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Exc. CoCd Pers.No. Claim No.

im No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 67940040 1011 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT INAP 21.07.2021 31.12.9999 HIDMAD ERHANSYAH ELVIYAH Istri/Suami 71/PET/
* A000 67940040 1011
A000 67940040 1700 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT JALAN 04.01.2022 04.01.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami 272/RJ-
* A000 67940040 1700
A000 67940040 1702 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT JALAN 04.01.2022 04.01.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami 1498/RI
* A000 67940040 1702
A000 67940040 1787 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT JALAN 21.01.2022 21.01.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami 36/RI-R
* A000 67940040 1787
A000 67940040 1799 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT JALAN 25.01.2022 25.01.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami 01/RJ-R
* A000 67940040 1799
A000 67940040 2083 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT JALAN 09.03.2022 09.03.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami 187/RI-
* A000 67940040 2083
A000 67940040 2103 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT JALAN 14.03.2022 14.03.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami 303/RI-
* A000 67940040 2103
A000 67940040 2155 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT JALAN 18.03.2022 18.03.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami 48/RJ-R
* A000 67940040 2155
A000 67940040 2156 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT JALAN 18.03.2022 18.03.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami 49/RJ-R
* A000 67940040 2156
A000 67940040 2284 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT JALAN 14.04.2022 14.04.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami 432/RI-
* A000 67940040 2284
A000 67940040 2287 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT JALAN 19.04.2022 19.04.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami 31/RJ-R
* A000 67940040 2287
A000 67940040 2371 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT JALAN 17.05.2022 17.05.2022 HIDMAD ERHANSYAH 614/RI-
* A000 67940040 2371
A000 67940040 2381 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT JALAN 23.05.2022 23.05.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami 35/RJ-R
* A000 67940040 2381
A000 67940040 2386 A001 6794018P Tagihan 1000 A001 A012040000 0 RAWAT JALAN 23.05.2022 23.05.2022 HIDMAD ERHANSYAH 36/RJ-R
* A000 67940040 2386
A000 72930041 869 A001 7293299K3 Tagihan 1001 1001 1 RAWAT INAP 24.06.2021 31.12.9999 EKO YULIANTO 8220521
* A000 72930041 869
A000 80070001 2231 A001 Tagihan 1000 A001 A012030400 1 RAWAT JALAN 04.04.2022 04.04.2022 EKO PRIYONO MAHAMERU RAKA ARRADYA Anak R2203.1
* A000 80070001 2231
A000 80070001 2300 A001 Tagihan 1000 A001 A012030400 1 RAWAT INAP 20.04.2022 20.04.2022 EKO PRIYONO MAHAMERU RAKA ARRADYA Anak R2203.1
* A000 80070001 2300
A000 82120009 2018 A001 8212003ZBY Tagihan 1000 A001 A012020303 1 RAWAT JALAN 01.03.2022 01.03.2022 DINI WIDIASTUTI 092/02/
* A000 82120009 2018
A000 86110003 2294 A001 8611297ZBY Tagihan 1000 A001 A012040201 1 RAWAT JALAN 19.04.2022 19.04.2022 SURYA PRAMUDYA I273621
* A000 86110003 2294
A000 86110003 2347 A001 8611297ZBY Tagihan 1000 A001 A012040201 1 RAWAT INAP 10.05.2022 10.05.2022 SURYA PRAMUDYA I274111
* A000 86110003 2347
A000 87100005 2221 A001 8810007ZBY Tagihan 1000 A001 A012010100 1 RAWAT JALAN 01.04.2022 01.04.2022 SUPRIHATI 731/02/
* A000 87100005 2221
A000 92170001 1697 A001 9217879ZY Tagihan 1000 A001 A012010302 1 RAWAT INAP 04.01.2022 04.01.2022 MUHAMMAD JAFAR PURWANTO FARAH HUSNA FADHILAH Istri/Suami 21L0522
* A000 92170001 1697
A000 92170001 1698 A001 9217879ZY Tagihan 1000 A001 A012010302 1 RAWAT INAP 04.01.2022 04.01.2022 MUHAMMAD JAFAR PURWANTO FARAH HUSNA FADHILAH Istri/Suami 21L0522
* A000 92170001 1698
A000 92170001 1699 A001 9217879ZY Tagihan 1000 A001 A012010302 1 RAWAT JALAN 04.01.2022 04.01.2022 MUHAMMAD JAFAR PURWANTO FARAH HUSNA FADHILAH Istri/Suami P211200
* A000 92170001 1699
A000 92180024 2349 A001 9218005ZBY Tagihan 1000 A001 A012020103 1 RAWAT JALAN 11.05.2022 11.05.2022 RIEFKY PRAJASA APRILIA REJEKI SARASWATI Istri/Suami 2010202
* A000 92180024 2349
A000 92190006 2363 A001 9219002ZBY Tagihan 1000 A001 A012040102 1 RAWAT JALAN 13.05.2022 13.05.2022 CHANDRA SETYA PRADANA 2100002
* A000 92190006 2363
A000 94180010 1004 A001 9418010ZBY Tagihan 1000 A001 A012020101 1 RAWAT INAP 19.07.2021 31.12.9999 DWI AGUS FIRMANTARA RISKA RACHMAWATI Istri/Suami 06133/T
* A000 94180010 1004
A000 94190023 1183 A001 9419023ZBY Tagihan 1000 A001 A012010302 1 RAWAT INAP 27.08.2021 31.12.9999 IZZI IQBAL 282/07/
* A000 94190023 1183
A000 95180012 175 A001 9518012ZBY Tagihan 1000 A001 A012010100 1 RAWAT INAP 02.12.2020 31.12.9999 ASRI PURWITASARI ARSHAKA KALANDRA EKASATYA Anak 58841
* A000 95180012 175
A000 95180032 2140 A001 9518011ZBY Tagihan 1000 A001 A012030101 1 RAWAT JALAN 15.03.2022 15.03.2022 YOGA GIGIH APRILIA ALFARELLZA GIGIH SADANANDA Anak 0307/KW
* A000 95180032 2140
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

CT/RJ-RSGP/VII/2021 PENGGANTIAN KESEHATAN PEGAWAI BULAN JULI 2021 14.07.2021 GADING PLUIT JASA MEDIKA, PT 500005097 16.200.000 IDR Submitted to Finance 21.07.2021 21.07.2021 3200000727 Document posted successfully:
16.200.000 IDR
RSGP/XII/2021 PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 27.12.2021 GADING PLUIT JASA MEDIKA, PT 500005097 6.973.050 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000043 Document posted successfully:
6.973.050 IDR
-RSGP/XII/2021 PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 22.12.2021 GADING PLUIT JASA MEDIKA, PT 500005097 1.887.700 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000042 Document posted successfully:
1.887.700 IDR
SGP/I/2022 PENGGANTIAN KESEHATAN PEGAWAI BULAN JANUARI 13.01.2022 GADING PLUIT JASA MEDIKA, PT 500005097 7.559.600 IDR Submitted to Finance 21.01.2022 21.01.2022 3200000127 Document posted successfully:
7.559.600 IDR
SGP/I/2022 PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 20.01.2022 GADING PLUIT JASA MEDIKA, PT 500005097 510.000 IDR Submitted to Finance 25.01.2022 25.01.2022 3200000139 Document posted successfully:
510.000 IDR
RSGP/II/2022 PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 10.02.2022 GADING PLUIT JASA MEDIKA, PT 500005097 2.672.200 IDR Submitted to Finance 09.03.2022 09.03.2022 3200000387 Document posted successfully:
2.672.200 IDR
RSGP/III/2022 PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 09.03.2022 GADING PLUIT JASA MEDIKA, PT 500005097 1.888.200 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000429 Document posted successfully:
1.888.200 IDR
SGP/III/2022 PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 15.03.2022 GADING PLUIT JASA MEDIKA, PT 500005097 5.059.700 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000448 Document posted successfully:
5.059.700 IDR
SGP/III/2022 PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 16.03.2022 GADING PLUIT JASA MEDIKA, PT 500005097 1.559.000 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000449 Document posted successfully:
1.559.000 IDR
RSGP/IV/2022 PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 11.04.2022 GADING PLUIT JASA MEDIKA, PT 500005097 9.480.050 IDR Submitted to Finance 14.04.2022 14.04.2022 3200000568 Document posted successfully:
9.480.050 IDR
SGP/IV/2022 PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 12.04.2022 GADING PLUIT JASA MEDIKA, PT 500005097 1.559.000 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000584 Document posted successfully:
1.559.000 IDR
RSGP/V/2022 PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 10.05.2022 GADING PLUIT JASA MEDIKA, PT 500005097 3.864.350 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000643 Document posted successfully:
3.864.350 IDR
SGP/V/2022 BIAYA PENGELOLAAN PERUSAHAAN 13.05.2022 GADING PLUIT JASA MEDIKA, PT 500005097 1.559.000 IDR Submitted to Finance 23.05.2022 23.05.2022 3200000661 Document posted successfully:
1.559.000 IDR
SGP/V/2022 BIAYA PENGELOLAAN PERUSAHAAN 18.05.2022 GADING PLUIT JASA MEDIKA, PT 500005097 924.000 IDR Submitted to Finance 23.05.2022 23.05.2022 3200000662 Document posted successfully:
924.000 IDR
044 PENGGANTIAN KESEHATAN PEGAWAI BULAN JUNI 2021 22.05.2021 PROTEINDO KARYASEHAT.BRT, PT 500005094 26.056.900 IDR Submitted to Finance 24.06.2021 24.06.2021 3200000600 Document posted successfully:
26.056.900 IDR
571 PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 30.03.2022 BINARA GUNA MEDIKATAMA, PT 500005044 47.197.827 IDR Submitted to Finance 04.04.2022 04.04.2022 3200000514 Document posted successfully:
47.197.827 IDR
571 PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 30.03.2022 BINARA GUNA MEDIKATAMA, PT 500005044 47.207.827 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000583 Document posted successfully:
47.207.827 IDR
22-C PENGGANTIAN KESEHATAN PEGAWAI BULAN MARET 23.02.2022 AFFINITY HEALTH INDONESIA, PT 500005101 7.360.659 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000354 Document posted successfully:
7.360.659 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 13.03.2022 AFFINITY HEALTH INDONESIA, PT 500005101 62.232.933 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000585 Document posted successfully:
62.232.933 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 06.05.2022 AFFINITY HEALTH INDONESIA, PT 500005101 59.963.137 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000644 Document posted successfully:
59.963.137 IDR
22-C PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 31.03.2022 AFFINITY HEALTH INDONESIA, PT 500005101 31.870.762 IDR Submitted to Finance 04.04.2022 04.04.2022 3200000515 Document posted successfully:
31.870.762 IDR
7 PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 27.12.2021 MUTIARA MEDIKA LESTARI, PT 500005121 36.544.195 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000045 Document posted successfully:
36.544.195 IDR
9 PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 26.12.2021 MUTIARA MEDIKA LESTARI, PT 500005121 7.325.273 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000044 Document posted successfully:
7.325.273 IDR
139 PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 29.12.2021 MUTIARA MEDIKA LESTARI, PT 500005121 275.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000046 Document posted successfully:
275.000 IDR
20400290 PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 18.04.2022 RASHAL SIAR CAKRA MEDIKA, PT 500005092 47.777.438 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000642 Document posted successfully:
47.777.438 IDR
43 PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 27.04.2022 PERTAMINA BINA MEDIKA IHC, PT 500005109 19.646.865 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000645 Document posted successfully:
19.646.865 IDR
GH-KEU/07/2021 PENGGANTIAN KESEHATAN PEGAWAI BULAN JULI 2021 03.07.2021 BUNDAMEDIK, PT 500005095 17.580.755 IDR Submitted to Finance 19.07.2021 19.07.2021 3200000725 Document posted successfully:
17.580.755 IDR
21-C PENGGANTIAN KESEHATAN PEGAWAI BULAN AGUSTUS 2021 12.08.2021 AFFINITY HEALTH INDONESIA, PT 500005101 28.000.000 IDR Submitted to Finance 30.08.2021 30.08.2021 3200000864 Document posted successfully:
28.000.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BULAN DESEMBER 2020 14.10.2020 NIRMALA KENCANA MAS, PT 500005060 65.232.800 IDR Submitted to Finance 03.12.2020 03.12.2020 3200000194 Document posted successfully:
65.232.800 IDR
T/BWCH-SWG/TAG/II/2022 PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 08.02.2022 MANDIRI CATURINDO MEDIKATAMA, 500005141 15.048.000 IDR Submitted to Finance 15.03.2022 15.03.2022 3200000431 Document posted successfully:
15.048.000 IDR
BKPFF 3200000727A000

BKPFF 3200000043A000

BKPFF 3200000042A000

BKPFF 3200000127A000

BKPFF 3200000139A000

BKPFF 3200000387A000

BKPFF 3200000429A000

BKPFF 3200000448A000

BKPFF 3200000449A000

BKPFF 3200000568A000

BKPFF 3200000584A000

BKPFF 3200000643A000

BKPFF 3200000661A000

BKPFF 3200000662A000

BKPFF 3200000600A000

BKPFF 3200000514A000

BKPFF 3200000583A000

BKPFF 3200000354A000

BKPFF 3200000585A000

BKPFF 3200000644A000

BKPFF 3200000515A000

BKPFF 3200000045A000

BKPFF 3200000044A000

BKPFF 3200000046A000

BKPFF 3200000642A000

BKPFF 3200000645A000

BKPFF 3200000725A000

BKPFF 3200000864A000

BKPFF 3200000194A000

BKPFF 3200000431A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 96190022 2364 A001 9619018ZBY Tagihan 1000 A001 A012020303 1 RAWAT JALAN 13.05.2022 13.05.2022 HAFIDHA NOVARIAN PRIMADANI 2100002
* A000 96190022 2364

** 1:Tagihan

A000 8810727 1654 8810727Z Restitusi 1000 A001 A012040102 1 RAWAT JALAN 03.01.2022 03.01.2022 ELSA RIA BERLIANI
* A000 8810727 1654
A000 8810727 1689 8810727Z Restitusi 1000 A001 A012040102 1 RAWAT JALAN 03.01.2022 03.01.2022 ELSA RIA BERLIANI
* A000 8810727 1689
A000 8810727 1690 8810727Z Restitusi 1000 A001 A012040102 1 RAWAT JALAN 03.01.2022 03.01.2022 ELSA RIA BERLIANI
* A000 8810727 1690
A000 8810727 2183 8810727Z Restitusi 1000 A001 A012040102 1 RAWAT JALAN 23.03.2022 23.03.2022 ELSA RIA BERLIANI
* A000 8810727 2183
A000 8810727 2184 8810727Z Restitusi 1000 A001 A012040102 1 RAWAT JALAN 23.03.2022 23.03.2022 ELSA RIA BERLIANI
* A000 8810727 2184
A000 8810727 2185 8810727Z Restitusi 1000 A001 A012040102 1 RAWAT JALAN 23.03.2022 23.03.2022 ELSA RIA BERLIANI
* A000 8810727 2185
A000 67940040 2133 6794018P Restitusi 1000 A001 A012040000 0 RAWAT JALAN 14.03.2022 14.03.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami
* A000 67940040 2133
A000 67940040 2134 6794018P Restitusi 1000 A001 A012040000 0 RAWAT JALAN 14.03.2022 14.03.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami
* A000 67940040 2134
A000 67940040 2135 6794018P Restitusi 1000 A001 A012040000 0 RAWAT JALAN 14.03.2022 14.03.2022 HIDMAD ERHANSYAH TSANAATIVA VINNERA Anak
* A000 67940040 2135
A000 67940040 2136 6794018P Restitusi 1000 A001 A012040000 0 RAWAT JALAN 14.03.2022 14.03.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami
* A000 67940040 2136
A000 67940040 2137 6794018P Restitusi 1000 A001 A012040000 0 RAWAT JALAN 14.03.2022 14.03.2022 HIDMAD ERHANSYAH TSANAATIVA VINNERA Anak
* A000 67940040 2137
A000 67940040 2147 6794018P Restitusi 1000 A001 A012040000 0 RAWAT JALAN 18.03.2022 18.03.2022 HIDMAD ERHANSYAH
* A000 67940040 2147
A000 67940040 2148 6794018P Restitusi 1000 A001 A012040000 0 RAWAT JALAN 18.03.2022 18.03.2022 HIDMAD ERHANSYAH TSANAATIVA VINNERA Anak
* A000 67940040 2148
A000 67940040 2149 6794018P Restitusi 1000 A001 A012040000 0 RAWAT JALAN 18.03.2022 18.03.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami
* A000 67940040 2149
A000 67940040 2150 6794018P Restitusi 1000 A001 A012040000 0 RAWAT JALAN 18.03.2022 18.03.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami
* A000 67940040 2150
A000 67940040 2151 6794018P Restitusi 1000 A001 A012040000 0 RAWAT JALAN 18.03.2022 18.03.2022 HIDMAD ERHANSYAH Istri/Suami
* A000 67940040 2151
A000 67940040 2152 6794018P Restitusi 1000 A001 A012040000 0 RAWAT JALAN 18.03.2022 18.03.2022 HIDMAD ERHANSYAH
* A000 67940040 2152
A000 67940040 2283 6794018P Restitusi 1000 A001 A012040000 0 RAWAT INAP 14.04.2022 14.04.2022 HIDMAD ERHANSYAH ELVIYAH Istri/Suami 432/RI-
* A000 67940040 2283
A000 68930001 1655 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 03.01.2022 03.01.2022 TRI JOKO SUPRIYATNO DRA. INANI FAIQOH Istri/Suami
* A000 68930001 1655
A000 68930001 1656 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 03.01.2022 03.01.2022 TRI JOKO SUPRIYATNO DRA. INANI FAIQOH Istri/Suami
* A000 68930001 1656
A000 68930001 1657 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 03.01.2022 03.01.2022 TRI JOKO SUPRIYATNO DRA. INANI FAIQOH Istri/Suami
* A000 68930001 1657
A000 68930001 1744 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 13.01.2022 13.01.2022 TRI JOKO SUPRIYATNO DRA. INANI FAIQOH Istri/Suami
* A000 68930001 1744
A000 68930001 1745 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 13.01.2022 13.01.2022 TRI JOKO SUPRIYATNO DRA. INANI FAIQOH Istri/Suami
* A000 68930001 1745
A000 68930001 1746 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 13.01.2022 13.01.2022 TRI JOKO SUPRIYATNO DRA. INANI FAIQOH Istri/Suami
* A000 68930001 1746
A000 68930001 1751 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 17.01.2022 17.01.2022 TRI JOKO SUPRIYATNO Inani Faiqoh Istri/Suami
* A000 68930001 1751
A000 68930001 1752 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 17.01.2022 17.01.2022 TRI JOKO SUPRIYATNO DRA. INANI FAIQOH Istri/Suami
* A000 68930001 1752
A000 68930001 1809 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 31.01.2022 31.01.2022 TRI JOKO SUPRIYATNO DRA. INANI FAIQOH Istri/Suami
* A000 68930001 1809
A000 68930001 1889 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 11.02.2022 11.02.2022 TRI JOKO SUPRIYATNO
* A000 68930001 1889
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

44 PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 27.04.2022 PERTAMINA BINA MEDIKA IHC, PT 500005109 8.158.862 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000646 Document posted successfully:
8.158.862 IDR

589.175.083 IDR

PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.12.2021 1.650.500 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000001 Document posted successfully:
1.650.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 30.12.2021 56.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000002 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 01.01.2022 85.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000003 Document posted successfully:
85.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 19.03.2022 2.400.000 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000464 Document posted successfully:
2.400.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 16.03.2022 175.000 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000465 Document posted successfully:
175.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 15.03.2022 99.000 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000466 Document posted successfully:
99.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 26.02.2022 550.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000424 Document posted successfully:
550.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 10.02.2022 90.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000425 Document posted successfully:
90.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 11.02.2022 90.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000426 Document posted successfully:
90.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 12.02.2022 90.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000427 Document posted successfully:
90.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 13.02.2022 350.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000428 Document posted successfully:
350.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 01.03.2022 472.500 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000436 Document posted successfully:
472.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 10.02.2022 873.000 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000437 Document posted successfully:
873.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 13.02.2022 385.000 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000438 Document posted successfully:
385.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 06.03.2022 90.000 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000439 Document posted successfully:
90.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 02.03.2022 450.000 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000440 Document posted successfully:
450.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 09.03.2022 450.000 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000441 Document posted successfully:
450.000 IDR
RSGP/IV/2022 PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 11.04.2022 GADING PLUIT JASA MEDIKA, PT 500005097 9.480.050 IDR Submitted to Finance 14.04.2022 14.04.2022 3200000567 Document posted successfully:
9.480.050 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 27.12.2021 490.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000036 Document posted successfully:
490.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 26.12.2021 1.265.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000004 Document posted successfully:
1.265.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 22.12.2021 2.990.240 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000037 Document posted successfully:
2.990.240 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 08.01.2022 470.000 IDR Submitted to Finance 13.01.2022 13.01.2022 3200000076 Document posted successfully:
470.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 07.01.2022 1.460.000 IDR Submitted to Finance 14.01.2022 14.01.2022 3200000083 Document posted successfully:
1.460.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 05.01.2022 1.588.280 IDR Submitted to Finance 13.01.2022 13.01.2022 3200000077 Document posted successfully:
1.588.280 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 13.01.2022 1.490.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000089 Document posted successfully:
1.490.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 11.01.2022 1.490.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000090 Document posted successfully:
1.490.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 15.01.2022 1.490.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000149 Document posted successfully:
1.490.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 750.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000215 Document posted successfully:
750.000 IDR
BKPFF 3200000646A000

