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ASSIGN TO DAY STATUS ICD DESCRIPTION CARD NO PATIENT NAME

IS_AXVE 5 23 R50.9 Fever 8000210119469623 NADYA INGRIDA


IS_AXVE 3 23 J02 Acute Pharyngitis 8000210119056222 JEREMY JOVANIE
IS_AXVE 3 23 A91 Dengue Haemorrhag8000210118429958 SUSANA LIENWIK
IS_AXVE 3 23 B86 Scabies 8000210118593696 MADE INDAH LIS
IS_NXSU 3 23 K61.0 ANAL ABSCESS 8000210118828019 RENNY SANTOSO
IS_NXSU 3 23 K30 Dyspepsia 8000210116559392 PRISCILLIA CHE
IS_NXSU 3 23 S32 Fracture of lumbar s 8000210118996295 WILLY ANDREAN
IS_NXSU 3 23 R50.9 Fever 8000210118072584 ARNOLD
IS_NXSU 3 23 J20 Acute Bronchitis 8000210119543385 EDI KURNIAWAN
IS_KXNI 3 23 A09 Diarrhoea and Gastro 8000210119976692 IVANTO GERAD SU
IS_KXNI 3 23 S00 Injuries to the head 8000210119095238 DRIYANTO HALIMI
IS_KXNI 3 23 J06 Acute upper respirat8000210119793899 MIKAEL ARKATAM
IS_KXNI 3 23 R10 Abdominal and pelvi8000210118134251 ERRY JUSRIJAH S
IS_KXNI 3 23 R10 Abdominal and pelvi8000210117202117 EBTA TAURUSIA
IS_KEMU 2 23 A01 TYPHOID AND PAR8000210117652451 RAMA ADI PANGE
IS_AXVE 2 23 M54.2 Cervicalgia 8000210119470357 ERLY WADI
IS_AXVE 2 23 A09 Diarrhoea and Gastro 8000210116940493 KERIN MARTI
IS_AXVE 2 23 A09 Diarrhoea and Gastro 8000210116369826 MIMI DARYATI
IS_AXVE 2 23 L03 Cellulitis 8000210108909472 UTJOK
IS_XXAS 2 23 R06.0 Dyspnoe (sesak nafa8000210117669273 HIU MAN LIE
IS_XXAS 2 23 R06.0 Dyspnoe (sesak nafa8000210118030061 NG MELITA
IS_XXAS 2 23 R50.9 Fever 8000210114020520 RICHELLE JOVAND
IS_XXAS 2 23 K30 Dyspepsia 8000210119965117 SALSABILA
IS_NXSU 2 23 K30 Dyspepsia 8000210117443596 EGA SEPTIANA
IS_KEMU 2 23 A09 Diarrhoea and Gastro 8000210114066200 DEVIN FERRY HU
IS_KEMU 2 23 R73.9 Hyperglycaemia 8000210112828197 MUNIROH
IS_NXSU 2 23 R50.9 Fever 8000210116988989 RONALD ADRYAN
IS_KXNI 2 23 R50.9 Fever 8000210117608115 TJHEN FONG LIN
IS_KEMU 2 23 A09 Diarrhoea and Gastro 8000210116332253 KIAN SUMELLIA
IS_NXSU 2 23 K30 Dyspepsia 8000210117632537 SANTI RIANTI
IS_NXSU 2 23 R50.9 Fever 8000210119967279 DIMAS ARI BRAM
IS_NXSU 2 23 K60.3 ANAL FISTULA 8000210118504479 RAHMAT HADIYA
IS_KEMU 2 23 XXX Cancel Transaction 8000210119203519 TEGUH SATRIYO
IS_KXNI 2 23 H66.9 OTITIS MEDIA 8000210116798685 OLIVIA DWIYANTI
IS_KXNI 2 23 A09 Diarrhoea and Gastro 8000210119294872 LIDYA IRWANDA
IS_KXNI 2 23 I64 Stroke not specified 8000210117787422 HERMAN
IS_KXNI 2 23 A09 Diarrhoea and Gastro 8000210114308503 RATNA SUNDARI
IS_KXNI 2 23 I20 Angina Pectoris 8000210112071863 SUBAHAGIO
IS_NXSU 1 23 K30 Dyspepsia 8000210117369742 WEIDIA LESTARI
IS_NXSU 1 23 A09 Diarrhoea and Gastro 8000210119955969 TARA HAPSARI DI
IS_NXSU 1 23 8000210118203577 SALMIN AZIZ
IS_KEMU 1 23 B34.9 Viral infection 8000210115794016 GABRIEL ARTHUR
IS_XXAS 1 23 8000210116495787 SUN HOK
IS_XXAS 1 23 R50.9 Fever 8000210115676338 VICTOR CHRISTA
IS_XXAS 1 23 R50.9 Fever 8000210119668877 ZIGGY MAKOA PR
IS_XXAS 1 23 R50.9 Fever 8000210119845475 YASMINE KARENI
IS_XXAS 1 23 8000210117066470 AMALIA JULITA N
IS_XXAS 1 23 8000210118179009 HENNY SURYANTI
IS_XXAS 1 23 I05 Rheumatic mitral va 8000210112134208 RODOLFO JR SAN
IS_XXAS 1 23 8000210118047966 GIDEON EMILIO
IS_XXAS 1 23 R50.9 Fever 8000210119819942 IPAN PAUJI
IS_XXAS 1 23 M51.1 Lumbar and other int8000210119097176 CHANDRA ROBER
IS_XXAS 1 23 A91 Dengue Haemorrhag8000210117015360 ASIYAH
