CUPOSALUD IPS SAS Fecha impresión

812003739-3 Codigo : 702210164001 Hora de imprersión

CRA. 5 N°.4A-8 - 2960010

RELACIÓN DE FACTURAS 01/01/2018 - 01/01/20

Administradora : MUTUAL SER Tipo de Contr
No. Atención Fecha Usuario Valor
ESS207
21771 02/01/2018 CC 1067936 RODRIGUEZ GUZMAN DIANA PAOLA 126,908.00
21860 02/01/2018 CC 1065374 SALAS BUSTAMANTE JAIR ANDRES 95,325.00
21865 02/01/2018 CC 3288813 PORTA FONTALVO YASMIN MARIA 45,168.00
21884 02/01/2018 CC 1096204 LOPEZ SUAREZ YOLIMA 58,662.00
22110 02/01/2018 TI 1003368 AGRESOTT BELTRAN JOSE ADALBERTO 108,920.00
22269 02/01/2018 CC 2601405 MONTERROZA ALVAREZ ALICIA 96,291.00
22277 02/01/2018 CC 1102809 LIDUEÑA CARDEÑO LINA MARIA 127,308.00
22650 02/01/2018 CC 1562166 LOPEZ MARTINEZ WILLIAN 114,020.00
22660 02/01/2018 CC 2600810 PICO VEGA ONEIDA DEL CARMEN 45,194.00
22734 02/01/2018 CC 1007543 RICO CARDENAS NATHALYA JUDITH 122,108.00
22743 02/01/2018 CC 1072526 GONZALEZ RAMOS M0NICA MARIA 110,920.00
22752 02/01/2018 CC 1007543 RICO CARDENAS NATHALYA JUDITH 150,054.00
22753 02/01/2018 CC 1072530 ACOSTA PADILLA MARIA LUISA 105,270.00
22829 02/01/2018 CC 1102846 MATURANA NARVAEZ BETTY DEL CARMEN 105,270.00
22851 02/01/2018 CC 1131106 FERNANDEZ VELASQUEZ ANGIE PAOLA 105,850.00
22956 02/01/2018 CC 2600732 MERCADO DIAZ MINELLYS DOMINGA 111,025.00
22977 02/01/2018 CC 1072522 CARDONA SEPULVEDA MARIANA 60,256.00
23027 02/01/2018 RC 1063174 POLO MONTALVO LUIS ANGEL 116,185.00
23050 02/01/2018 TI 1193093 VERGARA LOBO KEILY JOHANA 112,184.00
26601 05/01/2018 RC 1062682 LOPEZ MERCADO DIDIER 54,584.00
25228 09/01/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER 15,463.00
25345 11/01/2018 CC 2578524 BETIN PAEZ BLEIDIS 27,435.00
27116 11/01/2018 CC 1149451 ARIZA GONZALEZ INGRIS KATERINE 68,989.00
26296 15/01/2018 CC 1063301 OLIVERO SIERRA DIANA MARCELA 101,091.00
26712 18/01/2018 CC 1561996 MORELO MARTINEZ ALGEMIRO ANTONIO 101,091.00
26280 19/01/2018 CC 7385578 DIAZ MARTINEZ LEONEL ANTONIO 127,374.00
26303 21/01/2018 RC 1103508 GONZALEZ VARGAS SAMUEL DAVID 104,191.00
26304 21/01/2018 CC 1063156 CABRIA MARTINEZ YULIET 133,474.00
27069 22/01/2018 CC 3064760 MARQUEZ MARTINEZ CARMEN ALICIA 75,163.00
26620 24/01/2018 CC 9242855 CHEVEL REVUELTA JOSE ALFREDO 125,126.00
26873 25/01/2018 RC 1103512 MONTERROZA MEJIA WENDI YOLANIS 112,236.00
23965 26/01/2018 TI 1003369 PEREZ SALOM YONNIER ESTIH 84,737.00
24836 26/01/2018 CC 1067403 SALAS BUSTAMANTE BIBIANA MARGARITA 52,762.00
26856 27/01/2018 CC 9242855 CHEVEL REVUELTA JOSE ALFREDO 125,226.00
26876 27/01/2018 CC 3927792 MONTERROZA GRACIANO VIRGELINA DEL SOCOR 133,074.00
20620 29/01/2018 CC 1072528 PANTOJA ATENCIO SAIDITH 56,012.00
23584 29/01/2018 CC 1131110 DORIA MENDOZA ZORAIMA 27,435.00
27325 30/01/2018 TI 1067402 BELTRAN PESTANA JUNIOR 59,909.00
29408 01/02/2018 CC 1072527 NUÑEZ TALAIGUA JORGE 117,486.00
27705 06/02/2018 CC 1003367 CONEO MADRID MILENA MARIA 115,586.00
27959 06/02/2018 CC 1003368 PEREZ PATERNINA KARINA PAOLA 110,086.00
29490 08/02/2018 CC 5098895 SUAREZ SOLANO LUZ MARY 124,650.00
29276 10/02/2018 CC 2791593 MONTAÑO MONTOYA ARMANDO CESAR 48,448.00
29461 14/02/2018 CC 1568369 MENDOZA CORTINAS JOSE DARIO 126,110.00
29487 16/02/2018 CC 9038362 MOGUEA LAGARES PEDRO 85,591.00
29301 17/02/2018 CC 1038104 LOPEZ BANQUICETH ELIECER 116,586.00
28258 18/02/2018 CC 6470301 VARGAS MEDINA KATHERINE DEL ROSARIO 50,809.00
28238 19/02/2018 CC 7801010 VELEZ BALLESTA RODRIGO ANTONIO 19,902.00
28239 19/02/2018 CC 7801010 VELEZ BALLESTA RODRIGO ANTONIO 102,579.00
31317 19/02/2018 CC 5098954 TRRES MARTINEZ ARLEIDA 113,886.00
28605 21/02/2018 CC 2600571 CHICA SUAREZ NERVITA 110,636.00
28580 22/02/2018 RC 1196971 ALEAN PEÑATE YOEL DE JESUS 11,997.00
29415 22/02/2018 CC 2580093 SOTELO SIERRA ISAURA ISABEL 519,290.00
28686 24/02/2018 TI 1063136 RAMOS PEREZ LUISA FERNANDA 55,859.00
29086 26/02/2018 CC 1502478 CONDE RUIZ LUIS MIGUEL 163,490.00
28871 27/02/2018 CC 7801010 VELEZ BALLESTA RODRIGO ANTONIO 35,991.00
28885 28/02/2018 RC 1131111 VEGA ACOSTA SALOME 8,962.00
29412 28/02/2018 CC 1502478 CONDE RUIZ LUIS MIGUEL 150,890.00
29304 01/03/2018 CC 1566198 ORTIZ GAMERO ROBERTO 61,969.00
29701 01/03/2018 CC 1065374 SALAS BUSTAMANTE JAIR ANDRES 66,059.00
29191 02/03/2018 CC 1100628 JULIO VILLEGAS MARIA CLAUDIA 551,330.00
30230 03/03/2018 CC 1131108 RAMOS AGAMEZ ORLEIDA PAOLA 56,409.00
29204 05/03/2018 CC 7801010 VELEZ BALLESTA RODRIGO ANTONIO 52,731.00
29250 06/03/2018 CC 3064760 MARQUEZ MARTINEZ CARMEN ALICIA 172,644.00
30158 07/03/2018 CC 1562166 LOPEZ MARTINEZ WILLIAN 119,146.00
 CUPOSALUD IPS SAS Fecha impresión
812003739-3 Codigo : 702210164001 Hora de imprersión

