The document appears to be a list of medical claims or invoices from various hospitals and medical facilities in Jayapura, Indonesia between 2018 and an unspecified date in 2018. It includes information like hospital name, location, patient ID numbers, and dates of service or occurrence. There are over 100 entries from 16 different medical providers in and around Jayapura.
The document appears to be a list of medical claims or invoices from various hospitals and medical facilities in Jayapura, Indonesia between 2018 and an unspecified date in 2018. It includes information like hospital name, location, patient ID numbers, and dates of service or occurrence. There are over 100 entries from 16 different medical providers in and around Jayapura.
The document appears to be a list of medical claims or invoices from various hospitals and medical facilities in Jayapura, Indonesia between 2018 and an unspecified date in 2018. It includes information like hospital name, location, patient ID numbers, and dates of service or occurrence. There are over 100 entries from 16 different medical providers in and around Jayapura.
LP TIDAK ADA, KADALUARSA SUDAH KESIMPULAN DAN MAPPING SUDAH KESIMPULAN DAN MAPPING SUDAH KESIMPULAN DAN MAPPING LP TIDAK ADA, KADALUARSA KADALUARSA, RS TIDAK PERNAH MENGAJUKAN KLAIM LP TIDAK ADA SUDAH KESIMPULAN DAN MAPPING SUDAH KESIMPULAN DAN MAPPING LP TIDAK ADA KDKR KDKC NMKC KDPPK NMPPK
2601R0040518V000727 RI 5/31/2018 0001102864026 2601R0041018V000302 RI 10/10/2018 0001227519448 2601R0041018V000200 RI 10/6/2018 0001737836818 2601R0030618V000420 RJ 6/8/2018 0000951193451 2601R0030718V000308 RI 7/2/2018 0002254473369 2601R0030718V000354 RJ 7/2/2018 0001722177551 2601R0031018V001492 RI 10/15/2018 0002057227582 2601R0031018V001809 RJ 10/18/2018 0001139103202 2601R0031018V002765 RI 10/27/2018 0001423326453 2601R0010818V002606 RI 8/15/2018 0000169546959 2601R0010818V002814 RJ 8/16/2018 0001263285549 2601R0010518V003953 RI 5/21/2018 0000153597813 2601R0010518V003776 RI 5/18/2018 0001079447038 2601R0010518V003817 RJ 5/19/2018 0002427778214 2601R0010518V003157 RJ 5/16/2018 0001959731741 2601R0010518V005209 RI 5/26/2018 0000153861243 2601R0010518V003937 RI 5/21/2018 0001959731741 2601r0010618v000705 RJ 6/5/2018 0000154365794 2601r0010618v002604 RJ 6/21/2018 0000317209217 2601R0010818V004316 RI 8/28/2018 0000142663443 2601R0070518V000581 RJ 2018-05-13 0000154150053 2601R0070518V000567 RJ 2018-05-12 0002071756361 2601R0070618V000392 RJ 2018-06-09 0000790244561 2601R0070618V000540 RJ 2018-06-15 0000822440619 2601R0070618V000678 RJ 2018-06-19 0001262669804 2601R0070718V001445 RJ 2018-07-30 0002020411449 2601R0070918V000987 RJ 2018-09-21 0001321158396 2601R0070918V000497 RJ 2018-09-11 0001327467543 2601R0070918V000496 RJ 2018-09-11 0001851676503 