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ASSIGN TODAY STATUS ICD DESCRIPTION CARD NO PATIENT NAME

J_AXEN 3 23 M13.9 ARTHRITIS- UNSPECIFIED 8000210118188505 IRWAN HARIS EFFENDI


J_AXEN 3 23 R50 Fever of Unknown origin 8000210117631679 SHAMMARA NAZIA AZU
AXROPI 3 23 R51 Headache ( Cephalgia) 8000210116592526 HARIANA
AXROPI 3 23 M54.5 Low back pain (Nyeri punggu 8000210119718953 SYAMSUL ARIEF
CXFARA 3 23 A90 DENGUE FEVER 8000210113093114 NICKINSKY ADISHA
IS_KXN 3 23 M54.2 Cervicalgia 8000210111274344 SIAU CIN
IS_AXW 2 23 I21 Acute Myocardial Infarction 8000210117107654 BAGUS DARMAWAN
IS_KXN 2 23 8000210118528569 SUSY IMBAR SWAN DIT
IS_KXN 2 23 8000210115148148 EMY TANDIAH
IS_KXN 2 23 K30 Dyspepsia 8000210118322294 NG MAY LAN
IS_AXW 2 23 K30 Dyspepsia 8000210116258284 HANA KRISTATI MART
IS_AXW 2 23 R50.9 Fever 8000210117098622 VINCENT RONALDI
IS_AXW 2 23 R50.9 Fever 8000210116985613 NIKODEMUS
IS_AXW 2 23 H81.1 Benign paroxysmal vertigo 8000210117008266 STANLEY ARDIAN HAN
J_AXEN 2 23 B34.2 Coronavirus infection, unspec8000210117103331 DEA YOVITA FONDA
J_AXEN 2 23 I11.9 Hypertensive heart disease wit 8000210117117554 LINDAWATI
J_AXEN 2 23 S00 Injuries to the head (contusio 8000210112257918 NURBAITY
AXROPI 2 23 XXX Cancel Transaction 8000210119134045 JEFREY
AXROPI 2 23 R50 Fever of Unknown origin 8000210117989317 GIOFANKA NERRI
J_AXEN 2 23 R10 Abdominal and pelvic pain 8000210118624947 AGUSTINI
J_AXEN 2 23 8000210115958884 LENI
AXROPI 2 23 N20.1 CALCULUS OF URETER 8000210111532345 ANDRI WAHYU DEWANT
AXROPI 2 23 L03 Cellulitis 8000210117059491 JOHANES B KHRISNA
J_AXEN 1 23 H26 Other Cataract 8000210118141603 JAHIDA
J_AXEN 1 23 K29 Gastritis and Duodenitis 8000210119164935 OLIVIA REGINA
J_AXEN 1 23 8000210116051481 KAREN LAUREN TIE
J_AXEN 1 23 8000210118174661 EDISON TPL TOBING
J_AXEN 1 23 8000210118743077 FELICITAS
J_AXEN 1 23 A09 Diarrhoea and Gastroenteritis8000210117775120 DUDUNG ABDUL MALIK
J_AXEN 1 23 8000210119087649 SILVIA NATALIA
J_AXEN 1 23 8000210116407964 ERNA ARSINAWATI
J_AXEN 1 23 8000210116852490 REVALDO ALLOYSIUS
J_AXEN 1 23 8000210116994003 FRANKY
J_AXEN 1 23 8000210118792884 M. RAFI RIVALDI
J_AXEN 1 23 8000210115551309 ABHIVANDYA SHAKEEL
J_AXEN 1 23 YYY Other Diagnosis 8000210118003811 LAY RICCA FRANCISCA
IS_MXI 1 23 8000210117134575 YOLANDA
IS_MXI 1 23 8000210117125953 SHAFFIRA TAMA ANIND