CRA. 5 N°.4A-8 - 2960010

RELACIÓN DE FACTURAS 01/01/2018 - 01/01/20

Administradora : MUTUAL SER Tipo de Contr
No. Atención Fecha Usuario Valor
ESS207
30124 08/03/2018 CC 3064760 MARQUEZ MARTINEZ CARMEN ALICIA 342,530.00
29548 11/03/2018 CC 5089144 FLOREZ FERNANDEZ SANDRA PATRICIA 131,474.00
29469 12/03/2018 CC 7801010 VELEZ BALLESTA RODRIGO ANTONIO 37,851.00
29938 13/03/2018 CC 1003655 MORALES LADEUTH CESAR ANDRES 113,486.00
29695 18/03/2018 RC 1062530 YEPES CORDERO MELISA 351,160.00
29696 18/03/2018 CC 1045745 GOMEZ CARTA JESUS DAVID 118,286.00
30132 20/03/2018 CC 2600571 CHICA SUAREZ NERVITA 161,325.00
30133 20/03/2018 TI 1193093 VERGARA LOBO KEILY JOHANA 53,549.00
29777 21/03/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 29,109.00
29936 21/03/2018 CC 1193101 SUAREZ SUAREZ CARMEN HELENA 322,009.00
29840 22/03/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 29,109.00
29841 22/03/2018 TI 1007980 GULFO MALDONADO BRAYAN DAVID 29,109.00
29892 23/03/2018 RC 1131111 JIMENEZ DORIA SKARLETT 29,109.00
29893 23/03/2018 CC 1063167 DORIA URANGO YESICA YULIETH 29,109.00
29957 24/03/2018 CC 1003063 OTERO DE AGUSTIN YISNEIDA PAOLA 124,650.00
29980 24/03/2018 CC 1572646 LOPEZ SIMANCA JIMMY XIOMAR 110,636.00
29986 26/03/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 115,506.00
29988 26/03/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 32,271.00
30027 26/03/2018 RC 1131111 JIMENEZ DORIA SKARLETT 8,962.00
30139 26/03/2018 TI 1067400 MONTERROZA MEZA LUISA FERNANDA 134,090.00
30226 29/03/2018 CC 1003214 SUAREZ CASTILLO CARMEN CECILIA 182,613.00
30324 29/03/2018 CC 2612702 MORALES MARQUEZ ELIDA MERCEDES 154,670.00
30432 30/03/2018 CC 5091368 DIAZ CALDERIN MAXIMA DEL CARMEN 47,865.00
30196 02/04/2018 TI 1137531 ARIZA GULFO JEISON ANDRES 29,109.00
30197 02/04/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 29,109.00
30212 02/04/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 3,999.00
30336 04/04/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 59,799.00
30337 04/04/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 52,824.00
30356 04/04/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 19,902.00
30357 04/04/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 120,063.00
30364 04/04/2018 CC 5091368 DIAZ CALDERIN MAXIMA DEL CARMEN 31,300.00
31594 04/04/2018 CC 1193030 FLOREZ PEÑA ONALVIS ANTONIO 101,091.00
30502 05/04/2018 CC 1504960 TORO COLON MARTIN EMILIO 105,220.00
31108 06/04/2018 CC 2321587 MARTINEZ FERIA ZARAMY 168,796.00
30626 08/04/2018 CC 2321587 MARTINEZ FERIA ZARAMY 56,309.00
30696 10/04/2018 TI 1007980 GULFO MALDONADO BRAYAN DAVID 29,109.00
30712 10/04/2018 CC 2280038 GULFO MALDONADO DINA LUZ 40,362.00
30713 10/04/2018 CC 2280038 GULFO MALDONADO DINA LUZ 102,579.00
30826 11/04/2018 CC 1103813 ROJAS PATRON ELIAS MANUEL 104,191.00
31606 11/04/2018 CC 1102862 OVIEDO DEAVILA SURIS SARAY 59,909.00
31112 13/04/2018 TI 1193585 NIEBLES ROMERO DANNA MILETH 160,093.00
31111 14/04/2018 RC 1131108 TALAIGUA PANTOJA JEFFERSON 497,884.00
31122 15/04/2018 CC 4545038 OSPINO GUERRERO ROSARIO 67,577.00
31567 16/04/2018 RC 1065378 DIAZ DORIA ESTEBAN ANDRES 11,997.00
31411 18/04/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 25,854.00
32108 19/04/2018 CC 3672124 CORREA CASTILLO MELIX MANUEL 114,686.00
31506 20/04/2018 CC 5091368 DIAZ CALDERIN MAXIMA DEL CARMEN 129,456.00
31667 24/04/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 29,109.00
31668 24/04/2018 CC 5091368 DIAZ CALDERIN MAXIMA DEL CARMEN 29,109.00
31704 24/04/2018 CC 1131110 DORIA MENDOZA ZORAIMA 29,109.00
31705 24/04/2018 CC 1193152 DONADO PESTANA CLAUDIA PATRICIA 115,730.00
32118 25/04/2018 CC 7038342 SOTO CIRO GIOVANI ALBERTO 166,817.00
31750 26/04/2018 CC 1003369 CARRILLO DIAZ CLAUDIA PATRICIA 114,686.00
31817 27/04/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER 8,962.00
31895 30/04/2018 CC 2595179 ARTEAGA HERNANDEZ MARIA DE LOS ANGELES 55,459.00
32560 01/05/2018 CC 2600842 SALCEDO RUIZ ARELIS DEL CARMEN 110,636.00
32561 01/05/2018 CC 1063163 TAPIA MORALES MARIA JOSE 59,909.00
32888 01/05/2018 CC 1193089 HERNANDEZ CARET NEYIS MARIA 121,011.00
33481 03/05/2018 CC 1100335 PESTANA VEGA YURAMIS 572,408.00
32092 04/05/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER 29,109.00
32181 05/05/2018 CC 1131108 BARRIOS PANTOJA RUBIEL 104,591.00
32205 07/05/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 29,109.00
33107 08/05/2018 CC 1562166 LOPEZ MARTINEZ WILLIAN 117,786.00
 32330 09/05/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 31,062.00
32393 09/05/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 48,360.00

