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"source": "tenderer", "requirementGroups": [{"id": "1-1", "description": "La garant\u00eda debe ser de un cierto porcentaje, periodo y tipo", "requirements": [{"id": "1-1-1", "title": "Porcentaje de la garantia", "expectedValue": "5"}, {"id": "1-1-2", "title": "Validez de la garantia en d\u00edas", "expectedValue": "120"}]}]}], "enquiries": [{"id": "c04f743e51780faec6c520f7b2394254-1", "date": "2026-03-12T09:00:00-04:00", "title": "Localidades", "description": "En el apartado correspondiente a localidades donde se requiere disponibilidad de sanatorios, el PBC solicita contar con un sanatorio en el Departamento de Alto Paraguay.\nConsiderando que actualmente no existen sanatorios habilitados en el Departamento de Alto Paraguay, a diferencia de otros departamentos de la regi\u00f3n donde s\u00ed existen prestadores habilitados (por ejemplo, en el Departamento de Boquer\u00f3n).\nEn ese sentido, se solicita respetuosamente evaluar la eliminaci\u00f3n de dicha localidad dentro de los requisitos de red de prestadores, o en su defecto admitir el criterio de proximidad con prestadores habilitados en departamentos cercanos, a efectos de garantizar la viabilidad del cumplimiento del requisito establecido en el PBC.", "answer": "Favor remitirse a lo establecido en la Adenda N\u00b0 1.", "dateAnswered": "2026-03-23T07:09:02-04:00"}, {"id": "d11aff7b4add1647114666be5bf4eae4-1", "date": "2026-03-12T08:58:28-04:00", "title": "Cantidad m\u00ednima de titulares", "description": "En el PBC se mencionan distintas referencias respecto a la cantidad m\u00ednima de titulares, observ\u00e1ndose que en un apartado se indica un m\u00ednimo de 340 titulares, mientras que en otro se menciona 325 titulares, manteni\u00e9ndose en ambos casos un m\u00e1ximo de 650 titulares.\nA efectos de una correcta elaboraci\u00f3n de la oferta y considerando que la cantidad de titulares incide directamente en la estructura de costos del servicio, se solicita a la Convocante aclarar cu\u00e1l es la cantidad m\u00ednima de titulares que debe considerarse para la cotizaci\u00f3n", "answer": "Favor remitirse a lo establecido en la Adenda N\u00b0 1.", "dateAnswered": "2026-03-23T07:08:20-04:00"}, {"id": "d1ef306887c6aeb7ceef014bd18cdad7-1", "date": "2026-03-12T10:10:02-04:00", "title": "Ambulancia para traslados (orden m\u00e9dica obligatoria)", "description": "En el apartado correspondiente al servicio de ambulancia para traslados, se menciona el traslado desde un centro asistencial a otro o al domicilio del paciente en caso de problemas de movilidad.\nConsiderando que la indicaci\u00f3n de traslados sanitarios debe responder a criterios cl\u00ednicos, se consulta a la Convocante si corresponde aclarar que el servicio de traslado deber\u00e1 contar necesariamente con orden m\u00e9dica que certifique la limitaci\u00f3n o dificultad de movilidad del paciente, a fin de justificar la indicaci\u00f3n del servicio", "answer": "Favor remitirse a lo establecido en la Adenda N\u00b0 1.", "dateAnswered": "2026-03-23T07:09:16-04:00"}, {"id": "d8587b58a131115466c3e4ad4ec0ad9b-1", "date": "2026-03-12T08:59:53-04:00", "title": "Especialidades Requeridas", "description": "En el listado de especialidades m\u00e9dicas requeridas, se menciona la \u201cHomeopat\u00eda\u201d. Sin embargo, en el apartado correspondiente a prestaciones sin cobertura, se indica que la homeopat\u00eda no cuenta con cobertura dentro del plan.