2601R0070118V001697 RI 2018-01-29 0001269202735 2601R0070418V000359 RI 4/6/2018 0000036679937 2601R0070418V001095 RI 2018-04-21 0001281274413 2601R0070418V000318 RI 2018-04-06 0001297608232 2601R0070418V001094 RI 2018-04-21 0000914545991 2601R0070518V000879 RI 5/18/2018 0002071756361 2601R0070518V000858 RI 5/17/2018 0000844267803 2601R0070518V001330 RI 5/27/2018 0001283190322 2601R0070518V001195 RI 5/24/2018 0000202797865 2601R0070518V001562 RI 5/31/2018 0000154456964 2601R0070618V001181 RI 2018-06-29 0000478710663 2601R0070618V001182 RI 2018-06-30 0000680177597 2601R0070618V000055 RI 2018-06-01 0000154223065 2601R0070618V000239 RI 2018-06-06 0000155428222 2601R0070618V000722 RI 2018-06-21 0002205906186 2601R0070618V000708 RI 6/16/2018 0001319772137 2601R0070618V000669 RI 6/16/2018 0000683471777 2601R0070618V000066 RI 6/4/2018 0001269627434 2601R0070618V001124 RI 6/27/2018 0001623560782 2601R0070618V000706 RI 6/17/2018 0001085650997 2601R0070618V001175 RI 6/30/2018 0000154005974 2601R0070718V000808 RI 7/16/2018 0001899582309 2601R0070718V000809 RI 7/16/2018 0000882003633 2601R0070818V001371 RI 8/26/2018 0001283001671 2601R0070818V000458 RI 2018-08-08 0001902409582 2601R0070818V001234 RI 8/26/2018 0001478113345 2601R0070818V001214 RI 8/25/2018 0000154170066 2601R0070918V000649 RI 9/12/2018 0001312447386 2601R0070918V000711 RI 9/16/2018 0002469957118 2601R0070918V000970 RI 9/21/2018 0002481110504 2601R0070918V001373 RI 2018-09-26 000154382578 2601R0071018V000240 RI 10/2/2018 0002077489539 2601R0070918V000749 RI 2018-09-15 0001745577156 2601R0070918V001192 RI 9/26/2018 0001269964563 2601R0071018V000624 RI 10/11/2018 0000258502814 2601R0071018V001185 RI 10/19/2018 0000153774189 2601R0071118V001608 RI 11/29/2018 0000153750025 2601R0071118V000713 RI 11/12/2018 0001836715926 2601R0071118V000454 RI 2018-11-06 0000155607221 2601R0071218V000148 RI 2018-12-04 0001276124602 2601R0060618V001075 RI 6/16/2018 0001085576725 2601R0060618V001439 RI 6/22/2018 0001898597845 2601R0061018V001568 RI 10/17/2018 0001891759768 2601R0061018V002146 RI 10/24/2018 0000153764357 2601R0061118V000735 RI 11/8/2018 0000220302415 2601R0061118V001405 RI 9/18/2018 0001885394788 2601R0020318V002619 RI 2018-03-26 0001297664717 2601R0020618V001136 RJ 2018-06-22 0000154315642 2601R0020618V001561 RJ 2018-06-26 0001874756002 2601R0020718V000157 RI 2018-07-01 0000661903975 2601R0020718V000223 RJ 2018-07-03 0001874756002 2601R0020718V002161 RJ 2018-07-24 0001874756002 2601R0020918V001483 RJ 2018-09-20 0000661903975 2610R0010518V000288 2610R0010518V000428 2610R0010618V000239 2610R0010618V000343 2610R0010718V000062 2610R0010718V000294 2610R0010818V000377 2610R0011118V000370 2610R0011118V000474 2610R0011218V000155 2610R0010119V000144 2610R0010219V000070 2610R0010219V000422 BIAYA DESKRIPSI NMPST