CUPOSALUD IPS SAS Fecha impresión

812003739-3 Codigo : 702210164001 Hora de imprersión

CRA. 5 N°.4A-8 - 2960010

RELACIÓN DE FACTURAS 01/01/2018 - 01/01/20

Administradora : MUTUAL SER Tipo de Contr
No. Atención Fecha Usuario Valor
ESS207
32464 09/05/2018 CC 1003061 MANRIQUE HERNANDEZ ROSALBA 53,549.00
32465 09/05/2018 CC 1072526 GONZALEZ RAMOS M0NICA MARIA 120,526.00
33505 10/05/2018 RC 1067404 PATERNINA CONEO ARMANDO JOSE 55,859.00
32532 11/05/2018 RC 1138678 MARMOLEJO JULIO SANTIAGO DAVID 317,709.00
32554 11/05/2018 CC 1104864 RAMOS VITOLA VIVIANA 58,049.00
32527 12/05/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 29,109.00
32540 12/05/2018 TI 1043651 NARANJO GULFO ANDREA CAROLINA 60,933.00
32541 12/05/2018 RC 1131111 BARRIOS BANQUET LUIS ANTONY 58,084.00
33484 13/05/2018 CC 1072529 ARROYO PICO PAOLAQ ANDREA 114,686.00
32697 14/05/2018 TI 1103500 ROMERO PERALTA ANDRES ALEJANDRO 116,450.00
32737 15/05/2018 CC 1101814 HERRERA DE AVILA LUISA MARIA 60,333.00
32757 15/05/2018 CC 1131109 GOMEZ FERIA ESTEFANY 64,577.00
33041 15/05/2018 CC 1067928 PUELLO HERNANDEZ GREGOTIS MICHELL 128,274.00
33034 16/05/2018 CC 1070814 CANCHILA PACHECO JOSE LUIS 122,886.00
32883 20/05/2018 CC 1051818 RODRIGUEZ FLOREZ ALVARO JAVIER 63,359.00
33501 20/05/2018 TI 1131104 TORRES PEREZ NAYERLIS SOFIA 121,336.00
32957 21/05/2018 TI 1131105 FERIA DE HOYOS DAYANA 117,386.00
33212 21/05/2018 CC 4544739 DONADO CARDENAS ENEIDA ROSA 109,950.00
33494 21/05/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 111,736.00
33139 24/05/2018 TI 1137531 ARIZA GULFO JEISON ANDRES 29,109.00
33141 24/05/2018 CC 2280038 GULFO MALDONADO DINA LUZ 29,109.00
33144 24/05/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER 29,109.00
33149 24/05/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER 8,962.00
33154 24/05/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 18,879.00
33160 24/05/2018 RC 1131111 JIMENEZ DORIA SKARLETT 29,109.00
33477 24/05/2018 CC 1003061 MANRIQUE HERNANDEZ ROSALBA 121,426.00
33476 25/05/2018 CC 1104868 MORALES MONTES DADELIS AIDITH 144,443.00
33503 26/05/2018 CC 8790113 BORRERO CASTAÑEDA GONZALO 168,759.00
33499 27/05/2018 CC 1131110 DONADO SANCHEZ JENISFERTH 122,936.00
33376 28/05/2018 CC 5085940 ACOSTA CAUSIL LEONOR CONSUELO 111,886.00
33469 28/05/2018 CC 2600575 RODRIGUEZ ESTRADA ADALGISA MARIA 493,109.00
33490 29/05/2018 TI 1072524 LOPEZ BENITEZ ROBIN ANDRES 109,241.00
33325 30/05/2018 CC 1003100 MARTINEZ SUAREZ YUDI 29,109.00
33355 30/05/2018 CC 1003100 MARTINEZ SUAREZ YUDI 25,854.00
33413 30/05/2018 CC 1102846 MATURANA NARVAEZ BETTY DEL CARMEN 159,593.00
33435 30/05/2018 CC 1003100 MARTINEZ SUAREZ YUDI 7,254.00
33416 31/05/2018 CC 4575872 CASTRO BETIN EMILCE DEL CARMEN 88,113.00
33432 01/06/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 3,627.00
34826 03/06/2018 CC 1003063 OTERO DE AGUSTIN YISNEIDA PAOLA 125,134.00
33916 04/06/2018 CC 1104422 VIDES GOEZ YISELA ESTELA 124,650.00
33917 04/06/2018 CC 1102854 PEREZ TOSCANO CANDIDA ROSA 108,326.00
33964 04/06/2018 TI 1193585 NIEBLES ROMERO DANNA MILETH 149,493.00
34176 04/06/2018 TI 1192748 PARRA TOSCANO MARIA JOSE 108,326.00
34177 04/06/2018 CC 6470440 TOSCANO MEDRANO MISLEN YOMAIDA 115,910.00
34178 04/06/2018 CC 4092743 BELLO YANEZ VILMA EDITH 55,459.00
34929 06/06/2018 TI 1131105 AVILA MORENO ALEXANDER 124,650.00
34930 06/06/2018 RC 1062682 LOPEZ MERCADO DIDIER 189,958.00
34187 07/06/2018 CC 1104864 RAMOS VITOLA VIVIANA 114,326.00
34190 07/06/2018 CC 1131110 GONZALEZ MEJIA LAUDITH 111,261.00
34908 07/06/2018 CC 6448036 HERNANDEZ ROMERO ADRIANA GREGORIA 113,736.00
34893 09/06/2018 CC 5098972 RINCO TORRES BEATRIZ ELENA 57,909.00
34185 10/06/2018 CC 3066935 BLANCO SMITH ADA LUZ 110,861.00
33869 12/06/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 29,109.00
33984 14/06/2018 TI 1007980 GULFO MALDONADO BRAYAN DAVID 19,902.00
33985 14/06/2018 TI 1007980 GULFO MALDONADO BRAYAN DAVID 185,907.00
34798 15/06/2018 CC 1502478 CONDE RUIZ LUIS MIGUEL 125,186.00
34515 17/06/2018 CC 2600575 RODRIGUEZ ESTRADA ADALGISA MARIA 506,007.00
49379 17/06/2018 RC 1048461 LOPEZ MESTRA THIAGO 138,156.00
49414 17/06/2018 CC 1193057 MERCADO CHIMA TERESA DEL CARMEN 124,048.00
34335 20/06/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 3,627.00
34470 20/06/2018 RC 1131111 SUAREZ DORIA ADRIAN JOSE 11,625.00
 34517 22/06/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER 8,962.00
34818 22/06/2018 CC 1003263 ARRIETA MARQUEZ MARCILIS 114,686.00
34523 23/06/2018 CC 2611765 GARAY MENDOZA DUVERLY 118,710.00
34909 24/06/2018 RC 1072527 CORREA BERRIO JOSE ARMANDO 104,098.00