IS_XXAS 1 23 I21 Acute Myocardial Inf8000210117484764 JOHANNES RUDOL
IS_NXSU 1 23 8000210117868958 PRADEVINA PRIM
IS_NXSU 1 23 8000210115388512 SUPRIATIK
IS_NXSU 1 23 8000210116139062 NURIMAH RITON
IS_NXSU 1 23 8000210116748995 TJOA JOSHUA SE
IS_NXSU 1 23 8000210118948890 ARJUNO WENING
IS_NXSU 1 23 8000210117956944 TJUN TIAN
IS_NXSU 1 23 8000210117807204 HARTANTO SETI
IS_NXSU 1 23 8000210115343590 TJONG KUI FONG
IS_NXSU 1 23 8000210117958536 RADEN BINTANG
IS_NXSU 1 23 8000210118804275 WALTERUS G. KEI
IS_NXSU 1 23 8000210117743656 MUHAMAD KAUTSA
IS_NXSU 1 23 8000210117212363 NAOMI ARIELYN W
IS_NXSU 1 23 8000210119951075 RAZKA ALDRICH W
IS_NXSU 1 23 8000210115723841 TOSHI LASRO AN
IS_NXSU 1 23 8000210109529105 RADEN RORO DWI
IS_NXSU 1 23 8000210118676665 WYNNE AINSLEY L
IS_NXSU 1 23 8000210113276404 NG NYAT CEU
IS_KEMU 1 23 8000210118535218 SYAMSUL BACHRI
IS_KEMU 1 23 J32 Chronic Sinusitis 8000210117543221 MILIA SUSANTI S
IS_KEMU 1 23 A91 Dengue Haemorrhag8000210118196243 RIPHALDO
IS_KEMU 1 23 A09 Diarrhoea and Gastro 8000210119917613 MOH REZA FIRDA
IS_KEMU 1 23 8000210119327466 NOVIA PUTI PAMA
IS_KEMU 1 23 8000210116407097 KAMARON CHAN
IS_KEMU 1 23 8000210119255741 LIDIA DWI PUTRI
IS_KEMU 1 23 A09 Diarrhoea and Gastro 8000210119333720 YENI NURAINI
IS_KEMU 1 23 N84.0 Polyp of corpus uteri8000210117784841 STEFANI SRI HAN
IS_KEMU 1 23 8000210118896859 BONG FI WIE
IS_KEMU 1 23 A09 Diarrhoea and Gastro 8000210119503298 LIBRIENA SE
IS_AXVE 1 23 R50.9 Fever 8000210116708478 DICKY SUWITO
IS_KXNI 1 23 R10 Abdominal and pelvi8000210116990993 HENDRIK RONALD
IS_KXNI 1 23 K64 Hemorrhoids and per8000210115824003 SUSANTI
IS_KXNI 1 23 R11 Nausea and Vomitin8000210119365359 ILEANA SARAH A
IS_KEMU 1 23 8000210116597178 YOHANA JANIASA
IS_KXNI 1 23 R50.9 Fever 8000210113527640 ASEP NURJAMAN
IS_KXNI 1 23 8000210118121670 LINAWATY
IS_KXNI 1 23 R50.9 Fever 8000210119281192 SITI SYARIFAH
IS_KXNI 1 23 8000210117281228 SHERLY
IS_KXNI 1 23 R50.9 Fever 8000210118944576 DERRICH SUTRIS
IS_KXNI 1 23 A90 DENGUE FEVER 8000210118482155 OTTO JAYKOWSKI
IS_KXNI 1 23 R50.9 Fever 8000210119197216 AULIA CHANDRA
IS_KXNI 1 23 8000210110261201 JOHANA LISTYORI
IS_KXNI 1 23 K35 Acute Appendicitis 8000210118263571 SUNARTI
IS_KXNI 1 23 8000210117713535 WINNIE KOSASIH
IS_KXNI 1 23 A91 Dengue Haemorrhag8000210119768479 HANIFAH AMATUL
IS_AXVE 1 23 A09 Diarrhoea and Gastro8000210119035887 ERISWAN RIADI
IS_AXVE 1 23 8000210117296796 INDRAYATI
IS_AXVE 1 23 8000210117363828 AURELLIA IMMAN
IS_AXVE 1 23 R50 Fever of Unknown o8000210118922622 SUCI ANGGANI
IS_AXVE 1 23 A91 Dengue Haemorrhag8000210117714376 MUHAMMAD GALAN
IS_AXVE 1 23 K52.9 NONINFECTIVE GA8000210109614105 HJ. SYAWALINA
IS_AXVE 1 23 8000210116788975 JONI
IS_KXNI 1 23 8000210119863221 FEBRIAN GILANG
IS_KXNI 1 23 A09 Diarrhoea and Gastro8000210119149308 TATIANA GENOVE
IS_AXVE 1 23 K21.9 Gastro-oesophageal8000210117050607 NATASYA DIVIA
IS_AXVE 1 23 A01.1 PARATYPHOID FEV8000210116777432 NELI
IS_AXVE 1 23 8000210117227940 MARIO ALWYN SET
IS_AXVE 1 23 8000210117730091 PARVEZ KALANDR
IS_AXVE 1 23 8000210117687184 ALIVA LAILI INAYA
IS_AXVE 1 23 K30 Dyspepsia 8000210119280319 DEWI WAHYUNI
IS_KXNI 1 23 R11 Nausea and Vomitin8000210113122004 CHERINE CLARIS
IS_KXNI 1 23 R50.9 Fever 8000210118771219 NICKY MANUPUT
IS_KXNI 1 23 8000210118359262 ADHIYAT THORIQ
IS_AXVE 1 23 R50.9 Fever 8000210117136893 AMANDA HAENDR