BKPFF 3200000001A000

BKPFF 3200000002A000

BKPFF 3200000003A000

BKPFF 3200000464A000

BKPFF 3200000465A000

BKPFF 3200000466A000

BKPFF 3200000424A000

BKPFF 3200000425A000

BKPFF 3200000426A000

BKPFF 3200000427A000

BKPFF 3200000428A000

BKPFF 3200000436A000

BKPFF 3200000437A000

BKPFF 3200000438A000

BKPFF 3200000439A000

BKPFF 3200000440A000

BKPFF 3200000441A000

BKPFF 3200000567A000

BKPFF 3200000036A000

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BKPFF 3200000037A000

BKPFF 3200000076A000

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Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 68930001 1890 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 11.02.2022 11.02.2022 TRI JOKO SUPRIYATNO DRA. INANI FAIQOH Istri/Suami
* A000 68930001 1890
A000 68930001 2178 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 23.03.2022 23.03.2022 TRI JOKO SUPRIYATNO
* A000 68930001 2178
A000 68930001 2179 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 23.03.2022 23.03.2022 TRI JOKO SUPRIYATNO DRA. INANI FAIQOH Istri/Suami
* A000 68930001 2179
A000 68930001 2180 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 23.03.2022 23.03.2022 TRI JOKO SUPRIYATNO DRA. INANI FAIQOH Istri/Suami
* A000 68930001 2180
A000 68930001 2181 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 23.03.2022 23.03.2022 TRI JOKO SUPRIYATNO
* A000 68930001 2181
A000 68930001 2186 6893198Z Restitusi 1000 A001 A012020000 0 RAWAT JALAN 23.03.2022 23.03.2022 TRI JOKO SUPRIYATNO
* A000 68930001 2186
A000 70910005 2138 7091011LMK Restitusi 1000 A001 A012040200 1 RAWAT JALAN 15.03.2022 15.03.2022 BUDHI ZULHAMSYAH BUSCAS UMAR NAUFAL 'ULA MAGHRIBI Anak
* A000 70910005 2138
A000 70950014 1810 7095105P Restitusi 1000 A001 A012030000 0 RAWAT JALAN 31.01.2022 31.01.2022 EKO YUNIARTO NOVI YAYUK B Istri/Suami
* A000 70950014 1810
A000 70950014 1811 7095105P Restitusi 1000 A001 A012030000 0 RAWAT JALAN 31.01.2022 31.01.2022 EKO YUNIARTO NIKO TRI FEBRIANSYAH Anak
* A000 70950014 1811
A000 70950014 1812 7095105P Restitusi 1000 A001 A012030000 0 RAWAT JALAN 31.01.2022 31.01.2022 EKO YUNIARTO
* A000 70950014 1812
A000 70950014 1903 7095105P Restitusi 1000 A001 A012030000 0 RAWAT JALAN 14.02.2022 14.02.2022 EKO YUNIARTO NIKO TRI FEBRIANSYAH Anak
* A000 70950014 1903
A000 70950014 1904 7095105P Restitusi 1000 A001 A012030000 0 RAWAT JALAN 14.02.2022 14.02.2022 EKO YUNIARTO NOVI YAYUK B Istri/Suami
* A000 70950014 1904
A000 70950014 1905 7095105P Restitusi 1000 A001 A012030000 0 RAWAT JALAN 14.02.2022 14.02.2022 EKO YUNIARTO NIKO TRI FEBRIANSYAH Anak
* A000 70950014 1905
A000 70950014 1960 7095105P Restitusi 1000 A001 A012030000 0 RAWAT JALAN 21.02.2022 21.02.2022 EKO YUNIARTO ANNISA NURFITRI RAUDAH Anak
* A000 70950014 1960
A000 70950014 1961 7095105P Restitusi 1000 A001 A012030000 0 RAWAT JALAN 21.02.2022 21.02.2022 EKO YUNIARTO VIKO DWIANANTO Anak
* A000 70950014 1961
A000 70950014 2035 7095105P Restitusi 1000 A001 A012030000 0 RAWAT JALAN 02.03.2022 02.03.2022 EKO YUNIARTO ANNISA NURFITRI RAUDAH Anak
* A000 70950014 2035
A000 70950014 2036 7095105P Restitusi 1000 A001 A012030000 0 RAWAT JALAN 02.03.2022 02.03.2022 EKO YUNIARTO NIKO TRI FEBRIANSYAH Anak
* A000 70950014 2036
A000 70950014 2208 7095105P Restitusi 1000 A001 A012030000 0 RAWAT JALAN 29.03.2022 29.03.2022 EKO YUNIARTO NOVI YAYUK B Istri/Suami
* A000 70950014 2208
A000 70950014 2212 7095105P Restitusi 1000 A001 A012030000 0 RAWAT JALAN 30.03.2022 30.03.2022 EKO YUNIARTO
* A000 70950014 2212
A000 70950014 2254 7095105P Restitusi 1000 A001 A012030000 0 RAWAT JALAN 11.04.2022 11.04.2022 EKO YUNIARTO NOVI YAYUK B Istri/Suami
* A000 70950014 2254
A000 75021111 1735 750225013I Restitusi 1000 A001 A012030100 1 RAWAT JALAN 12.01.2022 12.01.2022 PRIHANTINA ARDANISWARIE
* A000 75021111 1735
A000 75021111 1769 750225013I Restitusi 1000 A001 A012030100 1 RAWAT JALAN 18.01.2022 18.01.2022 PRIHANTINA ARDANISWARIE
* A000 75021111 1769
A000 75021111 1813 750225013I Restitusi 1000 A001 A012030100 1 RAWAT JALAN 31.01.2022 31.01.2022 PRIHANTINA ARDANISWARIE
* A000 75021111 1813
A000 75021111 1841 750225013I Restitusi 1000 A001 A012030100 1 RAWAT JALAN 03.02.2022 03.02.2022 PRIHANTINA ARDANISWARIE
* A000 75021111 1841
A000 75021111 2004 750225013I Restitusi 1000 A001 A012030100 1 RAWAT JALAN 23.02.2022 23.02.2022 PRIHANTINA ARDANISWARIE
* A000 75021111 2004
A000 75021111 2005 750225013I Restitusi 1000 A001 A012030100 1 RAWAT JALAN 23.02.2022 23.02.2022 PRIHANTINA ARDANISWARIE
* A000 75021111 2005
A000 75021111 2084 750225013I Restitusi 1000 A001 A012030100 1 RAWAT JALAN 10.03.2022 10.03.2022 PRIHANTINA ARDANISWARIE
* A000 75021111 2084
A000 75021111 2319 750225013I Restitusi 1000 A001 A012030100 1 RAWAT JALAN 25.04.2022 25.04.2022 PRIHANTINA ARDANISWARIE
* A000 75021111 2319
A000 75021111 2345 750225013I Restitusi 1000 A001 A012030100 1 RAWAT JALAN 10.05.2022 10.05.2022 PRIHANTINA ARDANISWARIE
* A000 75021111 2345
A000 75021111 2374 750225013I Restitusi 1000 A001 A012030100 1 RAWAT JALAN 18.05.2022 18.05.2022 PRIHANTINA ARDANISWARIE
* A000 75021111 2374
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 04.02.2022 750.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000216 Document posted successfully:
750.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 15.03.2022 750.000 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000467 Document posted successfully:
750.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 24.02.2022 450.000 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000468 Document posted successfully:
450.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 21.02.2022 1.017.300 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000469 Document posted successfully:
1.017.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 19.03.2022 275.000 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000470 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 06.03.2022 1.385.300 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000471 Document posted successfully:
1.385.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 27.01.2022 250.000 IDR Submitted to Finance 15.03.2022 15.03.2022 3200000430 Document posted successfully:
250.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 29.01.2022 241.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000150 Document posted successfully:
241.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 27.01.2022 482.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000151 Document posted successfully:
482.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.01.2022 406.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000152 Document posted successfully:
406.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 10.02.2022 812.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000217 Document posted successfully:
812.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 11.02.2022 594.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000218 Document posted successfully:
594.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 12.02.2022 421.505 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000219 Document posted successfully:
421.505 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 15.02.2022 135.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000280 Document posted successfully:
135.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 18.02.2022 150.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000281 Document posted successfully:
150.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 21.02.2022 115.000 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000338 Document posted successfully:
115.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 22.02.2022 180.000 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000339 Document posted successfully:
180.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 28.03.2022 40.793.927 IDR Submitted to Finance 29.03.2022 29.03.2022 3200000496 Document posted successfully:
40.793.927 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 26.03.2022 99.000 IDR Submitted to Finance 30.03.2022 30.03.2022 3200000502 Document posted successfully:
99.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 05.04.2022 487.780 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000536 Document posted successfully:
487.780 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 04.01.2022 1.250.500 IDR Submitted to Finance 12.01.2022 12.01.2022 3200000073 Document posted successfully:
1.250.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 08.01.2022 750.000 IDR Submitted to Finance 18.01.2022 18.01.2022 3200000107 Document posted successfully:
750.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 29.01.2022 1.737.500 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000153 Document posted successfully:
1.737.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 56.000 IDR Submitted to Finance 03.02.2022 03.02.2022 3200000176 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 12.02.2022 1.209.000 IDR Submitted to Finance 25.02.2022 25.02.2022 3200000323 Document posted successfully:
1.209.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 19.02.2022 5.980.000 IDR Submitted to Finance 25.02.2022 25.02.2022 3200000324 Document posted successfully:
5.980.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 05.03.2022 1.152.000 IDR Submitted to Finance 10.03.2022 10.03.2022 3200000388 Document posted successfully:
1.152.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 09.04.2022 842.500 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000593 Document posted successfully:
842.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 09.05.2022 841.500 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000631 Document posted successfully:
841.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 14.05.2022 2.780.000 IDR Submitted to Finance 19.05.2022 19.05.2022 3200000648 Document posted successfully:
2.780.000 IDR
BKPFF 3200000216A000

BKPFF 3200000467A000

BKPFF 3200000468A000

BKPFF 3200000469A000

BKPFF 3200000470A000

BKPFF 3200000471A000

BKPFF 3200000430A000

BKPFF 3200000150A000

BKPFF 3200000151A000

BKPFF 3200000152A000

BKPFF 3200000217A000

BKPFF 3200000218A000

BKPFF 3200000219A000

BKPFF 3200000280A000

BKPFF 3200000281A000

BKPFF 3200000338A000

BKPFF 3200000339A000

BKPFF 3200000496A000

BKPFF 3200000502A000

BKPFF 3200000536A000

BKPFF 3200000073A000

BKPFF 3200000107A000

BKPFF 3200000153A000

BKPFF 3200000176A000

BKPFF 3200000323A000

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Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 75021111 2385 750225013I Restitusi 1000 A001 A012030100 1 RAWAT JALAN 23.05.2022 23.05.2022 PRIHANTINA ARDANISWARIE
* A000 75021111 2385
A000 75021111 2408 750225013I Restitusi 1000 A001 A012030100 1 RAWAT JALAN 31.05.2022 31.05.2022 PRIHANTINA ARDANISWARIE
* A000 75021111 2408
A000 78030002 2187 780321146I Restitusi 1000 A001 A012030300 1 RAWAT JALAN 24.03.2022 24.03.2022 IMAM PUTRA PRASETYA DWI YUNI ASTUTI Istri/Suami
* A000 78030002 2187
A000 78030002 2188 780321146I Restitusi 1000 A001 A012030300 1 RAWAT JALAN 24.03.2022 24.03.2022 IMAM PUTRA PRASETYA NAURA YASMIN NURAZIZAH Anak
* A000 78030002 2188
A000 78030002 2207 780321146I Restitusi 1000 A001 A012030300 1 RAWAT JALAN 29.03.2022 29.03.2022 IMAM PUTRA PRASETYA
* A000 78030002 2207
A000 78030002 2276 780321146I Restitusi 1000 A001 A012030300 1 RAWAT JALAN 14.04.2022 14.04.2022 IMAM PUTRA PRASETYA DWI YUNI ASTUTI Istri/Suami
* A000 78030002 2276
A000 78030002 2277 780321146I Restitusi 1000 A001 A012030300 1 RAWAT JALAN 14.04.2022 14.04.2022 IMAM PUTRA PRASETYA NAURA YASMIN NURAZIZAH Anak
* A000 78030002 2277
A000 78030002 2278 780321146I Restitusi 1000 A001 A012030300 1 RAWAT JALAN 14.04.2022 14.04.2022 IMAM PUTRA PRASETYA
* A000 78030002 2278
A000 78030002 2279 780321146I Restitusi 1000 A001 A012030300 1 RAWAT JALAN 14.04.2022 14.04.2022 IMAM PUTRA PRASETYA
* A000 78030002 2279
A000 78030002 2280 780321146I Restitusi 1000 A001 A012030300 1 RAWAT JALAN 14.04.2022 14.04.2022 IMAM PUTRA PRASETYA DWI YUNI ASTUTI Istri/Suami
* A000 78030002 2280
A000 78030002 2281 780321146I Restitusi 1000 A001 A012030300 1 RAWAT JALAN 14.04.2022 14.04.2022 IMAM PUTRA PRASETYA
* A000 78030002 2281
A000 78030002 2325 780321146I Restitusi 1000 A001 A012030300 1 RAWAT JALAN 25.04.2022 25.04.2022 IMAM PUTRA PRASETYA
* A000 78030002 2325
A000 78030004 2037 780325127I Restitusi 1000 A001 A012010100 1 RAWAT JALAN 02.03.2022 02.03.2022 FANINA ANDINI
* A000 78030004 2037
A000 78030004 2038 780325127I Restitusi 1000 A001 A012010100 1 RAWAT JALAN 02.03.2022 02.03.2022 FANINA ANDINI NAYLA AQEELA AZ ZAHRA Anak
* A000 78030004 2038
A000 78030004 2039 780325127I Restitusi 1000 A001 A012010100 1 RAWAT JALAN 02.03.2022 02.03.2022 FANINA ANDINI NAYLA WINOLA AISYAH Anak
* A000 78030004 2039
A000 78030004 2040 780325127I Restitusi 1000 A001 A012010100 1 RAWAT JALAN 02.03.2022 02.03.2022 FANINA ANDINI NAYLA SYIFA NATHANIA Anak
* A000 78030004 2040
A000 78030004 2053 780325127I Restitusi 1000 A001 A012010100 1 RAWAT JALAN 07.03.2022 07.03.2022 FANINA ANDINI
* A000 78030004 2053
A000 78030004 2094 780325127I Restitusi 1000 A001 A012010100 1 RAWAT JALAN 11.03.2022 11.03.2022 FANINA ANDINI
* A000 78030004 2094
A000 78030111 1659 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 03.01.2022 03.01.2022 ADHITYA SAPTA ADHITAMA AKBAR ALVARENDRA FARISI ADHITAMA Anak
* A000 78030111 1659
A000 78030111 1661 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 03.01.2022 03.01.2022 ADHITYA SAPTA ADHITAMA ARYASATYA YUSUF HABIBIE ADHITAMA Anak
* A000 78030111 1661
A000 78030111 1873 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 08.02.2022 08.02.2022 ADHITYA SAPTA ADHITAMA AKBAR ALVARENDRA FARISI ADHITAMA Anak
* A000 78030111 1873
A000 78030111 1874 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 08.02.2022 08.02.2022 ADHITYA SAPTA ADHITAMA ARYASATYA YUSUF HABIBIE ADHITAMA Anak
* A000 78030111 1874
A000 78030111 1875 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 08.02.2022 08.02.2022 ADHITYA SAPTA ADHITAMA
* A000 78030111 1875
A000 78030111 1876 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 08.02.2022 08.02.2022 ADHITYA SAPTA ADHITAMA
* A000 78030111 1876
A000 78030111 1877 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 08.02.2022 08.02.2022 ADHITYA SAPTA ADHITAMA
* A000 78030111 1877
A000 78030111 1878 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 08.02.2022 08.02.2022 ADHITYA SAPTA ADHITAMA
* A000 78030111 1878
A000 78030111 1879 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 08.02.2022 08.02.2022 ADHITYA SAPTA ADHITAMA AKBAR ALVARENDRA FARISI ADHITAMA Anak
* A000 78030111 1879
A000 78030111 1880 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 08.02.2022 08.02.2022 ADHITYA SAPTA ADHITAMA AKBAR ALVARENDRA FARISI ADHITAMA Anak
* A000 78030111 1880
A000 78030111 1881 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 08.02.2022 08.02.2022 ADHITYA SAPTA ADHITAMA ARYASATYA YUSUF HABIBIE ADHITAMA Anak
* A000 78030111 1881
A000 78030111 1882 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 08.02.2022 08.02.2022 ADHITYA SAPTA ADHITAMA ARYASATYA YUSUF HABIBIE ADHITAMA Anak
* A000 78030111 1882
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 21.05.2022 1.537.400 IDR Submitted to Finance 23.05.2022 23.05.2022 3200000660 Document posted successfully:
1.537.400 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 28.05.2022 1.262.500 IDR Submitted to Finance 31.05.2022 31.05.2022 3200000677 Document posted successfully:
1.262.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 21.03.2022 322.191 IDR Submitted to Finance 24.03.2022 24.03.2022 3200000478 Document posted successfully:
322.191 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 20.03.2022 314.198 IDR Submitted to Finance 24.03.2022 24.03.2022 3200000479 Document posted successfully:
314.198 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 28.03.2022 182.580 IDR Submitted to Finance 29.03.2022 29.03.2022 3200000497 Document posted successfully:
182.580 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 31.03.2022 275.000 IDR Submitted to Finance 14.04.2022 14.04.2022 3200000560 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 01.04.2022 275.000 IDR Submitted to Finance 14.04.2022 14.04.2022 3200000561 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 06.04.2022 275.000 IDR Submitted to Finance 14.04.2022 14.04.2022 3200000562 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 09.04.2022 35.622 IDR Submitted to Finance 14.04.2022 14.04.2022 3200000563 Document posted successfully:
35.622 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 10.04.2022 525.814 IDR Submitted to Finance 14.04.2022 14.04.2022 3200000564 Document posted successfully:
525.814 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 12.04.2022 275.000 IDR Submitted to Finance 14.04.2022 14.04.2022 3200000565 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 29.03.2022 275.000 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000602 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 24.02.2022 475.000 IDR Submitted to Finance 04.03.2022 04.03.2022 3200000355 Document posted successfully:
475.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 25.02.2022 475.000 IDR Submitted to Finance 04.03.2022 04.03.2022 3200000356 Document posted successfully:
475.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 26.02.2022 475.000 IDR Submitted to Finance 04.03.2022 04.03.2022 3200000357 Document posted successfully:
475.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 27.02.2022 475.000 IDR Submitted to Finance 04.03.2022 04.03.2022 3200000358 Document posted successfully:
475.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 06.03.2022 275.000 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000365 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 10.03.2022 275.000 IDR Submitted to Finance 11.03.2022 11.03.2022 3200000397 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 19.12.2021 562.325 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000038 Document posted successfully:
562.325 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 18.12.2021 443.296 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000039 Document posted successfully:
443.296 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 99.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000220 Document posted successfully:
99.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 04.02.2022 99.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000221 Document posted successfully:
99.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 21.01.2022 125.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000185 Document posted successfully:
125.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 22.01.2022 275.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000186 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 26.01.2022 275.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000187 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 27.01.2022 85.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000188 Document posted successfully:
85.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 02.02.2022 147.300 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000189 Document posted successfully:
147.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 05.02.2022 486.495 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000190 Document posted successfully:
486.495 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 06.02.2022 429.200 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000191 Document posted successfully:
429.200 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 07.02.2022 512.258 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000192 Document posted successfully:
512.258 IDR
BKPFF 3200000660A000

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Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 78030111 1939 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 16.02.2022 16.02.2022 ADHITYA SAPTA ADHITAMA
* A000 78030111 1939
A000 78030111 2033 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 02.03.2022 02.03.2022 ADHITYA SAPTA ADHITAMA ARYASATYA YUSUF HABIBIE ADHITAMA Anak
* A000 78030111 2033
A000 78030111 2034 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 02.03.2022 02.03.2022 ADHITYA SAPTA ADHITAMA ARYASATYA YUSUF HABIBIE ADHITAMA Anak
* A000 78030111 2034
A000 78030111 2190 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 24.03.2022 24.03.2022 ADHITYA SAPTA ADHITAMA
* A000 78030111 2190
A000 78030111 2251 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 11.04.2022 11.04.2022 ADHITYA SAPTA ADHITAMA
* A000 78030111 2251
A000 78030111 2373 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 18.05.2022 18.05.2022 ADHITYA SAPTA ADHITAMA VINA DAHLIA DEWI ADITYA PUTRI Istri/Suami
* A000 78030111 2373
A000 78030111 2403 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 31.05.2022 31.05.2022 ADHITYA SAPTA ADHITAMA AKBAR ALVARENDRA FARISI ADHITAMA Anak
* A000 78030111 2403
A000 78030111 2404 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 31.05.2022 31.05.2022 ADHITYA SAPTA ADHITAMA AKBAR ALVARENDRA FARISI ADHITAMA Anak
* A000 78030111 2404
A000 78030111 2405 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 31.05.2022 31.05.2022 ADHITYA SAPTA ADHITAMA ARYASATYA YUSUF HABIBIE ADHITAMA Anak
* A000 78030111 2405
A000 78030111 2406 7803011JA Restitusi 1000 A001 A012020100 1 RAWAT JALAN 31.05.2022 31.05.2022 ADHITYA SAPTA ADHITAMA VINA DAHLIA DEWI ADITYA PUTRI Istri/Suami
* A000 78030111 2406
A000 79030034 1837 790324131I Restitusi 1000 A001 A012040100 1 RAWAT JALAN 02.02.2022 02.02.2022 INGKE IRMAYANTI MUHAMMAD DARYL ARKANDHIA Anak
* A000 79030034 1837
A000 79030034 2064 790324131I Restitusi 1000 A001 A012040100 1 RAWAT JALAN 07.03.2022 07.03.2022 INGKE IRMAYANTI MUHAMMAD DARYL ARKANDHIA Anak
* A000 79030034 2064
A000 79030034 2071 790324131I Restitusi 1000 A001 A012040100 1 RAWAT JALAN 07.03.2022 07.03.2022 INGKE IRMAYANTI MUHAMMAD DARYL ARKANDHIA Anak
* A000 79030034 2071
A000 79030034 2174 790324131I Restitusi 1000 A001 A012040100 1 RAWAT JALAN 23.03.2022 23.03.2022 INGKE IRMAYANTI MUHAMMAD DARYL ARKANDHIA Anak
* A000 79030034 2174
A000 79030034 2175 790324131I Restitusi 1000 A001 A012040100 1 RAWAT JALAN 23.03.2022 23.03.2022 INGKE IRMAYANTI MUHAMMAD DARYL ARKANDHIA Anak
* A000 79030034 2175
A000 79030034 2222 790324131I Restitusi 1000 A001 A012040100 1 RAWAT JALAN 04.04.2022 04.04.2022 INGKE IRMAYANTI DANISHA AMIRA KHAIRANI Anak
* A000 79030034 2222
A000 79030034 2224 790324131I Restitusi 1000 A001 A012040100 1 RAWAT JALAN 04.04.2022 04.04.2022 INGKE IRMAYANTI MUHAMMAD DARYL ARKANDHIA Anak
* A000 79030034 2224
A000 79030034 2356 790324131I Restitusi 1000 A001 A012040100 1 RAWAT JALAN 13.05.2022 13.05.2022 INGKE IRMAYANTI DANISHA AMIRA KHAIRANI Anak
* A000 79030034 2356
A000 79030034 2357 790324131I Restitusi 1000 A001 A012040100 1 RAWAT JALAN 13.05.2022 13.05.2022 INGKE IRMAYANTI
* A000 79030034 2357
A000 79030034 2423 790324131I Restitusi 1000 A001 A012040100 1 RAWAT JALAN 06.06.2022 06.06.2022 INGKE IRMAYANTI
* A000 79030034 2423
A000 79120001 1753 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 17.01.2022 17.01.2022 NUR AFNIATI UTAMI ZAHRA
* A000 79120001 1753
A000 79120001 1754 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 17.01.2022 17.01.2022 NUR AFNIATI UTAMI ZAHRA
* A000 79120001 1754
A000 79120001 1755 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 17.01.2022 17.01.2022 NUR AFNIATI UTAMI ZAHRA
* A000 79120001 1755
A000 79120001 1756 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 17.01.2022 17.01.2022 NUR AFNIATI UTAMI ZAHRA
* A000 79120001 1756
A000 79120001 1766 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 18.01.2022 18.01.2022 NUR AFNIATI UTAMI ZAHRA
* A000 79120001 1766
A000 79120001 1834 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 02.02.2022 02.02.2022 NUR AFNIATI UTAMI ZAHRA RAFIF NAUVAL RIYADI Anak
* A000 79120001 1834
A000 79120001 1835 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 02.02.2022 02.02.2022 NUR AFNIATI UTAMI ZAHRA FANISA SALSABILA Anak
* A000 79120001 1835
A000 79120001 1836 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 02.02.2022 02.02.2022 NUR AFNIATI UTAMI ZAHRA
* A000 79120001 1836
A000 79120001 1868 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 08.02.2022 08.02.2022 NUR AFNIATI UTAMI ZAHRA EKO SUPRIADI Istri/Suami
* A000 79120001 1868
A000 79120001 1869 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 08.02.2022 08.02.2022 NUR AFNIATI UTAMI ZAHRA
* A000 79120001 1869
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 16.02.2022 1.106.500 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000274 Document posted successfully:
1.106.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 14.02.2022 920.700 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000340 Document posted successfully:
920.700 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 15.02.2022 608.463 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000341 Document posted successfully:
608.463 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 23.03.2022 2.024.000 IDR Submitted to Finance 24.03.2022 24.03.2022 3200000481 Document posted successfully:
2.024.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 13.02.2022 463.100 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000531 Document posted successfully:
463.100 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 24.04.2022 473.657 IDR Submitted to Finance 19.05.2022 19.05.2022 3200000649 Document posted successfully:
473.657 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 28.05.2022 384.198 IDR Submitted to Finance 31.05.2022 31.05.2022 3200000678 Document posted successfully:
384.198 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 29.05.2022 519.000 IDR Submitted to Finance 31.05.2022 31.05.2022 3200000679 Document posted successfully:
519.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 27.05.2022 887.000 IDR Submitted to Finance 31.05.2022 31.05.2022 3200000680 Document posted successfully:
887.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 30.05.2022 1.015.000 IDR Submitted to Finance 31.05.2022 31.05.2022 3200000681 Document posted successfully:
1.015.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 31.01.2022 425.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000173 Document posted successfully:
425.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 03.03.2022 2.740.000 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000366 Document posted successfully:
2.740.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 05.03.2022 125.000 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000367 Document posted successfully:
125.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 15.03.2022 700.000 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000472 Document posted successfully:
700.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 16.03.2022 500.000 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000473 Document posted successfully:
500.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 05.02.2022 125.000 IDR Submitted to Finance 04.04.2022 04.04.2022 3200000509 Document posted successfully:
125.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 04.02.2022 425.000 IDR Submitted to Finance 04.04.2022 04.04.2022 3200000510 Document posted successfully:
425.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 23.04.2022 305.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000613 Document posted successfully:
305.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 26.04.2022 425.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000614 Document posted successfully:
425.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 28.05.2022 1.500.000 IDR Submitted to Finance 08.06.2022 08.06.2022 3200000698 Document posted successfully:
1.500.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 14.01.2022 85.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000091 Document posted successfully:
85.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 12.01.2022 85.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000092 Document posted successfully:
85.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 03.01.2022 99.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000093 Document posted successfully:
99.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 06.01.2022 85.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000094 Document posted successfully:
85.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 12.01.2022 56.000 IDR Submitted to Finance 18.01.2022 18.01.2022 3200000105 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 29.01.2022 430.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000154 Document posted successfully:
430.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 30.01.2022 949.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000155 Document posted successfully:
949.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 02.02.2022 95.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000156 Document posted successfully:
95.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 02.02.2022 56.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000193 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 246.030 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000194 Document posted successfully:
246.030 IDR
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BKPFF 3200000649A000