CUPOSALUD IPS SAS Fecha impresión

812003739-3 Codigo : 702210164001 Hora de imprersión

CRA. 5 N°.4A-8 - 2960010

RELACIÓN DE FACTURAS 01/01/2018 - 01/01/20

Administradora : MUTUAL SER Tipo de Contr
No. Atención Fecha Usuario Valor
ESS207
34911 24/06/2018 RC 1131111 SUAREZ DORIA ADRIAN JOSE 112,236.00
34978 24/06/2018 CC 2611765 GARAY MENDOZA DUVERLY 125,450.00
34979 24/06/2018 RC 1103752 PATIÑO SUAREZ KATHERIN 90,066.00
34574 25/06/2018 TI 1137219 ROMERO SUAREZ SHIRLYS ANDREZ 29,109.00
34590 25/06/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER 15,962.00
34609 26/06/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 18,879.00
34736 26/06/2018 CC 6456989 LIDUEÑA SIERRA IBET DE LA CRUZ 130,175.00
34677 27/06/2018 TI 1137219 ROMERO SUAREZ SHIRLYS ANDREZ 25,854.00
34723 28/06/2018 CC 5091368 DIAZ CALDERIN MAXIMA DEL CARMEN 18,879.00
34901 30/06/2018 TI 1105390 BUELVAS BAZA ROGER EDUARDO 114,101.00
34838 02/07/2018 CC 1067855 CARETT MORELO CARMELO ENRIQUE 100,998.00
34996 03/07/2018 CC 1072531 CORREA CENTENO DAINER ENRIQUE 100,998.00
35924 06/07/2018 RC 1067407 RUIZ RODRIGUEZ EDITH MARIA 114,386.00
36263 06/07/2018 CC 1072525 TAPIAS LUNA SINDY PATRICIA 120,286.00
35839 08/07/2018 TI 1003191 PÈREZ MARTINEZ VALERIA SOFIA 104,098.00
36293 09/07/2018 CC 1131111 OROZCO MONTERROZA LUISA CAROLINA $ 59,309
35320 11/07/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY $ 29,109
35513 11/07/2018 CC 7871541 JIMENEZ DELGADO CARLOS ALBERTO $ 112,686
35515 11/07/2018 CC 2600831 MURILLO BENITEZ OSMEY LUZ $ 104,498
36695 12/07/2018 CC 2600575 RODRIGUEZ ESTRADA ADALGISA MARIA $ 331,017
36269 15/07/2018 CC 1566198 ORTIZ GAMERO ROBERTO $ 668,008
36696 15/07/2018 CC 2600575 RODRIGUEZ ESTRADA ADALGISA MARIA $ 384,096
36772 15/07/2018 CC 3089545 ARIAS DE LA CRUZ AYDA LUZ $ 113,086
35933 16/07/2018 CC 1131104 NUÑEZ SUAREZ DEIVER $ 104,098
35934 16/07/2018 CC 1193089 HERNANDEZ CARET NEYIS MARIA $ 114,226
35950 16/07/2018 CC 1072526 PARRA SIERRA EDGAR FABIAN $ 114,686
35835 18/07/2018 TI 1137219 ROMERO SUAREZ SHIRLYS ANDREZ $ 29,016
35884 19/07/2018 CC 7801010 VELEZ BALLESTA RODRIGO ANTONIO $ 52,731
36258 20/07/2018 CC 2600575 RODRIGUEZ ESTRADA ADALGISA MARIA $ 542,286
36762 20/07/2018 CC 2623171 CARET NARVAEZ GRACIELA MARIA $ 124,650
36421 21/07/2018 CC 1103833 REYES BLANCO JANNER ENRIQUE $ 110,636
36304 22/07/2018 CC 1102824 MERCADO VERGARA CAROLINA ISABEL $ 118,310
35979 23/07/2018 CC 7801010 VELEZ BALLESTA RODRIGO ANTONIO $ 35,340
35985 23/07/2018 CC 1003263 LOPEZ SUAREZ NELLY MARIA $ 31,300
36208 24/07/2018 RC 1131109 TORRES SALCEDO DEIVER JOSE $ 11,997
36236 25/07/2018 RC 1235243 OLAYA ACEVEDO JESUS ALEJANDRO $ 29,109
36307 25/07/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER $ 15,962
36326 26/07/2018 CC 1003263 LOPEZ SUAREZ NELLY MARIA $ 96,720
36362 27/07/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA $ 29,016
36389 27/07/2018 CC 1072528 PANTOJA ATENCIO SAIDITH $ 111,086
36677 27/07/2018 RC 1068140 PEREZ GARCIA ALEJANDRO. $ 108,961
36481 28/07/2018 TI 1131105 FERIA DE HOYOS DAYANA $ 117,026
36433 29/07/2018 CC 9066458 BONILLA OLASCOAGA OSVALDO $ 118,136
36518 29/07/2018 TI 1131108 MUÑOZ CLEMENTE ERKY ANDRES $ 56,933
36556 29/07/2018 TI 1067400 MONTERROZA MEZA LUISA FERNANDA $ 87,913
36448 30/07/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA $ 43,896
36640 31/07/2018 CC 2601440 GARCES CALDERA GLADYS ISABEL $ 385,771
36643 31/07/2018 CC 2623171 CARET NARVAEZ GRACIELA MARIA $ 119,050
36644 31/07/2018 CC 1562096 PEREZ MARTINEZ PEDRO MANUEL $ 152,593
36590 01/08/2018 RC 1131111 VEGA ACOSTA SALOME $ 8,962
36604 01/08/2018 CC 5091368 DIAZ CALDERIN MAXIMA DEL CARMEN $ 31,200
36614 01/08/2018 RC 1235238 OLAYA ACEVEDO JOSUE ALEJANDRO $ 29,109
36615 01/08/2018 RC 1235243 OLAYA ACEVEDO JESUS ALEJANDRO $ 29,016
36682 02/08/2018 RC 1235238 OLAYA ACEVEDO JOSUE ALEJANDRO $ 29,109
36748 03/08/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER $ 29,016
36759 03/08/2018 CC 2578524 BETIN PAEZ BLEIDIS $ 29,016
38577 03/08/2018 CC 3316891 MARIN VASQUEZ ELVIA HELENA $ 614,853
36775 04/08/2018 CC 4569397 TERAN CARMONA ELENA ESTER $ 126,806
36799 05/08/2018 CC 1003431 HOYOS HERNANDEZ LUCY ESTHER $ 58,309
 36807 05/08/2018 RC 1065378 ALEAN HEREDIA ABRAHAM ELIAS $ 105,198
36864 06/08/2018 CC 1003263 LOPEZ SUAREZ NELLY MARIA $ 29,016
36945 07/08/2018 CC 1108758 PALOMINO GARCIA DOLAIME MILDRETH $ 112,686
37857 07/08/2018 CC 1193089 HERNANDEZ CARET MADYS MARLIT $ 108,326
36952 08/08/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY $ 29,109
36957 08/08/2018 CC 4569397 TERAN CARMONA ELENA ESTER $ 29,016