IS_AXVE 1 23 R50.9 Fever 8000210108118025 PARAMITA DIAN
IS_AXVE 1 23 R10 Abdominal and pelvi8000210118231438 SEVILLA RIZKA
IS_AXVE 1 23 Z91.1 Personal history of 8000210117818052 MIRIAM FAJRIA JU
IS_AXVE 1 23 A90 DENGUE FEVER 8000210116078260 RAFAEL AMAURI
IS_AXVE 1 23 R50.9 Fever 8000210117740116 EDWARD SANN K
IS_AXWI 0 23 J45 Asthma 8000210116304336 SEIJI ABRAHAM
IS_SXSIT 0 23 R50.9 Fever 8000210119401378 RAIHAN AHNAF M
IS_XXDE 0 23 8000210117414712 LANNY WIDJAJA
IS_SXSIT 0 23 8000210117612794 RAYMOND RAMA
IS_AXWI 0 23 P38 Omphalitis of newbo8000210115191437 MUHAMMAD FARRA
IS_AXWI 0 23 N28.1 CYST OF KIDNEY- 8000210115743591 I MADE LANCAB
IS_AXWI 0 23 R50.9 Fever 8000210116166701 DUSTIN SUTRISN
IS_AXWI 0 23 8000210113193963 HANDRA
IS_AXWI 0 23 8000210118951365 SAMUEL DJOHAN
IS_XXAS 0 23 8000210116750363 SOUW TJWAN PIN
RLEKOX 0 23 A09 Diarrhoea and Gastro
8000210119356317 SENTARI GRADIN
IS_AXWI 0 23 8000210118276920 KHAIRA DANARD
PROVIDER COPRORATE POLICY NO MEMBER ID
RS. ST.VINCENTIUS HOSPITAL
A. & SURGICAL CARO756 000069566330
RS. PONDOK INDAH HOSPITAL
BIN & SURGICAL CARO683 000068379627
RS. ST.VINCENTIUS HOSPITAL
A. & SURGICAL CARO538 000066769786
PERSADA HOSPITALHS (IDCARE PREMIER XTRA - O576 000066788819
SILOAM HOSPITALS HOSPITAL
LI & SURGICAL CARO625 000067717643
MANDAYA ROYAL HOSPI HS OPTION AGE - H&SO_IN O063 000062136605
RS. PANTAI INDAH KAPU
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I HOSPITAL & SURGICAL O499 000070865994
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(ID HOSPITAL & SURGICAL O695 000068546722
BRAWIJAYA WOMEN10000000000
&C HOSPITAL & SURGICAL O462 000070442708
RS. ISLAM FATIMAH 500000000
CI HS CARE PREMIER XTR O484 000065614573
RS. BUDI KEMULIAAN 3988717494
B HS CARE PREMIER XTR O616 000063451107
MAYAPADA HOSPITAL HSTCARE PREMIER XTRA - O715 000064676439
RS. COLUMBIA ASIAHOSPITAL
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MAYAPADA HOSPITAL HOSPITAL
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RS. HERMINA KARAWANGHS CARE PREMIER XTRA - O672 000064105133
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HS CARE PREMIER XTRA - O610 000057701970
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HS CARE PREMIER XTRA - O702 000064393463
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HS CARE PREMIER XTRA - O402 000061565034
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EKA HOSPITAL CIBUBUR999999999 TIMKEN SINGAPORE PTEF656 TIMKS-00008
SILOAM HOSPITALS 3000000000
LI HS CARE PREMIER XTR O527 000062381028
EKA HOSPITAL BSD 4000000000
(IDR HS CARE PREMIER XTR O733 000068901570
RS. MITRA PLUMBON 999999999
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999999999 H&SR1 INDIVIDU-H&SR1 O210 000055888555
BETHSAIDA HOSPITAL 999999999
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RS. HERMINA PODOMOROHS CARE PREMIER XTRA - O719 000060240686
RS. BAROS CIMAHI (IDR
JEMBATAN AKAR TEKNOLOGI, N411 JEKAT-00678
RS. PANTI RAPIH (IDR)
ALLIANZ INDIVIDU - INDIVID V022 SAL0Z-00000
SILOAM HOSPITALS HOSPITAL
LI & SURGICAL CARO180 000059814463
RS. KHARITAS BHAKTI HS(CARE PREMIER XTRA - O448 000061981602
TZU CHI HOSPITAL (IDR
HOSPITAL & SURGICAL CARO604 000059981875
RSU. KASIH IBU DENPAHOSPITAL & SURGICAL CARO428 000070087503
SILOAM HOSPITALS HOSPITAL
KEB & SURGICAL CARO474 000070569859
EKA HOSPITAL BSD HS (IDR CARE PREMIER XTRA - O583 000063076690
