizacion
0163#STR0163#ALL#Valor procesado (R$)
0164#STR0164#ALL#Valor Glosa/Reversion (R$)
0165#STR0165#ALL#Valor liberado (R$)
0166#STR0166#ALL#Motivo de la glosa
0167#STR0167#ALL#Valor total procesado formulario (R$)
0168#STR0168#ALL#Valor total glosa formulario (R$)
0169#STR0169#ALL#Valor total liberado formulario (R$)
0170#STR0170#ALL#Valor total procesado lote (R$)
0171#STR0171#ALL#Valor total glosa lote (R$)
0172#STR0172#ALL#Valor total liberado lote (R$)
0173#STR0173#ALL#Formulario originado de la internacion. Para imprimir ir a la Rutina de internacion.
0174#STR0174#ALL#Atencion recien nacido
0175#STR0175#ALL#FORMULARIO TRATAMIENTO ODONTOLOGICO
0176#STR0176#ALL#Datos del contratado responsable por el tratamiento
0177#STR0177#ALL#Fecha, lugar y firma del cirujano dentista solicitante
0178#STR0178#ALL#Datos del contratado
0179#STR0179#ALL#FORMULARIO TRATAMIENTO ODONTOLOGICO - SITUACION INICIAL
0180#STR0180#ALL#Valor general procesado (R$)
0181#STR0181#ALL#Valor general glosa (R$)
0182#STR0182#ALL#Valor general liberado (R$)
0183#STR0183#ALL#Otros debitos / creditos
0184#STR0184#ALL#Valor (R$)
0185#STR0185#ALL#Otros debitos / creditos no tributables
0186#STR0186#ALL#Impuestos
0187#STR0187#ALL#Totales
0188#STR0188#ALL#Valor total tributable (R$)
0189#STR0189#ALL#Valor total impuestos retenidos (R$)
0190#STR0190#ALL#Valor total no tributable (R$)
0191#STR0191#ALL#Valor final por cobrar (R$)
0192#STR0192#ALL#Empresa
 

PLSTISS4_PT-BR.TRES

 0001#STR0001#ALL#N�
0002#STR0002#ALL#Registro ANS
0003#STR0003#ALL#Dados do Benefici�rio
0004#STR0004#ALL#N�mero da Carteira
0005#STR0005#ALL#Plano
0006#STR0006#ALL#Nome
0007#STR0007#ALL#C�digo na Operadora / CNPJ / CPF
0008#STR0008#ALL#Nome do Contratado
0009#STR0009#ALL#C�digo CNES
0010#STR0010#ALL#UF
0011#STR0011#ALL#Nome do Profissional Executante
0012#STR0012#ALL#C�digo CBO S
0013#STR0013#ALL#C�digo Tabela
0014#STR0014#ALL#Observa��o
0015#STR0015#ALL#Data da Autoriza��o
0016#STR0016#ALL#Senha
0017#STR0017#ALL#Data Validade da Senha
0018#STR0018#ALL#Nome do Profissional Solicitante
0019#STR0019#ALL#Tabela
0020#STR0020#ALL#C�digo do Procedimento
0021#STR0021#ALL#Descri��o
0022#STR0022#ALL#Dados do Contratado Executante
0023#STR0023#ALL#Hora Inicial
0024#STR0024#ALL#Hora Final
0025#STR0025#ALL#Qtde.
0026#STR0026#ALL#% Red./Acresc.
0027#STR0027#ALL#Valor Unit�rio - R$
0028#STR0028#ALL#Valor Total - R$
0029#STR0029#ALL#Total Materiais R$
0030#STR0030#ALL#Total Medicamentos R$
0031#STR0031#ALL#Total Di�rias R$
0032#STR0032#ALL#Total Gases Medicinais R$
0033#STR0033#ALL#Nome do Profissional
0034#STR0034#ALL#Total
0035#STR0035#ALL#Total Geral R$
0036#STR0036#ALL#Grau Part.