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Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 79120001 1870 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 08.02.2022 08.02.2022 NUR AFNIATI UTAMI ZAHRA
* A000 79120001 1870
A000 79120001 1871 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 08.02.2022 08.02.2022 NUR AFNIATI UTAMI ZAHRA RAFIF NAUVAL RIYADI Anak
* A000 79120001 1871
A000 79120001 1872 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 08.02.2022 08.02.2022 NUR AFNIATI UTAMI ZAHRA FANISA SALSABILA Anak
* A000 79120001 1872
A000 79120001 1983 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 21.02.2022 21.02.2022 NUR AFNIATI UTAMI ZAHRA
* A000 79120001 1983
A000 79120001 1984 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 21.02.2022 21.02.2022 NUR AFNIATI UTAMI ZAHRA FANISA SALSABILA Anak
* A000 79120001 1984
A000 79120001 1985 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 21.02.2022 21.02.2022 NUR AFNIATI UTAMI ZAHRA
* A000 79120001 1985
A000 79120001 1986 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 21.02.2022 21.02.2022 NUR AFNIATI UTAMI ZAHRA EKO SUPRIADI Istri/Suami
* A000 79120001 1986
A000 79120001 2413 7912001ZBY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 02.06.2022 02.06.2022 NUR AFNIATI UTAMI ZAHRA AZZAM NAUFAL AL-KHALIFI Anak
* A000 79120001 2413
A000 80050021 2255 8005002A2 Restitusi 1000 A001 A012020300 1 RAWAT JALAN 11.04.2022 11.04.2022 RAHMAT DIAN AMIR INDAH HENDRA SARI,SH Istri/Suami
* A000 80050021 2255
A000 80070001 1952 Restitusi 1000 A001 A012030400 1 RAWAT JALAN 18.02.2022 18.02.2022 EKO PRIYONO MAHARANI ARRADYA Anak
* A000 80070001 1952
A000 80070001 1953 Restitusi 1000 A001 A012030400 1 RAWAT JALAN 18.02.2022 18.02.2022 EKO PRIYONO
* A000 80070001 1953
A000 80070001 1954 Restitusi 1000 A001 A012030400 1 RAWAT JALAN 18.02.2022 18.02.2022 EKO PRIYONO NENI KURNIANINGSIH Istri/Suami
* A000 80070001 1954
A000 80070001 1987 Restitusi 1000 A001 A012030400 1 RAWAT JALAN 22.02.2022 22.02.2022 EKO PRIYONO
* A000 80070001 1987
A000 80070001 1988 Restitusi 1000 A001 A012030400 1 RAWAT JALAN 22.02.2022 22.02.2022 EKO PRIYONO NENI KURNIANINGSIH Istri/Suami
* A000 80070001 1988
A000 80070001 2078 Restitusi 1000 A001 A012030400 1 RAWAT JALAN 09.03.2022 09.03.2022 EKO PRIYONO
* A000 80070001 2078
A000 80070001 2160 Restitusi 1000 A001 A012030400 1 RAWAT JALAN 21.03.2022 21.03.2022 EKO PRIYONO
* A000 80070001 2160
A000 80070001 2232 Restitusi 1000 A001 A012030400 1 RAWAT JALAN 05.04.2022 05.04.2022 EKO PRIYONO MAHAMERU RAKA ARRADYA Anak
* A000 80070001 2232
A000 80070001 2262 Restitusi 1000 A001 A012030400 1 RAWAT JALAN 11.04.2022 11.04.2022 EKO PRIYONO MAHAMERU RAKA ARRADYA Anak
* A000 80070001 2262
A000 80070001 2263 Restitusi 1000 A001 A012030400 1 RAWAT JALAN 11.04.2022 11.04.2022 EKO PRIYONO MAHAMERU RAKA ARRADYA Anak
* A000 80070001 2263
A000 80070001 2275 Restitusi 1000 A001 A012030400 1 RAWAT JALAN 14.04.2022 14.04.2022 EKO PRIYONO MAHAMERU RAKA ARRADYA Anak
* A000 80070001 2275
A000 80070001 2332 Restitusi 1000 A001 A012030400 1 RAWAT JALAN 28.04.2022 28.04.2022 EKO PRIYONO NENI KURNIANINGSIH Istri/Suami
* A000 80070001 2332
A000 81070002 1708 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 06.01.2022 06.01.2022 ADELAIDO SUFIT
* A000 81070002 1708
A000 81070002 1783 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 21.01.2022 21.01.2022 ADELAIDO SUFIT
* A000 81070002 1783
A000 81070002 1784 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 21.01.2022 21.01.2022 ADELAIDO SUFIT
* A000 81070002 1784
A000 81070002 1785 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 21.01.2022 21.01.2022 ADELAIDO SUFIT
* A000 81070002 1785
A000 81070002 1861 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 08.02.2022 08.02.2022 ADELAIDO SUFIT
* A000 81070002 1861
A000 81070002 1862 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 08.02.2022 08.02.2022 ADELAIDO SUFIT
* A000 81070002 1862
A000 81070002 1958 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 18.02.2022 18.02.2022 ADELAIDO SUFIT
* A000 81070002 1958
A000 81070002 1959 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 18.02.2022 18.02.2022 ADELAIDO SUFIT
* A000 81070002 1959
A000 81070002 2056 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 07.03.2022 07.03.2022 ADELAIDO SUFIT
* A000 81070002 2056
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 04.02.2022 1.976.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000195 Document posted successfully:
1.976.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 05.02.2022 338.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000196 Document posted successfully:
338.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 06.02.2022 338.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000197 Document posted successfully:
338.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 19.02.2022 338.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000282 Document posted successfully:
338.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 13.02.2022 88.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000283 Document posted successfully:
88.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 14.02.2022 338.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000284 Document posted successfully:
338.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 15.02.2022 88.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000285 Document posted successfully:
88.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 30.05.2022 842.600 IDR Submitted to Finance 03.06.2022 03.06.2022 3200000688 Document posted successfully:
842.600 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 08.04.2022 4.664.914 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000538 Document posted successfully:
4.664.914 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 09.02.2022 732.200 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000256 Document posted successfully:
732.200 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 12.02.2022 275.000 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000257 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 13.02.2022 275.000 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000258 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 19.02.2022 275.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000307 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 20.02.2022 275.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000308 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 07.03.2022 275.000 IDR Submitted to Finance 09.03.2022 09.03.2022 3200000382 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 16.03.2022 279.000 IDR Submitted to Finance 21.03.2022 21.03.2022 3200000450 Document posted successfully:
279.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 04.04.2022 862.943 IDR Submitted to Finance 05.04.2022 05.04.2022 3200000516 Document posted successfully:
862.943 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 11.04.2022 868.608 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000547 Document posted successfully:
868.608 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 10.04.2022 582.528 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000548 Document posted successfully:
582.528 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 27.03.2022 474.253 IDR Submitted to Finance 14.04.2022 14.04.2022 3200000559 Document posted successfully:
474.253 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 22.04.2022 533.300 IDR Submitted to Finance 28.04.2022 28.04.2022 3200000609 Document posted successfully:
533.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 04.01.2022 1.929.850 IDR Submitted to Finance 06.01.2022 06.01.2022 3200000047 Document posted successfully:
1.929.850 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 18.01.2022 400.000 IDR Submitted to Finance 21.01.2022 21.01.2022 3200000121 Document posted successfully:
400.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 20.01.2022 1.426.700 IDR Submitted to Finance 21.01.2022 21.01.2022 3200000122 Document posted successfully:
1.426.700 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 19.01.2022 1.882.000 IDR Submitted to Finance 21.01.2022 21.01.2022 3200000123 Document posted successfully:
1.882.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 400.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000198 Document posted successfully:
400.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 04.02.2022 1.425.150 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000199 Document posted successfully:
1.425.150 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 17.02.2022 400.000 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000259 Document posted successfully:
400.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 18.02.2022 1.286.300 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000260 Document posted successfully:
1.286.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 05.03.2022 400.000 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000368 Document posted successfully:
400.000 IDR
BKPFF 3200000195A000

BKPFF 3200000196A000

BKPFF 3200000197A000

BKPFF 3200000282A000

BKPFF 3200000283A000

BKPFF 3200000284A000

BKPFF 3200000285A000

BKPFF 3200000688A000

BKPFF 3200000538A000

BKPFF 3200000256A000

BKPFF 3200000257A000

BKPFF 3200000258A000

BKPFF 3200000307A000

BKPFF 3200000308A000

BKPFF 3200000382A000

BKPFF 3200000450A000

BKPFF 3200000516A000

BKPFF 3200000547A000

BKPFF 3200000548A000

BKPFF 3200000559A000

BKPFF 3200000609A000

BKPFF 3200000047A000

BKPFF 3200000121A000

BKPFF 3200000122A000

BKPFF 3200000123A000

BKPFF 3200000198A000

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BKPFF 3200000259A000

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BKPFF 3200000368A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 81070002 2058 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 07.03.2022 07.03.2022 ADELAIDO SUFIT
* A000 81070002 2058
A000 81070002 2144 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 18.03.2022 18.03.2022 ADELAIDO SUFIT
* A000 81070002 2144
A000 81070002 2145 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 18.03.2022 18.03.2022 ADELAIDO SUFIT
* A000 81070002 2145
A000 81070002 2211 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 30.03.2022 30.03.2022 ADELAIDO SUFIT
* A000 81070002 2211
A000 81070002 2249 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 11.04.2022 11.04.2022 ADELAIDO SUFIT MALDINI OMAR MONTAMA Anak
* A000 81070002 2249
A000 81070002 2250 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 11.04.2022 11.04.2022 ADELAIDO SUFIT THIAGO KHALID DEALAIN Anak
* A000 81070002 2250
A000 81070002 2265 8107124Z Restitusi 1000 A001 A012040300 1 RAWAT JALAN 12.04.2022 12.04.2022 ADELAIDO SUFIT
* A000 81070002 2265
A000 82100003 1859 8210051ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 08.02.2022 08.02.2022 ARIDATON HARMAIN MASHAR SYAMSUDIN SEPTRIANA ANJAR KUSUMADEWI Istri/Suami
* A000 82100003 1859
A000 82100003 1909 8210051ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 11.02.2022 11.02.2022 ARIDATON HARMAIN MASHAR SYAMSUDIN SEPTRIANA ANJAR KUSUMADEWI Istri/Suami
* A000 82100003 1909
A000 82100003 1940 8210051ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 17.02.2022 17.02.2022 ARIDATON HARMAIN MASHAR SYAMSUDIN SEPTRIANA ANJAR KUSUMADEWI Istri/Suami
* A000 82100003 1940
A000 82100003 2153 8210051ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 18.03.2022 18.03.2022 ARIDATON HARMAIN MASHAR SYAMSUDIN DZAKIYA TALITA SAKHI Anak
* A000 82100003 2153
A000 82100003 2154 8210051ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 18.03.2022 18.03.2022 ARIDATON HARMAIN MASHAR SYAMSUDIN SEPTRIANA ANJAR KUSUMADEWI Istri/Suami
* A000 82100003 2154
A000 82100003 2315 8210051ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 25.04.2022 25.04.2022 ARIDATON HARMAIN MASHAR SYAMSUDIN SEPTRIANA ANJAR KUSUMADEWI Istri/Suami
* A000 82100003 2315
A000 82100003 2422 8210051ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 03.06.2022 03.06.2022 ARIDATON HARMAIN MASHAR SYAMSUDIN SEPTRIANA ANJAR KUSUMADEWI Istri/Suami
* A000 82100003 2422
A000 82120009 1964 8212003ZBY Restitusi 1000 A001 A012020303 1 RAWAT JALAN 21.02.2022 21.02.2022 DINI WIDIASTUTI
* A000 82120009 1964
A000 82120009 1965 8212003ZBY Restitusi 1000 A001 A012020303 1 RAWAT JALAN 21.02.2022 21.02.2022 DINI WIDIASTUTI
* A000 82120009 1965
A000 82120009 2360 8212003ZBY Restitusi 1000 A001 A012020303 1 RAWAT JALAN 13.05.2022 13.05.2022 DINI WIDIASTUTI IWAN BUDI SANTOSO Istri/Suami
* A000 82120009 2360
A000 84140001 1674 8414001ZBY Restitusi 1000 A001 A012030202 1 RAWAT JALAN 03.01.2022 03.01.2022 ARIO DIPO DWI PATRIA LAKSAMANA
* A000 84140001 1674
A000 84140001 1731 8414001ZBY Restitusi 1000 A001 A012030202 1 RAWAT JALAN 11.01.2022 11.01.2022 ARIO DIPO DWI PATRIA LAKSAMANA Angela Sabrina Laksamana Anak
* A000 84140001 1731
A000 84140001 2146 8414001ZBY Restitusi 1000 A001 A012030202 1 RAWAT JALAN 18.03.2022 18.03.2022 ARIO DIPO DWI PATRIA LAKSAMANA
* A000 84140001 2146
A000 84140001 2307 8414001ZBY Restitusi 1000 A001 A012030202 1 RAWAT JALAN 25.04.2022 25.04.2022 ARIO DIPO DWI PATRIA LAKSAMANA ANGELA SABRINA LAKSAMANA Anak
* A000 84140001 2307
A000 84140001 2342 8414001ZBY Restitusi 1000 A001 A012030202 1 RAWAT JALAN 10.05.2022 10.05.2022 ARIO DIPO DWI PATRIA LAKSAMANA ANGELA SABRINA LAKSAMANA Anak
* A000 84140001 2342
A000 84140001 2343 8414001ZBY Restitusi 1000 A001 A012030202 1 RAWAT JALAN 10.05.2022 10.05.2022 ARIO DIPO DWI PATRIA LAKSAMANA WARSITA Istri/Suami
* A000 84140001 2343
A000 84140001 2344 8414001ZBY Restitusi 1000 A001 A012030202 1 RAWAT JALAN 10.05.2022 10.05.2022 ARIO DIPO DWI PATRIA LAKSAMANA WARSITA Istri/Suami
* A000 84140001 2344
A000 84140001 2379 8414001ZBY Restitusi 1000 A001 A012030202 1 RAWAT JALAN 20.05.2022 20.05.2022 ARIO DIPO DWI PATRIA LAKSAMANA WARSITA Istri/Suami
* A000 84140001 2379
A000 85100004 1682 8510012ZBY Restitusi 1000 A001 A012030201 1 RAWAT JALAN 03.01.2022 03.01.2022 AWAN WIDHODHO VINA ANDRIANI Istri/Suami
* A000 85100004 1682
A000 85100004 1683 8510012ZBY Restitusi 1000 A001 A012030201 1 RAWAT JALAN 03.01.2022 03.01.2022 AWAN WIDHODHO VINA ANDRIANI Istri/Suami
* A000 85100004 1683
A000 85100004 1684 8510012ZBY Restitusi 1000 A001 A012030201 1 RAWAT JALAN 03.01.2022 03.01.2022 AWAN WIDHODHO VINA ANDRIANI Istri/Suami
* A000 85100004 1684
A000 85100004 1685 8510012ZBY Restitusi 1000 A001 A012030201 1 RAWAT JALAN 03.01.2022 03.01.2022 AWAN WIDHODHO Ahmad Raffan Alfarizky Anak
* A000 85100004 1685
A000 85100004 1686 8510012ZBY Restitusi 1000 A001 A012030201 1 RAWAT JALAN 03.01.2022 03.01.2022 AWAN WIDHODHO VINA ANDRIANI Istri/Suami
* A000 85100004 1686
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 07.03.2022 1.299.600 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000369 Document posted successfully:
1.299.600 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 17.03.2022 400.000 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000442 Document posted successfully:
400.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 18.03.2022 1.427.200 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000443 Document posted successfully:
1.427.200 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 29.03.2022 3.056.750 IDR Submitted to Finance 30.03.2022 30.03.2022 3200000499 Document posted successfully:
3.056.750 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 09.04.2022 2.282.000 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000532 Document posted successfully:
2.282.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 08.04.2022 1.183.000 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000533 Document posted successfully:
1.183.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 11.04.2022 2.050.000 IDR Submitted to Finance 12.04.2022 12.04.2022 3200000549 Document posted successfully:
2.050.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 05.02.2022 634.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000200 Document posted successfully:
634.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 05.02.2022 559.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000222 Document posted successfully:
559.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 10.02.2022 59.000 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000261 Document posted successfully:
59.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 14.03.2022 1.165.000 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000444 Document posted successfully:
1.165.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 15.03.2022 670.000 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000445 Document posted successfully:
670.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 23.04.2022 1.091.200 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000594 Document posted successfully:
1.091.200 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 28.05.2022 789.310 IDR Submitted to Finance 03.06.2022 03.06.2022 3200000695 Document posted successfully:
789.310 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 07.02.2022 275.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000286 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 18.02.2022 275.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000287 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 11.05.2022 310.295 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000638 Document posted successfully:
310.295 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.12.2021 801.900 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000012 Document posted successfully:
801.900 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 10.01.2022 552.927 IDR Submitted to Finance 12.01.2022 12.01.2022 3200000069 Document posted successfully:
552.927 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 11.03.2022 237.000 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000446 Document posted successfully:
237.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 21.04.2022 704.400 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000587 Document posted successfully:
704.400 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 03.05.2022 60.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000632 Document posted successfully:
60.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 07.05.2022 115.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000633 Document posted successfully:
115.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 06.05.2022 65.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000634 Document posted successfully:
65.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 17.05.2022 487.366 IDR Submitted to Finance 20.05.2022 20.05.2022 3200000655 Document posted successfully:
487.366 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 07.12.2021 100.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000005 Document posted successfully:
100.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 06.12.2021 250.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000006 Document posted successfully:
250.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 05.12.2021 25.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000007 Document posted successfully:
25.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 04.12.2021 1.234.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000040 Document posted successfully:
1.234.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 08.12.2021 899.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000008 Document posted successfully:
899.000 IDR
BKPFF 3200000369A000

BKPFF 3200000442A000

BKPFF 3200000443A000

BKPFF 3200000499A000

BKPFF 3200000532A000

BKPFF 3200000533A000

BKPFF 3200000549A000

BKPFF 3200000200A000

BKPFF 3200000222A000

BKPFF 3200000261A000

BKPFF 3200000444A000

BKPFF 3200000445A000

BKPFF 3200000594A000

BKPFF 3200000695A000

BKPFF 3200000286A000

BKPFF 3200000287A000

BKPFF 3200000638A000

BKPFF 3200000012A000

BKPFF 3200000069A000

BKPFF 3200000446A000

BKPFF 3200000587A000

BKPFF 3200000632A000

BKPFF 3200000633A000

BKPFF 3200000634A000

BKPFF 3200000655A000

BKPFF 3200000005A000

BKPFF 3200000006A000

BKPFF 3200000007A000

BKPFF 3200000040A000

BKPFF 3200000008A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 85100004 1848 8510012ZBY Restitusi 1000 A001 A012030201 1 RAWAT JALAN 08.02.2022 08.02.2022 AWAN WIDHODHO VINA ANDRIANI Istri/Suami
* A000 85100004 1848
A000 85100004 1849 8510012ZBY Restitusi 1000 A001 A012030201 1 RAWAT JALAN 08.02.2022 08.02.2022 AWAN WIDHODHO VINA ANDRIANI Istri/Suami
* A000 85100004 1849
A000 85100004 1850 8510012ZBY Restitusi 1000 A001 A012030201 1 RAWAT JALAN 08.02.2022 08.02.2022 AWAN WIDHODHO Ahmad Raffan Alfarizky Anak
* A000 85100004 1850
A000 85100004 1851 8510012ZBY Restitusi 1000 A001 A012030201 1 RAWAT JALAN 08.02.2022 08.02.2022 AWAN WIDHODHO Ahmad Raffan Alfarizky Anak
* A000 85100004 1851
A000 85100004 1852 8510012ZBY Restitusi 1000 A001 A012030201 1 RAWAT JALAN 08.02.2022 08.02.2022 AWAN WIDHODHO Ahmad Raffan Alfarizky Anak
* A000 85100004 1852
A000 86110002 1800 86111505Z Restitusi 1000 A001 A012010302 1 RAWAT JALAN 26.01.2022 26.01.2022 REDY IMAN TENAR
* A000 86110002 1800
A000 86110002 1801 86111505Z Restitusi 1000 A001 A012010302 1 RAWAT JALAN 26.01.2022 26.01.2022 REDY IMAN TENAR
* A000 86110002 1801
A000 86110002 1802 86111505Z Restitusi 1000 A001 A012010302 1 RAWAT JALAN 26.01.2022 26.01.2022 REDY IMAN TENAR
* A000 86110002 1802
A000 86110002 2014 86111505Z Restitusi 1000 A001 A012010302 1 RAWAT JALAN 23.02.2022 23.02.2022 REDY IMAN TENAR BELVANA ARSYFA AULIA TENAR Anak
* A000 86110002 2014
A000 86110002 2061 86111505Z Restitusi 1000 A001 A012010302 1 RAWAT JALAN 07.03.2022 07.03.2022 REDY IMAN TENAR ALESHA AZZAHRA AMIRA TENAR Anak
* A000 86110002 2061
A000 86110002 2062 86111505Z Restitusi 1000 A001 A012010302 1 RAWAT JALAN 07.03.2022 07.03.2022 REDY IMAN TENAR SHERYL QURROTA AMIRA TENAR Anak
* A000 86110002 2062
A000 86110002 2063 86111505Z Restitusi 1000 A001 A012010302 1 RAWAT JALAN 07.03.2022 07.03.2022 REDY IMAN TENAR BELVANA ARSYFA AULIA TENAR Anak
* A000 86110002 2063
A000 86110002 2130 86111505Z Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 REDY IMAN TENAR
* A000 86110002 2130
A000 86110002 2200 86111505Z Restitusi 1000 A001 A012010302 1 RAWAT JALAN 25.03.2022 25.03.2022 REDY IMAN TENAR SITI HAJAR SARIFAH Istri/Suami
* A000 86110002 2200
A000 86110002 2261 86111505Z Restitusi 1000 A001 A012010302 1 RAWAT JALAN 11.04.2022 11.04.2022 REDY IMAN TENAR
* A000 86110002 2261
A000 86110002 2361 86111505Z Restitusi 1000 A001 A012010302 1 RAWAT JALAN 13.05.2022 13.05.2022 REDY IMAN TENAR BELVANA ARSYFA AULIA TENAR Anak
* A000 86110002 2361
A000 86110002 2362 86111505Z Restitusi 1000 A001 A012010302 1 RAWAT JALAN 13.05.2022 13.05.2022 REDY IMAN TENAR BELVANA ARSYFA AULIA TENAR Anak
* A000 86110002 2362
A000 86110003 1765 8611297ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 17.01.2022 17.01.2022 SURYA PRAMUDYA
* A000 86110003 1765
A000 86110003 1819 8611297ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 31.01.2022 31.01.2022 SURYA PRAMUDYA
* A000 86110003 1819
A000 86110003 1843 8611297ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 03.02.2022 03.02.2022 SURYA PRAMUDYA
* A000 86110003 1843
A000 86110003 2273 8611297ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 13.04.2022 13.04.2022 SURYA PRAMUDYA
* A000 86110003 2273
A000 86110003 2302 8611297ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 20.04.2022 20.04.2022 SURYA PRAMUDYA
* A000 86110003 2302
A000 86110003 2309 8611297ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 25.04.2022 25.04.2022 SURYA PRAMUDYA
* A000 86110003 2309
A000 86110003 2310 8611297ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 25.04.2022 25.04.2022 SURYA PRAMUDYA
* A000 86110003 2310
A000 86110003 2339 8611297ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 09.05.2022 09.05.2022 SURYA PRAMUDYA
* A000 86110003 2339
A000 86110003 2375 8611297ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 19.05.2022 19.05.2022 SURYA PRAMUDYA
* A000 86110003 2375
A000 86110003 2399 8611297ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 30.05.2022 30.05.2022 SURYA PRAMUDYA
* A000 86110003 2399
A000 87100002 1707 8710002ZBY Restitusi 1000 A001 A012030301 1 RAWAT JALAN 06.01.2022 06.01.2022 ADNAN SYIRAZI AZHAR
* A000 87100002 1707
A000 87100002 1994 8710002ZBY Restitusi 1000 A001 A012030301 1 RAWAT JALAN 22.02.2022 22.02.2022 ADNAN SYIRAZI AZHAR
* A000 87100002 1994
A000 87100002 1995 8710002ZBY Restitusi 1000 A001 A012030301 1 RAWAT JALAN 22.02.2022 22.02.2022 ADNAN SYIRAZI AZHAR
* A000 87100002 1995
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 250.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000201 Document posted successfully:
250.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 04.02.2022 1.278.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000202 Document posted successfully:
1.278.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 05.02.2022 100.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000203 Document posted successfully:
100.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 06.02.2022 1.010.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000204 Document posted successfully:
1.010.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 07.02.2022 75.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000205 Document posted successfully:
75.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 23.01.2022 115.000 IDR Submitted to Finance 26.01.2022 26.01.2022 3200000140 Document posted successfully:
115.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 24.01.2022 2.603.704 IDR Submitted to Finance 26.01.2022 26.01.2022 3200000141 Document posted successfully:
2.603.704 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 25.01.2022 2.875.000 IDR Submitted to Finance 26.01.2022 26.01.2022 3200000142 Document posted successfully:
2.875.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 28.12.2021 671.510 IDR Submitted to Finance 25.02.2022 25.02.2022 3200000325 Document posted successfully:
671.510 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 22.02.2022 641.900 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000370 Document posted successfully:
641.900 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 23.02.2022 600.650 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000371 Document posted successfully:
600.650 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 24.02.2022 486.400 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000372 Document posted successfully:
486.400 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 14.03.2022 56.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000404 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 25.03.2022 310.000 IDR Submitted to Finance 25.03.2022 25.03.2022 3200000489 Document posted successfully:
310.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 09.04.2022 1.500.000 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000545 Document posted successfully:
1.500.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 07.05.2022 200.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000615 Document posted successfully:
200.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 06.05.2022 496.869 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000616 Document posted successfully:
496.869 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 15.01.2022 574.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000095 Document posted successfully:
574.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.01.2022 56.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000157 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 56.000 IDR Submitted to Finance 03.02.2022 03.02.2022 3200000177 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 12.04.2022 1.391.673 IDR Submitted to Finance 13.04.2022 13.04.2022 3200000558 Document posted successfully:
1.391.673 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 19.04.2022 1.384.943 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000580 Document posted successfully:
1.384.943 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 21.04.2022 275.000 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000588 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 20.04.2022 817.399 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000589 Document posted successfully:
817.399 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 05.05.2022 1.254.340 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000627 Document posted successfully:
1.254.340 IDR
PENGGANTIAN KESEHATAN PEGAWAI BULAN MEI 2022 14.05.2022 1.015.128 IDR Submitted to Finance 19.05.2022 19.05.2022 3200000651 Document posted successfully:
1.015.128 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 28.05.2022 992.184 IDR Submitted to Finance 30.05.2022 30.05.2022 3200000673 Document posted successfully:
992.184 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 05.01.2022 790.000 IDR Submitted to Finance 06.01.2022 06.01.2022 3200000048 Document posted successfully:
790.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 09.02.2022 2.456.135 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000309 Document posted successfully:
2.456.135 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 08.02.2022 275.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000310 Document posted successfully:
275.000 IDR
BKPFF 3200000201A000