CUPOSALUD IPS SAS Fecha impresión

812003739-3 Codigo : 702210164001 Hora de imprersión

CRA. 5 N°.4A-8 - 2960010

RELACIÓN DE FACTURAS 01/01/2018 - 01/01/20

Administradora : MUTUAL SER Tipo de Contr
No. Atención Fecha Usuario Valor
ESS207
36961 08/08/2018 CC 2578524 BETIN PAEZ BLEIDIS $ 48,360
37862 08/08/2018 RC 1068140 PEREZ GARCIA ALEJANDRO. $ 156,214
36994 09/08/2018 CC 4569397 TERAN CARMONA ELENA ESTER $ 71,331
36999 09/08/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER $ 32,271
37278 10/08/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER $ 29,016
38148 10/08/2018 TI 1063161 CARDENAS PADILLA MARIA JOSE $ 105,586
38207 10/08/2018 RC 1033200 BOTERO DONADO KIARA ISABEL $ 114,985
37683 12/08/2018 CC 2578524 BETIN PAEZ BLEIDIS $ 51,949
37684 12/08/2018 CC 1193142 MONTES MENDOZA LEANIS MARIA $ 121,450
37345 13/08/2018 CC 4569397 TERAN CARMONA ELENA ESTER $ 29,016
37444 13/08/2018 CC 2578524 BETIN PAEZ BLEIDIS $ 29,016
37470 14/08/2018 RC 1235238 OLAYA ACEVEDO JOSUE ALEJANDRO $ 113,656
37652 15/08/2018 CC 1042444 CONSUEGRA MALO RONNYS YAIR $ 164,351
37688 16/08/2018 CC 1038104 LOPEZ BANQUICETH ELIECER $ 122,086
37713 19/08/2018 CC 9250559 RICO GUITOERREZ RICARDO JOSE $ 58,709
38255 20/08/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY $ 114,686
38644 21/08/2018 TI 1063160 BELTRAN PESTANA VICTOR MANUEL $ 113,486
38230 23/08/2018 CC 2280038 GULFO MALDONADO DINA LUZ $ 29,016
38232 23/08/2018 CC 2280038 GULFO MALDONADO DINA LUZ $ 48,360
38837 23/08/2018 CC 1064980 CABALLERO PAYARES JUAN ALBERTO $ 538,886
38360 24/08/2018 CC 9215366 VILORIA RAMBAUTH JUAN CARLOS $ 100,998
38428 28/08/2018 TI 1007980 GULFO MALDONADO BRAYAN DAVID $ 29,016
38486 29/08/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA $ 18,879
38587 29/08/2018 CC 1131105 MERCADO OROZCO LUBYS LILIANA $ 59,409
38606 30/08/2018 CC 1193089 ARTEAGA CASTELLANOS KATIA LUZ $ 490,959
38840 30/08/2018 RC 1066242 CLEMENTE SIERRA ESTEFANY ISABEL $ 407,704
38593 31/08/2018 CC 2578524 BETIN PAEZ BLEIDIS $ 70,215
38601 31/08/2018 CC 2280038 GULFO MALDONADO DINA LUZ $ 38,688
40041 01/09/2018 CC 1131110 GONZALEZ JIMENEZ DIANA PATRICIA $ 64,553
38700 03/09/2018 CC 5091368 DIAZ CALDERIN MAXIMA DEL CARMEN $ 18,879
38704 03/09/2018 CC 2280038 GULFO MALDONADO DINA LUZ $ 29,016
38705 03/09/2018 TI 1007980 GULFO MALDONADO BRAYAN DAVID $ 29,016
38727 04/09/2018 RC 1235238 OLAYA ACEVEDO JOSUE ALEJANDRO $ 29,109
38847 05/09/2018 CC 1064608 BASILIO FLOREZ KELLY ROSA $ 29,016
38848 05/09/2018 CC 1064608 BASILIO FLOREZ KELLY ROSA $ 28,830
38880 05/09/2018 CC 1064608 BASILIO FLOREZ KELLY ROSA $ 120,063
38950 07/09/2018 CC 4569397 TERAN CARMONA ELENA ESTER $ 48,546
38951 07/09/2018 RC 1235238 OLAYA ACEVEDO JOSUE ALEJANDRO $ 33,387
40035 07/09/2018 CC 1003369 VITA GONZALEZ MARELVIS $ 126,778
40036 07/09/2018 CC 3504009 CEBALLOS DIAZ ELIZABETH $ 96,988
38988 09/09/2018 TI 1193080 GRANADOS MERCADO RICHARD JOSE $ 20,940
40023 11/09/2018 CC 1062674 AGRESOT BARRIO MARIA ALEJANDRA $ 110,636
39179 12/09/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY $ 29,109
39185 12/09/2018 CC 1064608 BASILIO FLOREZ KELLY ROSA $ 25,389
39463 15/09/2018 CC 1067405 DORIA YEPES RICARDO ANDRES $ 117,926
40009 17/09/2018 CC 3066474 ALEAN VILLADIEGO NARLYS MARIA $ 100,998
39686 19/09/2018 CC 4569397 TERAN CARMONA ELENA ESTER $ 29,016
40019 20/09/2018 CC 1801001 SOLAR REYES SERGIO LUIS $ 112,686
39893 21/09/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY $ 25,854
40508 21/09/2018 CC 1131107 PESTANA MENDOZA YEFRIS $ 104,098
40510 21/09/2018 TI 1072526 JIMENEZ PEÑATA WALTER DAVID $ 105,198
40627 21/09/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY $ 36,735
40229 22/09/2018 CC 1003213 SIERRA MEJIA NAVIS JUDITH $ 112,068
39916 24/09/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER $ 29,109
39920 24/09/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER $ 7,000
40143 26/09/2018 CC 4569397 TERAN CARMONA ELENA ESTER $ 42,501
40283 26/09/2018 CC 1067403 SALAS BUSTAMANTE BIBIANA MARGARITA 108,896
 40285 26/09/2018 CC 4020615 DIAZ MENDOZA OBERTO 110,236
40309 27/09/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 29,109
40330 27/09/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 18,879
40390 27/09/2018 CC 1568203 ALVAREZ CARMONA EMIRO ANTONIO 163,925
40459 27/09/2018 RC 1104874 VITOLA RAMOS JUAN GUILLERMO 565,467
40394 28/09/2018 CC 1131110 GONZALEZ JIMENEZ DIANA PATRICIA 29,109
40410 28/09/2018 TI 1007855 ESPINOSA GULFO VERONICAS SIRLEY 96,720
40430 28/09/2018 CC 1131110 GONZALEZ JIMENEZ DIANA PATRICIA 25,854