0037#STR0037#ALL#GUIA DE OUTRAS DESPESAS
0038#STR0038#ALL#N� Guia Referenciada
0039#STR0039#ALL#C�digo de Despesas Realizadas
0040#STR0040#ALL#CD = 
0041#STR0041#ALL#Gases Medicinais
0042#STR0042#ALL#Medicamentos
0043#STR0043#ALL#Materiais
0044#STR0044#ALL#Taxas Diversas
0045#STR0045#ALL#Di�rias
0046#STR0046#ALL#Alugu�is
0047#STR0047#ALL#CD
0048#STR0048#ALL#C�digo do Item
0049#STR0049#ALL#Total Taxas Diversas R$
0050#STR0050#ALL#Total Alugu�is R$
0051#STR0051#ALL#DEMONSTRATIVO DE ANALISE DA CONTA MEDICA
0052#STR0052#ALL#DEMONSTRATIVO DE AN�LISE DA CONTA M�DICA
0053#STR0053#ALL#Nome da Operadora
0054#STR0054#ALL#CNPJ Operadora
0055#STR0055#ALL#N�mero do Demonstrativo
0056#STR0056#ALL#Data Emiss�o do Demonstrativo
0057#STR0057#ALL#Dados do Prestador
0058#STR0058#ALL#C�digo Prestador / CNPJ / CPF
0059#STR0059#ALL#Dados da Conta
0060#STR0060#ALL#N�mero da Fatura
0061#STR0061#ALL#N�mero do Lote
0062#STR0062#ALL#Data de Envio do Lote
0063#STR0063#ALL#N�mero do Protocolo
0064#STR0064#ALL#Valor Protocolo (R$)
0065#STR0065#ALL#Valor Glosa Protocolo (R$)
0066#STR0066#ALL#C�digo Glosa Protocolo
0067#STR0067#ALL#N�mero da Guia/Senha
0068#STR0068#ALL#Nome do Benefici�rio
0069#STR0069#ALL#C�digo do Benefici�rio
0070#STR0070#ALL#Data Realiza��o
0071#STR0071#ALL#Descri��o do Servi�o
0072#STR0072#ALL#C�digo Servi�o
0073#STR0073#ALL#Qtde Exec.
0074#STR0074#ALL#Valor Processado (R$)
0075#STR0075#ALL#Valor Liberado (R$)
0076#STR0076#ALL#Valor Glosa (R$)
0077#STR0077#ALL#C�digo Glosa
0078#STR0078#ALL#Total Guia
0079#STR0079#ALL#Valor Processado Guia (R$)
0080#STR0080#ALL#Valor Liberado Guia (R$)
0081#STR0081#ALL#Valor Glosa Guia (R$)
0082#STR0082#ALL#C�digo Glosa Guia
0083#STR0083#ALL#Total Fatura
0084#STR0084#ALL#Valor Processado Fatura (R$)
0085#STR0085#ALL#Valor Liberado Fatura (R$)
0086#STR0086#ALL#Valor Glosa Fatura (R$)
0087#STR0087#ALL#Total Geral
0088#STR0088#ALL#Valor Processado Geral (R$)
0089#STR0089#ALL#Valor Liberado Geral (R$)
0090#STR0090#ALL#Valor Glosa Geral (R$)
0091#STR0091#ALL#DEMONSTRATIVO DE PAGAMENTO
0092#STR0092#ALL#Dados do Pagamento
0093#STR0093#ALL#Data do Pagamento
0094#STR0094#ALL#Forma de Pagamento
0095#STR0095#ALL#Cr�dito em Conta
0096#STR0096#ALL#Carteira
0097#STR0097#ALL#Boleto Banc�rio
0098#STR0098#ALL#Banco
0099#STR0099#ALL#Ag�ncia
0100#STR0100#ALL#N�mero da conta/Cheque
0101#STR0101#ALL#Dados do Resumo
0102#STR0102#ALL#Valor Informado (R$)
0103#STR0103#ALL#Valor da Glosa (R$)
0104#STR0104#ALL#Total Geral Valor Informado (R$)
0105#STR0105#ALL#Total Geral Valor Processado (R$)
0106#STR0106#ALL#Total Geral Valor Liberado (R$)
0107#STR0107#ALL#Total Geral Glosa (R$)