EKA HOSPITAL BSD HS (IDR CARE PREMIER XTRA - O513 000056875444
SILOAM HOSPITALS H&SLI INDIVIDU - H&S_IND O275 000043808780
RS. PREMIER SURABAYAHS CARE PREMIER XTRA - O436 000065763078
RS. RIDHOKA SALMAHOSPITAL
(ID & SURGICAL CARO468 000070502311
RS. HERMINA DAAN HOSPITAL
MOG & SURGICAL CARO696 000068653745
RS. PONDOK INDAH HS (IDR CARE PREMIER XTRA - O571 000062956300
RS. PONDOK INDAH HS BINCARE PREMIER XTRA - O680 000064071375
RS. JIH (JOGJA) (IDR)
HS CARE PREMIER XTRA - O758 000065257506
RS. CHEVANI (IDR) -HS6 OPTION AGE - H&SO_IN O124 000059292751
RS. COLUMBIA ASIAHOSPITAL
ME & SURGICAL CARO725 000061152356
RS. ST.VINCENTIUS HSA. CARE PREMIER XTRA - O514 000062569145
RS. SANTO BORROMEUS ALLIANZ INDIVIDU - INDIVID R226 AROMA-00000
RS. COLUMBIA ASIAHS MECARE PREMIER XTRA - O412 000065476638
SILOAM HOSPITALS HS LI CARE PREMIER XTRA - O751 000065143725
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MAYAPADA HOSPITAL HOSPITAL
T & SURGICAL CARO619 000067590491
RS. MITRA KELUARGA MICHELIN
W INDONESIA, PT - K939 MCLIN-00033
MANDAYA ROYAL HOSPI HS CARE PREMIER XTRA - O681 000059288430
RSU. HERMINA PASTEURHOSPITAL & SURGICAL CARO493 000070790848
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RS. PANTAI INDAH KAPU
HOSPITAL & SURGICAL CARO591 000067366179
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RS. YARSI (IDR) - 714
HOSPITAL & SURGICAL CARO488 000070735650
MANDAYA ROYAL HOSPI HOSPITAL & SURGICAL CARO740 000069376857
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RS. PREMIER BINTARO HOSPITAL
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LI & SURGICAL CARO641 000067949878
MAYAPADA HOSPITAL HOSPITAL
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SILOAM HOSPITALS HOSPITAL
LI & SURGICAL CARO749 000069224157
MAYAPADA HOSPITAL HSJCARE PREMIER XTRA - O471 000062136020
RSU. MELINDA 2 (IDR)
H&SR1 INDIVIDU - H&SR1_I O293 000053281301
SILOAM HOSPITALS HSLI CARE PREMIER XTRA - O670 000057330150
SILOAM HOSPITALS HOSPITAL
DH & SURGICAL CARO733 000069099196
RS. PONDOK INDAH HS(IDR CARE PREMIER XTRA - O604 000063650182
RS. PANTAI INDAH KAPU
HOSPITAL & SURGICAL CARO657 000068060525
SILOAM HOSPITALS HOSPITAL
KEB & SURGICAL CARO549 000066864666
RS. SANTO BORROMEUS
HOSPITAL & SURGICAL CARO714 000068931624
BRAWIJAYA WOMENH&S & C INDIVIDU - H&S_IND O262 000036342737
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MAYAPADA HOSPITAL HOSPITAL
K & SURGICAL CARO454 000070383911
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RS. MANDAYA (IDR) HOSPITAL
- & SURGICAL CARO651 000068048933
RSU. KARTIKA HUSADA
HS CARE PREMIER XTRA - O731 000064789299
RS. URIP SUMOHARJOH&S( INDIVIDU - H&S_IND O063 000011744531
RSU. BUNDA JAKARTAHS (CARE PREMIER XTRA - O472 000058532427
RS. MURNI TEGUH SUDI
HOSPITAL & SURGICAL CARO477 000070605727
MAYAPADA HOSPITAL HOSPITAL
T & SURGICAL CARO706 000068724849
RS. ABDI WALUYO (IDR)
HS CARE PREMIER XTRA - O578 000063024839
RS. BUNDA THAMRIN HS ME CARE PREMIER XTRA - O498 000062467058
BETHSAIDA HOSPITALHS (CARE PREMIER XTRA - O622 000063433287
RS. COLUMBIA ASIAHSPUCARE PREMIER XTRA - O733 000064920776
RS. UIN SYARIF HIDAY
HS CARE PREMIER XTRA - O724 000064781257
SILOAM SRIWIJAYA HOSPITAL
PAL & SURGICAL CARO733 000069232723
SILOAM HOSPITALS H&SR1
JAM INDIVIDU - H&SR1_I O149 000050400836
SILOAM HOSPITALS HOSPITAL
LI & SURGICAL CARO610 000067457910
SILOAM HOSPITALS HSSI CARE PREMIER XTRA - O519 000066592724