BKPFF 3200000202A000

BKPFF 3200000203A000

BKPFF 3200000204A000

BKPFF 3200000205A000

BKPFF 3200000140A000

BKPFF 3200000141A000

BKPFF 3200000142A000

BKPFF 3200000325A000

BKPFF 3200000370A000

BKPFF 3200000371A000

BKPFF 3200000372A000

BKPFF 3200000404A000

BKPFF 3200000489A000

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BKPFF 3200000615A000

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Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 87100002 1996 8710002ZBY Restitusi 1000 A001 A012030301 1 RAWAT JALAN 22.02.2022 22.02.2022 ADNAN SYIRAZI AZHAR
* A000 87100002 1996
A000 87100002 1997 8710002ZBY Restitusi 1000 A001 A012030301 1 RAWAT JALAN 22.02.2022 22.02.2022 ADNAN SYIRAZI AZHAR
* A000 87100002 1997
A000 87100003 2382 8610004ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 23.05.2022 23.05.2022 NOVI INDRIYANA SARI ADIB LATHIFULAH HUDA Istri/Suami
* A000 87100003 2382
A000 87100003 2383 8610004ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 23.05.2022 23.05.2022 NOVI INDRIYANA SARI
* A000 87100003 2383
A000 87100003 2384 8610004ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 23.05.2022 23.05.2022 NOVI INDRIYANA SARI
* A000 87100003 2384
A000 87100004 1652 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 03.01.2022 03.01.2022 ANGGA RAMANSAH DESSY KAMALIYA AMALIA Istri/Suami
* A000 87100004 1652
A000 87100004 1720 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 07.01.2022 07.01.2022 ANGGA RAMANSAH DELISHA ATHAYA RAMANSAH Anak
* A000 87100004 1720
A000 87100004 1738 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 13.01.2022 13.01.2022 ANGGA RAMANSAH DELISHA ATHAYA RAMANSAH Anak
* A000 87100004 1738
A000 87100004 1914 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 15.02.2022 15.02.2022 ANGGA RAMANSAH DELISHA ATHAYA RAMANSAH Anak
* A000 87100004 1914
A000 87100004 1915 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 15.02.2022 15.02.2022 ANGGA RAMANSAH
* A000 87100004 1915
A000 87100004 1916 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 15.02.2022 15.02.2022 ANGGA RAMANSAH
* A000 87100004 1916
A000 87100004 1991 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 22.02.2022 22.02.2022 ANGGA RAMANSAH DELISHA ATHAYA RAMANSAH Anak
* A000 87100004 1991
A000 87100004 2054 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 07.03.2022 07.03.2022 ANGGA RAMANSAH
* A000 87100004 2054
A000 87100004 2055 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 07.03.2022 07.03.2022 ANGGA RAMANSAH DELISHA ATHAYA RAMANSAH Anak
* A000 87100004 2055
A000 87100004 2246 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 08.04.2022 08.04.2022 ANGGA RAMANSAH DELISHA ATHAYA RAMANSAH Anak
* A000 87100004 2246
A000 87100004 2340 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 10.05.2022 10.05.2022 ANGGA RAMANSAH AURASYA ADIFA RAMANSAH Anak
* A000 87100004 2340
A000 87100004 2341 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 10.05.2022 10.05.2022 ANGGA RAMANSAH DELISHA ATHAYA RAMANSAH Anak
* A000 87100004 2341
A000 87100004 2372 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 18.05.2022 18.05.2022 ANGGA RAMANSAH DESSY KAMALIYAH AMALLIA Istri/Suami
* A000 87100004 2372
A000 87100004 2409 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 31.05.2022 31.05.2022 ANGGA RAMANSAH DELISHA ATHAYA RAMANSAH Anak
* A000 87100004 2409
A000 87100004 2410 8710006ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 31.05.2022 31.05.2022 ANGGA RAMANSAH DELISHA ATHAYA RAMANSAH Anak
* A000 87100004 2410
A000 87100005 1966 8810007ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 21.02.2022 21.02.2022 SUPRIHATI
* A000 87100005 1966
A000 87100005 1967 8810007ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 21.02.2022 21.02.2022 SUPRIHATI FERDIAN MAHZAN FAUZI Istri/Suami
* A000 87100005 1967
A000 87100005 1968 8810007ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 21.02.2022 21.02.2022 SUPRIHATI MUHAMMAD AL FARIS RECHT FAUZI Anak
* A000 87100005 1968
A000 87100005 1969 8810007ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 21.02.2022 21.02.2022 SUPRIHATI FARISA PUTRI SALSABILA FAUZI Anak
* A000 87100005 1969
A000 87100005 1970 8810007ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 21.02.2022 21.02.2022 SUPRIHATI FARISA PUTRI SALSABILA FAUZI Anak
* A000 87100005 1970
A000 87100005 2006 8810007ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 23.02.2022 23.02.2022 SUPRIHATI MUHAMMAD AL FARIS RECHT FAUZI Anak
* A000 87100005 2006
A000 87100005 2007 8810007ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 23.02.2022 23.02.2022 SUPRIHATI MUHAMMAD AL FARIS RECHT FAUZI Anak
* A000 87100005 2007
A000 87100005 2241 8810007ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 07.04.2022 07.04.2022 SUPRIHATI MUHAMMAD AL FARIS RECHT FAUZI Anak
* A000 87100005 2241
A000 87100005 2242 8810007ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 07.04.2022 07.04.2022 SUPRIHATI MUHAMMAD AL FARIS RECHT FAUZI Anak
* A000 87100005 2242
A000 87100007 1759 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 17.01.2022 17.01.2022 RADEN ARIO WICAKSONO RADEN FAEYZA AZAM WICAKSONO Anak
* A000 87100007 1759
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 13.02.2022 275.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000311 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 17.02.2022 275.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000312 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 22.05.2022 399.000 IDR Submitted to Finance 23.05.2022 23.05.2022 3200000657 Document posted successfully:
399.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 21.05.2022 474.000 IDR Submitted to Finance 23.05.2022 23.05.2022 3200000658 Document posted successfully:
474.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 20.05.2022 1.071.600 IDR Submitted to Finance 23.05.2022 23.05.2022 3200000659 Document posted successfully:
1.071.600 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 17.12.2021 1.043.846 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000013 Document posted successfully:
1.043.846 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 17.12.2021 407.402 IDR Submitted to Finance 07.01.2022 07.01.2022 3200000061 Document posted successfully:
407.402 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 10.01.2022 798.883 IDR Submitted to Finance 13.01.2022 13.01.2022 3200000078 Document posted successfully:
798.883 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 05.02.2022 1.725.679 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000223 Document posted successfully:
1.725.679 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 02.02.2022 150.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000224 Document posted successfully:
150.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 09.02.2022 100.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000225 Document posted successfully:
100.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 17.02.2022 300.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000313 Document posted successfully:
300.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 09.02.2022 100.000 IDR Submitted to Finance 09.03.2022 09.03.2022 3200000380 Document posted successfully:
100.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 05.03.2022 457.863 IDR Submitted to Finance 09.03.2022 09.03.2022 3200000381 Document posted successfully:
457.863 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 02.04.2022 1.411.741 IDR Submitted to Finance 08.04.2022 08.04.2022 3200000528 Document posted successfully:
1.411.741 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 30.04.2022 484.704 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000635 Document posted successfully:
484.704 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 29.04.2022 1.685.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000636 Document posted successfully:
1.685.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 17.05.2022 752.720 IDR Submitted to Finance 19.05.2022 19.05.2022 3200000650 Document posted successfully:
752.720 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 28.05.2022 1.192.973 IDR Submitted to Finance 31.05.2022 31.05.2022 3200000682 Document posted successfully:
1.192.973 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 27.05.2022 302.473 IDR Submitted to Finance 31.05.2022 31.05.2022 3200000683 Document posted successfully:
302.473 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 18.02.2022 938.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000288 Document posted successfully:
938.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 19.02.2022 447.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000289 Document posted successfully:
447.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 20.02.2022 428.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000290 Document posted successfully:
428.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 17.02.2022 427.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000291 Document posted successfully:
427.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 21.02.2022 90.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000292 Document posted successfully:
90.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 22.02.2022 1.166.100 IDR Submitted to Finance 25.02.2022 25.02.2022 3200000326 Document posted successfully:
1.166.100 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 21.02.2022 423.334 IDR Submitted to Finance 25.02.2022 25.02.2022 3200000327 Document posted successfully:
423.334 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 06.04.2022 96.500 IDR Submitted to Finance 07.04.2022 07.04.2022 3200000523 Document posted successfully:
96.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 05.04.2022 86.702 IDR Submitted to Finance 07.04.2022 07.04.2022 3200000524 Document posted successfully:
86.702 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 13.01.2022 1.610.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000096 Document posted successfully:
1.610.000 IDR
BKPFF 3200000311A000

BKPFF 3200000312A000

BKPFF 3200000657A000

BKPFF 3200000658A000

BKPFF 3200000659A000

BKPFF 3200000013A000

BKPFF 3200000061A000

BKPFF 3200000078A000

BKPFF 3200000223A000

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BKPFF 3200000313A000

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BKPFF 3200000291A000

BKPFF 3200000292A000

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BKPFF 3200000524A000

BKPFF 3200000096A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 87100007 1814 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 31.01.2022 31.01.2022 RADEN ARIO WICAKSONO RADEN FAEYZA AZAM WICAKSONO Anak
* A000 87100007 1814
A000 87100007 1992 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 22.02.2022 22.02.2022 RADEN ARIO WICAKSONO RADEN FAEYZA AZAM WICAKSONO Anak
* A000 87100007 1992
A000 87100007 2085 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 10.03.2022 10.03.2022 RADEN ARIO WICAKSONO
* A000 87100007 2085
A000 87100007 2086 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 10.03.2022 10.03.2022 RADEN ARIO WICAKSONO POPPY NOVITA DEWI Istri/Suami
* A000 87100007 2086
A000 87100007 2087 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 10.03.2022 10.03.2022 RADEN ARIO WICAKSONO RADEN FAEYZA AZAM WICAKSONO Anak
* A000 87100007 2087
A000 87100007 2089 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 10.03.2022 10.03.2022 RADEN ARIO WICAKSONO FEISYA ARSYILA WICAKSONO Anak
* A000 87100007 2089
A000 87100007 2164 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 22.03.2022 22.03.2022 RADEN ARIO WICAKSONO
* A000 87100007 2164
A000 87100007 2165 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 22.03.2022 22.03.2022 RADEN ARIO WICAKSONO POPPY NOVITA DEWI Istri/Suami
* A000 87100007 2165
A000 87100007 2166 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 22.03.2022 22.03.2022 RADEN ARIO WICAKSONO RADEN FAEYZA AZAM WICAKSONO Anak
* A000 87100007 2166
A000 87100007 2167 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 22.03.2022 22.03.2022 RADEN ARIO WICAKSONO FEISYA ARSYILA WICAKSONO Anak
* A000 87100007 2167
A000 87100007 2168 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 22.03.2022 22.03.2022 RADEN ARIO WICAKSONO
* A000 87100007 2168
A000 87100007 2169 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 22.03.2022 22.03.2022 RADEN ARIO WICAKSONO POPPY NOVITA DEWI Istri/Suami
* A000 87100007 2169
A000 87100007 2170 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 22.03.2022 22.03.2022 RADEN ARIO WICAKSONO RADEN FAEYZA AZAM WICAKSONO Anak
* A000 87100007 2170
A000 87100007 2252 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 11.04.2022 11.04.2022 RADEN ARIO WICAKSONO FEISYA ARSYILA WICAKSONO Anak
* A000 87100007 2252
A000 87100007 2305 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 21.04.2022 21.04.2022 RADEN ARIO WICAKSONO FEISYA ARSYILA WICAKSONO Anak
* A000 87100007 2305
A000 87100007 2311 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 25.04.2022 25.04.2022 RADEN ARIO WICAKSONO FEISYA ARSYILA WICAKSONO Anak
* A000 87100007 2311
A000 87100007 2417 8710009ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 03.06.2022 03.06.2022 RADEN ARIO WICAKSONO RADEN FAEYZA AZAM WICAKSONO Anak
* A000 87100007 2417
A000 87100013 1734 8710010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 11.01.2022 11.01.2022 FERY HIDAYAT ADZKIA SARAH ALFAKHIRAH Anak
* A000 87100013 1734
A000 87100013 1920 8710010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 15.02.2022 15.02.2022 FERY HIDAYAT ADZKIA SARAH ALFAKHIRAH Anak
* A000 87100013 1920
A000 87100013 1922 8710010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 15.02.2022 15.02.2022 FERY HIDAYAT ADZRA RAQILLA ALHAFSHAH Anak
* A000 87100013 1922
A000 87100013 2218 8710010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 31.03.2022 31.03.2022 FERY HIDAYAT
* A000 87100013 2218
A000 87100013 2282 8710010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 14.04.2022 14.04.2022 FERY HIDAYAT ADZKIA SARAH ALFAKHIRAH Anak
* A000 87100013 2282
A000 87100013 2433 8710010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 08.06.2022 08.06.2022 FERY HIDAYAT ADZKIA SARAH ALFAKHIRAH Anak
* A000 87100013 2433
A000 87100030 1662 8710008ZBY Restitusi 1000 A001 A012020200 1 RAWAT JALAN 03.01.2022 03.01.2022 WISNU AJI HANIF ENDARU SETIAJI Anak
* A000 87100030 1662
A000 87100035 1808 8710011ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 27.01.2022 27.01.2022 WILLYA HENDRA PUTRI LIMILIA Istri/Suami
* A000 87100035 1808
A000 87100035 1842 8710011ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 03.02.2022 03.02.2022 WILLYA HENDRA
* A000 87100035 1842
A000 87100035 1955 8710011ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 18.02.2022 18.02.2022 WILLYA HENDRA
* A000 87100035 1955
A000 87100035 1957 8710011ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 18.02.2022 18.02.2022 WILLYA HENDRA PUTRI LIMILIA Istri/Suami
* A000 87100035 1957
A000 87100035 2077 8710011ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 09.03.2022 09.03.2022 WILLYA HENDRA PUTRI LIMILIA Istri/Suami
* A000 87100035 2077
A000 87100035 2243 8710011ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 07.04.2022 07.04.2022 WILLYA HENDRA ALANA SABAI OLIVIA HENDRA Anak
* A000 87100035 2243
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 30.01.2022 1.060.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000158 Document posted successfully:
1.060.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 20.02.2022 1.900.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000314 Document posted successfully:
1.900.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 08.03.2022 275.000 IDR Submitted to Finance 10.03.2022 10.03.2022 3200000389 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 09.03.2022 275.000 IDR Submitted to Finance 10.03.2022 10.03.2022 3200000390 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 10.03.2022 275.000 IDR Submitted to Finance 10.03.2022 10.03.2022 3200000391 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 07.03.2022 275.000 IDR Submitted to Finance 10.03.2022 10.03.2022 3200000392 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 08.03.2022 275.000 IDR Submitted to Finance 22.03.2022 22.03.2022 3200000453 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 07.03.2022 275.000 IDR Submitted to Finance 22.03.2022 22.03.2022 3200000454 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 06.03.2022 275.000 IDR Submitted to Finance 22.03.2022 22.03.2022 3200000455 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 09.03.2022 275.000 IDR Submitted to Finance 22.03.2022 22.03.2022 3200000456 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 18.03.2022 275.000 IDR Submitted to Finance 22.03.2022 22.03.2022 3200000457 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 17.03.2022 275.000 IDR Submitted to Finance 22.03.2022 22.03.2022 3200000458 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 19.03.2022 275.000 IDR Submitted to Finance 22.03.2022 22.03.2022 3200000459 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 05.03.2022 1.284.585 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000534 Document posted successfully:
1.284.585 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 05.03.2022 1.095.537 IDR Submitted to Finance 21.04.2022 21.04.2022 3200000586 Document posted successfully:
1.095.537 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 21.04.2022 920.000 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000590 Document posted successfully:
920.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 01.06.2022 1.000.000 IDR Submitted to Finance 03.06.2022 03.06.2022 3200000694 Document posted successfully:
1.000.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 08.01.2022 902.000 IDR Submitted to Finance 12.01.2022 12.01.2022 3200000072 Document posted successfully:
902.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 08.02.2022 752.500 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000226 Document posted successfully:
752.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 09.02.2022 275.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000227 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 26.03.2022 937.500 IDR Submitted to Finance 31.03.2022 31.03.2022 3200000507 Document posted successfully:
937.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 09.04.2022 1.101.000 IDR Submitted to Finance 14.04.2022 14.04.2022 3200000566 Document posted successfully:
1.101.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 04.06.2022 2.014.000 IDR Submitted to Finance 08.06.2022 08.06.2022 3200000705 Document posted successfully:
2.014.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 10.12.2021 2.594.377 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000025 Document posted successfully:
2.594.377 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 26.01.2022 808.231 IDR Submitted to Finance 27.01.2022 27.01.2022 3200000147 Document posted successfully:
808.231 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 56.000 IDR Submitted to Finance 03.02.2022 03.02.2022 3200000178 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 17.02.2022 56.000 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000262 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 16.02.2022 380.000 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000263 Document posted successfully:
380.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 03.03.2022 275.000 IDR Submitted to Finance 09.03.2022 09.03.2022 3200000383 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BULAN APRIL 2022 04.04.2022 725.000 IDR Submitted to Finance 07.04.2022 07.04.2022 3200000525 Document posted successfully:
725.000 IDR
BKPFF 3200000158A000

BKPFF 3200000314A000

BKPFF 3200000389A000

BKPFF 3200000390A000

BKPFF 3200000391A000

BKPFF 3200000392A000

BKPFF 3200000453A000

BKPFF 3200000454A000

BKPFF 3200000455A000

BKPFF 3200000456A000

BKPFF 3200000457A000

BKPFF 3200000458A000

BKPFF 3200000459A000

BKPFF 3200000534A000

BKPFF 3200000586A000

BKPFF 3200000590A000

BKPFF 3200000694A000

BKPFF 3200000072A000

BKPFF 3200000226A000

BKPFF 3200000227A000

BKPFF 3200000507A000

BKPFF 3200000566A000

BKPFF 3200000705A000

BKPFF 3200000025A000

BKPFF 3200000147A000

BKPFF 3200000178A000

BKPFF 3200000262A000

BKPFF 3200000263A000

BKPFF 3200000383A000

BKPFF 3200000525A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 87100035 2244 8710011ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 07.04.2022 07.04.2022 WILLYA HENDRA PUTI KALILA HENDRA Anak
* A000 87100035 2244
A000 87100035 2303 8710011ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 20.04.2022 20.04.2022 WILLYA HENDRA
* A000 87100035 2303
A000 87100035 2346 8710011ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 10.05.2022 10.05.2022 WILLYA HENDRA
* A000 87100035 2346
A000 87100036 1822 87101020Z Restitusi 1000 A001 A012020302 1 RAWAT JALAN 31.01.2022 31.01.2022 AKHMAD MA'ARIF MUHAMMAD FABIAN KHALFANI Anak
* A000 87100036 1822
A000 87110100 1653 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 03.01.2022 03.01.2022 MUCHAMMAD FUAD NAJIB
* A000 87110100 1653
A000 87110100 1665 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 03.01.2022 03.01.2022 MUCHAMMAD FUAD NAJIB
* A000 87110100 1665
A000 87110100 2019 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 02.03.2022 02.03.2022 MUCHAMMAD FUAD NAJIB
* A000 87110100 2019
A000 87110100 2020 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 02.03.2022 02.03.2022 MUCHAMMAD FUAD NAJIB
* A000 87110100 2020
A000 87110100 2021 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 02.03.2022 02.03.2022 MUCHAMMAD FUAD NAJIB
* A000 87110100 2021
A000 87110100 2022 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 02.03.2022 02.03.2022 MUCHAMMAD FUAD NAJIB
* A000 87110100 2022
A000 87110100 2095 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 11.03.2022 11.03.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2095
A000 87110100 2096 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 11.03.2022 11.03.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2096
A000 87110100 2097 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 11.03.2022 11.03.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2097
A000 87110100 2098 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 11.03.2022 11.03.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2098
A000 87110100 2099 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 11.03.2022 11.03.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2099
A000 87110100 2297 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 20.04.2022 20.04.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2297
A000 87110100 2298 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 20.04.2022 20.04.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2298
A000 87110100 2322 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 25.04.2022 25.04.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2322
A000 87110100 2323 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 25.04.2022 25.04.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2323
A000 87110100 2324 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 25.04.2022 25.04.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2324
A000 87110100 2368 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 17.05.2022 17.05.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2368
A000 87110100 2428 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 08.06.2022 08.06.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2428
A000 87110100 2429 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 08.06.2022 08.06.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2429
A000 87110100 2430 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 08.06.2022 08.06.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2430
A000 87110100 2431 8711302Z Restitusi 1000 A001 A012020400 1 RAWAT JALAN 08.06.2022 08.06.2022 MUCHAMMAD FUAD NAJIB RUMAISHA RAHMAYANTI Istri/Suami
* A000 87110100 2431
A000 87120005 1733 8712007ZBY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 12.01.2022 12.01.2022 INDERA HADI GUNAWAN Naureen Aruna Fatharani Anak
* A000 87120005 1733
A000 87120005 1797 8712007ZBY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 25.01.2022 25.01.2022 INDERA HADI GUNAWAN ANINDYA HANUN AZKADINA Anak
* A000 87120005 1797
A000 87120005 1847 8712007ZBY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 03.02.2022 03.02.2022 INDERA HADI GUNAWAN
* A000 87120005 1847
A000 87120005 1866 8712007ZBY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 08.02.2022 08.02.2022 INDERA HADI GUNAWAN NAUREEN ARUNA FATHARANI Anak
* A000 87120005 1866
A000 87120005 1867 8712007ZBY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 08.02.2022 08.02.2022 INDERA HADI GUNAWAN ANINDYA HANUN AZKADINA Anak
* A000 87120005 1867
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BULAN APRIL 2022 04.04.2022 725.000 IDR Submitted to Finance 07.04.2022 07.04.2022 3200000526 Document posted successfully:
725.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 19.04.2022 987.000 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000581 Document posted successfully:
987.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 29.04.2022 1.268.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000637 Document posted successfully:
1.268.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 27.01.2022 1.188.120 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000159 Document posted successfully:
1.188.120 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 21.12.2021 188.900 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000026 Document posted successfully:
188.900 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 29.12.2021 1.124.700 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000027 Document posted successfully:
1.124.700 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 14.02.2022 275.000 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000342 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 20.02.2022 275.000 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000343 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 28.02.2022 275.000 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000344 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 26.02.2022 56.000 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000345 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 16.02.2022 595.500 IDR Submitted to Finance 11.03.2022 11.03.2022 3200000399 Document posted successfully:
595.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 22.02.2022 99.000 IDR Submitted to Finance 11.03.2022 11.03.2022 3200000400 Document posted successfully:
99.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 26.02.2022 56.000 IDR Submitted to Finance 11.03.2022 11.03.2022 3200000401 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 11.02.2022 116.000 IDR Submitted to Finance 11.03.2022 11.03.2022 3200000402 Document posted successfully:
116.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 14.02.2022 275.000 IDR Submitted to Finance 11.03.2022 11.03.2022 3200000403 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 22.02.2022 181.800 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000577 Document posted successfully:
181.800 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 21.02.2022 778.900 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000579 Document posted successfully:
778.900 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 24.04.2022 375.000 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000599 Document posted successfully:
375.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 22.04.2022 944.026 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000600 Document posted successfully:
944.026 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 23.04.2022 1.419.000 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000601 Document posted successfully:
1.419.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 14.05.2022 1.077.008 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000639 Document posted successfully:
1.077.008 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 04.06.2022 4.402.000 IDR Submitted to Finance 08.06.2022 08.06.2022 3200000699 Document posted successfully:
4.402.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 28.05.2022 375.000 IDR Submitted to Finance 08.06.2022 08.06.2022 3200000700 Document posted successfully:
375.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 06.06.2022 55.350 IDR Submitted to Finance 08.06.2022 08.06.2022 3200000701 Document posted successfully:
55.350 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 26.05.2022 1.119.000 IDR Submitted to Finance 08.06.2022 08.06.2022 3200000702 Document posted successfully:
1.119.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 04.01.2022 1.353.370 IDR Submitted to Finance 12.01.2022 12.01.2022 3200000074 Document posted successfully:
1.353.370 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 04.01.2022 450.000 IDR Submitted to Finance 25.01.2022 25.01.2022 3200000138 Document posted successfully:
450.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 56.000 IDR Submitted to Finance 03.02.2022 03.02.2022 3200000183 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 1.586.700 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000206 Document posted successfully:
1.586.700 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 04.02.2022 759.600 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000207 Document posted successfully:
759.600 IDR
BKPFF 3200000526A000