0108#STR0108#ALL#Total Valor
0109#STR0109#ALL#Demais Descontos ou Cr�ditos
0110#STR0110#ALL#Total Valor Liberado
0111#STR0111#ALL#Data Emiss�o Guia
0112#STR0112#ALL#N�mero da Guia Principal
0113#STR0113#ALL#Empresa
0114#STR0114#ALL#Data Validade da Carteira
0115#STR0115#ALL#Telefone
0116#STR0116#ALL#Nome do Titular do Plano
0117#STR0117#ALL#N�mero no CRO
0118#STR0118#ALL#Procedimentos Executados
0119#STR0119#ALL#Dente/Regi�o
0120#STR0120#ALL#Face
0121#STR0121#ALL#Qtd
0122#STR0122#ALL#Quantidade US
0123#STR0123#ALL#Valor
0124#STR0124#ALL#Franquia/Co-participa��o R$
0125#STR0125#ALL#Assinatura
0126#STR0126#ALL#Data Previs�o T�rmino do Tratamento
0127#STR0127#ALL#Tipo de Atendimento
0128#STR0128#ALL#Tratamento Odontol�gico
0129#STR0129#ALL#Exame Radiol�gico
0130#STR0130#ALL#Ortodontia
0131#STR0131#ALL#Urg�ncia/Emerg�ncia 
0132#STR0132#ALL#Tipo de Faturamento
0133#STR0133#ALL#Parcial 
0134#STR0134#ALL#Total Quantidade US
0135#STR0135#ALL#Valor Total R$
0136#STR0136#ALL#Total Franquia / Co-Participa��o R$
0137#STR0137#ALL#Data, Local e Assinatura do Cirurgi�o Dentista
0138#STR0138#ALL#Data, Local e Assinatura do Benefici�rio/ Respons�vel
0139#STR0139#ALL#Data, Local e Carimbo da Empresa
0140#STR0140#ALL#GUIA ODONTOL�GICA - SOLICITA��O
0141#STR0141#ALL#Situa��o Inicial
0142#STR0142#ALL#Permanentes
0143#STR0143#ALL#Dec�duos
0144#STR0144#ALL#Sinais Cl�nicos de doen�a periodontal ?
0145#STR0145#ALL#Sim
0146#STR0146#ALL#N�o
0147#STR0147#ALL#Altera��o dos Tecidos Moles ?
0148#STR0148#ALL#LEGENDA E OBSERVA��ES SOBRE A SITUA��O INICIAL
0149#STR0149#ALL#A - Ausente
0150#STR0150#ALL#E - Extra��o Indicada
0151#STR0151#ALL#H - H�gido
0152#STR0152#ALL#C - Cariado
0153#STR0153#ALL#R - Restaurado
0154#STR0154#ALL#Aut
0155#STR0155#ALL#GUIA ODONTOL�GICA - DEMONSTRATIVO PAGAMENTO
0156#STR0156#ALL#GUIA TRATAMENTO ODONTOL�GICO - DEMONSTRATIVO DE PAGAMENTO
0157#STR0157#ALL#Per�odo de Processamento
0158#STR0158#ALL# � 
0159#STR0159#ALL#C�digo na Operadora
0160#STR0160#ALL#CPF/ CNPJ Contratado
0161#STR0161#ALL#N�mero da Guia
0162#STR0162#ALL#Data de Realiza��o
0163#STR0163#ALL#Valor Processado(R$)
0164#STR0164#ALL#Valor Glosa/Estorno(R$)
0165#STR0165#ALL#Valor Liberado(R$)
0166#STR0166#ALL#Motivo da Glosa
0167#STR0167#ALL#Valor Total Processado Guia(R$)
0168#STR0168#ALL#Valor Total Glosa Guia(R$)
0169#STR0169#ALL#Valor Total Liberado Guia (R$)
0170#STR0170#ALL#Valor Total Processado Lote(R$)
0171#STR0171#ALL#Valor Total Glosa Lote(R$)
0172#STR0172#ALL#Valor Total Liberado Lote (R$)
0173#STR0173#ALL#Guia Originada da Interna��o, para Impress�o ir a Rotina de Interna��o.