BIAYA RS PENGAJUAN KASUS MAFRUAH (P) 1,992,000 2,883,200 KLL Tunggal DANIEL KARUBABA 8,814,000 7,544,400 KLL Tunggal YANITA IRIANTI (P) 2,360,000 2,883,200 KLL Tunggal KASMIATI (P) 1,992,000 2,562,700 KLL Tunggal DANIEL KARUBAB 192,800 195,000 KLL TUNGGAL YERMIAS KOIBUR 31,280,310 9,485,000 KLL GANDA WILLYAM RAYNALDI TAHAMATA 229,500 195,000 KLL TUNGGAL HEKTOR LATUPUTTY 20,212,426 3,248,000 KLL TUNGGAL RIAN ABDUL ATIP 219,500 195,000 KLL TUNGGAL HJ.WAMERA 4,786,028 2,320,000 KLL TUNGGAL MERILINA SUMULE 2,860,000 3,604,800 andre mangara sahensolar 250,000 210,800 HENDRO KARL LEWIER 12,600,000 8,924,600 HERLENS WAIRARA 16,947,700 9,863,700 ALFIAN JULIAN RIKARDO LUMANTOW 250,000 210,800 HENDRICH DAVID GARIKA 583,300 195,700 STEVIE REMOND SAMALLO 54,087,500 25,060,200 HENDRICH DAVID GARIKA 24,250,330 8,924,600 KAVIAN REZKY HUKUBUN 521,000 210,800 NOVITA WAROI 370,000 195,700 I GEDE SUARNAYA 32,114,000 33,720,300 KOMBONG 698,590 195,000 AGUS NAAMAN LONTOH WANMA 368,245 217,000 MUHAMMAD TAHIR SUARA 643,127 195,000 MUHAMMAD YUSUF 2,522,980 217,000 BUNDU NATSIR 235,928 195,000 DWI MERDEKAWATI 259,740 327,000 ADI 406,960 742,800 ASRIANI EXCELLENCY PUTRI 174,877 195,000 AMORA AGNES SARAWATI 354,997 193,600 CHANDRA W. RIZKY DIRMA 90,909,170 9,436,000 MUHAMAD YUMAN ALFIAN (L) 1,692,527 3,252,900 CARYA 34,149,336 9,269,800 SAMAD YUSUF 7,431,089 4,076,400 WILEM SARKOL 11,074,368 3,397,000 AGUS NAAMAN L.W 8,749,683 2,402,600 NANNI MUSA 1,786,755 2,320,000 ELFREDO PARERA 7,199,986 2,883,200 BASUKI ARGO UTOMO 1,807,840 3,151,800 MARSIYANAH 2,848,258 3,252,900 FEBRIANI S MASWATU 12,696,499 3,397,000 SRI INDAH WAHYUNI 11,041,619 3,397,000 YUSWINARSIH 2,272,978 3,483,400 ALBERT REIGEL WONATOREI 21,475,624 4,755,800 NURUL FAHIRA R. 7,577,850 4,076,400 WIDA SARI 8,797,748 2,323,500 IRAWATI 7,944,872 2,402,600 SURYOKO 7,101,341 4,076,400 EKO NURCAHYONO 12,502,210 8,008,000 KAISANI SAMBER 23,842,602 12,427,900 JOHAN SASARARI 49,104,158 8,921,100 YOHANIS STEVANUS SAWAKI 2,337,593 3,363,700 JERMINA LOY 7,885,500 3,363,700 ANTONIUS O.W 11,169,338 2,883,200 IMANUEL WEREMBA 1,659,169 3,252,900 TINIUS KOGOYA (L) 9,846,780 3,248,000 DAVID INDRAWAN S. ALLO 11,261,496 3,363,700 FAUZI ELY 1,877,219 2,402,600 GETREDA KALE 8,007,962 2,784,000 JUMADI 3,776,189 2,402,600 YANET BEROTABUI 7,636,603 3,248,000 S.SUGIWANTO 20,527,438 6,621,300 Cristin Juliana Simamora 16,450,608 9,269,800 ABDUL RAHMAN RIFAI 53,549,904 13,977,300 HAJI MUHAMAD AMIR 12,672,285 6,287,000 ABDUL MILHAD MADJID 28,655,908 9,342,700 ROBINSOND (L) 9,924,096 4,755,800 YUAN GAVRILA (P) 32,349,603 16,306,800 PERES SAM RONSUMBRE 6,379,670 2,320,000 BAMBANG RIYANTO 13,632,114 4,076,400 TRESIA DATU TOMBI 21,823,900 7,770,700 RENOVA SIMANJUNTAK 3,495,100 16,796,000 LEOPOLD MERVIN KAMBUAYA 7,442,000 9,065,800 BUDI WORABAY 