RSU. BUNDA JAKARTAHS (CARE PREMIER XTRA - O600 000063281355
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RS. COLUMBIA ASIAHSMECARE PREMIER XTRA - O488 000066291303
MITRA KELUARGA BINTA
HS CARE PREMIER XTRA - O752 000065180727
RS. PONDOK INDAH HOSPITAL
PUR & SURGICAL CARO711 000060683899
RS. COLUMBIA ASIAHSMECARE PREMIER XTRA - O736 000064943410
SILOAM HOSPITALS HSKEB CARE PREMIER XTRA - O761 000061516629
RS. PERMATA DEPOK GOTO(I GOJEK TOKOPEDIA, PT N317 DNMBK-00004
SILOAM HOSPITALS HSLI CARE PREMIER XTRA - O668 000063976070
MAYAPADA HOSPITAL HSJCARE PREMIER XTRA - O763 000060285217
RS. PERMATA DEPOK ALLIANZ
(I INDIVIDU - INDIVID V025 MUFAY-00000
BALI ROYAL HOSPITAL
HOSPITAL & SURGICAL CARO086 000054476116
RS. PANTAI INDAH KAPU
HS CARE PREMIER XTRA - O731 000061201113
RS. JANTUNG HARAPAN
H&SR1 INDIVIDU - H&SR1_I O180 000052158149
RS. PONDOK INDAH HOSPITAL
PUR & SURGICAL CARO658 000068119921
RS. ISLAM HARAPANHS
ANCARE PREMIER XTRA - O514 000062574739
EKA HOSPITAL PEKANBA
HOSPITAL & SURGICAL CARO748 000069487427
SILOAM HOSPITALS HS
SI CARE PREMIER XTRA - O501 000066431097
65994
46722
42708
14573
51107

81028
01570
00002
88555
09848
ICD 10
IS_KEMU 2 23 A01 TYPHOID 800021011RAMA ADI PANGESTU
IS_AXVE 2 23 M54.2 Cervicalgia800021011ERLY WADI
IS_AXVE 2 23 A09 Diarrhoea a800021011KERIN MARTI
IS_AXVE 2 23 A09 Diarrhoea a800021011MIMI DARYATI
IS_AXVE 2 23 L03 Cellulitis 800021010UTJOK
IS_XXAS 2 23 R06.0 Dyspnoe (s800021011HIU MAN LIE
IS_XXAS 2 23 R06.0 Dyspnoe (s800021011NG MELITA
IS_XXAS 2 23 R50.9 Fever 800021011RICHELLE JOVANDRA
IS_XXAS 2 23 K30 Dyspepsia 800021011SALSABILA
IS_NXSU 2 23 K30 Dyspepsia 800021011EGA SEPTIANA
IS_KEMU 2 23 A09 Diarrhoea a800021011DEVIN FERRY HUTAB
IS_KEMU 2 23 R73.9 Hyperglyca800021011MUNIROH
IS_NXSU 2 23 R50.9 Fever 800021011RONALD ADRYANTO
IS_KXNI 2 23 R50.9 Fever 800021011TJHEN FONG LIN
IS_KEMU 2 23 A09 Diarrhoea a800021011KIAN SUMELLIA WIRA
IS_NXSU 2 23 K30 Dyspepsia 800021011SANTI RIANTI
IS_NXSU 2 23 R50.9 Fever 800021011DIMAS ARI BRAMANT
IS_NXSU 2 23 K60.3 ANAL FIS 800021011RAHMAT HADIYANTO
IS_KEMU 2 23 XXX Cancel Tra 800021011TEGUH SATRIYO WIB
IS_KXNI 2 23 H66.9 OTITIS ME800021011OLIVIA DWIYANTI LD
IS_KXNI 2 23 A09 Diarrhoea a800021011LIDYA IRWANDA
IS_KXNI 2 23 I64 Stroke not 800021011HERMAN
IS_KXNI 2 23 A09 Diarrhoea a800021011RATNA SUNDARI
IS_KXNI 2 23 I20 Angina Pec800021011SUBAHAGIO
MAYAPADA HOSPITAL HS TAN CARE PREMIER XTO715 000064676439
RS. COLUMBIA ASIA MEDAHOSPITAL & SURGICAO756 000069581978
SILOAM HOSPITALS PALANHS CARE PREMIER XTO614 000059264726
MAYAPADA HOSPITAL HOSPITAL
JAK & SURGICAO441 000056459990
SILOAM HOSPITALS DHIRGH&S INDIVIDU - H&S_I O281 000029361992
RS. ABDI WALUYO (IDR) HS CARE PREMIER XTO656 000058940853
SILOAM HOSPITALS KEBONHS CARE PREMIER XTO428 000065622904
RS. HERMINA KENDARIH&SR1(ID INDIVIDU - H& O095 000055005397
RS. BRAWIJAYA SAHARJO HOSPITAL & SURGICAO497 000070833199
RS. HERMINA KARAWANG HS CARE( PREMIER XTO672 000064105133
RS. ROYAL PRIMA MEDAN H&SR1 INDIVIDU - H& O111 000055229050
RS. ISLAM HARAPAN ANDAH&SR1 INDIVIDU - H& O062 000049304541
RS. GRHA KEDOYA (IDR) HS CARE PREMIER XTO610 000057701970
RS. PLUIT (IDR) - 0170HS CARE PREMIER XTO702 000064393463
RS. PLUIT (IDR) - 0170HS CARE PREMIER XTO402 000061565034
RS. TASIK MEDIKA CITRAHS CARE PREMIER XTO709 000064627841
RS. COLUMBIA ASIA SEMAGLOBAL INTRA TALENTA N195 GLITA-00084