0174#STR0174#ALL#Atendimento Rec�m Nascido
0175#STR0175#ALL#GUIA TRATAMENTO ODONTOL�GICO
0176#STR0176#ALL#Dados do Contratado Respons�vel pelo Tratamento
0177#STR0177#ALL#Data, local e Assinatura do Cirurgi�o Dentista Solicitante
0178#STR0178#ALL#Dados do contratado
0179#STR0179#ALL#GUIA TRATAMENTO ODONTOL�GICO - SITUA��O INICIAL
0180#STR0180#ALL#Valor Geral Processado (R$)
0181#STR0181#ALL#Valor Geral Glosa (R$)
0182#STR0182#ALL#Valor Geral Liberado (R$)
0183#STR0183#ALL#Demais d�bitos / Cr�ditos
0184#STR0184#ALL#Valor (R$)
0185#STR0185#ALL#Demais d�bitos / cr�ditos n�o tribut�veis
0186#STR0186#ALL#Impostos
0187#STR0187#ALL#Totais
0188#STR0188#ALL#Valor Total Tribut�vel (R$)
0189#STR0189#ALL#Valor Total Impostos Retidos (R$)
0190#STR0190#ALL#Valor Total N�o Tribut�vel (R$)
0191#STR0191#ALL#Valor Final a Receber (R$)
0192#STR0192#ALL#Empresa
 

PLSTISS4_PT-PT.TRES

 (arquivo vazio ou sem linhas legiveis � comum em stubs de include; confira o arquivo em \include\ no Protheus.) 

PLSTISS4_RU.TRES

 0001#STR0001#ALL#�  
0002#STR0002#ALL#ANS Record Number
0003#STR0003#ALL#Beneficiary Data
0004#STR0004#ALL#Employee Card Number
0005#STR0005#ALL#����
0006#STR0006#ALL#��� 
0007#STR0007#ALL#Provider / CNPJ / CPF Code
0008#STR0008#ALL#Contracted Name
0009#STR0009#ALL#CNES Code
0010#STR0010#ALL#�����
0011#STR0011#ALL#Name of Executor Professional
0012#STR0012#ALL#Code CBO S
0013#STR0013#ALL#Table Code
0014#STR0014#ALL#����
0015#STR0015#ALL#���� �������.     
0016#STR0016#ALL#������  
0017#STR0017#ALL#Password Validity Date
0018#STR0018#ALL#Name of Requester Professional
0019#STR0019#ALL#����.
0020#STR0020#ALL#Procedure Code
0021#STR0021#ALL#��������   
0022#STR0022#ALL#���������. ����:
0023#STR0023#ALL#����� ���.
0024#STR0024#ALL#��. ��. 
0025#STR0025#ALL#�-��
0026#STR0026#ALL#% Red./Add.
0027#STR0027#ALL#Unitary Value - R$
0028#STR0028#ALL#Total Value - R$
0029#STR0029#ALL#Total Material R$
0030#STR0030#ALL#Total Medication R$
0031#STR0031#ALL#Daily Total R$
0032#STR0032#ALL#Medical Gases Total R$
0033#STR0033#ALL#Professional Name
0034#STR0034#ALL#���� 
0035#STR0035#ALL#Grand Total R$
0036#STR0036#ALL#Part. Degree
0037#STR0037#ALL#FORM OF OTHER EXPENSES
0038#STR0038#ALL#Reference Form No.