IS_MXI 1 23 S83.5 Sprain and strain involving (an8000210117590412 SARAH A F MAMONTO
IS_MXI 1 23 8000210118661238 HAZEL ALDIZAR SETIA
IS_MXI 1 23 8000210117764595 SATRIA PUTRA
IS_MXI 1 23 R10 Abdominal and pelvic pain 8000210116951565 DAVID EKAPUTRA
IS_MXI 1 23 K30 Dyspepsia 8000210117377646 TENDY ANZANA
IS_MXI 1 23 A91 Dengue Haemorrhagic Fever 8000210116422609 JENNIFER CAROLINE
IS_MXI 1 23 R50.9 Fever 8000210118057783 JESICA SEPTIANI DAR
IS_MXI 1 23 K29.7 GASTRITIS 8000210113572307 ROMI ISKANDAR SIMA
IS_KXN 1 23 R10 Abdominal and pelvic pain 8000210116951052 LIM RIKA
IS_MXI 1 23 A09 Diarrhoea and Gastroenteritis8000210116647114 DIANA NADILAH
IS_MXI 1 23 R50.9 Fever 8000210118932563 JADEN NATHANAEL
AXROPI 1 23 A91 Dengue Haemorrhagic Fever 8000210115261636 AILEE NATHANIELA WI
AXROPI 1 23 A90 DENGUE FEVER 8000210119275632 DIMAS DWICAHYO
AXROPI 1 23 J35.0 Chronic tonsilitis 8000210119811949 GRAZIO FABYAN
AXROPI 1 23 N60.2 Fibroadenosis of Breast/FAM 8000210117450187 LUH GDE WIDYARTINI
AXROPI 1 23 A09 Diarrhoea and Gastroenteritis8000210118622990 DEDE RAHMAWATI
AXROPI 1 23 R50.9 Fever 8000210113097081 ALIFIANISA SUFIRA
AXROPI 1 23 T14 Injury of Unspecified body re 8000210115069823 EDY TANSURI
AXROPI 1 23 8000210119721544 HERIYANTO
AXROPI 1 23 I11.9 Hypertensive heart disease wit8000210113496671 ELPINA SITUMORANG
AXROPI 1 23 N92.0 Excessive and frequent menst8000210117981918 MERY
AXROPI 1 23 K30 Dyspepsia 8000210115178533 MAHAWAN SURYANTO
AXROPI 1 23 J94.2 Haemothorax 8000210119085585 TJUNG SIAT KHIMYULI
PROVIDER COPRORATEPOLICY NO MEMBER ID
SILOAM HOSPITALS KEBONHS CARE PRO476 000065772636
RS. PONDOK INDAH (IDR)HS CARE PRO709 000064595482
SILOAM SRIWIJAYA PALEMB
HS CARE PRO470 000062214598
RS. MITRA KELUARGA BEKA
PT. GO TO GN318 AKAYR-00144
SILOAM HOSPITALS SIMATU
H&SR1 INDIVO140 000051760833
RS. PANTAI INDAH KAPUKH&S( INDIVIDO077 000039960929
RS. DR. OEN SURAKARTA HS (CARE PRO592 000063200547
RS. BHAYANGKARA KEDIRIGUDANG ( GARA
F113 GUGAR-04476
MRCCC-SILOAM HOSPITALSHOSPITAL &O478 000058706000
RS. MITRA KELUARGA KEMA
INDIVIDU S VB13 N0GLA-00000
RS. SUMBER KASIH (IDR)HS -CARE PRO752 000061440505
RS. ROYAL TARUMA (IDR)HS CARE PRO590 000063175142
RS. SANTO VINCENTIUSHS SICARE PRO611 000061104210
BETHSAIDA HOSPITAL (IDR)
HS CARE PRO611 000060947753
MAYAPADA HOSPITAL JAKAHS CARE PRO624 000059957755
RS. MITRA KELUARGA KEMA
HS CARE PRO596 000063234871