3,350,500 3,350,500 RONY SOLANG 1,781,945 3,246,300 NINA MARIA 5,361,300 10,019,400 ABDUL RAHIM HAMID 3,177,000 2,788,200 USMAN TANTU 225,000 195,000 UDIN KELIAN 115,000 137,300 FANNI SIWA 717,000 2,320,000 UDIN KELIAN 439,000 137,300 UDIN KELIAN 115,000 192,200 FANNI SIWA 115,000 192,200 Ferdinandus Nurung - - Deminus Tabuni - - Martinus Karaeng - - Daimon Sabandar - - Maria Florentin Mote - - Irma - - Paulus Pajong - - Jocky Saldy - - Fatkhul Ullum, SH - - Aziz Sitaba - - Sandi Reja - - Ronaldy Ryantoba Paiding Lewa - - Tarima Patabang - - STATUS JAMINAN KET
Korban Dapat Dibayarkan Pending
Korban Dapat Dibayarkan Pending Korban Dapat Dibayarkan Pending Korban Dapat Dibayarkan Pending Korban Dapat Dibayarkan Layak Potensi Jaminan KLL SEP Korban Dapat Dibayarkan LAYAK Korban Tidak Dapat Dibayarkan Pending Korban Dapat Dibayarkan Layak Korban Dapat Dibayarkan Layak Telah Melakukan Kunjungan ke RS Layak Korban Dapat Dibayarkan Layak Telah Melakukan Kunjungan ke RS Layak Korban Dapat Dibayarkan Layak Korban Dapat Dibayarkan Layak Korban Dapat Dibayarkan Layak Korban Dapat Dibayarkan Pending Korban Dapat Dibayarkan Pending Terbit Surat Jaminan Layak Terbit Surat Jaminan Layak - Layak Korban Tidak Dapat Dibayarkan LAYAK Korban Tidak Dapat Dibayarkan LAYAK Korban Dapat Dibayarkan LAYAK Korban Dapat Dibayarkan LAYAK Korban Dapat Dibayarkan LAYAK Korban Dapat Dibayarkan LAYAK Potensi Jaminan KLL layak Potensi Jaminan KLL layak Potensi Jaminan KLL layak - Pending - Pending Korban Dapat Dibayarkan layak - pending - Pending Korban Dapat Dibayarkan PENDING Korban Tidak Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan LAYAK Korban Dapat Dibayarkan LAYAK Korban Dapat Dibayarkan LAYAK Korban Dapat Dibayarkan LAYAK Korban Dapat Dibayarkan LAYAK Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Terbit Surat Jaminan Pending Terbit Surat Jaminan Pending Terbit Surat Jaminan pending Terbit Surat Jaminan Pending Telah Melakukan Kunjungan ke RS Pending Telah Melakukan Kunjungan ke RS Pending Korban Dapat Dibayarkan Pending Telah Melakukan Kunjungan ke RS Layak Terbit Surat Jaminan Pending Telah Melakukan Kunjungan ke RS LAYAK Korban Dapat Dibayarkan Pending Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan PENDING Korban Dapat Dibayarkan layak Korban Dapat Dibayarkan layak Korban Dapat Dibayarkan layak Korban Dapat Dibayarkan layak Korban Dapat Dibayarkan Pending Korban Dapat Dibayarkan Pending - Status SEP Korban Dapat Dibayarkan layak Korban Dapat Dibayarkan layak Korban Dapat Dibayarkan layak - layak Korban Dapat Dibayarkan layak Korban Dapat Dibayarkan layak Korban Dapat Dibayarkan layak - Langsung JR - Langsung JR - Langsung JR - Langsung JR - Langsung JR - Langsung JR - Langsung JR - Langsung JR - Langsung JR - SEP - SEP - SEP - SEP LAKA TUNGGAL