0039#STR0039#ALL#Expenses Executed Code
0040#STR0040#ALL#CD = 
0041#STR0041#ALL#Medical Gases
0042#STR0042#ALL#Medication
0043#STR0043#ALL#Material
0044#STR0044#ALL#Several Rates
0045#STR0045#ALL#Daily Rates
0046#STR0046#ALL#Rents
0047#STR0047#ALL#CD
0048#STR0048#ALL#Item Code
0049#STR0049#ALL#Several Rates Total R$
0050#STR0050#ALL#Total Rent R$
0051#STR0051#ALL#MEDICAL ACCOUNT STATEMENT ANALISIS
0052#STR0052#ALL#MEDICAL ACCOUNT STATEMENT ANALISIS
0053#STR0053#ALL#Provider Name
0054#STR0054#ALL#Provider CNPJ 
0055#STR0055#ALL#Statement Number
0056#STR0056#ALL#Statement Issue Date
0057#STR0057#ALL#Provider Data
0058#STR0058#ALL#Provider / CNPJ / CPF Code
0059#STR0059#ALL#Account Data
0060#STR0060#ALL#Invoice Number
0061#STR0061#ALL#Batch Number
0062#STR0062#ALL#Batch Delivery Date
0063#STR0063#ALL#Protocol Number
0064#STR0064#ALL#Protocol Value (R$)
0065#STR0065#ALL#Protocol Disallowance Value (R$)
0066#STR0066#ALL#Protocol Disallowance Code
0067#STR0067#ALL#Form/Password Number
0068#STR0068#ALL#Beneficiary Name
0069#STR0069#ALL#Beneficiary Code
0070#STR0070#ALL#Performance Date
0071#STR0071#ALL#Service Description
0072#STR0072#ALL#Service Code
0073#STR0073#ALL#Exec. Qty.
0074#STR0074#ALL#Processed Value (R$)
0075#STR0075#ALL#Released Value (R$)
0076#STR0076#ALL#Disallowance Value (R$)
0077#STR0077#ALL#Disallowance Code
0078#STR0078#ALL#Form Total
0079#STR0079#ALL#Form Processed Value (R$)
0080#STR0080#ALL#Form Released Value (R$)
0081#STR0081#ALL#Form Disallowance Value (R$)
0082#STR0082#ALL#Form Disallowance Code
0083#STR0083#ALL#��. �� ����� 
0084#STR0084#ALL#Invoice Processed Value (R$)
0085#STR0085#ALL#Invoice Released Value (R$)
0086#STR0086#ALL#Invoice Disallowance Value (R$)
0087#STR0087#ALL#����� ���� 
0088#STR0088#ALL#Grand Processed Value (R$)
0089#STR0089#ALL#Grand Released Value (R$)
0090#STR0090#ALL#Grand Disallowance Value (R$)
0091#STR0091#ALL#PAYMENT STATEMENTS
0092#STR0092#ALL#Payment Data
0093#STR0093#ALL#Payment Date
0094#STR0094#ALL#���� �������
0095#STR0095#ALL#Credit in Account
0096#STR0096#ALL#�������� 
0097#STR0097#ALL#Bank Bill
0098#STR0098#ALL#����
0099#STR0099#ALL#����� �����
0100#STR0100#ALL#Check/Account number
0101#STR0101#ALL#Summary Data
0102#STR0102#ALL#Indicated Value (R$)
0103#STR0103#ALL#Disallowance value (R$)
0104#STR0104#ALL#Indicated Value Grand Total (R$)
0105#STR0105#ALL#Processed Value Grand Total (R$)
0106#STR0106#ALL#Released Value Grand Total (R$)
0107#STR0107#ALL#Disallowance Total Value (R$)
0108#STR0108#ALL#���.�����. 
0109#STR0109#ALL#Other Discounts and Credits
0110#STR0110#ALL#Released Total Value
0111#STR0111#ALL#Form Issue Date
0112#STR0112#ALL#Number of the Main Form
0113#STR0113#ALL#����-� 
0114#STR0114#ALL#Employee Card Validity Date
0115#STR0115#ALL#Phone Number
0116#STR0116#ALL#Plan Holder Name
0117#STR0117#ALL#Number at CRO
0118#STR0118#ALL#Procedures Carried Out
0119#STR0119#ALL#Tooth/Region
0120#STR0120#ALL#Face
0121#STR0121#ALL#Qty
0122#STR0122#ALL#Quantity US
0123#STR0123#ALL#����.
