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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 20 Jan 2022 29 Jan 2022 330708
2 23 Jan 2022 29 Jan 2022 520728
3 24 Jan 2022 29 Jan 2022 341650
4 21 Jan 2022 29 Jan 2022 542373
5 25 Jan 2022 29 Jan 2022 542485
6 25 Jan 2022 29 Jan 2022 542713
7 25 Jan 2022 29 Jan 2022 198075
8 26 Jan 2022 29 Jan 2022 489287
9 26 Jan 2022 29 Jan 2022 500207
10 26 Jan 2022 29 Jan 2022 420216
11 26 Jan 2022 29 Jan 2022 462148
12 26 Jan 2022 29 Jan 2022 542769
13 26 Jan 2022 29 Jan 2022 542665
14 26 Jan 2022 29 Jan 2022 404820
15 26 Jan 2022 29 Jan 2022 542716
16 26 Jan 2022 29 Jan 2022 542804
17 26 Jan 2022 29 Jan 2022 212319
18 26 Jan 2022 29 Jan 2022 542807
19 26 Jan 2022 29 Jan 2022 542809
20 26 Jan 2022 29 Jan 2022 528427
21 27 Jan 2022 29 Jan 2022 529364
22 27 Jan 2022 29 Jan 2022 542732
23 27 Jan 2022 29 Jan 2022 542840
24 27 Jan 2022 29 Jan 2022 404853
25 27 Jan 2022 29 Jan 2022 538851
26 26 Jan 2022 29 Jan 2022 542501
27 27 Jan 2022 29 Jan 2022 522209
28 27 Jan 2022 29 Jan 2022 538136
29 27 Jan 2022 29 Jan 2022 421189
30 27 Jan 2022 29 Jan 2022 538001
31 27 Jan 2022 29 Jan 2022 331769
32 27 Jan 2022 29 Jan 2022 542512
33 27 Jan 2022 29 Jan 2022 528818
34 28 Jan 2022 29 Jan 2022 528492
35 28 Jan 2022 29 Jan 2022 231896
36 27 Jan 2022 29 Jan 2022 541197

Kode RS: 3515106

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LAPORAN REKAP KLAIM - RS ISLAM SITI HAJAR

Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 29 Jan 2022 s/d 29 Jan 2022
Filter: / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = Semua
Nama Pasien No. Klaim / SEP INACBG
HARTINI, NY 0195R0290122V009329 J-4-15-I
AZRIL FAWWAS ALFAREZY S. AN 0195R0290122V010463 J-4-16-II
HANDOKO DIDIK SUGIARTO TN 0195R0290122V010562 I-4-24-II
MUHAMMAD NASRULLAH 0195R0290122V010786 M-1-60-III
ENGGAL SANTOSO SETIAWAN . SDR 0195R0290122V011344 I-4-24-III
CHRISENZIA MANUELLA JANICE, AN 0195R0290122V011496 J-4-17-I
MISRAN TN 0195R0290122V011707 V-1-14-I
AZRIEL RAHANDIKA ALFARIQ, AN 0195R0290122V011738 U-4-13-I
NGADU, TN 0195R0290122V011772 N-4-10-I
SITIN FARIDA .NY 0195R0290122V011855 N-1-12-II
BRIANA AZ ZAHRA UBAIDILLAH, AN 0195R0290122V011861 J-4-21-I
CHAMIM A. RACHMAN .TN 0195R0290122V011892 J-4-17-I
KOMARI. TN 0195R0290122V011931 V-1-14-I
DEDDY AGUS HARIYONO .TN 0195R0290122V011953 K-4-18-I
AULIAN FATIH DZUHAIRI RISKY, AN 0195R0290122V011990 A-4-14-I
FITROTUZ ZAINIYAH, NY 0195R0290122V011993 W-1-20-I
WINARSIH.NY 0195R0290122V011997 W-4-16-I
SITI MAYSAROH, NY 0195R0290122V012002 K-1-11-I
JESSYKA ARTA MEVIA.NY 0195R0290122V012005 K-4-17-I
YUZARSIF ADIPATI DHARMA, AN 0195R0290122V012006 J-4-16-I
NABILA RACHNA SAHIRA, AN 0195R0290122V012070 U-4-13-I
AULIYA FATIMATUZZAHRO. AN 0195R0290122V012071 A-4-14-I
RUSTIKA NUR INAMAH, NY 0195R0290122V012358 I-4-20-I
RHENY PUSPITA RATIH .NY 0195R0290122V012417 N-1-40-I
ROIDHOTUL ROHMA. BY. NY 0195R0290122V012436 A-4-12-I
FAJAR SEPTIAN NUGRAHA SDR 0195R0290122V012455 A-4-13-I
SUNARTI. NY 0195R0290122V012456 N-1-40-I
ACHMAD MUSTOFAH, SDR 0195R0290122V012458 V-1-12-I
SRI WIDYANINGRUM, NY 0195R0290122V012463 N-4-10-II
SUKANDAR. TN 0195R0290122V012502 I-4-20-I
NELLA SWIANDIKA, NN 0195R0290122V012507 M-1-80-I
VETI RUSDIANA . NY 0195R0290122V012523 W-1-30-I
DIMAS BAGUS TAMTOMO ,SDR 0195R0290122V012528 A-4-13-I
ABDILLAH. TN 0195R0290122V012722 M-1-40-I
SUDARWATI, NY 0195R0290122V012768 M-4-17-I
BELA MUSLIM PERTIWI, NY 0195R0290122V012922 W-4-14-I
T

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an 2022
f = Semua
Top Up Total Tarif Tarif RS Jenis
5,203,800 26,178,700 RI
7,108,500 13,954,100 RI
9,013,300 6,422,100 RI
21,893,600 50,314,979 RI
11,395,800 6,612,100 RI
4,426,600 6,855,000 RI
10,605,500 13,731,347 RI
2,772,200 3,905,200 RI
3,976,600 3,959,500 RI
12,472,300 15,091,200 RI
3,358,200 4,234,300 RI
3,688,800 8,719,600 RI
12,373,100 13,699,925 RI
2,033,900 4,270,200 RI
3,176,200 3,650,700 RI
11,569,900 12,156,641 RI
3,035,600 3,380,500 RI
8,270,500 10,817,685 RI
2,405,100 3,075,600 RI
5,058,500 3,455,600 RI
2,772,200 3,127,600 RI
2,722,500 2,970,300 RI
4,202,600 4,293,000 RI
11,257,400 11,345,809 RI
2,639,300 1,531,800 RI
2,925,900 4,389,200 RI
8,041,000 8,967,409 RI
8,640,200 7,794,909 RI
5,784,900 5,026,900 RI
4,202,600 4,530,400 RI
8,672,000 7,641,488 RI
4,665,300 6,432,509 RI
2,090,000 2,564,200 RI
4,315,600 5,421,813 RI
5,162,900 5,223,900 RI
1,994,600 2,904,700 RI
Total 223,927,000 298,650,914

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