\nEn ese sentido, se solicita a la Convocante eliminar la \"especialidad\" de Homeopat\u00eda del listado de especialidades requeridas, considerando que el servicio se encuentra expresamente indicado como sin cobertura en el PBC, teniendo en cuenta adem\u00e1s que la homeopat\u00eda no constituye una especialidad m\u00e9dica reconocida por el Ministerio de Salud P\u00fablica y Bienestar Social.", "answer": "Favor remitirse a lo establecido en la Adenda N\u00b0 1.", "dateAnswered": "2026-03-23T07:08:53-04:00"}, {"id": "831a8ef80a78843900fb06741ff52909-1", "date": "2026-03-12T08:59:20-04:00", "title": "Cobertura en procedimientos de alta complejidad", "description": "En el apartado Medicina de Alta Complejidad, el PBC establece que el criterio general ser\u00e1 una cobertura del 50% para honorarios m\u00e9dicos y pr\u00f3tesis, con cobertura de derechos operatorios.\nDentro del mismo apartado se mencionan algunos procedimientos espec\u00edficos (por ejemplo: nefrectom\u00eda parcial y/o radical, cirug\u00eda oftalmol\u00f3gica especializada, cirug\u00eda de miop\u00eda y astigmatismo) indicando cobertura del 100%.\nConsiderando que dichos procedimientos se encuentran incluidos dentro del apartado de Medicina de Alta Complejidad, se consulta a la Convocante si corresponde aplicar el criterio general del 50% para honorarios y pr\u00f3tesis establecido para este \u00edtem, manteni\u00e9ndose cubiertos los derechos operatorios conforme lo indicado en el PBC", "answer": "Favor remitirse a lo establecido en la Adenda N\u00b0 1.", "dateAnswered": "2026-03-23T07:08:38-04:00"}, {"id": "24deb1cb0a96518e1ce593851478049c-1", "date": "2026-03-12T08:58:42-04:00", "title": "Superposici\u00f3n de franjas etarias en adherentes:", "description": "En la tabla correspondiente a beneficiarios adherentes, se observan franjas etarias de \u201cotros familiares de 0 a 40 a\u00f1os\u201d y posteriormente \u201cotros familiares de 0 a 50 a\u00f1os\u201d, con distintos porcentajes de aporte.\nDicha redacci\u00f3n genera una superposici\u00f3n de rangos etarios, lo que podr\u00eda generar interpretaciones distintas al momento de aplicar los porcentajes de aporte correspondientes.\nEn ese sentido, se solicita a la Convocante aclarar y corregir la redacci\u00f3n del segundo rango etario, entendiendo que el mismo corresponder\u00eda a la franja de 41 a 50 a\u00f1os, a fin de evitar superposiciones y garantizar una correcta aplicaci\u00f3n de las condiciones establecidas en el PBC", "answer": "Favor remitirse a lo establecido en la Adenda N\u00b0 1.", "dateAnswered": "2026-03-23T07:08:28-04:00"}, {"id": "a3d240e22c4be3474c403dcf8d6327c7-1", "date": "2026-03-12T10:10:18-04:00", "title": "Anexo A \u2013 Listado limitativo de estudios", "description": "En el Anexo A \u2013 Listado de estudios, se menciona que el listado tiene car\u00e1cter limitativo; sin embargo, tambi\u00e9n se indica que deber\u00e1 incluir todos los tipos posibles con sus diferentes variables.\nConsiderando que el propio PBC establece que el listado es limitativo, corresponde corregir la redacci\u00f3n que se\u00f1ala que deber\u00e1n incluirse todos los tipos posibles, a fin de mantener el car\u00e1cter limitativo del listado y evitar interpretaciones err\u00f3neas.", "answer": "Favor remitirse a lo establecido en la Adenda N\u00b0 1.", "dateAnswered": "2026-03-23T07:09:27-04:00"}, {"id": "771767dd224a2ce5313f8c90f9919b0e-1", "date": "2026-03-12T10:10:23-04:00", "title": "Centellograf\u00eda \u00f3sea \u2013 porcentaje de cobertura", "description": "En el apartado correspondiente a centellograf\u00eda \u00f3sea, se indica cobertura del 100%, mientras que en el apartado de Medicina Nuclear se establece una cobertura del 70% para estudios de dicha especialidad.