RS. PERMATA CIBUBUR HOSPITAL
(ID & SURGICAO557 000066967399
EKA HOSPITAL CIBUBUR 999999999
(I TIMKEN SINGAPORE PTE.LTD-ALI0002513
SILOAM HOSPITALS LIPPO3000000000 HS CARE PREMIER XTRA-HSCPX_IND
EKA HOSPITAL BSD (IDR)4000000000 HS CARE PREMIER XTRA-HSCPX_IND
RS. MITRA PLUMBON (IDR)
999999999 SUMBER LESTARI EKPRES, PT-ALI0004885
RS. TEBET (IDR) - 0003999999999 H&SR1 INDIVIDU-H&SR1_IND
BETHSAIDA HOSPITAL999999999
(IDR H&S INDIVIDU-H&S_IND
ICD 10
IS_NXSU 1 23 K30 Dyspepsia 8000210117369742 WEIDIA LESTARI
IS_NXSU 1 23 A09 Diarrhoea a8000210119955969 TARA HAPSARI DISO
IS_NXSU 1 23 8000210118203577 SALMIN AZIZ
IS_KEMU 1 23 B34.9 Viral infect 8000210115794016 GABRIEL ARTHUR TAN
IS_XXAS 1 23 8000210116495787 SUN HOK
IS_XXAS 1 23 R50.9 Fever 8000210115676338 VICTOR CHRISTANTO
IS_XXAS 1 23 R50.9 Fever 8000210119668877 ZIGGY MAKOA PRASET
IS_XXAS 1 23 R50.9 Fever 8000210119845475 YASMINE KARENINA Y
IS_XXAS 1 23 8000210117066470 AMALIA JULITA NAJMA
IS_XXAS 1 23 8000210118179009 HENNY SURYANTI
IS_XXAS 1 23 I05 Rheumatic 8000210112134208 RODOLFO JR SANTOS
IS_XXAS 1 23 8000210118047966 GIDEON EMILIO
IS_XXAS 1 23 R50.9 Fever 8000210119819942 IPAN PAUJI
IS_XXAS 1 23 M51.1 Lumbar and8000210119097176 CHANDRA ROBERTO P
IS_XXAS 1 23 A91 Dengue Hae 8000210117015360 ASIYAH
IS_XXAS 1 23 I21 Acute Myoca 8000210117484764 JOHANNES RUDOLF P
IS_NXSU 1 23 8000210117868958 PRADEVINA PRIMASAR
IS_NXSU 1 23 8000210115388512 SUPRIATIK
IS_NXSU 1 23 8000210116139062 NURIMAH RITONGAH
IS_NXSU 1 23 8000210116748995 TJOA JOSHUA SETIAW
IS_NXSU 1 23 8000210118948890 ARJUNO WENING MAHA
IS_NXSU 1 23 8000210117956944 TJUN TIAN
IS_NXSU 1 23 8000210117807204 HARTANTO SETIAWAN
IS_NXSU 1 23 8000210115343590 TJONG KUI FONG CARO
IS_NXSU 1 23 8000210117958536 RADEN BINTANG ARJU
IS_NXSU 1 23 8000210118804275 WALTERUS G. KEIABIS
IS_NXSU 1 23 8000210117743656 MUHAMAD KAUTSAR R
IS_NXSU 1 23 8000210117212363 NAOMI ARIELYN WITAN
IS_NXSU 1 23 8000210119951075 RAZKA ALDRICH WIDIM
IS_NXSU 1 23 8000210115723841 TOSHI LASRO ANDILO
IS_NXSU 1 23 8000210109529105 RADEN RORO DWIRINA
IS_NXSU 1 23 8000210118676665 WYNNE AINSLEY LIE
IS_NXSU 1 23 8000210113276404 NG NYAT CEU
IS_KEMU 1 23 8000210118535218 SYAMSUL BACHRI
IS_KEMU 1 23 J32 Chronic Sin8000210117543221 MILIA SUSANTI SIAUW
IS_KEMU 1 23 A91 Dengue Hae 8000210118196243 RIPHALDO
IS_KEMU 1 23 A09 Diarrhoea a8000210119917613 MOH REZA FIRDAUS
IS_KEMU 1 23 8000210119327466 NOVIA PUTI PAMA
IS_KEMU 1 23 8000210116407097 KAMARON CHANDRA
IS_KEMU 1 23 8000210119255741 LIDIA DWI PUTRI
IS_KEMU 1 23 A09 Diarrhoea a8000210119333720 YENI NURAINI
IS_KEMU 1 23 N84.0 Polyp of co8000210117784841 STEFANI SRI HANDAYA
IS_KEMU 1 23 8000210118896859 BONG FI WIE
IS_KEMU 1 23 A09 Diarrhoea a8000210119503298 LIBRIENA SE
IS_AXVE 1 23 R50.9 Fever 8000210116708478 DICKY SUWITO
IS_KXNI 1 23 R10 Abdominal 8000210116990993 HENDRIK RONALDO LU
IS_KXNI 1 23 K64 Hemorrhoid8000210115824003 SUSANTI
IS_KXNI 1 23 R11 Nausea and8000210119365359 ILEANA SARAH ALMAH
IS_KEMU 1 23 8000210116597178 YOHANA JANIASARI
IS_KXNI 1 23 R50.9 Fever 8000210113527640 ASEP NURJAMAN
IS_KXNI 1 23 8000210118121670 LINAWATY
IS_KXNI 1 23 R50.9 Fever 8000210119281192 SITI SYARIFAH
IS_KXNI 1 23 8000210117281228 SHERLY
IS_KXNI 1 23 R50.9 Fever 8000210118944576 DERRICH SUTRISNO
IS_KXNI 1 23 A90 DENGUE F8000210118482155 OTTO JAYKOWSKI NAG
IS_KXNI 1 23 R50.9 Fever 8000210119197216 AULIA CHANDRA DAHA
