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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 22 Jan 2022 30 Jan 2022 542480
2 23 Jan 2022 30 Jan 2022 305658
3 24 Jan 2022 30 Jan 2022 542562
4 24 Jan 2022 30 Jan 2022 542583
5 24 Jan 2022 30 Jan 2022 335630
6 24 Jan 2022 30 Jan 2022 542642
7 25 Jan 2022 30 Jan 2022 542653
8 25 Jan 2022 30 Jan 2022 542701
9 25 Jan 2022 30 Jan 2022 523256
10 25 Jan 2022 30 Jan 2022 531170
11 26 Jan 2022 30 Jan 2022 541475
12 26 Jan 2022 30 Jan 2022 542647
13 26 Jan 2022 30 Jan 2022 542770
14 26 Jan 2022 30 Jan 2022 066698
15 26 Jan 2022 30 Jan 2022 228877
16 26 Jan 2022 30 Jan 2022 504638
17 27 Jan 2022 30 Jan 2022 542815
18 26 Jan 2022 30 Jan 2022 542792
19 27 Jan 2022 30 Jan 2022 374826
20 27 Jan 2022 30 Jan 2022 539298
21 27 Jan 2022 30 Jan 2022 471061
22 27 Jan 2022 30 Jan 2022 542503
23 27 Jan 2022 30 Jan 2022 542872
24 27 Jan 2022 30 Jan 2022 542877
25 27 Jan 2022 30 Jan 2022 485077
26 28 Jan 2022 30 Jan 2022 536420
27 28 Jan 2022 30 Jan 2022 328814
28 28 Jan 2022 30 Jan 2022 542634
29 28 Jan 2022 30 Jan 2022 540121
30 28 Jan 2022 30 Jan 2022 521598
31 27 Jan 2022 30 Jan 2022 542852
32 29 Jan 2022 30 Jan 2022 434474
33 29 Jan 2022 30 Jan 2022 542640

Kode RS: 3515106

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LAPORAN REKAP KLAIM - RS ISLAM SITI HAJAR

Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 30 Jan 2022 s/d 30 Jan 2022
Filter: / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = Semua
Nama Pasien No. Klaim / SEP INACBG
M. LUKMAN HAKIM, TN 0195R0290122V010230 K-1-20-III
LUCKY AZIZAH, NY 0195R0290122V010420 E-4-11-I
NOVIANA NUR HIDAYAH, BY NY 0195R0290122V010573 J-4-16-I
DIEGO APRIANSYAH PRAYOGA PUTRA .AN 0195R0290122V010841 A-4-13-I
FASHAN BOBY NURMAHDI.SDR 0195R0290122V010905 K-4-18-I
ASMIAH , NY 0195R0290122V011049 E-4-11-II
DIAN ANDRIANI NY 0195R0290122V011139 W-4-14-I
MARVEL EHSAN EVANO FAEZA AN 0195R0290122V011477 J-4-16-I
DAVID HANDOYO KS MBA, TN 0195R0290122V011494 G-4-14-I
ABU BAKRIN .TN 0195R0290122V011507 G-4-14-I
EKO KUSBIYANTO. TN 0195R0290122V011929 V-1-14-I
SAMIANI. NY 0195R0290122V011950 K-1-40-I
CHOIRUL ANAM. TN 0195R0290122V011958 I-4-10-II
M.SAHRUL NOFANSYAH 0195R0290122V011985 A-4-13-I
SUWARNI. NY 0195R0290122V011995 G-4-14-I
MUHAMMAD BARRAQ ALFARIZI AN 0195R0290122V011999 J-4-16-I
NAFISA AQILA HASNA, AN 0195R0290122V012068 K-4-17-I
SUWANTIK, NY. 0195R0290122V012069 J-4-16-II
AGUS SUSANTO, TN 0195R0290122V012072 K-4-17-I
AHMAD ABIDZAR AL GHIFARI.AN 0195R0290122V012283 J-4-16-I
AFAN ABDUL JABBAR, DR 0195R0290122V012321 V-1-12-I
M. LUTFI ARDIANSYAH. SDR 0195R0290122V012411 K-1-13-I
SUSILOWATI 0195R0290122V012484 J-4-15-II
MUHAMMAD ZEIN VIRENDRA AN 0195R0290122V012487 A-4-12-I
FREISSY GWEN TASANEE AL HASYAR AN 0195R0290122V012490 J-4-16-I
AYU SAFITRI NY 0195R0290122V012555 O-6-10-II
MUHAMMAD SERGIO DWI HARIYADI, AN 0195R0290122V012799 A-4-13-I
SUDARMAN. TN 0195R0290122V012951 N-1-40-I
SUMARNO, TN 0195R0290122V012956 N-1-40-I
UMROH TUSSA'DIYAH, NY 0195R0290122V013005 U-4-11-I
MOCH DHAFA ERLANGGA, AN 0195R0290122V013032 A-4-13-I
KASRONI H. TN 0195R0290122V013119 G-4-14-I
ANISA MIFTACHUL JANNAH. NY 0195R0290122V013245 W-1-11-I
T

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an 2022
f = Semua
Top Up Total Tarif Tarif RS Jenis
29,795,100 27,770,884 RI
4,136,800 7,898,900 RI
5,058,500 7,567,500 RI
2,090,000 6,309,000 RI
1,743,400 6,981,400 RI
4,504,900 9,108,200 RI
1,662,200 3,373,900 RI
5,058,500 5,702,900 RI
7,018,400 10,280,400 RI
5,013,100 8,561,300 RI
8,837,900 14,116,825 RI
7,792,500 12,584,261 RI
8,663,100 9,102,270 RI
2,925,900 9,392,466 RI
6,015,800 6,265,000 RI
5,058,500 4,175,700 RI
2,405,100 3,491,200 RI
5,077,500 6,476,700 RI
2,405,100 5,680,000 RI
5,058,500 4,623,700 RI
12,096,300 11,342,947 RI
5,424,200 7,956,959 RI
5,180,900 5,688,000 RI
3,695,000 3,718,700 RI
5,058,500 6,985,400 RI
5,405,200 8,218,000 RI
2,507,900 3,297,700 RI
8,041,000 9,011,609 RI
8,041,000 8,492,609 RI
2,124,500 4,007,824 RI
2,090,000 3,144,900 RI
7,018,400 7,018,400 RI
3,220,800 4,563,154 RI
Total 190,224,500 252,908,708

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