\nConsiderando que la centellograf\u00eda \u00f3sea corresponde a un estudio de Medicina Nuclear, corresponde aclarar que la cobertura aplicable es del 70%, conforme al porcentaje establecido para los procedimientos de esa especialidad", "answer": "Favor remitirse a lo establecido en la Adenda N\u00b0 1.", "dateAnswered": "2026-03-23T07:09:34-04:00"}, {"id": "5ddc640b2383814a663236675ec1d798-1", "date": "2026-03-12T08:59:47-04:00", "title": "N\u00famero de sesiones de quimioterapia", "description": "En el apartado Medicina de Alta Complejidad, el PBC menciona:\n\u201cQuimioterapia, hasta 3 sesiones\u201d.\n\u201cQuimioterapia con medicamentos incluidos: cobertura del 100% hasta 6 sesiones y medicamentos oncol\u00f3gicos por valor de Gs. 8.000.000\u201d.\nConsiderando que ambas referencias corresponden a tratamientos de quimioterapia dentro del mismo apartado, se solicita a la Convocante aclarar cu\u00e1l es el l\u00edmite de sesiones que debe considerarse para la cobertura.", "answer": "Favor remitirse a lo establecido en la Adenda N\u00b0 1.", "dateAnswered": "2026-03-23T07:08:46-04:00"}, {"id": "8825d29711dca2cf955c1b6abfb10303-1", "date": "2026-03-12T08:54:30-04:00", "title": "CAPACIDAD T\u00c9CNICA - REQUISITO DOCUMENTAL", "description": "En relaci\u00f3n con el apartado Capacidad T\u00e9cnica, se establece que el oferente deber\u00e1:\na)\tDetallar en car\u00e1cter de declaraci\u00f3n jurada el listado de sanatorios, servicios de urgencias, im\u00e1genes, laboratorios, ambulancias, centros de diagn\u00f3stico, fisioterapia, quinesioterapia, centros de especialidad pedi\u00e1trica y otros solicitados, para Asunci\u00f3n, Gran Asunci\u00f3n e interior del pa\u00eds.\nb)\tAdjuntar copia de contrato vigente con los prestadores.\nc)\tPresentar adem\u00e1s una carta compromiso de cada uno de los prestadores propuestos, en la que indiquen que prestar\u00e1n servicios a los funcionarios de la ANNP en caso de adjudicaci\u00f3n.\nAl respecto, se consulta respetuosamente a la Convocante si resultar\u00eda suficiente la presentaci\u00f3n de los contratos vigentes con los prestadores, considerando que dichos instrumentos contractuales ya acreditan formalmente la existencia de la relaci\u00f3n y el compromiso de prestaci\u00f3n de servicios. En ese sentido, la exigencia adicional de cartas compromiso individuales de cada prestador podr\u00eda implicar una duplicaci\u00f3n documental respecto del v\u00ednculo ya acreditado mediante contrato vigente.\nPor lo expuesto, se solicita a la Convocante evaluar la posibilidad de eliminar el requisito adicional de carta compromiso, a efectos de simplificar la acreditaci\u00f3n documental sin afectar la verificaci\u00f3n de la capacidad t\u00e9cnica del oferente", "answer": "Favor remitirse a lo establecido en la Adenda N\u00b0 1.", "dateAnswered": "2026-03-23T07:08:09-04:00"}], "lots": [{"id": "1f100ed1-bea7-6c88-a706-35dccd356ae1", "title": "1 - 1 - CONTRATACION DE SEGURO MEDICO PARA FUNCIONARIOS DE LA ANNP", "status": "active", "statusDetails": "activo", "value": {"amount": 14380891200, "currency": "PYG"}, "openContractType": "cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "1", "id": "1"}]}], "items": [{"id": 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