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LAPORAN REKAP KLAIM - RUMKI

Pasien Rawat Inap dan Rawat Jalan, Per
Filter: / Kelas Rawat = Semua / Severity = Semua / Cara
No. Tgl. Masuk Tgl. Pulang No. RM
1 2 Mar 2021 2 Mar 2021 312999
2 2 Mar 2021 2 Mar 2021 285791
3 4 Mar 2021 4 Mar 2021 378369
4 4 Mar 2021 4 Mar 2021 376583
5 5 Mar 2021 5 Mar 2021 301430
6 6 Mar 2021 6 Mar 2021 380735
7 6 Mar 2021 6 Mar 2021 378369
8 6 Mar 2021 6 Mar 2021 378853
9 6 Mar 2021 6 Mar 2021 0286973
10 6 Mar 2021 6 Mar 2021 304546
11 8 Mar 2021 8 Mar 2021 383441
12 9 Mar 2021 9 Mar 2021 205777
13 9 Mar 2021 9 Mar 2021 224883
14 9 Mar 2021 9 Mar 2021 378369
15 9 Mar 2021 9 Mar 2021 341205
16 9 Mar 2021 9 Mar 2021 380936
17 10 Mar 2021 10 Mar 2021 383889
18 10 Mar 2021 10 Mar 2021 383040
19 10 Mar 2021 10 Mar 2021 383441
20 12 Mar 2021 12 Mar 2021 378369
21 17 Mar 2021 17 Mar 2021 330498
22 17 Mar 2021 17 Mar 2021 341205
23 17 Mar 2021 17 Mar 2021 380735
24 17 Mar 2021 17 Mar 2021 023330
25 20 Mar 2021 20 Mar 2021 0286973
26 22 Mar 2021 22 Mar 2021 316598
27 22 Mar 2021 22 Mar 2021 023330
28 22 Mar 2021 22 Mar 2021 150878
29 24 Mar 2021 24 Mar 2021 385396
30 25 Mar 2021 25 Mar 2021 039285
31 26 Mar 2021 26 Mar 2021 382544
32 26 Mar 2021 26 Mar 2021 316598
33 29 Mar 2021 29 Mar 2021 316598
34 31 Mar 2021 31 Mar 2021 316598
35 31 Mar 2021 31 Mar 2021 376583

Kode RS: 1571023

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LAPORAN REKAP KLAIM - RUMKIT TK IV DR. BRATANATA UNANG

Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 1 Mar 2021 s/d 31 Mar 2021
Filter: / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = TARIF RS KELAS C PEMERINTAH
Nama Pasien No. Klaim / SEP INACBG
RIYANDA SYAPUTRA 0501R0020321V000416 Q-5-44-0
POLORA PARAPAT 0501R0020321V000434 Q-5-44-0
HAIDAH 0501R0020321V001055 M-3-16-0
ANDREAS SUGARA. S 0501R0020321V001065 M-3-16-0
INDRA JAYA 0501R0020321V001078 Q-5-44-0
SUHAINI 0501R0020321V001354 M-3-16-0
HAIDAH 0501R0020321V001413 M-3-16-0
EKA ARSIYANTI 0501R0020321V001394 M-3-16-0
AYU LEGENDA SARI 0501R0020321V001306 Q-5-44-0
PERIJA SINAGA 0501R0020321V001355 Q-5-44-0
HANDRIYANI AGUSTINA KUSUMA WARDHANI 0501R0020321V001474 M-3-16-0
EMON MUNANDAR 0501R0020321V001849 Q-5-44-0
AMINAH 0501R0020321V002014 Q-5-44-0
HAIDAH 0501R0020321V002029 M-3-16-0
ARSAT 0501R0020321V002047 M-3-16-0
M.FIRMANSYAH 0501R0020321V001966 Q-5-44-0
TRI NOVIANTI 0501R0020321V002250 Q-5-44-0
FAHMI ZAKKY 0501R0020321V002349 Q-5-44-0
HANDRIYANI AGUSTINA KUSUMA WARDHANI 0501R0020321V002142 M-3-16-0
HAIDAH 0501R0020321V002689 M-3-16-0
VINA AGUSTIA 0501R0020321V003552 Q-5-44-0
ARSAT 0501R0020321V003664 M-3-16-0
SUHAINI 0501R0020321V003640 M-3-16-0
UMAR HASAN 0501R0020321V003663 M-3-16-0
AYU LEGENDA SARI 0501R0020321V004283 Q-5-44-0
YUNITA FEMIL 0501R0020321V004651 M-3-16-0
UMAR HASAN 0501R0020321V004520 M-3-16-0
M. ZARIANDI NUR 0501R0020321V004411 Q-5-44-0
MAHLIYANI 0501R0020321V005162 Q-5-44-0
EKO SETIAWAN 0501R0020321V005363 M-3-16-0
NOVITA DEWI, SE 0501R0020321V005759 Q-5-44-0
YUNITA FEMIL 0501R0020321V005710 M-3-16-0
YUNITA FEMIL 0501R0020321V006091 M-3-16-0
YUNITA FEMIL 0501R0020321V006576 M-3-16-0
ANDREAS SUGARA. S 0501R0020321V006671 M-3-16-0
T

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ar 2021
KELAS C PEMERINTAH
Top Up Total Tarif Tarif RS Jenis
183,500 100,000 RJ
183,500 100,000 RJ
108,700 95,000 RJ
108,700 195,000 RJ
183,500 210,000 RJ
108,700 95,000 RJ
108,700 95,000 RJ
108,700 95,000 RJ
183,500 100,000 RJ
183,500 100,000 RJ
108,700 95,000 RJ
183,500 100,000 RJ
183,500 100,000 RJ
108,700 95,000 RJ
108,700 195,000 RJ
183,500 100,000 RJ
183,500 100,000 RJ
183,500 100,000 RJ
108,700 95,000 RJ
108,700 95,000 RJ
183,500 250,000 RJ
108,700 95,000 RJ
108,700 95,000 RJ
108,700 95,000 RJ
183,500 100,000 RJ
108,700 95,000 RJ
108,700 95,000 RJ
183,500 100,000 RJ
183,500 350,000 RJ
108,700 195,000 RJ
183,500 100,000 RJ
108,700 95,000 RJ
108,700 95,000 RJ
108,700 95,000 RJ
108,700 95,000 RJ
Total 4,926,500 4,210,000

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