What approval completes
The relationship set up with a specialist, physician or service provider is completed when the contract in the system is approved by the parties. An agreement on paper does not on its own start the assignment.
In what capacity
The capacity of the person giving approval is not open; Article 14 of the Occupational Health and Safety Services Regulation points to the employer or a representative meeting defined conditions, and states that Social Security Institution records are taken as the basis.
The period
The same article requires the undertaking to be approved by those concerned within five working days at the latest. If the period is missed, the process runs again from the start.
Where it usually sticks
The person with approval authority not being defined in the system, or their record not supporting the capacity. This is resolved at the record stage, not at the contract stage.
In Optifora
The assignment record keeps the contract, the parties and the approval status together; it reminds before the period closes and does not treat an unapproved assignment as complete.