BKPFF 3200000581A000

BKPFF 3200000637A000

BKPFF 3200000159A000

BKPFF 3200000026A000

BKPFF 3200000027A000

BKPFF 3200000342A000

BKPFF 3200000343A000

BKPFF 3200000344A000

BKPFF 3200000345A000

BKPFF 3200000399A000

BKPFF 3200000400A000

BKPFF 3200000401A000

BKPFF 3200000402A000

BKPFF 3200000403A000

BKPFF 3200000577A000

BKPFF 3200000579A000

BKPFF 3200000599A000

BKPFF 3200000600A000

BKPFF 3200000601A000

BKPFF 3200000639A000

BKPFF 3200000699A000

BKPFF 3200000700A000

BKPFF 3200000701A000

BKPFF 3200000702A000

BKPFF 3200000074A000

BKPFF 3200000138A000

BKPFF 3200000183A000

BKPFF 3200000206A000

BKPFF 3200000207A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 87120005 1895 8712007ZBY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 11.02.2022 11.02.2022 INDERA HADI GUNAWAN NAUREEN ARUNA FATHARANI Anak
* A000 87120005 1895
A000 87120005 1951 8712007ZBY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 18.02.2022 18.02.2022 INDERA HADI GUNAWAN NAUREEN ARUNA FATHARANI Anak
* A000 87120005 1951
A000 87120005 2049 8712007ZBY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 04.03.2022 04.03.2022 INDERA HADI GUNAWAN NAUREEN ARUNA FATHARANI Anak
* A000 87120005 2049
A000 87120005 2203 8712007ZBY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 29.03.2022 29.03.2022 INDERA HADI GUNAWAN ANINDYA HANUN AZKADINA Anak
* A000 87120005 2203
A000 87120005 2204 8712007ZBY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 29.03.2022 29.03.2022 INDERA HADI GUNAWAN ANINDYA HANUN AZKADINA Anak
* A000 87120005 2204
A000 87120005 2205 8712007ZBY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 29.03.2022 29.03.2022 INDERA HADI GUNAWAN ANINDYA HANUN AZKADINA Anak
* A000 87120005 2205
A000 87120005 2227 8712007ZBY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 04.04.2022 04.04.2022 INDERA HADI GUNAWAN ANINDYA HANUN AZKADINA Anak
* A000 87120005 2227
A000 87120005 2424 8712007ZBY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 06.06.2022 06.06.2022 INDERA HADI GUNAWAN NAUREEN ARUNA FATHARANI Anak
* A000 87120005 2424
A000 87140027 1687 8714002ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 03.01.2022 03.01.2022 SISKA TRI BAKTI
* A000 87140027 1687
A000 87140027 1688 8714002ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 03.01.2022 03.01.2022 SISKA TRI BAKTI
* A000 87140027 1688
A000 87140027 1911 8714002ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 15.02.2022 15.02.2022 SISKA TRI BAKTI
* A000 87140027 1911
A000 87140027 1912 8714002ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 15.02.2022 15.02.2022 SISKA TRI BAKTI
* A000 87140027 1912
A000 87140027 1913 8714002ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 15.02.2022 15.02.2022 SISKA TRI BAKTI
* A000 87140027 1913
A000 87140027 2219 8714002ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 01.04.2022 01.04.2022 SISKA TRI BAKTI
* A000 87140027 2219
A000 87140027 2328 8714002ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 26.04.2022 26.04.2022 SISKA TRI BAKTI
* A000 87140027 2328
A000 88130010 1776 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 20.01.2022 20.01.2022 AYU SEPTARINI YUNUS
* A000 88130010 1776
A000 88130010 1777 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 20.01.2022 20.01.2022 AYU SEPTARINI YUNUS
* A000 88130010 1777
A000 88130010 1778 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 20.01.2022 20.01.2022 AYU SEPTARINI YUNUS
* A000 88130010 1778
A000 88130010 1779 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 20.01.2022 20.01.2022 AYU SEPTARINI YUNUS
* A000 88130010 1779
A000 88130010 1941 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 17.02.2022 17.02.2022 AYU SEPTARINI YUNUS RAKATA ATHAR ALFARIZI Anak
* A000 88130010 1941
A000 88130010 1942 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 17.02.2022 17.02.2022 AYU SEPTARINI YUNUS
* A000 88130010 1942
A000 88130010 1943 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 17.02.2022 17.02.2022 AYU SEPTARINI YUNUS
* A000 88130010 1943
A000 88130010 2050 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 04.03.2022 04.03.2022 AYU SEPTARINI YUNUS
* A000 88130010 2050
A000 88130010 2051 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 04.03.2022 04.03.2022 AYU SEPTARINI YUNUS
* A000 88130010 2051
A000 88130010 2142 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 16.03.2022 16.03.2022 AYU SEPTARINI YUNUS
* A000 88130010 2142
A000 88130010 2161 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 22.03.2022 22.03.2022 AYU SEPTARINI YUNUS ARETHA FARZANA RAMLAN Anak
* A000 88130010 2161
A000 88130010 2172 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 22.03.2022 22.03.2022 AYU SEPTARINI YUNUS ARETHA FARZANA RAMLAN Anak
* A000 88130010 2172
A000 88130010 2237 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 06.04.2022 06.04.2022 AYU SEPTARINI YUNUS ARETHA FARZANA RAMLAN Anak
* A000 88130010 2237
A000 88130010 2238 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 06.04.2022 06.04.2022 AYU SEPTARINI YUNUS RAKATA ATHAR ALFARIZI Anak
* A000 88130010 2238
A000 88130010 2239 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 06.04.2022 06.04.2022 AYU SEPTARINI YUNUS
* A000 88130010 2239
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 08.02.2022 677.200 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000228 Document posted successfully:
677.200 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 15.02.2022 572.300 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000264 Document posted successfully:
572.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 08.02.2022 55.863 IDR Submitted to Finance 04.03.2022 04.03.2022 3200000359 Document posted successfully:
55.863 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 18.03.2022 639.300 IDR Submitted to Finance 29.03.2022 29.03.2022 3200000492 Document posted successfully:
639.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 12.03.2022 600.000 IDR Submitted to Finance 29.03.2022 29.03.2022 3200000493 Document posted successfully:
600.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 17.03.2022 698.000 IDR Submitted to Finance 29.03.2022 29.03.2022 3200000494 Document posted successfully:
698.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 01.04.2022 152.000 IDR Submitted to Finance 04.04.2022 04.04.2022 3200000511 Document posted successfully:
152.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 30.05.2022 532.700 IDR Submitted to Finance 08.06.2022 08.06.2022 3200000703 Document posted successfully:
532.700 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 30.12.2021 95.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000014 Document posted successfully:
95.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 01.01.2022 85.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000015 Document posted successfully:
85.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 02.02.2022 95.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000229 Document posted successfully:
95.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 240.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000230 Document posted successfully:
240.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 06.02.2022 275.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000231 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 27.02.2022 85.000 IDR Submitted to Finance 01.04.2022 01.04.2022 3200000508 Document posted successfully:
85.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 26.04.2022 205.000 IDR Submitted to Finance 26.04.2022 26.04.2022 3200000605 Document posted successfully:
205.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 18.01.2022 776.000 IDR Submitted to Finance 20.01.2022 20.01.2022 3200000114 Document posted successfully:
776.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 19.01.2022 479.600 IDR Submitted to Finance 20.01.2022 20.01.2022 3200000115 Document posted successfully:
479.600 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 17.01.2022 1.500.000 IDR Submitted to Finance 20.01.2022 20.01.2022 3200000116 Document posted successfully:
1.500.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 12.01.2022 56.000 IDR Submitted to Finance 20.01.2022 20.01.2022 3200000117 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 11.02.2022 862.300 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000265 Document posted successfully:
862.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 15.02.2022 950.000 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000266 Document posted successfully:
950.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 16.02.2022 433.760 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000267 Document posted successfully:
433.760 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 28.02.2022 95.000 IDR Submitted to Finance 04.03.2022 04.03.2022 3200000360 Document posted successfully:
95.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 02.03.2022 75.000 IDR Submitted to Finance 04.03.2022 04.03.2022 3200000361 Document posted successfully:
75.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 14.03.2022 1.200.000 IDR Submitted to Finance 16.03.2022 16.03.2022 3200000432 Document posted successfully:
1.200.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 17.03.2022 1.391.794 IDR Submitted to Finance 22.03.2022 22.03.2022 3200000462 Document posted successfully:
1.391.794 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 16.03.2022 1.251.794 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000463 Document posted successfully:
1.251.794 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 03.04.2022 444.000 IDR Submitted to Finance 06.04.2022 06.04.2022 3200000520 Document posted successfully:
444.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 02.04.2022 1.941.000 IDR Submitted to Finance 06.04.2022 06.04.2022 3200000521 Document posted successfully:
1.941.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 28.03.2022 99.000 IDR Submitted to Finance 06.04.2022 06.04.2022 3200000522 Document posted successfully:
99.000 IDR
BKPFF 3200000228A000

BKPFF 3200000264A000

BKPFF 3200000359A000

BKPFF 3200000492A000

BKPFF 3200000493A000

BKPFF 3200000494A000

BKPFF 3200000511A000

BKPFF 3200000703A000

BKPFF 3200000014A000

BKPFF 3200000015A000

BKPFF 3200000229A000

BKPFF 3200000230A000

BKPFF 3200000231A000

BKPFF 3200000508A000

BKPFF 3200000605A000

BKPFF 3200000114A000

BKPFF 3200000115A000

BKPFF 3200000116A000

BKPFF 3200000117A000

BKPFF 3200000265A000

BKPFF 3200000266A000

BKPFF 3200000267A000

BKPFF 3200000360A000

BKPFF 3200000361A000

BKPFF 3200000432A000

BKPFF 3200000462A000

BKPFF 3200000463A000

BKPFF 3200000520A000

BKPFF 3200000521A000

BKPFF 3200000522A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 88130010 2415 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 02.06.2022 02.06.2022 AYU SEPTARINI YUNUS
* A000 88130010 2415
A000 88130010 2416 8813001ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 02.06.2022 02.06.2022 AYU SEPTARINI YUNUS
* A000 88130010 2416
A000 89120008 1771 8912011ZBY Restitusi 1000 A001 A012020403 1 RAWAT JALAN 19.01.2022 19.01.2022 GILANG SINDHU HUTOMO ARSYILA MECCA HUTOMO Anak
* A000 89120008 1771
A000 89120008 1772 8912011ZBY Restitusi 1000 A001 A012020403 1 RAWAT JALAN 19.01.2022 19.01.2022 GILANG SINDHU HUTOMO ARRASHAULA SIENNASYIFA Anak
* A000 89120008 1772
A000 89120010 1739 8912014ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 13.01.2022 13.01.2022 MEGASARI NUGRAHANI
* A000 89120010 1739
A000 89120010 1740 8912014ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 13.01.2022 13.01.2022 MEGASARI NUGRAHANI ARAZKA ANGGORO PUTRA Anak
* A000 89120010 1740
A000 89120010 1741 8912014ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 13.01.2022 13.01.2022 MEGASARI NUGRAHANI ARKANA ANGGORO PUTRA Anak
* A000 89120010 1741
A000 89120010 1742 8912014ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 13.01.2022 13.01.2022 MEGASARI NUGRAHANI ARKANA ANGGORO PUTRA Anak
* A000 89120010 1742
A000 89120010 1743 8912014ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 13.01.2022 13.01.2022 MEGASARI NUGRAHANI ARAZKA ANGGORO PUTRA Anak
* A000 89120010 1743
A000 89120010 2201 8912014ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 25.03.2022 25.03.2022 MEGASARI NUGRAHANI ARAZKA ANGGORO PUTRA Anak
* A000 89120010 2201
A000 89120010 2291 8912014ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 19.04.2022 19.04.2022 MEGASARI NUGRAHANI
* A000 89120010 2291
A000 89120010 2292 8912014ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 19.04.2022 19.04.2022 MEGASARI NUGRAHANI
* A000 89120010 2292
A000 89120010 2376 8912014ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 20.05.2022 20.05.2022 MEGASARI NUGRAHANI ARAZKA ANGGORO PUTRA Anak
* A000 89120010 2376
A000 89120010 2377 8912014ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 20.05.2022 20.05.2022 MEGASARI NUGRAHANI ARAZKA ANGGORO PUTRA Anak
* A000 89120010 2377
A000 89120010 2378 8912014ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 20.05.2022 20.05.2022 MEGASARI NUGRAHANI ARAZKA ANGGORO PUTRA Anak
* A000 89120010 2378
A000 89160001 1840 8916034ZY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 02.02.2022 02.02.2022 IBNU PUJO WIJAYANTO
* A000 89160001 1840
A000 89160001 2192 8916034ZY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 24.03.2022 24.03.2022 IBNU PUJO WIJAYANTO
* A000 89160001 2192
A000 89160001 2193 8916034ZY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 24.03.2022 24.03.2022 IBNU PUJO WIJAYANTO
* A000 89160001 2193
A000 89160001 2194 8916034ZY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 24.03.2022 24.03.2022 IBNU PUJO WIJAYANTO
* A000 89160001 2194
A000 89160001 2195 8916034ZY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 24.03.2022 24.03.2022 IBNU PUJO WIJAYANTO
* A000 89160001 2195
A000 89160001 2196 8916034ZY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 24.03.2022 24.03.2022 IBNU PUJO WIJAYANTO
* A000 89160001 2196
A000 90130001 1666 9013005ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 03.01.2022 03.01.2022 AGNES YHANI DARMANINGRUM
* A000 90130001 1666
A000 90130001 1727 9013005ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 11.01.2022 11.01.2022 AGNES YHANI DARMANINGRUM
* A000 90130001 1727
A000 90130001 1858 9013005ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 08.02.2022 08.02.2022 AGNES YHANI DARMANINGRUM
* A000 90130001 1858
A000 90130001 1907 9013005ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 11.02.2022 11.02.2022 AGNES YHANI DARMANINGRUM
* A000 90130001 1907
A000 90130001 2008 9013005ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 23.02.2022 23.02.2022 AGNES YHANI DARMANINGRUM
* A000 90130001 2008
A000 90130001 2009 9013005ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 23.02.2022 23.02.2022 AGNES YHANI DARMANINGRUM
* A000 90130001 2009
A000 90130001 2010 9013005ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 23.02.2022 23.02.2022 AGNES YHANI DARMANINGRUM
* A000 90130001 2010
A000 90130001 2011 9013005ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 23.02.2022 23.02.2022 AGNES YHANI DARMANINGRUM
* A000 90130001 2011
A000 90130001 2012 9013005ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 23.02.2022 23.02.2022 AGNES YHANI DARMANINGRUM
* A000 90130001 2012
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 31.05.2022 4.693.500 IDR Submitted to Finance 03.06.2022 03.06.2022 3200000689 Document posted successfully:
4.693.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 30.05.2022 300.000 IDR Submitted to Finance 03.06.2022 03.06.2022 3200000690 Document posted successfully:
300.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 17.01.2022 462.430 IDR Submitted to Finance 19.01.2022 19.01.2022 3200000111 Document posted successfully:
462.430 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 18.01.2022 1.012.860 IDR Submitted to Finance 19.01.2022 19.01.2022 3200000112 Document posted successfully:
1.012.860 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 13.01.2022 2.448.016 IDR Submitted to Finance 13.01.2022 13.01.2022 3200000079 Document posted successfully:
2.448.016 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 17.12.2021 629.367 IDR Submitted to Finance 13.01.2022 13.01.2022 3200000080 Document posted successfully:
629.367 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 09.12.2021 2.400.000 IDR Submitted to Finance 13.01.2022 13.01.2022 3200000081 Document posted successfully:
2.400.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 27.11.2021 420.600 IDR Submitted to Finance 14.01.2022 14.01.2022 3200000084 Document posted successfully:
420.600 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 27.12.2021 1.453.300 IDR Submitted to Finance 14.01.2022 14.01.2022 3200000085 Document posted successfully:
1.453.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 02.02.2022 663.469 IDR Submitted to Finance 25.03.2022 25.03.2022 3200000490 Document posted successfully:
663.469 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 19.04.2022 2.585.000 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000569 Document posted successfully:
2.585.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 18.04.2022 350.000 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000570 Document posted successfully:
350.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 26.04.2022 1.003.400 IDR Submitted to Finance 20.05.2022 20.05.2022 3200000652 Document posted successfully:
1.003.400 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 15.05.2022 7.750.000 IDR Submitted to Finance 20.05.2022 20.05.2022 3200000653 Document posted successfully:
7.750.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 14.05.2022 3.216.500 IDR Submitted to Finance 20.05.2022 20.05.2022 3200000654 Document posted successfully:
3.216.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 01.02.2022 1.490.000 IDR Submitted to Finance 03.02.2022 03.02.2022 3200000179 Document posted successfully:
1.490.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 08.03.2022 275.000 IDR Submitted to Finance 24.03.2022 24.03.2022 3200000482 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 07.03.2022 664.000 IDR Submitted to Finance 24.03.2022 24.03.2022 3200000483 Document posted successfully:
664.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 17.03.2022 275.000 IDR Submitted to Finance 24.03.2022 24.03.2022 3200000484 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 22.03.2022 275.000 IDR Submitted to Finance 24.03.2022 24.03.2022 3200000485 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 06.03.2022 99.000 IDR Submitted to Finance 24.03.2022 24.03.2022 3200000486 Document posted successfully:
99.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.12.2021 790.050 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000028 Document posted successfully:
790.050 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 10.01.2022 250.000 IDR Submitted to Finance 12.01.2022 12.01.2022 3200000070 Document posted successfully:
250.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 31.01.2022 681.134 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000208 Document posted successfully:
681.134 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 31.01.2022 406.134 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000232 Document posted successfully:
406.134 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 22.02.2022 310.000 IDR Submitted to Finance 25.02.2022 25.02.2022 3200000328 Document posted successfully:
310.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 20.02.2022 300.000 IDR Submitted to Finance 25.02.2022 25.02.2022 3200000329 Document posted successfully:
300.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 21.02.2022 450.000 IDR Submitted to Finance 25.02.2022 25.02.2022 3200000330 Document posted successfully:
450.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 19.02.2022 567.000 IDR Submitted to Finance 25.02.2022 25.02.2022 3200000331 Document posted successfully:
567.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 18.02.2022 1.086.999 IDR Submitted to Finance 25.02.2022 25.02.2022 3200000332 Document posted successfully:
1.086.999 IDR
BKPFF 3200000689A000

BKPFF 3200000690A000

BKPFF 3200000111A000

BKPFF 3200000112A000

BKPFF 3200000079A000

BKPFF 3200000080A000

BKPFF 3200000081A000

BKPFF 3200000084A000

BKPFF 3200000085A000

BKPFF 3200000490A000

BKPFF 3200000569A000

BKPFF 3200000570A000

BKPFF 3200000652A000

BKPFF 3200000653A000

BKPFF 3200000654A000

BKPFF 3200000179A000

BKPFF 3200000482A000

BKPFF 3200000483A000

BKPFF 3200000484A000

BKPFF 3200000485A000

BKPFF 3200000486A000

BKPFF 3200000028A000

BKPFF 3200000070A000

BKPFF 3200000208A000

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Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 90130001 2013 9013005ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 23.02.2022 23.02.2022 AGNES YHANI DARMANINGRUM
* A000 90130001 2013
A000 90130001 2052 9013005ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 04.03.2022 04.03.2022 AGNES YHANI DARMANINGRUM
* A000 90130001 2052
A000 90130001 2079 9013005ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 09.03.2022 09.03.2022 AGNES YHANI DARMANINGRUM
* A000 90130001 2079
A000 90130011 1768 9013006ZBY Restitusi 1000 A001 A012020401 1 RAWAT JALAN 18.01.2022 18.01.2022 ERLANGGA WIJAYA MAUDY MIKA ALLISYA WIJAYA Anak
* A000 90130011 1768
A000 90130011 1936 9013006ZBY Restitusi 1000 A001 A012020401 1 RAWAT JALAN 16.02.2022 16.02.2022 ERLANGGA WIJAYA ABIMANA ALTAIR WIJAYA Anak
* A000 90130011 1936
A000 90130011 1937 9013006ZBY Restitusi 1000 A001 A012020401 1 RAWAT JALAN 16.02.2022 16.02.2022 ERLANGGA WIJAYA ABIMANA ALTAIR WIJAYA Anak
* A000 90130011 1937
A000 90130011 1938 9013006ZBY Restitusi 1000 A001 A012020401 1 RAWAT JALAN 16.02.2022 16.02.2022 ERLANGGA WIJAYA
* A000 90130011 1938
A000 90130011 1981 9013006ZBY Restitusi 1000 A001 A012020401 1 RAWAT JALAN 21.02.2022 21.02.2022 ERLANGGA WIJAYA
* A000 90130011 1981
A000 90130011 1982 9013006ZBY Restitusi 1000 A001 A012020401 1 RAWAT JALAN 21.02.2022 21.02.2022 ERLANGGA WIJAYA
* A000 90130011 1982
A000 90130011 1993 9013006ZBY Restitusi 1000 A001 A012020401 1 RAWAT JALAN 22.02.2022 22.02.2022 ERLANGGA WIJAYA
* A000 90130011 1993
A000 90130011 2072 9013006ZBY Restitusi 1000 A001 A012020401 1 RAWAT JALAN 07.03.2022 07.03.2022 ERLANGGA WIJAYA MAUDY MIKA ALLISYA WIJAYA Anak
* A000 90130011 2072
A000 90130011 2073 9013006ZBY Restitusi 1000 A001 A012020401 1 RAWAT JALAN 07.03.2022 07.03.2022 ERLANGGA WIJAYA MAUDY MIKA ALLISYA WIJAYA Anak
* A000 90130011 2073
A000 90130011 2271 9013006ZBY Restitusi 1000 A001 A012020401 1 RAWAT JALAN 13.04.2022 13.04.2022 ERLANGGA WIJAYA MAUDY MIKA ALLISYA WIJAYA Anak
* A000 90130011 2271
A000 90130011 2295 9013006ZBY Restitusi 1000 A001 A012020401 1 RAWAT JALAN 20.04.2022 20.04.2022 ERLANGGA WIJAYA MAUDY MIKA ALLISYA WIJAYA Anak
* A000 90130011 2295
A000 91170001 1669 91172122ZY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 03.01.2022 03.01.2022 VICTOR SIAHAAN
* A000 91170001 1669
A000 91170001 1670 91172122ZY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 03.01.2022 03.01.2022 VICTOR SIAHAAN
* A000 91170001 1670
A000 91170001 1671 91172122ZY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 03.01.2022 03.01.2022 VICTOR SIAHAAN
* A000 91170001 1671
A000 91170001 1672 91172122ZY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 03.01.2022 03.01.2022 VICTOR SIAHAAN
* A000 91170001 1672
A000 91170001 1818 91172122ZY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 31.01.2022 31.01.2022 VICTOR SIAHAAN
* A000 91170001 1818
A000 91170001 2248 91172122ZY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 08.04.2022 08.04.2022 VICTOR SIAHAAN
* A000 91170001 2248
A000 91180002 1673 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 03.01.2022 03.01.2022 FEBRI DENI FIRDIANSYAH LU' LUU AZZAHRAWAANI Istri/Suami
* A000 91180002 1673
A000 91180002 1737 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 13.01.2022 13.01.2022 FEBRI DENI FIRDIANSYAH
* A000 91180002 1737
A000 91180002 1790 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 24.01.2022 24.01.2022 FEBRI DENI FIRDIANSYAH LU' LUU AZZAHRAWAANI Istri/Suami
* A000 91180002 1790
A000 91180002 1791 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 24.01.2022 24.01.2022 FEBRI DENI FIRDIANSYAH LU' LUU AZZAHRAWAANI Istri/Suami
* A000 91180002 1791
A000 91180002 1792 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 24.01.2022 24.01.2022 FEBRI DENI FIRDIANSYAH LU' LUU AZZAHRAWAANI Istri/Suami
* A000 91180002 1792
A000 91180002 1793 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 24.01.2022 24.01.2022 FEBRI DENI FIRDIANSYAH
* A000 91180002 1793
A000 91180002 1794 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 24.01.2022 24.01.2022 FEBRI DENI FIRDIANSYAH
* A000 91180002 1794
A000 91180002 1838 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 02.02.2022 02.02.2022 FEBRI DENI FIRDIANSYAH LU' LUU AZZAHRAWAANI Istri/Suami
* A000 91180002 1838
A000 91180002 1839 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 02.02.2022 02.02.2022 FEBRI DENI FIRDIANSYAH LU' LUU AZZAHRAWAANI Istri/Suami
* A000 91180002 1839
A000 91180002 1923 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 15.02.2022 15.02.2022 FEBRI DENI FIRDIANSYAH
* A000 91180002 1923
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 23.02.2022 228.886 IDR Submitted to Finance 25.02.2022 25.02.2022 3200000333 Document posted successfully:
228.886 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 21.02.2022 330.000 IDR Submitted to Finance 04.03.2022 04.03.2022 3200000362 Document posted successfully:
330.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 07.03.2022 330.000 IDR Submitted to Finance 09.03.2022 09.03.2022 3200000384 Document posted successfully:
330.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 15.01.2022 80.000 IDR Submitted to Finance 18.01.2022 18.01.2022 3200000108 Document posted successfully:
80.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 12.02.2022 10.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000275 Document posted successfully:
10.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 13.02.2022 117.500 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000276 Document posted successfully:
117.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 10.02.2022 225.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000277 Document posted successfully:
225.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 08.02.2022 56.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000293 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 11.02.2022 3.901.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000294 Document posted successfully:
3.901.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 21.02.2022 577.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000315 Document posted successfully:
577.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 02.03.2022 22.000 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000373 Document posted successfully:
22.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 03.03.2022 98.000 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000374 Document posted successfully:
98.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 04.04.2022 347.100 IDR Submitted to Finance 13.04.2022 13.04.2022 3200000554 Document posted successfully:
347.100 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 04.04.2022 347.100 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000578 Document posted successfully:
347.100 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 18.11.2021 360.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000016 Document posted successfully:
360.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 01.12.2021 3.365.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000017 Document posted successfully:
3.365.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 30.11.2021 290.700 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000018 Document posted successfully:
290.700 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 08.12.2021 365.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000019 Document posted successfully:
365.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.01.2022 56.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000160 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 07.04.2022 878.000 IDR Submitted to Finance 08.04.2022 08.04.2022 3200000530 Document posted successfully:
878.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 02.01.2022 420.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000020 Document posted successfully:
420.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 11.01.2022 100.000 IDR Submitted to Finance 13.01.2022 13.01.2022 3200000082 Document posted successfully:
100.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 17.01.2022 42.000 IDR Submitted to Finance 24.01.2022 24.01.2022 3200000129 Document posted successfully:
42.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 10.01.2022 388.000 IDR Submitted to Finance 24.01.2022 24.01.2022 3200000130 Document posted successfully:
388.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 19.01.2022 421.000 IDR Submitted to Finance 24.01.2022 24.01.2022 3200000131 Document posted successfully:
421.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 20.01.2022 45.000 IDR Submitted to Finance 24.01.2022 24.01.2022 3200000132 Document posted successfully:
45.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 22.01.2022 80.000 IDR Submitted to Finance 24.01.2022 24.01.2022 3200000133 Document posted successfully:
80.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 27.01.2022 429.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000174 Document posted successfully:
429.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 31.01.2022 496.500 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000175 Document posted successfully:
496.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 08.02.2022 330.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000233 Document posted successfully:
330.000 IDR
BKPFF 3200000333A000

