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LAPORAN REKAP KLAIM

Pasien Rawat Inap dan Rawat Jalan, Peri
Filter: / Kelas Rawat = Semua / Severity = S
No. Tgl. Masuk Tgl. Pulang No. RM
1 18 Jan 2022 28 Jan 2022 539565
2 19 Jan 2022 28 Jan 2022 350613
3 21 Jan 2022 28 Jan 2022 519091
4 22 Jan 2022 28 Jan 2022 542482
5 23 Jan 2022 28 Jan 2022 358012
6 23 Jan 2022 28 Jan 2022 351625
7 23 Jan 2022 28 Jan 2022 323265
8 23 Jan 2022 28 Jan 2022 542554
9 23 Jan 2022 28 Jan 2022 341169
10 23 Jan 2022 28 Jan 2022 340870
11 24 Jan 2022 28 Jan 2022 251202
12 24 Jan 2022 28 Jan 2022 542572
13 22 Jan 2022 28 Jan 2022 542464
14 24 Jan 2022 28 Jan 2022 215836
15 23 Jan 2022 28 Jan 2022 533263
16 24 Jan 2022 28 Jan 2022 002361
17 24 Jan 2022 28 Jan 2022 541706
18 24 Jan 2022 28 Jan 2022 381461
19 24 Jan 2022 28 Jan 2022 482611
20 25 Jan 2022 28 Jan 2022 429796
21 25 Jan 2022 28 Jan 2022 176864
22 25 Jan 2022 28 Jan 2022 541130
23 25 Jan 2022 28 Jan 2022 313454
24 25 Jan 2022 28 Jan 2022 000611
25 26 Jan 2022 28 Jan 2022 542737
26 26 Jan 2022 28 Jan 2022 217960
27 26 Jan 2022 28 Jan 2022 334341
28 26 Jan 2022 28 Jan 2022 295866
29 26 Jan 2022 28 Jan 2022 542767
30 26 Jan 2022 28 Jan 2022 159735
31 26 Jan 2022 28 Jan 2022 542791
32 26 Jan 2022 28 Jan 2022 542793
33 26 Jan 2022 28 Jan 2022 356132
34 26 Jan 2022 28 Jan 2022 492208
35 26 Jan 2022 28 Jan 2022 542748
36 27 Jan 2022 28 Jan 2022 540993

Kode RS: 3515106

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LAPORAN REKAP KLAIM - RS ISLAM SITI HAJAR

Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 28 Jan 2022 s/d 28 Jan 2022
Filter: / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = Semua
Nama Pasien No. Klaim / SEP INACBG
KISWARI. TN 0195R0290122V008177 G-4-14-II
MUSLICHATIN. NY 0195R0290122V009523 G-4-17-II
M. NUR SALIM. TN 0195R0290122V009722 J-4-15-II
SUROSO. TN 0195R0290122V010235 J-4-15-I
HAFIZ SAIFULILA, AN 0195R0290122V010379 A-4-12-I
ENDANG YULIANI NY 0195R0290122V010404 I-4-15-II
FIRMAN SYARIF MAULANA RIZKY, SDR 0195R0290122V010454 A-4-13-I
MUHAMMAD IZZAM KHAIZURON LABIB, AN 0195R0290122V010460 J-4-16-I
NISWATUS SAKHARIYAH. AN 0195R0290122V010467 A-4-13-I
KARYONO.TN 0195R0290122V010504 J-4-17-I
NAHYA SHAFIYAH ZAHROH PUTRI, NN 0195R0290122V010718 K-1-13-I
ASIYAH .NY 0195R0290122V010727 N-4-10-II
ATIKA WIDYASTUTI, BY NY 0195R0290122V010804 P-8-17-I
AGUS SUPRIADI TN 0195R0290122V010829 G-4-14-III
KARTUBI, TN 0195R0290122V010832 I-4-10-II
BABUR RAHMAN .TN 0195R0290122V010853 A-4-13-I
SAMHA ANIK .NY 0195R0290122V010981 N-1-20-I
KHOLIK .TN 0195R0290122V010986 I-4-15-II
SUMIATI, NY 0195R0290122V011055 I-4-12-I
NANIK MACHLIANA.NY 0195R0290122V011140 W-4-16-I
MACHFUD .TN 0195R0290122V011206 J-4-17-II
NURYADI.TN 0195R0290122V011462 V-1-14-I
SYAHRIAL SURYA, IR TN 0195R0290122V011486 K-4-18-I
DEWI SRIWULAN KURNIASARI 0195R0290122V011527 O-6-10-II
NUR YATIN. NY 0195R0290122V011753 M-4-21-II
DEWI SUKARSI.NY 0195R0290122V011802 G-4-17-I
MOCHAMAD RIDUWAN ,TN 0195R0290122V011814 J-4-17-II
HIMATUN NIKMAH, NY 0195R0290122V011852 E-4-11-I
FASYA FARIDA AISYAH, NN 0195R0290122V011890 A-4-13-I
DEASY NURSETYAWATI. NY 0195R0290122V011915 K-1-40-I
DWI RAHAYU NINGTYAS, NY 0195R0290122V011977 O-6-10-I
KHOIROTUL LUTFIYAH. NY 0195R0290122V011981 W-4-17-I
DEVANGGA ADITYA PRATAMA, AN 0195R0290122V011983 M-4-12-I
SUWARNO , TN 0195R0290122V011998 J-4-17-I
DEWI SRIWULAN. BYNY 0195R0290122V012390 P-8-16-I
ADI WALUYO. TN 0195R0290122V012439 N-4-16-I
T

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an 2022
f = Semua
Top Up Total Tarif Tarif RS Jenis
8,291,400 14,050,700 RI
7,076,800 17,813,600 RI
7,253,300 28,400,800 RI
6,071,100 11,867,100 RI
3,695,000 6,799,300 RI
8,537,100 15,803,975 RI
2,507,900 6,549,400 RI
4,335,900 7,042,300 RI
2,090,000 4,970,600 RI
4,426,600 14,103,370 RI
5,424,200 10,714,600 RI
4,132,100 7,153,300 RI
3,655,700 4,969,413 RI
12,141,100 14,422,800 RI
7,219,300 11,772,170 RI
2,925,900 6,308,900 RI
11,740,200 18,271,238 RI
6,097,900 5,094,500 RI
5,005,900 11,045,070 RI
2,601,900 3,297,900 RI
5,300,900 4,695,400 RI
10,605,500 14,097,700 RI
2,033,900 4,219,700 RI
7,567,300 11,867,100 RI
3,692,700 5,698,300 RI
5,397,100 4,276,900 RI
5,300,900 3,464,200 RI
2,954,900 2,475,200 RI
2,925,900 3,805,600 RI
10,909,500 9,435,159 RI
6,981,500 7,517,200 RI
2,172,700 5,456,500 RI
4,126,300 7,194,200 RI
3,688,800 4,389,500 RI
2,480,700 2,900,068 RI
5,174,200 6,240,209 RI
Total 196,542,100 318,183,972

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