CUPOSALUD IPS SAS Fecha impresión

812003739-3 Codigo : 702210164001 Hora de imprersión

CRA. 5 N°.4A-8 - 2960010

RELACIÓN DE FACTURAS 01/01/2018 - 01/01/20

Administradora : MUTUAL SER Tipo de Contr
No. Atención Fecha Usuario Valor
ESS207
40577 28/09/2018 CC 2322020 MONTES VERBEL EDITH DEL SOCORRO 100,998.00
40601 28/09/2018 CC 2600539 PESTANA DONADO CONSTANCIA ISABEL 544,279.00
40674 28/09/2018 CC 1131110 GONZALEZ JIMENEZ DIANA PATRICIA 36,735.00
40500 30/09/2018 CC 1107584 MENDOZA MOGOLLON EMIGDIO ANTONIO 176,625.00
40501 30/09/2018 CC 1063179 HIJO DE VELEZ CASTELLON LINDA JOSE 53,309.00
40968 30/09/2018 CC 1131107 SEPULVEDA SIERRA HEYNER DE JESUS 104,098.00
40527 01/10/2018 CC 1064608 BASILIO FLOREZ KELLY ROSA 29,109.00
41791 01/10/2018 CC 1131105 LOPEZ MARQUEZ MARIA CASILDA 117,686.00
41653 02/10/2018 CC 9226044 ORTEGA SIBAJA JOSE GREGORIO 55,859.00
40648 03/10/2018 CC 1131110 GONZALEZ JIMENEZ DIANA PATRICIA 269,900.00
40668 03/10/2018 CC 1131110 GONZALEZ JIMENEZ DIANA PATRICIA 109,647.00
40804 03/10/2018 CC 1568290 MONTERROZA PESTANA EFREN 100,998.00
41659 03/10/2018 CC 1502478 CONDE RUIZ LUIS MIGUEL 100,998.00
40857 04/10/2018 CC 5091368 DIAZ CALDERIN MAXIMA DEL CARMEN 18,879.00
41702 04/10/2018 CC 1003214 RODRIGUEZ OZUNA RUDYS 109,148.00
41787 05/10/2018 CC 1131105 GALLEGO MEDINA MARIO ANDRES 100,998.00
41739 06/10/2018 CC 1568179 BELTRAN DIAZ WILLIAM ENRIQUE 116,886.00
41153 08/10/2018 CC 1568242 SALAS BUSTAMANTE JHON JADER 100,998.00
41412 08/10/2018 CC 1131110 GONZALEZ JIMENEZ DIANA PATRICIA 115,386.00
41819 08/10/2018 CC 1131112 OROZCO BLANQUICETT SHIRLY PAOLA 155,051.00
41820 08/10/2018 CC 1108766 CUADRADO MONTES ROSA ANGELICA 134,220.00
41833 09/10/2018 CC 1131106 RINCO CARDONA ISMAEL SEGUNDO 66,681.00
41834 09/10/2018 CC 2266855 PATERNINA DE SANTOS PIEDAD DEL SOCORRO 114,686.00
41730 10/10/2018 CC 1570436 LUNA CHARRASQUIEL BRAYAN DAVID 115,186.00
41794 10/10/2018 CC 1131110 GONZALEZ JIMENEZ DIANA PATRICIA 66,296.00
42440 10/10/2018 CC 1072526 GONZALEZ RAMOS M0NICA MARIA 112,686.00
41264 11/10/2018 CC 1064608 BASILIO FLOREZ KELLY ROSA 29,109.00
41466 11/10/2018 RC 1233345 MARTINEZ ORTEGA JESUS DAVID 11,997.00
42048 11/10/2018 RC 1138678 MARMOLEJO JULIO SAMUEL DAVID 89,666.00
41815 12/10/2018 RC 1138678 MARMOLEJO JULIO SANTIAGO DAVID 89,666.00
41429 14/10/2018 CC 1131108 MENA BARRIOS ISMAEL RAFAEL 100,998.00
42046 14/10/2018 CC 1102849 BARON PARRA LIDYS JOHANA 68,649.00
41447 15/10/2018 RC 1131111 ESPAÑA PALMAS MARIAM JOSE 89,666.00
42079 15/10/2018 CC 1003190 MONTIEL BANQUETH. RAFAEL ENRIQUE 124,250.00
41654 18/10/2018 CC 1149451 ARIZA GONZALEZ INGRIS KATERINE 113,826.00
41666 19/10/2018 CC 4569397 TERAN CARMONA ELENA ESTER 29,016.00
41684 19/10/2018 RC 1231838 TORDECILLA PESTANA JUAN DIEGO 100,998.00
41723 19/10/2018 RC 1131112 MARTINEZ BENITEZ YOSELYN 626,724.00
41714 20/10/2018 TI 1105390 SILGADOQ PANTOJA DANUIL ALBERTO JUNIOR 104,098.00
42464 21/10/2018 CC 2601444 PEREZ MONTES DABEIBA MARIA 151,493.00
41872 23/10/2018 CC 1119948 NEUSA RIAÑO CLAUDIA YINET 140,686.00
41880 23/10/2018 TI 1131105 FERIA DE HOYOS DAYANA 115,961.00
41929 23/10/2018 RC 1028792 AYALA FUENTES MAICOL ALEJANDRO 15,624.00
42376 23/10/2018 RC 1065378 HERRERA SALAS HECTOR ANDRES 119,054.00
42238 24/10/2018 CC 1045745 GOMEZ CARTA JESUS DAVID 99,163.00
42239 24/10/2018 CC 1003367 PALMAS ESPITIA DORIS ISABEL 159,443.00
41947 25/10/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 29,016.00
41956 25/10/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 5,487.00
41964 25/10/2018 CC 4569397 TERAN CARMONA ELENA ESTER 39,990.00
42008 26/10/2018 RC 1073789 MARTINEZ DONADO HANNA VALENTINA 100,998.00
42031 27/10/2018 CC 2601423 PESTANA MARTINEZ MARGARITA DE JESUS 157,870.00
42044 27/10/2018 CC 1108765 SALCEDO AVENDAÑO VIVIANA VANESA 119,330.00
42092 29/10/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 64,356.00
42118 29/10/2018 TI 1131108 GALLEGO MONTES ALFONSO ANDRES 100,998.00
42179 30/10/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER 29,109.00
 42276 31/10/2018 TI 1103746 MEDINA SUAREZ JULIANA MARIA 114,230.00
42278 31/10/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 29,016.00
42281 31/10/2018 RC 1231339 BLANQUICETH GONZALEZ NEHEMIAS 144,843.00
42282 31/10/2018 RC 1231339 BLANQUICETH GONZALEZ ALEJANDRO 144,843.00
42352 01/11/2018 CC 1003368 NUÑEZ POLO YANIDIS ESTHER 89,745.00
42360 01/11/2018 CC 1064608 BASILIO FLOREZ KELLY ROSA 31,613.00
42387 01/11/2018 CC 4558178 GARCIA CHAMORRO MARIA DEL ROSARIO 118,082.00
43572 04/11/2018 CC 1072527 NUÑEZ TALAIGUA JORGE 124,250.00
42910 05/11/2018 CC 6458594 PALOMINO GARCIA ALEIDA ISABEL 112,686.00
43573 05/11/2018 CC 2600676 BLANQUICET GALLEGO SERGIA MARIA 150,665.00