BKPFF 3200000362A000

BKPFF 3200000384A000

BKPFF 3200000108A000

BKPFF 3200000275A000

BKPFF 3200000276A000

BKPFF 3200000277A000

BKPFF 3200000293A000

BKPFF 3200000294A000

BKPFF 3200000315A000

BKPFF 3200000373A000

BKPFF 3200000374A000

BKPFF 3200000554A000

BKPFF 3200000578A000

BKPFF 3200000016A000

BKPFF 3200000017A000

BKPFF 3200000018A000

BKPFF 3200000019A000

BKPFF 3200000160A000

BKPFF 3200000530A000

BKPFF 3200000020A000

BKPFF 3200000082A000

BKPFF 3200000129A000

BKPFF 3200000130A000

BKPFF 3200000131A000

BKPFF 3200000132A000

BKPFF 3200000133A000

BKPFF 3200000174A000

BKPFF 3200000175A000

BKPFF 3200000233A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 91180002 1963 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 21.02.2022 21.02.2022 FEBRI DENI FIRDIANSYAH LU' LUU AZZAHRAWAANI Istri/Suami
* A000 91180002 1963
A000 91180002 2060 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 07.03.2022 07.03.2022 FEBRI DENI FIRDIANSYAH
* A000 91180002 2060
A000 91180002 2173 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 23.03.2022 23.03.2022 FEBRI DENI FIRDIANSYAH
* A000 91180002 2173
A000 91180002 2202 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 28.03.2022 28.03.2022 FEBRI DENI FIRDIANSYAH
* A000 91180002 2202
A000 91180002 2240 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 07.04.2022 07.04.2022 FEBRI DENI FIRDIANSYAH
* A000 91180002 2240
A000 91180002 2253 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 11.04.2022 11.04.2022 FEBRI DENI FIRDIANSYAH
* A000 91180002 2253
A000 91180002 2285 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 18.04.2022 18.04.2022 FEBRI DENI FIRDIANSYAH HANAN RUZAIN FIRDIANSYAH Anak
* A000 91180002 2285
A000 91180002 2306 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 25.04.2022 25.04.2022 FEBRI DENI FIRDIANSYAH
* A000 91180002 2306
A000 91180002 2335 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 09.05.2022 09.05.2022 FEBRI DENI FIRDIANSYAH HANAN RUZAIN FIRDIANSYAH Anak
* A000 91180002 2335
A000 91180002 2336 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 09.05.2022 09.05.2022 FEBRI DENI FIRDIANSYAH HANAN RUZAIN FIRDIANSYAH Anak
* A000 91180002 2336
A000 91180002 2337 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 09.05.2022 09.05.2022 FEBRI DENI FIRDIANSYAH
* A000 91180002 2337
A000 91180002 2338 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 09.05.2022 09.05.2022 FEBRI DENI FIRDIANSYAH LU' LUU AZZAHRAWAANI Istri/Suami
* A000 91180002 2338
A000 91180002 2369 9118002ZBY Restitusi 1000 A001 A012020102 1 RAWAT JALAN 17.05.2022 17.05.2022 FEBRI DENI FIRDIANSYAH HANAN RUZAIN FIRDIANSYAH Anak
* A000 91180002 2369
A000 91180004 1927 9118004ZBY Restitusi 1000 A001 A012020302 1 RAWAT JALAN 15.02.2022 15.02.2022 ARIEF USMAN
* A000 91180004 1927
A000 91180004 1979 9118004ZBY Restitusi 1000 A001 A012020302 1 RAWAT JALAN 21.02.2022 21.02.2022 ARIEF USMAN
* A000 91180004 1979
A000 91180004 1980 9118004ZBY Restitusi 1000 A001 A012020302 1 RAWAT JALAN 21.02.2022 21.02.2022 ARIEF USMAN
* A000 91180004 1980
A000 91180004 2003 9118004ZBY Restitusi 1000 A001 A012020302 1 RAWAT JALAN 22.02.2022 22.02.2022 ARIEF USMAN
* A000 91180004 2003
A000 91180004 2182 9118004ZBY Restitusi 1000 A001 A012020302 1 RAWAT JALAN 23.03.2022 23.03.2022 ARIEF USMAN
* A000 91180004 2182
A000 92160001 1760 92161356ZY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 17.01.2022 17.01.2022 HAIFANI AZMI RAHMAN
* A000 92160001 1760
A000 92160001 1761 92161356ZY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 17.01.2022 17.01.2022 HAIFANI AZMI RAHMAN
* A000 92160001 1761
A000 92160001 1762 92161356ZY Restitusi 1000 A001 A012040301 1 RAWAT JALAN 17.01.2022 17.01.2022 HAIFANI AZMI RAHMAN
* A000 92160001 1762
A000 92170001 1712 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 06.01.2022 06.01.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 1712
A000 92170001 1713 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 06.01.2022 06.01.2022 MUHAMMAD JAFAR PURWANTO ALESHA NAKHLA FARHAIRA Anak
* A000 92170001 1713
A000 92170001 1714 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 06.01.2022 06.01.2022 MUHAMMAD JAFAR PURWANTO FARAH HUSNA FADHILAH Istri/Suami
* A000 92170001 1714
A000 92170001 1715 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 06.01.2022 06.01.2022 MUHAMMAD JAFAR PURWANTO FARAH HUSNA FADHILAH Istri/Suami
* A000 92170001 1715
A000 92170001 1944 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 17.02.2022 17.02.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 1944
A000 92170001 1946 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 17.02.2022 17.02.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 1946
A000 92170001 1947 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 17.02.2022 17.02.2022 MUHAMMAD JAFAR PURWANTO FARAH HUSNA FADHILAH Istri/Suami
* A000 92170001 1947
A000 92170001 1949 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 17.02.2022 17.02.2022 MUHAMMAD JAFAR PURWANTO FARAH HUSNA FADHILAH Istri/Suami
* A000 92170001 1949
A000 92170001 1950 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 17.02.2022 17.02.2022 MUHAMMAD JAFAR PURWANTO ALESHA NAKHLA FARHAIRA Anak
* A000 92170001 1950
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 07.02.2022 231.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000295 Document posted successfully:
231.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 02.03.2022 305.000 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000375 Document posted successfully:
305.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 21.03.2022 213.800 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000474 Document posted successfully:
213.800 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 24.03.2022 330.000 IDR Submitted to Finance 28.03.2022 28.03.2022 3200000491 Document posted successfully:
330.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APRIL 2022 30.03.2022 275.000 IDR Submitted to Finance 07.04.2022 07.04.2022 3200000527 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 21.03.2022 330.000 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000535 Document posted successfully:
330.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 17.04.2022 375.000 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000575 Document posted successfully:
375.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 23.04.2022 70.000 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000591 Document posted successfully:
70.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 02.05.2022 2.394.630 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000622 Document posted successfully:
2.394.630 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 01.05.2022 641.100 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000623 Document posted successfully:
641.100 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 03.05.2022 99.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000624 Document posted successfully:
99.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 04.05.2022 99.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000625 Document posted successfully:
99.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 15.05.2022 325.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000640 Document posted successfully:
325.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 10.02.2022 275.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000234 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 09.02.2022 2.024.500 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000296 Document posted successfully:
2.024.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 11.02.2022 4.501.500 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000297 Document posted successfully:
4.501.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 22.02.2022 275.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000316 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 22.03.2022 290.000 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000475 Document posted successfully:
290.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 15.01.2022 2.025.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000097 Document posted successfully:
2.025.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 12.01.2022 56.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000098 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 14.01.2022 85.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000099 Document posted successfully:
85.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 24.12.2021 275.000 IDR Submitted to Finance 06.01.2022 06.01.2022 3200000049 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 31.12.2021 943.651 IDR Submitted to Finance 06.01.2022 06.01.2022 3200000050 Document posted successfully:
943.651 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 30.12.2021 787.634 IDR Submitted to Finance 06.01.2022 06.01.2022 3200000051 Document posted successfully:
787.634 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 04.01.2022 1.005.686 IDR Submitted to Finance 06.01.2022 06.01.2022 3200000052 Document posted successfully:
1.005.686 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 08.02.2022 1.279.917 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000268 Document posted successfully:
1.279.917 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 02.02.2022 99.000 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000269 Document posted successfully:
99.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 23.01.2022 546.032 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000270 Document posted successfully:
546.032 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 30.01.2022 225.000 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000271 Document posted successfully:
225.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 29.01.2022 1.106.768 IDR Submitted to Finance 18.02.2022 18.02.2022 3200000272 Document posted successfully:
1.106.768 IDR
BKPFF 3200000295A000

BKPFF 3200000375A000

BKPFF 3200000474A000

BKPFF 3200000491A000

BKPFF 3200000527A000

BKPFF 3200000535A000

BKPFF 3200000575A000

BKPFF 3200000591A000

BKPFF 3200000622A000

BKPFF 3200000623A000

BKPFF 3200000624A000

BKPFF 3200000625A000

BKPFF 3200000640A000

BKPFF 3200000234A000

BKPFF 3200000296A000

BKPFF 3200000297A000

BKPFF 3200000316A000

BKPFF 3200000475A000

BKPFF 3200000097A000

BKPFF 3200000098A000

BKPFF 3200000099A000

BKPFF 3200000049A000

BKPFF 3200000050A000

BKPFF 3200000051A000

BKPFF 3200000052A000

BKPFF 3200000268A000

BKPFF 3200000269A000

BKPFF 3200000270A000

BKPFF 3200000271A000

BKPFF 3200000272A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 92170001 2109 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO ALESHA NAKHLA FARHAIRA Anak
* A000 92170001 2109
A000 92170001 2110 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO FARAH HUSNA FADHILAH Istri/Suami
* A000 92170001 2110
A000 92170001 2111 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2111
A000 92170001 2112 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2112
A000 92170001 2113 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2113
A000 92170001 2114 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2114
A000 92170001 2116 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2116
A000 92170001 2118 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2118
A000 92170001 2119 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2119
A000 92170001 2120 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2120
A000 92170001 2121 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2121
A000 92170001 2122 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2122
A000 92170001 2123 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2123
A000 92170001 2124 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO FARAH HUSNA FADHILAH Istri/Suami
* A000 92170001 2124
A000 92170001 2125 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2125
A000 92170001 2126 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 14.03.2022 14.03.2022 MUHAMMAD JAFAR PURWANTO FARAH HUSNA FADHILAH Istri/Suami
* A000 92170001 2126
A000 92170001 2157 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 18.03.2022 18.03.2022 MUHAMMAD JAFAR PURWANTO ALESHA NAKHLA FARHAIRA Anak
* A000 92170001 2157
A000 92170001 2209 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 30.03.2022 30.03.2022 MUHAMMAD JAFAR PURWANTO FARAH HUSNA FADHILAH Istri/Suami
* A000 92170001 2209
A000 92170001 2210 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 30.03.2022 30.03.2022 MUHAMMAD JAFAR PURWANTO ALESHA NAKHLA FARHAIRA Anak
* A000 92170001 2210
A000 92170001 2247 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 08.04.2022 08.04.2022 MUHAMMAD JAFAR PURWANTO FARAH HUSNA FADHILAH Istri/Suami
* A000 92170001 2247
A000 92170001 2316 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 25.04.2022 25.04.2022 MUHAMMAD JAFAR PURWANTO FARAH HUSNA FADHILAH Istri/Suami
* A000 92170001 2316
A000 92170001 2318 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 25.04.2022 25.04.2022 MUHAMMAD JAFAR PURWANTO ALESHA NAKHLA FARHAIRA Anak
* A000 92170001 2318
A000 92170001 2351 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 12.05.2022 12.05.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2351
A000 92170001 2352 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 12.05.2022 12.05.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2352
A000 92170001 2354 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 12.05.2022 12.05.2022 MUHAMMAD JAFAR PURWANTO
* A000 92170001 2354
A000 92170001 2395 9217879ZY Restitusi 1000 A001 A012010302 1 RAWAT JALAN 25.05.2022 25.05.2022 MUHAMMAD JAFAR PURWANTO ALESHA NAKHLA FARHAIRA Anak
* A000 92170001 2395
A000 92180024 1723 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 10.01.2022 10.01.2022 RIEFKY PRAJASA aprilia rejeki saraswati Istri/Suami
* A000 92180024 1723
A000 92180024 1857 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 08.02.2022 08.02.2022 RIEFKY PRAJASA APRILIA REJEKI SARASWATI Istri/Suami
* A000 92180024 1857
A000 92180024 2059 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 07.03.2022 07.03.2022 RIEFKY PRAJASA APRILIA REJEKI SARASWATI Istri/Suami
* A000 92180024 2059
A000 92180024 2158 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 21.03.2022 21.03.2022 RIEFKY PRAJASA APRILIA REJEKI SARASWATI Istri/Suami
* A000 92180024 2158
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 12.02.2022 1.344.401 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000405 Document posted successfully:
1.344.401 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 24.02.2022 298.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000406 Document posted successfully:
298.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 18.02.2022 99.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000407 Document posted successfully:
99.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 26.02.2022 90.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000408 Document posted successfully:
90.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 01.03.2022 374.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000409 Document posted successfully:
374.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 13.03.2022 275.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000410 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 02.03.2022 400.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000411 Document posted successfully:
400.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 03.03.2022 484.400 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000412 Document posted successfully:
484.400 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 04.03.2022 1.162.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000413 Document posted successfully:
1.162.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 05.03.2022 734.160 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000414 Document posted successfully:
734.160 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 06.03.2022 455.400 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000415 Document posted successfully:
455.400 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 11.03.2022 400.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000416 Document posted successfully:
400.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 08.03.2022 275.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000417 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 09.03.2022 275.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000418 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 10.03.2022 275.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000419 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 12.03.2022 275.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000420 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 13.02.2022 1.322.551 IDR Submitted to Finance 18.03.2022 18.03.2022 3200000447 Document posted successfully:
1.322.551 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 19.03.2022 517.390 IDR Submitted to Finance 30.03.2022 30.03.2022 3200000500 Document posted successfully:
517.390 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 24.03.2022 787.693 IDR Submitted to Finance 30.03.2022 30.03.2022 3200000501 Document posted successfully:
787.693 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 02.04.2022 1.309.862 IDR Submitted to Finance 08.04.2022 08.04.2022 3200000529 Document posted successfully:
1.309.862 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 09.04.2022 370.000 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000595 Document posted successfully:
370.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 23.04.2022 1.363.355 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000596 Document posted successfully:
1.363.355 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 11.05.2022 1.147.133 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000617 Document posted successfully:
1.147.133 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 10.05.2022 591.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000618 Document posted successfully:
591.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 09.05.2022 1.249.237 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000619 Document posted successfully:
1.249.237 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 21.05.2022 1.274.378 IDR Submitted to Finance 25.05.2022 25.05.2022 3200000663 Document posted successfully:
1.274.378 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 08.01.2022 1.250.500 IDR Submitted to Finance 10.01.2022 10.01.2022 3200000062 Document posted successfully:
1.250.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 05.02.2022 1.260.500 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000209 Document posted successfully:
1.260.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 05.03.2022 1.260.500 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000376 Document posted successfully:
1.260.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 19.03.2022 891.500 IDR Submitted to Finance 21.03.2022 21.03.2022 3200000451 Document posted successfully:
891.500 IDR
BKPFF 3200000405A000

BKPFF 3200000406A000

BKPFF 3200000407A000

BKPFF 3200000408A000

BKPFF 3200000409A000

BKPFF 3200000410A000

BKPFF 3200000411A000

BKPFF 3200000412A000

BKPFF 3200000413A000

BKPFF 3200000414A000

BKPFF 3200000415A000

BKPFF 3200000416A000

BKPFF 3200000417A000

BKPFF 3200000418A000

BKPFF 3200000419A000

BKPFF 3200000420A000

BKPFF 3200000447A000

BKPFF 3200000500A000

BKPFF 3200000501A000

BKPFF 3200000529A000

BKPFF 3200000595A000

BKPFF 3200000596A000

BKPFF 3200000617A000

BKPFF 3200000618A000

BKPFF 3200000619A000

BKPFF 3200000663A000

BKPFF 3200000062A000

BKPFF 3200000209A000

BKPFF 3200000376A000

BKPFF 3200000451A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 92180024 2176 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 23.03.2022 23.03.2022 RIEFKY PRAJASA
* A000 92180024 2176
A000 92180024 2177 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 23.03.2022 23.03.2022 RIEFKY PRAJASA APRILIA REJEKI SARASWATI Istri/Suami
* A000 92180024 2177
A000 92180024 2228 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 04.04.2022 04.04.2022 RIEFKY PRAJASA APRILIA REJEKI SARASWATI Istri/Suami
* A000 92180024 2228
A000 92180024 2229 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 04.04.2022 04.04.2022 RIEFKY PRAJASA APRILIA REJEKI SARASWATI Istri/Suami
* A000 92180024 2229
A000 92180024 2288 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 19.04.2022 19.04.2022 RIEFKY PRAJASA
* A000 92180024 2288
A000 92180024 2289 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 19.04.2022 19.04.2022 RIEFKY PRAJASA
* A000 92180024 2289
A000 92180024 2290 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 19.04.2022 19.04.2022 RIEFKY PRAJASA APRILIA REJEKI SARASWATI Istri/Suami
* A000 92180024 2290
A000 92180024 2304 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 20.04.2022 20.04.2022 RIEFKY PRAJASA APRILIA REJEKI SARASWATI Istri/Suami
* A000 92180024 2304
A000 92180024 2331 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 27.04.2022 27.04.2022 RIEFKY PRAJASA KALANDRA BONO GYANAV Anak
* A000 92180024 2331
A000 92180024 2365 9218005ZBY Restitusi 1000 A001 A012020103 1 RAWAT JALAN 17.05.2022 17.05.2022 RIEFKY PRAJASA KALANDRA BONO GYANAV Anak
* A000 92180024 2365
A000 92190006 2069 9219002ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 07.03.2022 07.03.2022 CHANDRA SETYA PRADANA
* A000 92190006 2069
A000 92190033 1675 9219019ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 03.01.2022 03.01.2022 YUDI GIANTORO
* A000 92190033 1675
A000 92190033 1676 9219019ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 03.01.2022 03.01.2022 YUDI GIANTORO
* A000 92190033 1676
A000 92190033 1803 9219019ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 26.01.2022 26.01.2022 YUDI GIANTORO
* A000 92190033 1803
A000 92190033 1804 9219019ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 26.01.2022 26.01.2022 YUDI GIANTORO TARI DWI ANGGRAINI N Istri/Suami
* A000 92190033 1804
A000 92190033 1806 9219019ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 26.01.2022 26.01.2022 YUDI GIANTORO TARI DWI ANGGRAINI N Istri/Suami
* A000 92190033 1806
A000 92190033 1906 9219019ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 14.02.2022 14.02.2022 YUDI GIANTORO TARI DWI ANGGRAINI N Istri/Suami
* A000 92190033 1906
A000 92190033 1932 9219019ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 15.02.2022 15.02.2022 YUDI GIANTORO TARI DWI ANGGRAINI N Istri/Suami
* A000 92190033 1932
A000 92190033 1933 9219019ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 15.02.2022 15.02.2022 YUDI GIANTORO
* A000 92190033 1933
A000 92190033 2407 9219019ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 31.05.2022 31.05.2022 YUDI GIANTORO
* A000 92190033 2407
A000 92190033 2421 9219019ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 03.06.2022 03.06.2022 YUDI GIANTORO TARI DWI ANGGRAINI N Istri/Suami
* A000 92190033 2421
A000 93170001 1704 93171768ZY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 06.01.2022 06.01.2022 MUHAMMAD TANTAGA YUDHA
* A000 93170001 1704
A000 93170001 1705 93171768ZY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 06.01.2022 06.01.2022 MUHAMMAD TANTAGA YUDHA
* A000 93170001 1705
A000 93170001 1706 93171768ZY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 06.01.2022 06.01.2022 MUHAMMAD TANTAGA YUDHA
* A000 93170001 1706
A000 93170001 1971 93171768ZY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 21.02.2022 21.02.2022 MUHAMMAD TANTAGA YUDHA
* A000 93170001 1971
A000 93170001 1972 93171768ZY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 21.02.2022 21.02.2022 MUHAMMAD TANTAGA YUDHA
* A000 93170001 1972
A000 93170001 1973 93171768ZY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 21.02.2022 21.02.2022 MUHAMMAD TANTAGA YUDHA
* A000 93170001 1973
A000 93170001 1974 93171768ZY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 21.02.2022 21.02.2022 MUHAMMAD TANTAGA YUDHA
* A000 93170001 1974
A000 93170001 1975 93171768ZY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 21.02.2022 21.02.2022 MUHAMMAD TANTAGA YUDHA
* A000 93170001 1975
A000 93170001 1976 93171768ZY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 21.02.2022 21.02.2022 MUHAMMAD TANTAGA YUDHA
* A000 93170001 1976
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 21.03.2022 577.000 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000476 Document posted successfully:
577.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 22.03.2022 577.000 IDR Submitted to Finance 23.03.2022 23.03.2022 3200000477 Document posted successfully:
577.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 02.04.2022 686.000 IDR Submitted to Finance 04.04.2022 04.04.2022 3200000512 Document posted successfully:
686.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 01.04.2022 275.000 IDR Submitted to Finance 04.04.2022 04.04.2022 3200000513 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 12.04.2022 199.000 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000571 Document posted successfully:
199.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 09.04.2022 275.000 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000572 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 08.04.2022 856.000 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000573 Document posted successfully:
856.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 19.04.2022 706.000 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000582 Document posted successfully:
706.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 16.04.2022 426.000 IDR Submitted to Finance 27.04.2022 27.04.2022 3200000608 Document posted successfully:
426.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 14.05.2022 889.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000628 Document posted successfully:
889.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 07.02.2022 275.000 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000377 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 27.12.2021 56.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000021 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 01.01.2022 70.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000022 Document posted successfully:
70.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 24.01.2022 990.000 IDR Submitted to Finance 26.01.2022 26.01.2022 3200000143 Document posted successfully:
990.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 25.01.2022 650.000 IDR Submitted to Finance 26.01.2022 26.01.2022 3200000144 Document posted successfully:
650.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 23.01.2022 150.000 IDR Submitted to Finance 26.01.2022 26.01.2022 3200000145 Document posted successfully:
150.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 22.01.2022 81.440 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000235 Document posted successfully:
81.440 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 275.000 IDR Submitted to Finance 01.03.2022 01.03.2022 3200000336 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 04.02.2022 275.000 IDR Submitted to Finance 01.03.2022 01.03.2022 3200000337 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 27.05.2022 130.000 IDR Submitted to Finance 31.05.2022 31.05.2022 3200000684 Document posted successfully:
130.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 01.06.2022 1.882.000 IDR Submitted to Finance 03.06.2022 03.06.2022 3200000696 Document posted successfully:
1.882.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 03.01.2022 150.000 IDR Submitted to Finance 06.01.2022 06.01.2022 3200000053 Document posted successfully:
150.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 02.01.2022 211.400 IDR Submitted to Finance 06.01.2022 06.01.2022 3200000054 Document posted successfully:
211.400 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 04.01.2022 47.000 IDR Submitted to Finance 06.01.2022 06.01.2022 3200000055 Document posted successfully:
47.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 275.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000298 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 10.02.2022 275.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000299 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 14.02.2022 275.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000300 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 04.02.2022 762.800 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000301 Document posted successfully:
762.800 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 05.02.2022 25.300 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000302 Document posted successfully:
25.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 08.02.2022 220.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000303 Document posted successfully:
220.000 IDR
BKPFF 3200000476A000