IS_KXNI 1 23 8000210110261201 JOHANA LISTYORINI
IS_KXNI 1 23 K35 Acute Appen8000210118263571 SUNARTI
IS_KXNI 1 23 8000210117713535 WINNIE KOSASIH
IS_KXNI 1 23 A91 Dengue Hae 8000210119768479 HANIFAH AMATULLAH
IS_AXVE 1 23 A09 Diarrhoea a8000210119035887 ERISWAN RIADI
IS_AXVE 1 23 8000210117296796 INDRAYATI
IS_AXVE 1 23 8000210117363828 AURELLIA IMMANUELA
IS_AXVE 1 23 R50 Fever of 8000210118922622 SUCI ANGGANI
IS_AXVE 1 23 A91 Dengue Hae 8000210117714376 MUHAMMAD GALANG S
IS_AXVE 1 23 K52.9 NONINFEC8000210109614105 HJ. SYAWALINA
IS_AXVE 1 23 8000210116788975 JONI
IS_KXNI 1 23 8000210119863221 FEBRIAN GILANG ISRA
IS_KXNI 1 23 A09 Diarrhoea a8000210119149308 TATIANA GENOVEVA B
IS_AXVE 1 23 K21.9 Gastro-oeso8000210117050607 NATASYA DIVIA HART
IS_AXVE 1 23 A01.1 PARATYPH8000210116777432 NELI
IS_AXVE 1 23 8000210117227940 MARIO ALWYN SETIJAD
IS_AXVE 1 23 8000210117730091 PARVEZ KALANDRA PR
IS_AXVE 1 23 8000210117687184 ALIVA LAILI INAYAH
IS_AXVE 1 23 K30 Dyspepsia 8000210119280319 DEWI WAHYUNI
IS_KXNI 1 23 R11 Nausea and8000210113122004 CHERINE CLARISSA
IS_KXNI 1 23 R50.9 Fever 8000210118771219 NICKY MANUPUTTY
IS_KXNI 1 23 8000210118359262 ADHIYAT THORIQ
IS_AXVE 1 23 R50.9 Fever 8000210117136893 AMANDA HAENDRA
IS_AXVE 1 23 R50.9 Fever 8000210108118025 PARAMITA DIAN PURN
IS_AXVE 1 23 R10 Abdominal 8000210118231438 SEVILLA RIZKA
IS_AXVE 1 23 Z91.1 Personal h 8000210117818052 MIRIAM FAJRIA JULIMA
IS_AXVE 1 23 A90 DENGUE F8000210116078260 RAFAEL AMAURI SUTA
IS_AXVE 1 23 R50.9 Fever 8000210117740116 EDWARD SANN KENNA
RS. HERMINA PODOMORO HS CARE(I PREMIER XTRO719 000060240686
RS. BAROS CIMAHI (IDR) JEMBATAN
- AKAR TEKNOLN411 JEKAT-00678
RS. PANTI RAPIH (IDR) ALLIANZ
- INDIVIDU - INDV022 SAL0Z-00000
SILOAM HOSPITALS LIPPO HOSPITAL & SURGICALO180 000059814463
RS. KHARITAS BHAKTI (IDRHS CARE PREMIER XTRO448 000061981602
TZU CHI HOSPITAL (IDR)HOSPITAL
- & SURGICALO604 000059981875
RSU. KASIH IBU DENPASAR HOSPITAL & SURGICALO428 000070087503
SILOAM HOSPITALS KEBON HOSPITAL & SURGICALO474 000070569859
EKA HOSPITAL BSD (IDR) HS CARE PREMIER XTRO583 000063076690
EKA HOSPITAL BSD (IDR) HS CARE PREMIER XTRO513 000056875444
SILOAM HOSPITALS LIPPO H&S INDIVIDU - H&S_IN O275 000043808780
RS. PREMIER SURABAYA HS(ID CARE PREMIER XTRO436 000065763078
RS. RIDHOKA SALMA (IDR) HOSPITAL & SURGICALO468 000070502311
RS. HERMINA DAAN MOGOT HOSPITAL & SURGICALO696 000068653745
RS. PONDOK INDAH (IDR) HS CARE PREMIER XTRO571 000062956300
RS. PONDOK INDAH BINTAR HS CARE PREMIER XTRO680 000064071375
RS. JIH (JOGJA) (IDR) - H
1 S CARE PREMIER XTRO758 000065257506
RS. CHEVANI (IDR) - 6460HS OPTION AGE - H&S O124 000059292751
RS. COLUMBIA ASIA MEDAN HOSPITAL & SURGICALO725 000061152356
RS. ST.VINCENTIUS A.PAULHS CARE PREMIER XTRO514 000062569145
RS. SANTO BORROMEUS ALLIANZ
BA INDIVIDU - INDR226 AROMA-00000
RS. COLUMBIA ASIA MEDAN HS CARE PREMIER XTRO412 000065476638
SILOAM HOSPITALS LIPPO HS CARE PREMIER XTRO751 000065143725
RS. EMC ALAM SUTERAHOSPITAL
(IDR & SURGICALO516 000059175672
RS. PONDOK INDAH (IDR) HS CARE PREMIER XTRO412 000065418541
MAYAPADA HOSPITAL TANG HOSPITAL & SURGICALO619 000067590491
RS. MITRA KELUARGA WARU MICHELIN INDONESIA, PK939 MCLIN-00033
MANDAYA ROYAL HOSPITAL HS CARE PREMIER XTRO681 000059288430
RSU. HERMINA PASTEUR HOSPITAL
(ID & SURGICALO493 000070790848
RS. HERMINA DEPOK (IDR) PT. TRANSCOAL PACIFIC K450 BRKAH-00015