CUPOSALUD IPS SAS Fecha impresión

812003739-3 Codigo : 702210164001 Hora de imprersión

CRA. 5 N°.4A-8 - 2960010

RELACIÓN DE FACTURAS 01/01/2018 - 01/01/20

Administradora : MUTUAL SER Tipo de Contr
No. Atención Fecha Usuario Valor
ESS207
42490 06/11/2018 RC 1235238 OLAYA ACEVEDO JOSUE ALEJANDRO 8,962.00
42544 06/11/2018 RC 1235238 OLAYA ACEVEDO JOSUE ALEJANDRO 29,109.00
42549 06/11/2018 CC 5091368 DIAZ CALDERIN MAXIMA DEL CARMEN 29,016.00
42719 06/11/2018 CC 1108765 SALCEDO AVENDAÑO VIVIANA VANESA 3,627.00
43642 08/11/2018 CC 1102871 MARTINEZ HOYOS BLEIDYS SOFIA 112,861.00
43381 12/11/2018 RC 1196972 RIO VERGARA HELEN 108,086.00
43134 14/11/2018 CC 1131110 GONZALEZ JIMENEZ DIANA PATRICIA 29,109.00
43257 15/11/2018 CC 1003263 LOPEZ SUAREZ NELLY MARIA 21,840.00
43711 15/11/2018 CC 1108765 SALCEDO AVENDAÑO VIVIANA VANESA 485,953.00
43336 16/11/2018 CC 1064608 BASILIO FLOREZ KELLY ROSA 29,109.00
43358 16/11/2018 CC 1003369 RODRIGUEZ MENDEZ IVAN JOSE 110,636.00
43360 16/11/2018 CC 1140821 FONSECA CANTILLO SHEYLA MERCEDES 118,136.00
43452 18/11/2018 CC 1047503 CASTRO VILLAREAL YEISON 100,998.00
44787 18/11/2018 CC 3084379 DE LA HOZ DE LA HOZ DIANA 112,861.00
43461 19/11/2018 RC 1103759 SERRANO MORENO SALOME 15,996.00
44104 19/11/2018 CC 7871275 ROMERO RAMOS MANUEL FRANCISCO 121,586.00
43521 20/11/2018 CC 7233317 RETAMOZO CORREA MANUEL JESUS 4,343.00
44227 20/11/2018 TI 1067400 MONTERROZA MEZA LUISA FERNANDA 113,730.00
44486 20/11/2018 CC 1005417 MONTES ARRIETA GLORIA ISABEL 123,573.00
44486 20/11/2018 TI 1005417 MONTES ARRIETA GLORIA ISABEL 123,573.00
43855 21/11/2018 RC 1131112 NARVAEZ ARTEAGA SARA SOFIA 92,174.00
43610 23/11/2018 RC 1131111 ESPAÑA PALMAS MARIAM JOSE 90,066.00
44016 23/11/2018 CC 2601444 TORO LEON ANGELICA 114,086.00
43624 24/11/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 5,394.00
44837 24/11/2018 CC 7883834 PAJARO MURIELES VICTOR 113,242.00
43667 25/11/2018 CC 5098829 LOPEZ CASTRO LILIBETH 119,134.00
43720 26/11/2018 CC 3319486 ECHEVERY MENDOZA MARGARITA 18,879.00
44010 26/11/2018 CC 3504009 CEBALLOS DIAZ ELIZABETH 103,438.00
43853 28/11/2018 RC 1105394 CANABAL MENDEZ ABRAHAN DAVID 70,973.00
43839 29/11/2018 TI 1063143 ORTEGA BOHORQUEZ LIZETH KARINA 119,534.00
44504 29/11/2018 CC 1100546 LUNA LUNA MARIA CANDELARIA 113,261.00
43874 30/11/2018 RC 1131111 VEGA ACOSTA SALOME 8,962.00
43910 30/11/2018 CC 1077958 DURANGO ACOSTA EDGAR EDUARDO 82,305.00
44108 30/11/2018 CC 1103951 ACOSTA ARROYO MIRNA LUZ 112,686.00
44950 01/12/2018 TI 1137219 ROMERO SUAREZ SHIRLYS ANDREZ 93,166.00
44951 01/12/2018 CC 2611663 SUAREZ GUERRA MARINA 63,533.00
44159 03/12/2018 CC 2578524 BETIN PAEZ BLEIDIS 18,879.00
45017 03/12/2018 CC 1069462 MORENO JIMENEZ BEIKER FARID 128,873.00
44510 04/12/2018 TI 1067400 POLO ARRIETA MARIA CAMILA 112,686.00
45429 04/12/2018 TI 1131105 SUAREZ SUAREZ JAZMIN ADRIANA 112,861.00
45467 04/12/2018 CC 5098920 BENITES BLANQUICETH SOLEYDIS 114,686.00
44275 05/12/2018 CC 5091368 DIAZ CALDERIN MAXIMA DEL CARMEN 18,879.00
44479 06/12/2018 CC 6814450 PESTANA HOYOS GABRIEL SEGUNDO 111,486.00
44469 07/12/2018 CC 2578524 BETIN PAEZ BLEIDIS 48,360.00
45969 07/12/2018 CC 1072526 GONZALEZ RAMOS M0NICA MARIA 121,124.00
44501 08/12/2018 CC 1003367 GALLEGO MARQUEZ ALFONSO ANDRES 119,686.00
45142 08/12/2018 TI 1072248 SUAREZ POLO NEREIDA DEL CARMEN 117,926.00
44924 09/12/2018 CC 8852158 GALLEGO VELASQUEZ EMERSON ENRIQUE 386,098.00
45153 09/12/2018 TI 1063136 RAMOS PEREZ LUISA FERNANDA 99,766.00
45746 10/12/2018 RC 1103750 PATIÑO SUAREZ ARLY YOHANA 115,486.00
46025 11/12/2018 CC 1568254 FADUL DONADO LIBARDO 129,000.00
50242 11/12/2018 CC 1049940 BATISTA LOPEZ EMERSON LUIS 30,783.00
44964 12/12/2018 CC 3262836 MARTINEZ CAMARGO CRISTINA 29,016.00
 45019 13/12/2018 CC 3262836 MARTINEZ CAMARGO CRISTINA 46,221.00
45120 14/12/2018 RC 1131112 NARVAEZ ARTEAGA SARA SOFIA 15,996.00
45197 15/12/2018 CC 2600926 ZARZA ESCUDERO YENITH DEL CARMEN 112,861.00
45799 15/12/2018 RC 1131112 MENDOZA ACOSTA NEDER LUIS 92,549.00
45421 16/12/2018 CC 2623171 CARET NARVAEZ GRACIELA MARIA 120,626.00
45237 17/12/2018 CC 3077740 HERNANDEZ ARRIERA HILDA ROSA 100,998.00
45231 18/12/2018 CC 1096697 TERAN BELTRAN ELICER ANTONIO 23,994.00
45232 18/12/2018 CC 1096697 TERAN BELTRAN ELICER ANTONIO 107,043.00
45244 18/12/2018 CC 2578524 BETIN PAEZ BLEIDIS 29,016.00
45379 20/12/2018 RC 1131111 SUAREZ DORIA ADRIAN JOSE 15,996.00
45386 20/12/2018 CC 2611663 SUAREZ GUERRA MARINA 112,686.00
45420 21/12/2018 CC 3504009 CEBALLOS DIAZ ELIZABETH 114,215.00

CUPOSALUD IPS SAS Fecha impresión

812003739-3 Codigo : 702210164001 Hora de imprersión

CRA. 5 N°.4A-8 - 2960010

RELACIÓN DE FACTURAS 01/01/2018 - 01/01/20

Administradora : MUTUAL SER Tipo de Contr
No. Atención Fecha Usuario Valor
ESS207
45585 21/12/2018 CC 1100249 BALDOVINO MARQUEZ BRISEIDA DEL CARMEN 118,286.00
45530 25/12/2018 CC 2790475 REGINO MONTALVO RAFAEL 100,998.00
45531 25/12/2018 CC 2804008 DIZ MORENO HENRY MANUEL 71,681.00
45974 25/12/2018 RC 1104015 AYALA HERNANDEZ SUSANA LUCIA 117,499.00
45521 26/12/2018 CC 1096697 TERAN BELTRAN ELICER ANTONIO 20,460.00
45592 27/12/2018 TI 1071352 SUAREZ RUIZ LORENA MARIA 158,432.00
45641 28/12/2018 CC 6456151 CONDE MERCADO FANNY ISABEL 58,309.00
45688 28/12/2018 CC 2611527 CONEO CARMONA NORMA 128,734.00
45639 29/12/2018 CC 2601405 MONTERROZA ALVAREZ ALICIA 101,398.00
45657 29/12/2018 CC 1072523 GONZALES CARDENAS EMERSON 101,398.00
45854 30/12/2018 TI 1131105 FERIA DE HOYOS DAYANA 116,774.00
45678 31/12/2018 RC 1103752 PATIÑO SUAREZ KATHERIN 126,773.00
46352 01/01/2019 RC 1073789 MARQUEZ GARCIA JAVIER 507,352.00
Sub Totales 468.00 48,246,311.00
Totales 468.00 48,246,311.00

Valor en Letras:CUARENTA Y OCHO MILLONES DOSCIENTOS CUARENTA Y UNO MIL TRESCIENTOS ONCE PESOS
 26/09/2019
mprersión 17:20

Página 1 de 8
Tipo de Contratación : General
Cuota Vlr. neto

126,908.00
95,325.00
45,168.00
58,662.00
108,920.00
96,291.00
127,308.00
114,020.00
45,194.00
122,108.00
110,920.00
150,054.00
105,270.00
105,270.00
105,850.00
111,025.00
60,256.00
116,185.00
112,184.00
54,584.00
15,463.00
27,435.00
68,989.00
101,091.00
101,091.00
127,374.00
104,191.00
133,474.00
75,163.00
125,126.00
112,236.00
84,737.00
52,762.00
125,226.00
133,074.00
56,012.00
27,435.00
59,909.00
117,486.00
115,586.00
110,086.00
124,650.00
48,448.00
126,110.00
85,591.00
116,586.00
50,809.00
19,902.00
102,579.00
113,886.00
110,636.00
11,997.00
519,290.00
55,859.00
163,490.00
35,991.00
8,962.00
150,890.00
61,969.00
66,059.00
551,330.00
56,409.00
52,731.00
172,644.00
119,146.00
 26/09/2019
mprersión 17:20