0124#STR0124#ALL#Franchise / Co-Participation R$
0125#STR0125#ALL#�������  
0126#STR0126#ALL#Treatment Estimation End Date
0127#STR0127#ALL#Attendance Type
0128#STR0128#ALL#Radiological treatment
0129#STR0129#ALL#Radiological examination
0130#STR0130#ALL#Orthodontics
0131#STR0131#ALL#Urgency/Emergency 
0132#STR0132#ALL#Type of Invoicing
0133#STR0133#ALL#������.
0134#STR0134#ALL#Total Quantity US
0135#STR0135#ALL#Total Value R$
0136#STR0136#ALL#Total Franchise / Co-Participation R$
0137#STR0137#ALL#Date, Location and Dentist Signature
0138#STR0138#ALL#Date, Location and Beneficiary/Responsible Party Signature
0139#STR0139#ALL#Date, Location and Company Stamp
0140#STR0140#ALL#DENTAL FORM - REQUEST
0141#STR0141#ALL#Start Situation
0142#STR0142#ALL#��������.
0143#STR0143#ALL#Deciduous
0144#STR0144#ALL#Clinical Signs of periodontal disease?
0145#STR0145#ALL#�� 
0146#STR0146#ALL#��
0147#STR0147#ALL#Change of Soft Tissue 
0148#STR0148#ALL#CAPTION AND NOTES ON START SITUATION
0149#STR0149#ALL#A - Absent
0150#STR0150#ALL#E - Extraction Indicated
0151#STR0151#ALL#H - Healthy
0152#STR0152#ALL#C - Carious
0153#STR0153#ALL#R - Restored
0154#STR0154#ALL#Aut.
0155#STR0155#ALL#DENTAL FORM - PAYMENT STATEMENT
0156#STR0156#ALL#DENTAL TREATMENT FORM - PAYMENT STATEMENT
0157#STR0157#ALL#Processing Period
0158#STR0158#ALL# � 
0159#STR0159#ALL#Provider Code
0160#STR0160#ALL#Hired CPF/CNPJ
0161#STR0161#ALL#Form Number
0162#STR0162#ALL#Execution Date
0163#STR0163#ALL#Processed Value (R$)
0164#STR0164#ALL#Disallowance/Reversal Value (R$)
0165#STR0165#ALL#Released Value (R$)
0166#STR0166#ALL#������� ������     
0167#STR0167#ALL#Form Processed Total Value (R$)
0168#STR0168#ALL#Form Disallowance Total Value (R$)
0169#STR0169#ALL#Form Released Total Value (R$)
0170#STR0170#ALL#Batch Processed Total Value (R$)
0171#STR0171#ALL#Batch Disallowance Total Value (R$)
0172#STR0172#ALL#Batch Released Total Value (R$)
0173#STR0173#ALL#Form from Hospitalization for Printing go to Hospitalization Routine
0174#STR0174#ALL#Newborn Attendance
0175#STR0175#ALL#DENTAL TREATMENT GUIDE
0176#STR0176#ALL#Data from Hired Responsible by Treatment
0177#STR0177#ALL#Date, Location and Requesting Dentist Signature
0178#STR0178#ALL#Hired Data
0179#STR0179#ALL#DENTAL TREATMENT FORM - START STATUS
0180#STR0180#ALL#Processed General Value (R$)
0181#STR0181#ALL#Disallowance General Value (R$)
0182#STR0182#ALL#Released General Value (R$)
0183#STR0183#ALL#Other Debits/Credits
0184#STR0184#ALL#Value (R$)
0185#STR0185#ALL#Other debits/credits not taxable
0186#STR0186#ALL#���. 
0187#STR0187#ALL#����� 
0188#STR0188#ALL#Taxable Total Value (R$)
0189#STR0189#ALL#Withholding Taxes Total Value (R$)
0190#STR0190#ALL#Not Taxable Total Value (R$)
0191#STR0191#ALL#End Value Receivable (R$)
0192#STR0192#ALL#����-