RS. RK. CHARITAS (IDR)H&S- INDIVIDO307 000045143927
RS. JAKARTA EYE CENTERHOSPITAL &O702 000068236588
RS. PONDOK INDAH (IDR)HS CARE PRO421 000065591979
RS. MITRA KELUARGA KELA
HOSPITAL &O580 000067252047
RSIA. GRAND FAMILY (IDR)
HOSPITAL &O680 000053410641
BETHSAIDA HOSPITAL (IDR)
ALLIANZ INDIV132 ARIAJ-00000
BOGOR SENIOR HOSPITAL HS CARE( PRO580 000063059023
RS. SANTO VINCENTIUSHS SIOPTION O108 000064365634
RS. GRHA KEDOYA (IDR) HOSPITAL
- &O707 000068270590
RS. SANTO BORROMEUS HOSPITAL
BA &O702 000060970516
RS. MITRA KELUARGA CIBU
HS CARE PRO472 000065750437
RS. COLUMBIA ASIA PULOMA
HOSPITAL &O607 000067515519
RS. ISLAM ASSYIFA (IDR)
HS OPTION O346 000065056571
MRCCC-SILOAM HOSPITALSHOSPITAL &O693 000068533963
RS. ADVENT BANDUNGHS (IDR)CARE PRO423 000061763572
SILOAM HOSPITALS BALIKP
HS OPTION O147 000062761404
SILOAM HOSPITALS DHIRGA
HS CARE PRO568 000062915152
RS. AWAL BROS BATAMTDK (IDRELECTRO G201 EPCIN-00369
RS. PURI CINERE (IDR) PT
- ALLIANZ L H438 ALZIN-00434
RS. EMC PULOMAS (IDR) HS- CARE PRO426 000065635864
BETHSAIDA HOSPITAL (IDR)
HS CARE PRO639 000058416477
RS. BUNDA MARGONDAHS (IDRCARE PRO598 000063141768
RS. JAKARTA (IDR) - 0084
HS CARE PRO702 000064536957
SANTOSA HOSPITAL BANDUHOSPITAL &O589 000067295090
RS. PONDOK INDAH PURI HSIN CARE PRO741 000064996830
RS. METROPOLITAN MEDICA
HS CARE PRO611 000059546920
RSU. MELINDA 2 (IDR) -HS2 CARE PRO661 000063198593
SILOAM HOSPITALS LIPPOHS CARE PRO428 000061791362
RS. PONDOK INDAH PURI HSIN CARE PRO440 000065780180
MURNI TEGUH MEMORIAL H&SR1 HO INDIVO308 000053461713
RS. EMC ALAM SUTERAHS (IDRCARE PRO611 000058871309
RS. COLUMBIA ASIA PULOMA
HS CARE PRO481 000062343230
PRIMAYA HOSPITAL SEMARA
HOSPITAL &O653 000068015934
RSIA. LIMIJATI (IDR) - 18
HS OPTION O100 000058978592
RS. HAJI JAKARTA (IDR)HOSPITAL
- &O731 000068890940
RS. JIH (JOGJA) (IDR) - ARBEITER
1 SAF876 ARESB-26341
RS. SURYA HUSADHA (IDR) HS CARE PRO709 000060440962
MITRA KELUARGA BINTARO HOSPITAL &O580 000067127816
SILOAM HOSPITALS SIMATU H&SR1 INDIVO140 000051767024
RS. FATIMA KETAPANGHS (IDROPTION O008 000039796109
RS. DR. ABDUL RADJAKHOSPITAL
(ID &O442 000070271606
RS. VITA INSANI (IDR) -H&SR1
0 INDIVO280 000053151169
RS. HUSADA (IDR) - 1054 HS CARE PRO419 000065572679
SILOAM SRIWIJAYA PALEMB HOSPITAL &O482 000058731183
SILOAM HOSPITALS KEBON HS CARE PRO693 000068390865

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