BKPFF 3200000477A000

BKPFF 3200000512A000

BKPFF 3200000513A000

BKPFF 3200000571A000

BKPFF 3200000572A000

BKPFF 3200000573A000

BKPFF 3200000582A000

BKPFF 3200000608A000

BKPFF 3200000628A000

BKPFF 3200000377A000

BKPFF 3200000021A000

BKPFF 3200000022A000

BKPFF 3200000143A000

BKPFF 3200000144A000

BKPFF 3200000145A000

BKPFF 3200000235A000

BKPFF 3200000336A000

BKPFF 3200000337A000

BKPFF 3200000684A000

BKPFF 3200000696A000

BKPFF 3200000053A000

BKPFF 3200000054A000

BKPFF 3200000055A000

BKPFF 3200000298A000

BKPFF 3200000299A000

BKPFF 3200000300A000

BKPFF 3200000301A000

BKPFF 3200000302A000

BKPFF 3200000303A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 93170001 1977 93171768ZY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 21.02.2022 21.02.2022 MUHAMMAD TANTAGA YUDHA
* A000 93170001 1977
A000 93170001 1978 93171768ZY Restitusi 1000 A001 A012010200 1 RAWAT JALAN 21.02.2022 21.02.2022 MUHAMMAD TANTAGA YUDHA
* A000 93170001 1978
A000 93190002 1668 9319001ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 03.01.2022 03.01.2022 ALFAN BAHARUDDIN ARROZY
* A000 93190002 1668
A000 93190002 1677 9319001ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 03.01.2022 03.01.2022 ALFAN BAHARUDDIN ARROZY
* A000 93190002 1677
A000 93190002 1775 9319001ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 20.01.2022 20.01.2022 ALFAN BAHARUDDIN ARROZY
* A000 93190002 1775
A000 93190002 2067 9319001ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 07.03.2022 07.03.2022 ALFAN BAHARUDDIN ARROZY
* A000 93190002 2067
A000 93190002 2068 9319001ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 07.03.2022 07.03.2022 ALFAN BAHARUDDIN ARROZY
* A000 93190002 2068
A000 93190002 2141 9319001ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 16.03.2022 16.03.2022 ALFAN BAHARUDDIN ARROZY RISA NURISAWATI Istri/Suami
* A000 93190002 2141
A000 93190002 2388 9319001ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 25.05.2022 25.05.2022 ALFAN BAHARUDDIN ARROZY
* A000 93190002 2388
A000 93190002 2389 9319001ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 25.05.2022 25.05.2022 ALFAN BAHARUDDIN ARROZY
* A000 93190002 2389
A000 93190002 2391 9319001ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 25.05.2022 25.05.2022 ALFAN BAHARUDDIN ARROZY RISA NURISAWATI Istri/Suami
* A000 93190002 2391
A000 93190002 2392 9319001ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 25.05.2022 25.05.2022 ALFAN BAHARUDDIN ARROZY
* A000 93190002 2392
A000 93190002 2393 9319001ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 25.05.2022 25.05.2022 ALFAN BAHARUDDIN ARROZY
* A000 93190002 2393
A000 93190002 2396 9319001ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 25.05.2022 25.05.2022 ALFAN BAHARUDDIN ARROZY RISA NURISAWATI Istri/Suami
* A000 93190002 2396
A000 93190002 2397 9319001ZBY Restitusi 1000 A001 A012040102 1 RAWAT JALAN 25.05.2022 25.05.2022 ALFAN BAHARUDDIN ARROZY
* A000 93190002 2397
A000 93190004 1747 9319004ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 14.01.2022 14.01.2022 FEBRIANTO MANGOPO
* A000 93190004 1747
A000 93190004 1749 9319004ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 14.01.2022 14.01.2022 FEBRIANTO MANGOPO
* A000 93190004 1749
A000 93190004 1883 9319004ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 11.02.2022 11.02.2022 FEBRIANTO MANGOPO
* A000 93190004 1883
A000 93190004 1884 9319004ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 11.02.2022 11.02.2022 FEBRIANTO MANGOPO
* A000 93190004 1884
A000 93190004 1885 9319004ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 11.02.2022 11.02.2022 FEBRIANTO MANGOPO
* A000 93190004 1885
A000 94163456 1721 94163456ZY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 10.01.2022 10.01.2022 ANISA RAHMAWATI FATIMAH
* A000 94163456 1721
A000 94163456 1722 94163456ZY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 10.01.2022 10.01.2022 ANISA RAHMAWATI FATIMAH
* A000 94163456 1722
A000 94163456 2256 94163456ZY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 11.04.2022 11.04.2022 ANISA RAHMAWATI FATIMAH
* A000 94163456 2256
A000 94163456 2257 94163456ZY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 11.04.2022 11.04.2022 ANISA RAHMAWATI FATIMAH
* A000 94163456 2257
A000 94163456 2258 94163456ZY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 11.04.2022 11.04.2022 ANISA RAHMAWATI FATIMAH
* A000 94163456 2258
A000 94163456 2259 94163456ZY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 11.04.2022 11.04.2022 ANISA RAHMAWATI FATIMAH
* A000 94163456 2259
A000 94163456 2260 94163456ZY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 11.04.2022 11.04.2022 ANISA RAHMAWATI FATIMAH
* A000 94163456 2260
A000 94180009 1817 9418009ZBY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 31.01.2022 31.01.2022 FAISHAL RIZKI PRATAMA
* A000 94180009 1817
A000 94180010 1678 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 03.01.2022 03.01.2022 DWI AGUS FIRMANTARA
* A000 94180010 1678
A000 94180010 1679 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 03.01.2022 03.01.2022 DWI AGUS FIRMANTARA RISKA RACHMAWATI Istri/Suami
* A000 94180010 1679
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 09.02.2022 1.025.500 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000304 Document posted successfully:
1.025.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 11.02.2022 388.400 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000305 Document posted successfully:
388.400 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 01.01.2022 70.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000023 Document posted successfully:
70.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.12.2021 56.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000024 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 19.01.2022 155.000 IDR Submitted to Finance 20.01.2022 20.01.2022 3200000118 Document posted successfully:
155.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 05.03.2022 310.000 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000378 Document posted successfully:
310.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 06.03.2022 4.702.500 IDR Submitted to Finance 08.03.2022 08.03.2022 3200000379 Document posted successfully:
4.702.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 15.03.2022 5.002.000 IDR Submitted to Finance 16.03.2022 16.03.2022 3200000433 Document posted successfully:
5.002.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 18.05.2022 2.580.000 IDR Submitted to Finance 25.05.2022 25.05.2022 3200000664 Document posted successfully:
2.580.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 19.05.2022 225.000 IDR Submitted to Finance 25.05.2022 25.05.2022 3200000665 Document posted successfully:
225.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 23.05.2022 1.173.000 IDR Submitted to Finance 25.05.2022 25.05.2022 3200000666 Document posted successfully:
1.173.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 17.05.2022 468.300 IDR Submitted to Finance 25.05.2022 25.05.2022 3200000670 Document posted successfully:
468.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 16.05.2022 2.600.000 IDR Submitted to Finance 25.05.2022 25.05.2022 3200000667 Document posted successfully:
2.600.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 22.05.2022 231.000 IDR Submitted to Finance 25.05.2022 25.05.2022 3200000668 Document posted successfully:
231.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 24.05.2022 1.200.000 IDR Submitted to Finance 25.05.2022 25.05.2022 3200000671 Document posted successfully:
1.200.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 02.01.2022 100.000 IDR Submitted to Finance 14.01.2022 14.01.2022 3200000086 Document posted successfully:
100.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 09.01.2022 85.000 IDR Submitted to Finance 14.01.2022 14.01.2022 3200000087 Document posted successfully:
85.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 04.02.2022 95.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000236 Document posted successfully:
95.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 07.02.2022 90.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000237 Document posted successfully:
90.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 1.455.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000238 Document posted successfully:
1.455.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 08.12.2021 164.000 IDR Submitted to Finance 10.01.2022 10.01.2022 3200000063 Document posted successfully:
164.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 23.12.2021 1.074.200 IDR Submitted to Finance 10.01.2022 10.01.2022 3200000064 Document posted successfully:
1.074.200 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 12.01.2022 517.400 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000539 Document posted successfully:
517.400 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 23.03.2022 1.330.000 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000540 Document posted successfully:
1.330.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 03.02.2022 448.600 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000541 Document posted successfully:
448.600 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 27.01.2022 518.800 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000542 Document posted successfully:
518.800 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 14.02.2022 1.024.000 IDR Submitted to Finance 11.04.2022 11.04.2022 3200000543 Document posted successfully:
1.024.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.01.2022 56.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000161 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 20.12.2021 275.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000029 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 23.12.2021 985.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000009 Document posted successfully:
985.000 IDR
BKPFF 3200000304A000

BKPFF 3200000305A000

BKPFF 3200000023A000

BKPFF 3200000024A000

BKPFF 3200000118A000

BKPFF 3200000378A000

BKPFF 3200000379A000

BKPFF 3200000433A000

BKPFF 3200000664A000

BKPFF 3200000665A000

BKPFF 3200000666A000

BKPFF 3200000670A000

BKPFF 3200000667A000

BKPFF 3200000668A000

BKPFF 3200000671A000

BKPFF 3200000086A000

BKPFF 3200000087A000

BKPFF 3200000236A000

BKPFF 3200000237A000

BKPFF 3200000238A000

BKPFF 3200000063A000

BKPFF 3200000064A000

BKPFF 3200000539A000

BKPFF 3200000540A000

BKPFF 3200000541A000

BKPFF 3200000542A000

BKPFF 3200000543A000

BKPFF 3200000161A000

BKPFF 3200000029A000

BKPFF 3200000009A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 94180010 1680 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 03.01.2022 03.01.2022 DWI AGUS FIRMANTARA RISKA RACHMAWATI Istri/Suami
* A000 94180010 1680
A000 94180010 1681 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 03.01.2022 03.01.2022 DWI AGUS FIRMANTARA RISKA RACHMAWATI Istri/Suami
* A000 94180010 1681
A000 94180010 1701 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 04.01.2022 04.01.2022 DWI AGUS FIRMANTARA RAYLENE KENISHA ANMARA Anak
* A000 94180010 1701
A000 94180010 1703 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 04.01.2022 04.01.2022 DWI AGUS FIRMANTARA RISKA RACHMAWATI Istri/Suami
* A000 94180010 1703
A000 94180010 1725 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 11.01.2022 11.01.2022 DWI AGUS FIRMANTARA Raylene Kenisha Anmara Anak
* A000 94180010 1725
A000 94180010 1789 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 24.01.2022 24.01.2022 DWI AGUS FIRMANTARA RAYLENE KENISHA ANMARA Anak
* A000 94180010 1789
A000 94180010 1962 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 21.02.2022 21.02.2022 DWI AGUS FIRMANTARA RAYLENE KENISHA ANMARA Anak
* A000 94180010 1962
A000 94180010 2189 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 24.03.2022 24.03.2022 DWI AGUS FIRMANTARA RAYLENE KENISHA ANMARA Anak
* A000 94180010 2189
A000 94180010 2213 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 31.03.2022 31.03.2022 DWI AGUS FIRMANTARA RISKA RACHMAWATI Istri/Suami
* A000 94180010 2213
A000 94180010 2214 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 31.03.2022 31.03.2022 DWI AGUS FIRMANTARA RISKA RACHMAWATI Istri/Suami
* A000 94180010 2214
A000 94180010 2215 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 31.03.2022 31.03.2022 DWI AGUS FIRMANTARA RISKA RACHMAWATI Istri/Suami
* A000 94180010 2215
A000 94180010 2216 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 31.03.2022 31.03.2022 DWI AGUS FIRMANTARA RISKA RACHMAWATI Istri/Suami
* A000 94180010 2216
A000 94180010 2286 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 18.04.2022 18.04.2022 DWI AGUS FIRMANTARA RAYLENE KENISHA ANMARA Anak
* A000 94180010 2286
A000 94180010 2387 9418010ZBY Restitusi 1000 A001 A012020101 1 RAWAT JALAN 25.05.2022 25.05.2022 DWI AGUS FIRMANTARA RAYLENE KENISHA ANMARA Anak
* A000 94180010 2387
A000 94180017 2044 9418008ZBY Restitusi 1000 A001 A012040101 1 RAWAT JALAN 02.03.2022 02.03.2022 KEVIN ADIYASA
* A000 94180017 2044
A000 94180017 2330 9418008ZBY Restitusi 1000 A001 A012040101 1 RAWAT JALAN 26.04.2022 26.04.2022 KEVIN ADIYASA
* A000 94180017 2330
A000 94190003 1815 9419007ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 31.01.2022 31.01.2022 SUNU SATRIYA ADI
* A000 94190003 1815
A000 94190003 2047 9419007ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 04.03.2022 04.03.2022 SUNU SATRIYA ADI MIRA APRILIA HARLISTA Istri/Suami
* A000 94190003 2047
A000 94190003 2048 9419007ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 04.03.2022 04.03.2022 SUNU SATRIYA ADI MIRA APRILIA HARLISTA Istri/Suami
* A000 94190003 2048
A000 94190003 2159 9419007ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 21.03.2022 21.03.2022 SUNU SATRIYA ADI MIRA APRILIA HARLISTA Istri/Suami
* A000 94190003 2159
A000 94190003 2400 9419007ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 30.05.2022 30.05.2022 SUNU SATRIYA ADI MIRA APRILIA HARLISTA Istri/Suami
* A000 94190003 2400
A000 94190003 2401 9419007ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 30.05.2022 30.05.2022 SUNU SATRIYA ADI
* A000 94190003 2401
A000 94190003 2402 9419007ZBY Restitusi 1000 A001 A012020301 1 RAWAT JALAN 30.05.2022 30.05.2022 SUNU SATRIYA ADI
* A000 94190003 2402
A000 94190006 2076 9419006ZBY Restitusi 1000 A001 A012020401 1 RAWAT JALAN 09.03.2022 09.03.2022 CHOIRUL ABDILLAH MELIYANTO ADI
* A000 94190006 2076
A000 95180012 1726 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 11.01.2022 11.01.2022 ASRI PURWITASARI
* A000 95180012 1726
A000 95180012 1750 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 17.01.2022 17.01.2022 ASRI PURWITASARI
* A000 95180012 1750
A000 95180012 1821 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 31.01.2022 31.01.2022 ASRI PURWITASARI ALFIAN DAMAR SETYAWAN Istri/Suami
* A000 95180012 1821
A000 95180012 1853 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 08.02.2022 08.02.2022 ASRI PURWITASARI ALFIAN DAMAR SETYAWAN Istri/Suami
* A000 95180012 1853
A000 95180012 1854 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 08.02.2022 08.02.2022 ASRI PURWITASARI ALFIAN DAMAR SETYAWAN Istri/Suami
* A000 95180012 1854
A000 95180012 1855 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 08.02.2022 08.02.2022 ASRI PURWITASARI ALFIAN DAMAR SETYAWAN Istri/Suami
* A000 95180012 1855
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 22.12.2021 53.629.634 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000010 Document posted successfully:
53.629.634 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 21.12.2021 4.673.490 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000011 Document posted successfully:
4.673.490 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.12.2021 445.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000030 Document posted successfully:
445.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 03.01.2022 560.090 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000041 Document posted successfully:
560.090 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 08.01.2022 445.000 IDR Submitted to Finance 11.01.2022 11.01.2022 3200000066 Document posted successfully:
445.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 22.01.2022 658.344 IDR Submitted to Finance 24.01.2022 24.01.2022 3200000134 Document posted successfully:
658.344 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 19.02.2022 1.782.363 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000306 Document posted successfully:
1.782.363 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 19.03.2022 445.491 IDR Submitted to Finance 24.03.2022 24.03.2022 3200000480 Document posted successfully:
445.491 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 29.03.2022 462.000 IDR Submitted to Finance 31.03.2022 31.03.2022 3200000503 Document posted successfully:
462.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 28.03.2022 203.000 IDR Submitted to Finance 31.03.2022 31.03.2022 3200000504 Document posted successfully:
203.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 27.03.2022 1.606.500 IDR Submitted to Finance 31.03.2022 31.03.2022 3200000505 Document posted successfully:
1.606.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 26.03.2022 1.506.500 IDR Submitted to Finance 31.03.2022 31.03.2022 3200000506 Document posted successfully:
1.506.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 16.04.2022 1.359.311 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000576 Document posted successfully:
1.359.311 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 21.05.2022 445.466 IDR Submitted to Finance 25.05.2022 25.05.2022 3200000669 Document posted successfully:
445.466 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 24.02.2022 56.000 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000346 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 25.04.2022 162.000 IDR Submitted to Finance 26.04.2022 26.04.2022 3200000606 Document posted successfully:
162.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 21.01.2022 75.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000162 Document posted successfully:
75.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 12.02.2022 200.000 IDR Submitted to Finance 04.03.2022 04.03.2022 3200000363 Document posted successfully:
200.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 13.02.2022 236.380 IDR Submitted to Finance 04.03.2022 04.03.2022 3200000364 Document posted successfully:
236.380 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 12.03.2022 515.974 IDR Submitted to Finance 21.03.2022 21.03.2022 3200000452 Document posted successfully:
515.974 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 28.05.2022 500.000 IDR Submitted to Finance 30.05.2022 30.05.2022 3200000674 Document posted successfully:
500.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 29.05.2022 245.000 IDR Submitted to Finance 30.05.2022 30.05.2022 3200000675 Document posted successfully:
245.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 27.05.2022 56.000 IDR Submitted to Finance 30.05.2022 30.05.2022 3200000676 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 28.02.2022 59.000 IDR Submitted to Finance 09.03.2022 09.03.2022 3200000385 Document posted successfully:
59.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 08.01.2022 2.424.000 IDR Submitted to Finance 11.01.2022 11.01.2022 3200000068 Document posted successfully:
2.424.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 15.01.2022 1.971.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000100 Document posted successfully:
1.971.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 29.01.2022 1.624.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000163 Document posted successfully:
1.624.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 05.02.2022 139.300 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000210 Document posted successfully:
139.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 06.02.2022 1.787.100 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000211 Document posted successfully:
1.787.100 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 07.02.2022 5.940.700 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000212 Document posted successfully:
5.940.700 IDR
BKPFF 3200000010A000

BKPFF 3200000011A000

BKPFF 3200000030A000

BKPFF 3200000041A000

BKPFF 3200000066A000

BKPFF 3200000134A000

BKPFF 3200000306A000

BKPFF 3200000480A000

BKPFF 3200000503A000

BKPFF 3200000504A000

BKPFF 3200000505A000

BKPFF 3200000506A000

BKPFF 3200000576A000

BKPFF 3200000669A000

BKPFF 3200000346A000

BKPFF 3200000606A000

BKPFF 3200000162A000

BKPFF 3200000363A000

BKPFF 3200000364A000

BKPFF 3200000452A000

BKPFF 3200000674A000

BKPFF 3200000675A000

BKPFF 3200000676A000

BKPFF 3200000385A000

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BKPFF 3200000212A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 95180012 1908 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 11.02.2022 11.02.2022 ASRI PURWITASARI ALFIAN DAMAR SETYAWAN Istri/Suami
* A000 95180012 1908
A000 95180012 1989 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 22.02.2022 22.02.2022 ASRI PURWITASARI
* A000 95180012 1989
A000 95180012 1990 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 22.02.2022 22.02.2022 ASRI PURWITASARI ALFIAN DAMAR SETYAWAN Istri/Suami
* A000 95180012 1990
A000 95180012 2016 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 23.02.2022 23.02.2022 ASRI PURWITASARI ALFIAN DAMAR SETYAWAN Istri/Suami
* A000 95180012 2016
A000 95180012 2132 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 14.03.2022 14.03.2022 ASRI PURWITASARI ARSHAKA KALANDRA EKASATYA Anak
* A000 95180012 2132
A000 95180012 2233 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 06.04.2022 06.04.2022 ASRI PURWITASARI ALFIAN DAMAR SETYAWAN Istri/Suami
* A000 95180012 2233
A000 95180012 2234 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 06.04.2022 06.04.2022 ASRI PURWITASARI
* A000 95180012 2234
A000 95180012 2235 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 06.04.2022 06.04.2022 ASRI PURWITASARI ALFIAN DAMAR SETYAWAN Istri/Suami
* A000 95180012 2235
A000 95180012 2266 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 12.04.2022 12.04.2022 ASRI PURWITASARI ALFIAN DAMAR SETYAWAN Istri/Suami
* A000 95180012 2266
A000 95180012 2267 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 12.04.2022 12.04.2022 ASRI PURWITASARI ALFIAN DAMAR SETYAWAN Istri/Suami
* A000 95180012 2267
A000 95180012 2268 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 12.04.2022 12.04.2022 ASRI PURWITASARI ALFIAN DAMAR SETYAWAN Istri/Suami
* A000 95180012 2268
A000 95180012 2272 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 13.04.2022 13.04.2022 ASRI PURWITASARI ARSHAKA KALANDRA EKASATYA Anak
* A000 95180012 2272
A000 95180012 2414 9518012ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 02.06.2022 02.06.2022 ASRI PURWITASARI ARSHAKA KALANDRA EKASATYA Anak
* A000 95180012 2414
A000 95180032 1730 9518011ZBY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 11.01.2022 11.01.2022 YOGA GIGIH APRILIA Nanik Indra Rukmana Istri/Suami
* A000 95180032 1730
A000 95180032 1807 9518011ZBY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 26.01.2022 26.01.2022 YOGA GIGIH APRILIA ALFARELLZA GIGIH SADANANDA Anak
* A000 95180032 1807
A000 95180032 1833 9518011ZBY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 31.01.2022 31.01.2022 YOGA GIGIH APRILIA ALFARELLZA GIGIH SADANANDA Anak
* A000 95180032 1833
A000 95180032 1846 9518011ZBY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 03.02.2022 03.02.2022 YOGA GIGIH APRILIA
* A000 95180032 1846
A000 95180032 1891 9518011ZBY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 11.02.2022 11.02.2022 YOGA GIGIH APRILIA ALFARELLZA GIGIH SADANANDA Anak
* A000 95180032 1891
A000 95180032 1934 9518011ZBY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 16.02.2022 16.02.2022 YOGA GIGIH APRILIA NANIK INDRA RUKMANA Istri/Suami
* A000 95180032 1934
A000 95180032 2191 9518011ZBY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 24.03.2022 24.03.2022 YOGA GIGIH APRILIA NANIK INDRA RUKMANA Istri/Suami
* A000 95180032 2191
A000 95180032 2308 9518011ZBY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 25.04.2022 25.04.2022 YOGA GIGIH APRILIA NANIK INDRA RUKMANA Istri/Suami
* A000 95180032 2308
A000 95180032 2355 9518011ZBY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 12.05.2022 12.05.2022 YOGA GIGIH APRILIA ALFARELLZA GIGIH SADANANDA Anak
* A000 95180032 2355
A000 95180032 2370 9518011ZBY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 17.05.2022 17.05.2022 YOGA GIGIH APRILIA NANIK INDRA RUKMANA Istri/Suami
* A000 95180032 2370
A000 95180032 2398 9518011ZBY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 27.05.2022 27.05.2022 YOGA GIGIH APRILIA NANIK INDRA RUKMANA Istri/Suami
* A000 95180032 2398
A000 95180032 2427 9518011ZBY Restitusi 1000 A001 A012030101 1 RAWAT JALAN 06.06.2022 06.06.2022 YOGA GIGIH APRILIA NANIK INDRA RUKMANA Istri/Suami
* A000 95180032 2427
A000 95190013 1781 9519013ZBY Restitusi 1000 A001 A012040202 1 RAWAT JALAN 21.01.2022 21.01.2022 RIZKI ARDIANSYAH
* A000 95190013 1781
A000 95190013 1782 9519013ZBY Restitusi 1000 A001 A012040202 1 RAWAT JALAN 21.01.2022 21.01.2022 RIZKI ARDIANSYAH
* A000 95190013 1782
A000 95190013 1844 9519013ZBY Restitusi 1000 A001 A012040202 1 RAWAT JALAN 03.02.2022 03.02.2022 RIZKI ARDIANSYAH
* A000 95190013 1844
A000 95190015 1664 9519015ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 03.01.2022 03.01.2022 FITYA MAULINA NUGROHO
* A000 95190015 1664
A000 95190015 1736 9519015ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 12.01.2022 12.01.2022 FITYA MAULINA NUGROHO
* A000 95190015 1736
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 07.02.2022 5.832.700 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000239 Document posted successfully:
5.832.700 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 19.02.2022 913.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000317 Document posted successfully:
913.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 20.02.2022 486.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000318 Document posted successfully:
486.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 19.02.2022 378.000 IDR Submitted to Finance 25.02.2022 25.02.2022 3200000334 Document posted successfully:
378.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 06.03.2022 112.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000423 Document posted successfully:
112.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 25.03.2022 2.446.000 IDR Submitted to Finance 06.04.2022 06.04.2022 3200000517 Document posted successfully:
2.446.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 03.04.2022 275.000 IDR Submitted to Finance 06.04.2022 06.04.2022 3200000518 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 24.03.2022 993.700 IDR Submitted to Finance 06.04.2022 06.04.2022 3200000519 Document posted successfully:
993.700 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 04.04.2022 201.300 IDR Submitted to Finance 12.04.2022 12.04.2022 3200000550 Document posted successfully:
201.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 10.04.2022 275.000 IDR Submitted to Finance 12.04.2022 12.04.2022 3200000551 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 05.04.2022 275.000 IDR Submitted to Finance 12.04.2022 12.04.2022 3200000552 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 12.04.2022 1.068.000 IDR Submitted to Finance 13.04.2022 13.04.2022 3200000557 Document posted successfully:
1.068.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 28.05.2022 845.043 IDR Submitted to Finance 03.06.2022 03.06.2022 3200000691 Document posted successfully:
845.043 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 08.01.2022 1.337.500 IDR Submitted to Finance 14.01.2022 14.01.2022 3200000088 Document posted successfully:
1.337.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 25.01.2022 1.381.500 IDR Submitted to Finance 26.01.2022 26.01.2022 3200000146 Document posted successfully:
1.381.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 29.01.2022 370.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000164 Document posted successfully:
370.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 56.000 IDR Submitted to Finance 03.02.2022 03.02.2022 3200000180 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 07.02.2022 587.900 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000240 Document posted successfully:
587.900 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 15.02.2022 2.544.400 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000278 Document posted successfully:
2.544.400 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 21.03.2022 1.236.100 IDR Submitted to Finance 24.03.2022 24.03.2022 3200000487 Document posted successfully:
1.236.100 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 21.04.2022 1.649.600 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000592 Document posted successfully:
1.649.600 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 11.05.2022 1.285.200 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000620 Document posted successfully:
1.285.200 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 11.05.2022 1.285.200 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000641 Document posted successfully:
1.285.200 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 25.05.2022 1.319.300 IDR Submitted to Finance 27.05.2022 27.05.2022 3200000672 Document posted successfully:
1.319.300 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 04.06.2022 1.019.420 IDR Submitted to Finance 08.06.2022 08.06.2022 3200000704 Document posted successfully:
1.019.420 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 20.01.2022 276.000 IDR Submitted to Finance 21.01.2022 21.01.2022 3200000124 Document posted successfully:
276.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 21.01.2022 166.000 IDR Submitted to Finance 21.01.2022 21.01.2022 3200000125 Document posted successfully:
166.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 56.000 IDR Submitted to Finance 03.02.2022 03.02.2022 3200000181 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 22.12.2021 1.347.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000031 Document posted successfully:
1.347.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 11.01.2022 998.000 IDR Submitted to Finance 12.01.2022 12.01.2022 3200000075 Document posted successfully:
998.000 IDR
BKPFF 3200000239A000