PERSADA HOSPITAL (IDR) H&SR1 INDIVIDU - H&S O040 000031814883
RS. PANTAI INDAH KAPUK HOSPITAL
( & SURGICALO591 000067366179
RS. SUMBER WARAS (GrogolH&SR1 INDIVIDU - H&S O207 000052302449
RS. SANTO BORROMEUS ALTOBA NETWORK, PT - AN132 ALNET-00260
RS. KHUSUS BEDAH THT HSP CARE PREMIER XTRO748 000058630466
RS. PONDOK INDAH BINTAR HS CARE PREMIER XTRO478 000066128764
RS. YARSI (IDR) - 7146 HOSPITAL & SURGICALO488 000070735650
MANDAYA ROYAL HOSPITAL HOSPITAL & SURGICALO740 000069376857
RS. METROPOLITAN MEDIC HS CARE PREMIER XTRO423 000061410510
RS. PREMIER BINTARO HOSPITAL
(IDR & SURGICALO726 000069113191
RS. EMC ALAM SUTERAHOSPITAL
(IDR & SURGICALO742 000069404257
RS. EMC TANGERANG (IDR) HS CARE PREMIER XTRO746 000065063694
SILOAM HOSPITALS LIPPO HOSPITAL & SURGICALO641 000067949878
MAYAPADA HOSPITAL JAKA HOSPITAL & SURGICALO763 000069736934
RS. PONDOK INDAH (IDR) HS CARE PREMIER XTRO500 000062486802
RS. COLUMBIA ASIA MEDAN
HS CARE PREMIER XTRO567 000062919316
RS. MITRA KELUARGA KEMA
HS OPTION AGE - H&S O241 000060387480
SILOAM HOSPITALS LIPPOHOSPITAL & SURGICALO749 000069224157
MAYAPADA HOSPITAL JAKAHS CARE PREMIER XTRO471 000062136020
RSU. MELINDA 2 (IDR) -H&SR1
2 INDIVIDU - H&S O293 000053281301
SILOAM HOSPITALS LIPPOHS CARE PREMIER XTRO670 000057330150
SILOAM HOSPITALS DHIRGA
HOSPITAL & SURGICALO733 000069099196
RS. PONDOK INDAH (IDR)HS CARE PREMIER XTRO604 000063650182
RS. PANTAI INDAH KAPUKHOSPITAL
( & SURGICALO657 000068060525
SILOAM HOSPITALS KEBONHOSPITAL & SURGICALO549 000066864666
RS. SANTO BORROMEUS HOSPITAL
BA & SURGICALO714 000068931624
BRAWIJAYA WOMEN & CHILH&S INDIVIDU - H&S_IN O262 000036342737
RS. MITRA KELUARGA KELA
HS CARE PREMIER XTRO498 000066400064
RS. MITRA KELUARGA CIKA
HS CARE PREMIER XTRO731 000064870462
MAYAPADA HOSPITAL KUNIN
HOSPITAL & SURGICALO454 000070383911
RS. SANTO BORROMEUS HOSPITAL
BA & SURGICALO679 000068380720
RS. MITRA KELUARGA KEMA
HS CARE PREMIER XTRO619 000063480969
BETHSAIDA HOSPITAL (IDR)
HS CARE PREMIER XTRO658 000063880090
RS. MANDAYA (IDR) - 1133
HOSPITAL & SURGICALO651 000068048933
RSU. KARTIKA HUSADAHS JATI CARE PREMIER XTRO731 000064789299
RS. URIP SUMOHARJO (IDR)
H&S INDIVIDU - H&S_IN O063 000011744531
RSU. BUNDA JAKARTA (IDR)
HS CARE PREMIER XTRO472 000058532427
RS. MURNI TEGUH SUDIRMA
HOSPITAL & SURGICALO477 000070605727
MAYAPADA HOSPITAL TANGHOSPITAL & SURGICALO706 000068724849
RS. ABDI WALUYO (IDR)HS - CARE PREMIER XTRO578 000063024839
RS. BUNDA THAMRIN MEDAN
HS CARE PREMIER XTRO498 000062467058
BETHSAIDA HOSPITAL (IDR)
HS CARE PREMIER XTRO622 000063433287
RS. COLUMBIA ASIA PULOM
HS CARE PREMIER XTRO733 000064920776
RS. UIN SYARIF HIDAYATUL
HS CARE PREMIER XTRO724 000064781257
SILOAM SRIWIJAYA PALEMB
HOSPITAL & SURGICALO733 000069232723
SILOAM HOSPITALS JAMBIH&SR1 ( INDIVIDU - H&S O149 000050400836
SILOAM HOSPITALS LIPPOHOSPITAL & SURGICALO610 000067457910
SILOAM HOSPITALS SIMATU
HS CARE PREMIER XTRO519 000066592724
RSU. BUNDA JAKARTA (IDR)
HS CARE PREMIER XTRO600 000063281355
RS. MITRA KELUARGA KEMA
H&S INDIVIDU - H&S_IN O119 000026206589
RS. COLUMBIA ASIA MEDAN
HS CARE PREMIER XTRO488 000066291303
MITRA KELUARGA BINTAROHS CARE PREMIER XTRO752 000065180727
RS. PONDOK INDAH PURI HOSPITAL
I & SURGICALO711 000060683899
RS. COLUMBIA ASIA MEDAN
HS CARE PREMIER XTRO736 000064943410

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