Página 2 de 8
Tipo de Contratación : General
Cuota Vlr. neto

342,530.00
131,474.00
37,851.00
113,486.00
351,160.00
118,286.00
161,325.00
53,549.00
29,109.00
322,009.00
29,109.00
29,109.00
29,109.00
29,109.00
124,650.00
110,636.00
115,506.00
32,271.00
8,962.00
134,090.00
182,613.00
154,670.00
47,865.00
29,109.00
29,109.00
3,999.00
59,799.00
52,824.00
19,902.00
120,063.00
31,300.00
101,091.00
105,220.00
168,796.00
56,309.00
29,109.00
40,362.00
102,579.00
104,191.00
59,909.00
160,093.00
497,884.00
67,577.00
11,997.00
25,854.00
114,686.00
129,456.00
29,109.00
29,109.00
29,109.00
115,730.00
166,817.00
114,686.00
8,962.00
55,459.00
110,636.00
59,909.00
121,011.00
572,408.00
29,109.00
104,591.00
29,109.00
117,786.00
 31,062.00
48,360.00

26/09/2019
mprersión 17:20

Página 3 de 8
Tipo de Contratación : General
Cuota Vlr. neto

53,549.00
120,526.00
55,859.00
317,709.00
58,049.00
29,109.00
60,933.00
58,084.00
114,686.00
116,450.00
60,333.00
64,577.00
128,274.00
122,886.00
63,359.00
121,336.00
117,386.00
109,950.00
111,736.00
29,109.00
29,109.00
29,109.00
8,962.00
18,879.00
29,109.00
121,426.00
144,443.00
168,759.00
122,936.00
111,886.00
493,109.00
109,241.00
29,109.00
25,854.00
159,593.00
7,254.00
88,113.00
3,627.00
125,134.00
124,650.00
108,326.00
149,493.00
108,326.00
115,910.00
55,459.00
124,650.00
189,958.00
114,326.00
111,261.00
113,736.00
57,909.00
110,861.00
29,109.00
19,902.00
185,907.00
125,186.00
506,007.00
138,156.00
124,048.00
3,627.00
11,625.00
 8,962.00
114,686.00
118,710.00
104,098.00

26/09/2019
mprersión 17:20

Página 4 de 8
Tipo de Contratación : General
Cuota Vlr. neto

112,236.00
125,450.00
90,066.00
29,109.00
15,962.00
18,879.00
130,175.00
25,854.00
18,879.00
114,101.00
100,998.00
100,998.00
114,386.00
120,286.00
104,098.00
59,309.00
29,109.00
112,686.00
104,498.00
331,017.00
668,008.00
384,096.00
113,086.00
104,098.00
114,226.00
114,686.00
29,016.00
52,731.00
542,286.00
124,650.00
110,636.00
118,310.00
35,340.00
31,300.00
11,997.00
29,109.00
15,962.00
96,720.00
29,016.00
111,086.00
108,961.00
117,026.00
118,136.00
56,933.00
87,913.00
43,896.00
385,771.00
119,050.00
152,593.00
8,962.00
31,200.00
29,109.00
29,016.00
29,109.00
29,016.00
29,016.00
614,853.00
126,806.00
58,309.00
 105,198.00
29,016.00
112,686.00
108,326.00
29,109.00
29,016.00

26/09/2019
mprersión 17:20

Página 5 de 8
Tipo de Contratación : General
Cuota Vlr. neto

48,360.00
156,214.00
71,331.00
32,271.00
29,016.00
105,586.00
114,985.00
51,949.00
121,450.00
29,016.00
29,016.00
113,656.00
164,351.00
122,086.00
58,709.00
114,686.00
113,486.00
29,016.00
48,360.00
538,886.00
100,998.00
29,016.00
18,879.00
59,409.00
490,959.00
407,704.00
70,215.00
38,688.00
64,553.00
18,879.00
29,016.00
29,016.00
29,109.00
29,016.00
28,830.00
120,063.00
48,546.00
33,387.00
126,778.00
96,988.00
20,940.00
110,636.00
29,109.00
25,389.00
117,926.00
100,998.00
29,016.00
112,686.00
25,854.00
104,098.00
105,198.00
36,735.00
112,068.00
29,109.00
7,000.00
42,501.00
108,896.00
 110,236.00
29,109.00
18,879.00
163,925.00
565,467.00
29,109.00
96,720.00
25,854.00

26/09/2019
mprersión 17:20

Página 6 de 8
Tipo de Contratación : General
Cuota Vlr. neto

100,998.00
544,279.00
36,735.00
176,625.00
53,309.00
104,098.00
29,109.00
117,686.00
55,859.00
269,900.00
109,647.00
100,998.00
100,998.00
18,879.00
109,148.00
100,998.00
116,886.00
100,998.00
115,386.00
155,051.00
134,220.00
66,681.00
114,686.00
115,186.00
66,296.00
112,686.00
29,109.00
11,997.00
89,666.00
89,666.00
100,998.00
68,649.00
89,666.00
124,250.00
113,826.00
29,016.00
100,998.00
626,724.00
104,098.00
151,493.00
140,686.00
115,961.00
15,624.00
119,054.00
99,163.00
159,443.00
29,016.00
5,487.00
39,990.00
100,998.00
157,870.00
119,330.00
64,356.00
100,998.00
29,109.00
 114,230.00
29,016.00
144,843.00
144,843.00
89,745.00
31,613.00
118,082.00
124,250.00
112,686.00
150,665.00

26/09/2019
mprersión 17:20

Página 7 de 8
Tipo de Contratación : General
Cuota Vlr. neto

8,962.00
29,109.00
29,016.00
3,627.00
112,861.00
108,086.00
29,109.00
21,840.00
485,953.00
29,109.00
110,636.00
118,136.00
100,998.00
112,861.00
15,996.00
121,586.00
4,343.00
113,730.00
123,573.00
123,573.00
92,174.00
90,066.00
114,086.00
### 394.00
113,242.00
119,134.00
18,879.00
103,438.00
70,973.00
119,534.00
113,261.00
8,962.00
82,305.00
112,686.00
93,166.00
63,533.00
18,879.00
128,873.00
112,686.00
112,861.00
114,686.00
18,879.00
111,486.00
48,360.00
121,124.00
119,686.00
117,926.00
386,098.00
99,766.00
115,486.00
129,000.00
30,783.00
29,016.00
 46,221.00
15,996.00
112,861.00
92,549.00
120,626.00
100,998.00
23,994.00
107,043.00
29,016.00
15,996.00
112,686.00
114,215.00

26/09/2019
mprersión 17:20

Página 8 de 8
Tipo de Contratación : General
Cuota Vlr. neto

118,286.00
100,998.00
71,681.00
117,499.00
20,460.00
158,432.00
58,309.00
128,734.00
101,398.00
101,398.00
116,774.00
126,773.00
507,352.00
5,000.00 48,241,311.00
5,000.00 48,241,311.00