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    Ju Andi PAs
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    This document is a report summarizing patient claims data from January 1-31, 2019 at Ibu dan Anak Mawar Maternity Hospital. It includes a list of 19 patients with admission and discharge dates, patient IDs, and names. It also includes claim codes, total tariffs, hospital tariffs, and service types for each patient. The total tariff for all 19 patients was 4,179,900 with a hospital tariff of 3,800,000.

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    This document is a report summarizing patient claims data from January 1-31, 2019 at Ibu dan Anak Mawar Maternity Hospital. It includes a list of 19 patients with admission and discharge dates, patient IDs, and names. It also includes claim codes, total tariffs, hospital tariffs, and service types for each patient. The total tariff for all 19 patients was 4,179,900 with a hospital tariff of 3,800,000.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    8 views2 pages

    RJTL New

    Uploaded by

    Ju Andi PAs
    This document is a report summarizing patient claims data from January 1-31, 2019 at Ibu dan Anak Mawar Maternity Hospital. It includes a list of 19 patients with admission and discharge dates, patient IDs, and names. It also includes claim codes, total tariffs, hospital tariffs, and service types for each patient. The total tariff for all 19 patients was 4,179,900 with a hospital tariff of 3,800,000.

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    © All Rights Reserved
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    of 2

    sheet1 1

    LAPORAN REKAP
    Pasien KLAIM
    Rawat - RUMAH
    Inap SAKIT
    dan Rawat IBUPeriode
    Jalan, DAN ANAK MAWAR
    Tanggal Pulang: 1 Jan 2019 s/d 31 Jan 2019
    Filter: Metode Pembayaran = Semua / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = T

    No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien


    1 3 Jan 2019 3 Jan 2019 945101 SITI TUKINAH
    2 7 Jan 2019 7 Jan 2019 975101 SURYATI
    3 8 Jan 2019 8 Jan 2019 095201 SRI WIDARTI
    4 8 Jan 2019 8 Jan 2019 784401 IIS KURNIAWATIE
    5 9 Jan 2019 9 Jan 2019 055201 NURMALA SARI
    6 14 Jan 2019 14 Jan 2019 244801 KARLINA
    7 14 Jan 2019 14 Jan 2019 195201 ENDANG
    8 15 Jan 2019 15 Jan 2019 525201 DIAN ASTUTI
    9 16 Jan 2019 16 Jan 2019 425201 UMISA DIYAH
    10 17 Jan 2019 17 Jan 2019 335201 SURANTINAH
    11 18 Jan 2019 18 Jan 2019 804401 NGATIRAH
    12 18 Jan 2019 18 Jan 2019 455201 ETIK NURMALA SARI
    13 21 Jan 2019 21 Jan 2019 515201 PARTIMAH
    14 23 Jan 2019 23 Jan 2019 755201 SUMINI
    15 23 Jan 2019 23 Jan 2019 255201 NOVIANA
    16 23 Jan 2019 23 Jan 2019 665201 SRI RAHAYU
    17 23 Jan 2019 23 Jan 2019 575201 DESI AFRIANI
    18 23 Jan 2019 23 Jan 2019 625201 SULASTRI
    19 23 Jan 2019 23 Jan 2019 645201 TRI YUNI WIDIANTI
    Total
    Kode RS: 1804013

    Page 1
    sheet1 1

    ang = Semua / Jenis Tarif = TARIF RS KELAS C SWASTA

    No. SEP INACBG Top Up Total Tarif Tarif RS Jenis


    0101R0110119V000002 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000012 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000013 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000015 Z-3-25-0 314,100 200,000 RJ
    0101R0110119V000017 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000026 Z-3-25-0 314,100 200,000 RJ
    0101R0110119V000025 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000028 Z-3-25-0 314,100 200,000 RJ
    0101R0110119V000029 Z-3-25-0 314,100 200,000 RJ
    0101R0110119V000034 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000038 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000037 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000044 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000049 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000048 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000053 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000052 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000051 Z-3-27-0 194,900 200,000 RJ
    0101R0110119V000050 Z-3-27-0 194,900 200,000 RJ
    4,179,900 3,800,000

    Page 2

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