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  • Pcare Halaman 3

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    Ninic Purwa
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    This document is a list of unpaid medical bills from Ngempit Health Facility (13261102) for the month of January 2023. It includes 42 entries showing patient names, dates of treatment, amount due, and status as not yet verified. The bills range from 360,000 to 720,000 Indonesian Rupiah and are for inpatient care received between December 2022 and January 2023.

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    PCARE HALAMAN 3

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    This document is a list of unpaid medical bills from Ngempit Health Facility (13261102) for the month of January 2023. It includes 42 entries showing patient names, dates of treatment, amount due, and status as not yet verified. The bills range from 360,000 to 720,000 Indonesian Rupiah and are for inpatient care received between December 2022 and January 2023.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    7 views1 page

    Pcare Halaman 3

    Uploaded by

    Ninic Purwa
    This document is a list of unpaid medical bills from Ngempit Health Facility (13261102) for the month of January 2023. It includes 42 entries showing patient names, dates of treatment, amount due, and status as not yet verified. The bills range from 360,000 to 720,000 Indonesian Rupiah and are for inpatient care received between December 2022 and January 2023.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    07/03/23, 13.

    38 ECLAIM - Primary Care - PCare

    Bulan Pelayanan

    Januari 2023

    Perawatan

    Rawat Inap

    Status Data

    Baru

    Faskes

    Ngempit (13261102)

     Cari Data

    Daftar Tagihan (Non-Kapitasi)

    NO TGL DATANG TGL PULANG TGL KADALUARSA NAMA PESERTA

    31 06-01-2023 09-01-2023 09-07-2023 NADYA ALIYA RAMADHANI (0001895476048) Rp. 540.000,- Ngempit (13261102) Blm Verif 

    32 06-01-2023 07-01-2023 07-07-2023 OKKY DWI SAPUTRO (0002733195969) Rp. 180.000,- Ngempit (13261102) Blm Verif 

    33 06-01-2023 09-01-2023 09-07-2023 AFIFAH NAHDA RAFANDA (0003237569987) Rp. 540.000,- Ngempit (13261102) Blm Verif 

    34 06-01-2023 07-01-2023 07-07-2023 KAMSANI (0003237775885) Rp. 180.000,- Ngempit (13261102) Blm Verif 

    35 05-01-2023 08-01-2023 08-07-2023 ASY'ARI (0000717333884) Rp. 540.000,- Ngempit (13261102) Blm Verif 

    36 04-01-2023 06-01-2023 06-07-2023 NUR KHAMIDA (0000717686065) Rp. 360.000,- Ngempit (13261102) Blm Verif 

    37 04-01-2023 06-01-2023 06-07-2023 PUTRI SITI SIRLY NAILIYYAH (0003018272591) Rp. 360.000,- Ngempit (13261102) Blm Verif 

    38 04-01-2023 06-01-2023 06-07-2023 ANNISA ALIFATUN NADHIFAH (0003128276035) Rp. 360.000,- Ngempit (13261102) Blm Verif 

    39 03-01-2023 07-01-2023 07-07-2023 MUSLIKHA (0000716969428) Rp. 720.000,- Ngempit (13261102) Blm Verif 

    NAYLA SALSABILA AULIA AZZAHRA Blm Verif


    40 03-01-2023 06-01-2023 06-07-2023 Rp. 540.000,- Ngempit (13261102) 
    (0003055308017)

    41 31-12-2022 02-01-2023 02-07-2023 SITI AISYAH (0002286869466) Rp. 360.000,- Ngempit (13261102) Blm Verif 

    42 30-12-2022 03-01-2023 03-07-2023 ABDUL KHOLIK (0000715741751) Rp. 720.000,- Ngempit (13261102) Blm Verif 

    Showing 31 to 42 of 42 entries Previous 1 2 3 Next

    Copyright © 2018 BPJS Kesehatan (https://www.bpjs-kesehatan.go.id). All rights reserved.

    https://pcarejkn.bpjs-kesehatan.go.id/eclaim/DaftarTagihan 1/1

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