BKPFF 3200000317A000

BKPFF 3200000318A000

BKPFF 3200000334A000

BKPFF 3200000423A000

BKPFF 3200000517A000

BKPFF 3200000518A000

BKPFF 3200000519A000

BKPFF 3200000550A000

BKPFF 3200000551A000

BKPFF 3200000552A000

BKPFF 3200000557A000

BKPFF 3200000691A000

BKPFF 3200000088A000

BKPFF 3200000146A000

BKPFF 3200000164A000

BKPFF 3200000180A000

BKPFF 3200000240A000

BKPFF 3200000278A000

BKPFF 3200000487A000

BKPFF 3200000592A000

BKPFF 3200000620A000

BKPFF 3200000641A000

BKPFF 3200000672A000

BKPFF 3200000704A000

BKPFF 3200000124A000

BKPFF 3200000125A000

BKPFF 3200000181A000

BKPFF 3200000031A000

BKPFF 3200000075A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 95190015 1892 9519015ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 11.02.2022 11.02.2022 FITYA MAULINA NUGROHO
* A000 95190015 1892
A000 95190015 1893 9519015ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 11.02.2022 11.02.2022 FITYA MAULINA NUGROHO
* A000 95190015 1893
A000 95190015 1894 9519015ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 11.02.2022 11.02.2022 FITYA MAULINA NUGROHO
* A000 95190015 1894
A000 95190015 2093 9519015ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 11.03.2022 11.03.2022 FITYA MAULINA NUGROHO
* A000 95190015 2093
A000 95190015 2206 9519015ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 29.03.2022 29.03.2022 FITYA MAULINA NUGROHO
* A000 95190015 2206
A000 95190015 2269 9519015ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 13.04.2022 13.04.2022 FITYA MAULINA NUGROHO
* A000 95190015 2269
A000 95190015 2270 9519015ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 13.04.2022 13.04.2022 FITYA MAULINA NUGROHO
* A000 95190015 2270
A000 95190015 2293 9519015ZBY Restitusi 1000 A001 A012010100 1 RAWAT JALAN 19.04.2022 19.04.2022 FITYA MAULINA NUGROHO
* A000 95190015 2293
A000 95190017 1758 9419017ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 17.01.2022 17.01.2022 KOMANG NEHRU UTAMAYASA
* A000 95190017 1758
A000 95190017 1830 9419017ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 31.01.2022 31.01.2022 KOMANG NEHRU UTAMAYASA
* A000 95190017 1830
A000 95190017 1831 9419017ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 31.01.2022 31.01.2022 KOMANG NEHRU UTAMAYASA
* A000 95190017 1831
A000 95190017 2129 9419017ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 14.03.2022 14.03.2022 KOMANG NEHRU UTAMAYASA
* A000 95190017 2129
A000 95190017 2198 9419017ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 25.03.2022 25.03.2022 KOMANG NEHRU UTAMAYASA
* A000 95190017 2198
A000 95190018 1770 9519011ZBY Restitusi 1000 A001 A012040101 1 RAWAT JALAN 19.01.2022 19.01.2022 LUH PUTU SAVITRI KARINA ANANDASARI
* A000 95190018 1770
A000 95190018 1773 9519011ZBY Restitusi 1000 A001 A012040101 1 RAWAT JALAN 19.01.2022 19.01.2022 LUH PUTU SAVITRI KARINA ANANDASARI
* A000 95190018 1773
A000 95190018 1825 9519011ZBY Restitusi 1000 A001 A012040101 1 RAWAT JALAN 31.01.2022 31.01.2022 LUH PUTU SAVITRI KARINA ANANDASARI
* A000 95190018 1825
A000 95190018 1826 9519011ZBY Restitusi 1000 A001 A012040101 1 RAWAT JALAN 31.01.2022 31.01.2022 LUH PUTU SAVITRI KARINA ANANDASARI
* A000 95190018 1826
A000 95190018 1829 9519011ZBY Restitusi 1000 A001 A012040101 1 RAWAT JALAN 31.01.2022 31.01.2022 LUH PUTU SAVITRI KARINA ANANDASARI
* A000 95190018 1829
A000 95190018 1930 9519011ZBY Restitusi 1000 A001 A012040101 1 RAWAT JALAN 15.02.2022 15.02.2022 LUH PUTU SAVITRI KARINA ANANDASARI
* A000 95190018 1930
A000 95190018 1931 9519011ZBY Restitusi 1000 A001 A012040101 1 RAWAT JALAN 15.02.2022 15.02.2022 LUH PUTU SAVITRI KARINA ANANDASARI
* A000 95190018 1931
A000 95190018 2045 9519011ZBY Restitusi 1000 A001 A012040101 1 RAWAT JALAN 02.03.2022 02.03.2022 LUH PUTU SAVITRI KARINA ANANDASARI
* A000 95190018 2045
A000 95190020 2162 9519025ZBY Restitusi 1000 A001 A012020201 1 RAWAT JALAN 22.03.2022 22.03.2022 MUHAMMAD ABIZAR MUQAFFI
* A000 95190020 2162
A000 95190020 2163 9519025ZBY Restitusi 1000 A001 A012020201 1 RAWAT JALAN 22.03.2022 22.03.2022 MUHAMMAD ABIZAR MUQAFFI
* A000 95190020 2163
A000 95190022 1718 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 07.01.2022 07.01.2022 BAYU PRADHIPTA SILVA PUTRA NIKEN INDANASARI Istri/Suami
* A000 95190022 1718
A000 95190022 1780 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 20.01.2022 20.01.2022 BAYU PRADHIPTA SILVA PUTRA NIKEN INDANASARI Istri/Suami
* A000 95190022 1780
A000 95190022 1900 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 14.02.2022 14.02.2022 BAYU PRADHIPTA SILVA PUTRA NIKEN INDANASARI Istri/Suami
* A000 95190022 1900
A000 95190022 1901 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 14.02.2022 14.02.2022 BAYU PRADHIPTA SILVA PUTRA NIKEN INDANASARI Istri/Suami
* A000 95190022 1901
A000 95190022 1902 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 14.02.2022 14.02.2022 BAYU PRADHIPTA SILVA PUTRA NIKEN INDANASARI Istri/Suami
* A000 95190022 1902
A000 95190022 1929 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 15.02.2022 15.02.2022 BAYU PRADHIPTA SILVA PUTRA NIKEN INDANASARI Istri/Suami
* A000 95190022 1929
A000 95190022 2025 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 02.03.2022 02.03.2022 BAYU PRADHIPTA SILVA PUTRA NIKEN INDANASARI Istri/Suami
* A000 95190022 2025
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 28.01.2022 70.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000241 Document posted successfully:
70.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 04.02.2022 998.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000242 Document posted successfully:
998.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 08.02.2022 70.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000243 Document posted successfully:
70.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 07.03.2022 1.063.500 IDR Submitted to Finance 11.03.2022 11.03.2022 3200000398 Document posted successfully:
1.063.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 28.03.2022 561.000 IDR Submitted to Finance 29.03.2022 29.03.2022 3200000495 Document posted successfully:
561.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 11.04.2022 1.001.000 IDR Submitted to Finance 13.04.2022 13.04.2022 3200000555 Document posted successfully:
1.001.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 09.04.2022 210.000 IDR Submitted to Finance 13.04.2022 13.04.2022 3200000556 Document posted successfully:
210.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 18.04.2022 898.500 IDR Submitted to Finance 20.04.2022 20.04.2022 3200000574 Document posted successfully:
898.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 15.01.2022 2.157.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000101 Document posted successfully:
2.157.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 27.01.2022 570.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000165 Document posted successfully:
570.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.01.2022 34.400 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000166 Document posted successfully:
34.400 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 14.03.2022 89.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000421 Document posted successfully:
89.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 22.03.2022 571.200 IDR Submitted to Finance 25.03.2022 25.03.2022 3200000488 Document posted successfully:
571.200 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 15.01.2022 2.135.000 IDR Submitted to Finance 19.01.2022 19.01.2022 3200000110 Document posted successfully:
2.135.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 16.01.2022 2.025.000 IDR Submitted to Finance 19.01.2022 19.01.2022 3200000113 Document posted successfully:
2.025.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.01.2022 120.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000167 Document posted successfully:
120.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 29.01.2022 570.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000168 Document posted successfully:
570.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 30.01.2022 1.500.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000169 Document posted successfully:
1.500.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 14.02.2022 1.583.040 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000244 Document posted successfully:
1.583.040 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 15.02.2022 443.056 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000245 Document posted successfully:
443.056 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 24.02.2022 56.000 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000347 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 15.02.2022 275.000 IDR Submitted to Finance 22.03.2022 22.03.2022 3200000460 Document posted successfully:
275.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 08.03.2022 99.000 IDR Submitted to Finance 22.03.2022 22.03.2022 3200000461 Document posted successfully:
99.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 06.01.2022 1.787.134 IDR Submitted to Finance 07.01.2022 07.01.2022 3200000060 Document posted successfully:
1.787.134 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 20.01.2022 830.000 IDR Submitted to Finance 20.01.2022 20.01.2022 3200000120 Document posted successfully:
830.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 27.01.2022 365.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000246 Document posted successfully:
365.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 28.01.2022 1.128.800 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000247 Document posted successfully:
1.128.800 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 29.01.2022 100.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000248 Document posted successfully:
100.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 15.02.2022 1.028.500 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000249 Document posted successfully:
1.028.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 28.02.2022 333.600 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000348 Document posted successfully:
333.600 IDR
BKPFF 3200000241A000

BKPFF 3200000242A000

BKPFF 3200000243A000

BKPFF 3200000398A000

BKPFF 3200000495A000

BKPFF 3200000555A000

BKPFF 3200000556A000

BKPFF 3200000574A000

BKPFF 3200000101A000

BKPFF 3200000165A000

BKPFF 3200000166A000

BKPFF 3200000421A000

BKPFF 3200000488A000

BKPFF 3200000110A000

BKPFF 3200000113A000

BKPFF 3200000167A000

BKPFF 3200000168A000

BKPFF 3200000169A000

BKPFF 3200000244A000

BKPFF 3200000245A000

BKPFF 3200000347A000

BKPFF 3200000460A000

BKPFF 3200000461A000

BKPFF 3200000060A000

BKPFF 3200000120A000

BKPFF 3200000246A000

BKPFF 3200000247A000

BKPFF 3200000248A000

BKPFF 3200000249A000

BKPFF 3200000348A000
Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 95190022 2026 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 02.03.2022 02.03.2022 BAYU PRADHIPTA SILVA PUTRA
* A000 95190022 2026
A000 95190022 2090 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 10.03.2022 10.03.2022 BAYU PRADHIPTA SILVA PUTRA NIKEN INDANASARI Istri/Suami
* A000 95190022 2090
A000 95190022 2091 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 10.03.2022 10.03.2022 BAYU PRADHIPTA SILVA PUTRA SYEIRA ADIFA SILVA PUTRI Anak
* A000 95190022 2091
A000 95190022 2092 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 10.03.2022 10.03.2022 BAYU PRADHIPTA SILVA PUTRA SYEIRA ADIFA SILVA PUTRI Anak
* A000 95190022 2092
A000 95190022 2128 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 14.03.2022 14.03.2022 BAYU PRADHIPTA SILVA PUTRA NIKEN INDANASARI Istri/Suami
* A000 95190022 2128
A000 95190022 2326 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 26.04.2022 26.04.2022 BAYU PRADHIPTA SILVA PUTRA SYEIRA ADIFA SILVA PUTRI Anak
* A000 95190022 2326
A000 95190022 2350 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 11.05.2022 11.05.2022 BAYU PRADHIPTA SILVA PUTRA NIKEN INDANASARI Istri/Suami
* A000 95190022 2350
A000 95190022 2366 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 17.05.2022 17.05.2022 BAYU PRADHIPTA SILVA PUTRA NIKEN INDANASARI Istri/Suami
* A000 95190022 2366
A000 95190022 2367 9519022ZBY Restitusi 1000 A001 A012030102 1 RAWAT JALAN 17.05.2022 17.05.2022 BAYU PRADHIPTA SILVA PUTRA SYEIRA ADIFA SILVA PUTRI Anak
* A000 95190022 2367
A000 95190025 1757 9519020ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 17.01.2022 17.01.2022 ADELIA WIDININGRUM
* A000 95190025 1757
A000 95190025 1767 9519020ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 18.01.2022 18.01.2022 ADELIA WIDININGRUM
* A000 95190025 1767
A000 95190025 2411 9519020ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 02.06.2022 02.06.2022 ADELIA WIDININGRUM
* A000 95190025 2411
A000 95190025 2412 9519020ZBY Restitusi 1000 A001 A012030401 1 RAWAT JALAN 02.06.2022 02.06.2022 ADELIA WIDININGRUM
* A000 95190025 2412
A000 95190029 1795 9519014ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 24.01.2022 24.01.2022 WAHYU APRIL HUTASUHUT
* A000 95190029 1795
A000 95190029 1796 9519014ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 24.01.2022 24.01.2022 WAHYU APRIL HUTASUHUT
* A000 95190029 1796
A000 95190029 1924 9519014ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 15.02.2022 15.02.2022 WAHYU APRIL HUTASUHUT
* A000 95190029 1924
A000 95190029 1925 9519014ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 15.02.2022 15.02.2022 WAHYU APRIL HUTASUHUT
* A000 95190029 1925
A000 95190029 1926 9519014ZBY Restitusi 1000 A001 A012020402 1 RAWAT JALAN 15.02.2022 15.02.2022 WAHYU APRIL HUTASUHUT
* A000 95190029 1926
A000 96190021 1691 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 04.01.2022 04.01.2022 AFIFAH FAUZIYAH
* A000 96190021 1691
A000 96190021 1692 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 04.01.2022 04.01.2022 AFIFAH FAUZIYAH
* A000 96190021 1692
A000 96190021 1693 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 04.01.2022 04.01.2022 AFIFAH FAUZIYAH
* A000 96190021 1693
A000 96190021 1709 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 06.01.2022 06.01.2022 AFIFAH FAUZIYAH
* A000 96190021 1709
A000 96190021 1710 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 06.01.2022 06.01.2022 AFIFAH FAUZIYAH
* A000 96190021 1710
A000 96190021 1724 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 11.01.2022 11.01.2022 AFIFAH FAUZIYAH
* A000 96190021 1724
A000 96190021 1788 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 24.01.2022 24.01.2022 AFIFAH FAUZIYAH
* A000 96190021 1788
A000 96190021 1820 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 31.01.2022 31.01.2022 AFIFAH FAUZIYAH
* A000 96190021 1820
A000 96190021 1935 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 16.02.2022 16.02.2022 AFIFAH FAUZIYAH
* A000 96190021 1935
A000 96190021 2041 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 02.03.2022 02.03.2022 AFIFAH FAUZIYAH
* A000 96190021 2041
A000 96190021 2042 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 02.03.2022 02.03.2022 AFIFAH FAUZIYAH
* A000 96190021 2042
A000 96190021 2043 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 02.03.2022 02.03.2022 AFIFAH FAUZIYAH
* A000 96190021 2043
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 22.02.2022 99.000 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000349 Document posted successfully:
99.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 22.02.2022 26.323.973 IDR Submitted to Finance 10.03.2022 10.03.2022 3200000393 Document posted successfully:
26.323.973 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 23.02.2022 2.327.955 IDR Submitted to Finance 10.03.2022 10.03.2022 3200000394 Document posted successfully:
2.327.955 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 24.02.2022 301.610 IDR Submitted to Finance 10.03.2022 10.03.2022 3200000395 Document posted successfully:
301.610 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 12.03.2022 258.000 IDR Submitted to Finance 14.03.2022 14.03.2022 3200000422 Document posted successfully:
258.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 16.04.2022 1.118.000 IDR Submitted to Finance 26.04.2022 26.04.2022 3200000603 Document posted successfully:
1.118.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 01.05.2022 1.307.800 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000621 Document posted successfully:
1.307.800 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 15.05.2022 323.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000629 Document posted successfully:
323.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 16.05.2022 493.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000630 Document posted successfully:
493.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 15.01.2022 1.000.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000102 Document posted successfully:
1.000.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 17.01.2022 2.575.000 IDR Submitted to Finance 18.01.2022 18.01.2022 3200000106 Document posted successfully:
2.575.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 31.05.2022 364.000 IDR Submitted to Finance 03.06.2022 03.06.2022 3200000692 Document posted successfully:
364.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JUNI 2022 30.05.2022 581.500 IDR Submitted to Finance 03.06.2022 03.06.2022 3200000693 Document posted successfully:
581.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 19.01.2022 56.000 IDR Submitted to Finance 24.01.2022 24.01.2022 3200000135 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 21.01.2022 80.000 IDR Submitted to Finance 24.01.2022 24.01.2022 3200000136 Document posted successfully:
80.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 07.02.2022 90.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000250 Document posted successfully:
90.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 04.02.2022 59.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000251 Document posted successfully:
59.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.01.2022 56.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000252 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 31.12.2021 3.414.885 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000032 Document posted successfully:
3.414.885 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 03.01.2022 190.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000033 Document posted successfully:
190.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 02.01.2022 54.645 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000034 Document posted successfully:
54.645 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.12.2021 45.000 IDR Submitted to Finance 06.01.2022 06.01.2022 3200000056 Document posted successfully:
45.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 26.12.2021 59.000 IDR Submitted to Finance 06.01.2022 06.01.2022 3200000057 Document posted successfully:
59.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 10.01.2022 984.500 IDR Submitted to Finance 11.01.2022 11.01.2022 3200000067 Document posted successfully:
984.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 22.01.2022 995.340 IDR Submitted to Finance 24.01.2022 24.01.2022 3200000128 Document posted successfully:
995.340 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.01.2022 56.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000170 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 15.02.2022 330.000 IDR Submitted to Finance 21.02.2022 21.02.2022 3200000279 Document posted successfully:
330.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 16.02.2022 498.000 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000350 Document posted successfully:
498.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 17.02.2022 1.826.000 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000351 Document posted successfully:
1.826.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 25.02.2022 275.000 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000352 Document posted successfully:
275.000 IDR
BKPFF 3200000349A000

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Exc. CoCd Pers.No. Claim No. Bus Area Tag dbyrkan NIPEG Medical Claim Subtype PA BusA Cost Ctr EEGrp Jenis Perawatan Tgl. Berobat Tgl. Akhir Berobat Nama Pegawai Nama Pasien Hubungan Keluarga No. Tag

A000 96190021 2312 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 25.04.2022 25.04.2022 AFIFAH FAUZIYAH
* A000 96190021 2312
A000 96190021 2314 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 25.04.2022 25.04.2022 AFIFAH FAUZIYAH
* A000 96190021 2314
A000 96190021 2380 9619021ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 23.05.2022 23.05.2022 AFIFAH FAUZIYAH
* A000 96190021 2380
A000 96190022 2030 9619018ZBY Restitusi 1000 A001 A012020303 1 RAWAT JALAN 02.03.2022 02.03.2022 HAFIDHA NOVARIAN PRIMADANI
* A000 96190022 2030
A000 96190023 1763 9619016ZBY Restitusi 1000 A001 A012040101 1 RAWAT JALAN 17.01.2022 17.01.2022 PUTU AYU INTAN PERMATA PUTRI
* A000 96190023 1763
A000 96190023 1764 9619016ZBY Restitusi 1000 A001 A012040101 1 RAWAT JALAN 17.01.2022 17.01.2022 PUTU AYU INTAN PERMATA PUTRI
* A000 96190023 1764
A000 96200001 1658 9620001ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 03.01.2022 03.01.2022 NOVIRMY ESTER KELAH
* A000 96200001 1658
A000 96200001 1711 9620001ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 06.01.2022 06.01.2022 NOVIRMY ESTER KELAH
* A000 96200001 1711
A000 96200001 1774 9620001ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 20.01.2022 20.01.2022 NOVIRMY ESTER KELAH
* A000 96200001 1774
A000 96200001 1816 9620001ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 31.01.2022 31.01.2022 NOVIRMY ESTER KELAH
* A000 96200001 1816
A000 96200001 1845 9620001ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 03.02.2022 03.02.2022 NOVIRMY ESTER KELAH
* A000 96200001 1845
A000 96200001 1860 9620001ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 08.02.2022 08.02.2022 NOVIRMY ESTER KELAH
* A000 96200001 1860
A000 96200001 1886 9620001ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 11.02.2022 11.02.2022 NOVIRMY ESTER KELAH
* A000 96200001 1886
A000 96200001 1887 9620001ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 11.02.2022 11.02.2022 NOVIRMY ESTER KELAH
* A000 96200001 1887
A000 96200001 1888 9620001ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 11.02.2022 11.02.2022 NOVIRMY ESTER KELAH
* A000 96200001 1888
A000 96200001 1998 9620001ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 22.02.2022 22.02.2022 NOVIRMY ESTER KELAH
* A000 96200001 1998
A000 96200001 1999 9620001ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 22.02.2022 22.02.2022 NOVIRMY ESTER KELAH
* A000 96200001 1999
A000 96200001 2001 9620001ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 22.02.2022 22.02.2022 NOVIRMY ESTER KELAH
* A000 96200001 2001
A000 96200001 2002 9620001ZBY Restitusi 1000 A001 A012040201 1 RAWAT JALAN 22.02.2022 22.02.2022 NOVIRMY ESTER KELAH
* A000 96200001 2002
A000 97190024 2333 9719024ZBY Restitusi 1000 A001 A012010301 1 RAWAT JALAN 09.05.2022 09.05.2022 KURNIA HIDAYATI
* A000 97190024 2333

** 2:Restitusi

*** A000

****
ihan No. Inv/Kwitansi Tgl. Inv/Kwitansi Nama Provider Vendor Total Biaya Crcy Claim Status Tax Tanggal Approval Tanggal Submit ke FI FI Doc. No. Hasil Update

PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 09.04.2022 1.165.294 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000597 Document posted successfully:
1.165.294 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN APR 2022 26.03.2022 992.630 IDR Submitted to Finance 25.04.2022 25.04.2022 3200000598 Document posted successfully:
992.630 IDR
PENGGANTIAN KESEHATAN PEGAWAI BULAN MEI 2022 21.05.2022 3.004.632 IDR Submitted to Finance 23.05.2022 23.05.2022 3200000656 Document posted successfully:
3.004.632 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MAR 2022 07.02.2022 305.000 IDR Submitted to Finance 02.03.2022 02.03.2022 3200000353 Document posted successfully:
305.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 15.01.2022 363.600 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000103 Document posted successfully:
363.600 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 16.01.2022 750.000 IDR Submitted to Finance 17.01.2022 17.01.2022 3200000104 Document posted successfully:
750.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 26.12.2021 56.000 IDR Submitted to Finance 04.01.2022 04.01.2022 3200000035 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.12.2021 45.000 IDR Submitted to Finance 06.01.2022 06.01.2022 3200000058 Document posted successfully:
45.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 19.01.2022 2.902.700 IDR Submitted to Finance 20.01.2022 20.01.2022 3200000119 Document posted successfully:
2.902.700 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN JAN 2022 28.01.2022 56.000 IDR Submitted to Finance 02.02.2022 02.02.2022 3200000171 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 03.02.2022 56.000 IDR Submitted to Finance 03.02.2022 03.02.2022 3200000182 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 05.02.2022 1.500.000 IDR Submitted to Finance 09.02.2022 09.02.2022 3200000213 Document posted successfully:
1.500.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 08.02.2022 737.500 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000253 Document posted successfully:
737.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 09.02.2022 526.500 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000254 Document posted successfully:
526.500 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 10.02.2022 1.166.000 IDR Submitted to Finance 16.02.2022 16.02.2022 3200000255 Document posted successfully:
1.166.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 11.02.2022 330.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000319 Document posted successfully:
330.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 21.02.2022 330.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000320 Document posted successfully:
330.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 12.02.2022 56.000 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000321 Document posted successfully:
56.000 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN FEB 2022 13.02.2022 1.479.030 IDR Submitted to Finance 22.02.2022 22.02.2022 3200000322 Document posted successfully:
1.479.030 IDR
PENGGANTIAN KESEHATAN PEGAWAI BLN MEI 2022 07.05.2022 470.000 IDR Submitted to Finance 17.05.2022 17.05.2022 3200000626 Document posted successfully:
470.000 IDR

614.959.866 IDR

1.204.134.949 IDR

1.204.134.949 IDR
BKPFF 3200000597A000

BKPFF 3200000598A000

BKPFF 3200000656A000

BKPFF 3200000353A000

BKPFF 3200000103A000

BKPFF 3200000104A000

BKPFF 3200000035A000

BKPFF 3200000058A000

BKPFF 3200000119A000

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BKPFF 3200000182A000

BKPFF 3200000213A000

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BKPFF 3200000319A000

BKPFF 3200000320A000

BKPFF 3200000321A000

BKPFF 3200000322A000

BKPFF 3200000626A000

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