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NATIONAL HEALTH FUND – SYSTEMS AUDIT

Posted by WGITA Project On Jul 6, 2020

The purpose of the audit was to carry out an examination of the computer systems for the sale of health care vouchers for the beneficiaries, both in person and via the web, whether they are medical consultations or procedures with a provider that is in agreement, through free choice, including the functionality of medical licenses; and computer contracts related to the management and disbursement of benefits by ‘FONASA, for the period from January 2 to December 31, 2017. The purpose of the review was to verify the aspects related to the policies , norms, practices and control procedures that emanate from said processes. Also, verify the reliability, integrity and availability of the data, such as the interoperability of the systems.

In the same order of ideas, the number of transactions carried out on the platform and the hours in which they are carried out were analyzed in the Integrated Insurance Information System. In addition, the falls reported by time and conditions of degradation, intermittency and unavailability of the systems were validated based on the technical reports of incident records for the years 2017 and 2018.

Additionally, Compliance with the regulations related to ICT was evaluated, in accordance with the provisions of decrees NOS 83, of 2004, of the Ministry General Secretariat of the Presidency, which Approves Technical Standard for the organs of the State Administration on Security and Confidentiality of Electronic Documents; and 181, of 2002, which Approves Regulation of Law No. 19,799, on Electronic Documents, Electronic Signature and the Certification of said Firm, of the then Ministry of Economy, Development and Reconstruction, current Ministry of Economy, Development and Tourism.

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