Rekapan Bulan Sep

REKAP KLAIM RAWAT INAP HASIL VERIFIKASI BPJS KESEHATAN
BULAN SEPTEMBER 2023
NO TGL MASUK TGL KELUAR LOS NAMA_PASIEN MRN
1 29/08/2023 01/09/2023 4 AHMAD AL RASYID 434071

2 29/08/2023 01/09/2023 4 SHAFIRA ALIFIA RIZA 427030
3 29/08/2023 02/09/2023 5 HERMAN MEYER 405074
4 31/08/2023 03/09/2023 4 SUARSEH 406828
5 01/09/2023 04/09/2023 4 BAYI NY MEYLIZA ALVIYONITA 343384
6 26/08/2023 04/09/2023 10 HAMIM 358934
7 30/08/2023 05/09/2023 7 DZAKIRA AFTANNY FAIHA 416414
8 31/08/2023 06/09/2023 7 FITRIANA RAMADHANTI 261842
9 03/09/2023 07/09/2023 5 SHAKEELA ZERLINDA RISALDI 406275
10 03/09/2023 07/09/2023 5 HANA TALITA HUMAIRAH 434118
11 04/09/2023 08/09/2023 5 ANDI KURNIAWAN 434197
12 06/09/2023 09/09/2023 4 MAHRUDDIN 333582
13 07/09/2023 09/09/2023 3 YAIRAH 034755
14 06/09/2023 09/09/2023 4 POPI HENNI REZIKI 430049
15 09/09/2023 10/09/2023 2 SAPARUDIN 434503
16 06/09/2023 11/09/2023 6 MANSUR SANI LUBIS 231300
17 09/09/2023 11/09/2023 3 CLEYMIRA ALMAHYRA HANA 434478
18 09/09/2023 11/09/2023 3 AZQIARA NAUREEN RAFANIA 434510
19 22/08/2023 11/09/2023 21 DARSANI 072282
20 05/09/2023 11/09/2023 7 TAFZANI 432203
21 11/09/2023 12/09/2023 2 M.GIBRAN ALFARINO 359546
22 08/09/2023 12/09/2023 5 HILDA 434458
23 09/09/2023 12/09/2023 4 M. AMAN 312155
24 10/09/2023 13/09/2023 4 NURLIDIANA SINABANG 433711
25 11/09/2023 13/09/2023 3 NUSAIBAH GHAZIYAH AUDIRA 434534
26 10/09/2023 13/09/2023 4 MUHAMMAD HANAN AIDIL 434527
27 10/09/2023 13/09/2023 4 ATHALLAH PRATAMA NUGROHO 247178
28 07/09/2023 13/09/2023 7 ABD. RIFA'I ANANG 434406
29 05/09/2023 14/09/2023 10 MARYAMAH 338274
30 12/09/2023 14/09/2023 3 MARTINA 434650
31 07/09/2023 14/09/2023 8 KARDIMAN 434368
32 12/09/2023 15/09/2023 4 ANJENI ZAHWA 433847
33 11/09/2023 15/09/2023 5 SUMIATI 319877
34 13/09/2023 16/09/2023 4 SAPARI 326361
35 14/09/2023 16/09/2023 3 SUDARDI 342094
36 13/09/2023 16/09/2023 4 A.JAIZ 400314
37 13/09/2023 16/09/2023 4 BUNGA DAENG 431481
38 12/09/2023 16/09/2023 5 BY NY RIKHA YULFIA DUA 321539
39 13/09/2023 17/09/2023 5 ENJEDI PANE 434714
40 13/09/2023 17/09/2023 5 riska apriyani 248963
41 12/09/2023 17/09/2023 6 H. RAMLI 434699
42 14/09/2023 17/09/2023 4 DEDY IRAWAN 328477
43 15/09/2023 18/09/2023 4 TIRTA 363385
44 14/09/2023 18/09/2023 5 MAMBENG 434829
45 16/09/2023 18/09/2023 3 LISMITA 434944
46 14/09/2023 18/09/2023 5 MADI 434836
47 13/09/2023 19/09/2023 7 M.JUNAIDI 434757
48 15/09/2023 19/09/2023 5 INUR 410883
49 13/09/2023 19/09/2023 7 UMAYAH 434755
50 15/09/2023 20/09/2023 6 EKA JAMNGIATURROHMAH 434401
51 18/09/2023 20/09/2023 3 RAYA YULIANSYAH RAMADHAN 435077
52 18/09/2023 20/09/2023 3 AMELIA FITRI RAMADHANI 327881
53 12/09/2023 20/09/2023 9 SOPAN SIAHAAN 434676
54 18/09/2023 21/09/2023 4 ASTUTI 418338
55 17/09/2023 21/09/2023 5 MARTINI 250642
56 17/09/2023 22/09/2023 6 SHAZIA HAVVA BELVANIA DHAR 433326
57 20/09/2023 22/09/2023 3 MIKHA BELENCIA P.W. BAKARA 434678
58 11/09/2023 22/09/2023 12 INDO UPE 434620
59 20/09/2023 23/09/2023 4 TRI JUITA MANDA SARI 433167
60 16/09/2023 23/09/2023 8 ENDANG. W 258986
61 19/09/2023 24/09/2023 6 JUNIARTI 032197
62 21/09/2023 24/09/2023 4 ALEXANDER ARITONANG 398555
63 22/09/2023 24/09/2023 3 MIRZA KHALID PRAWIRA 435333
64 22/09/2023 26/09/2023 5 WAHYU FAHROZI 138353
65 23/09/2023 26/09/2023 4 AZKIA ALESHA KAUREEN 432396
66 23/09/2023 26/09/2023 4 BAYI NYONYA DIAN SANIA 435356
67 19/09/2023 27/09/2023 9 JAUHARI 422043
68 24/09/2023 27/09/2023 4 NUZUL AMRULLAH 114178
69 23/09/2023 27/09/2023 5 ELIA JUNARDI HABEAHAN 435388
70 26/09/2023 28/09/2023 3 M .AMIN J 435574
71 21/09/2023 28/09/2023 8 Rosdiana Nainggolan 111214
72 25/09/2023 28/09/2023 4 FAZA RESTIYAN DINI 435481
73 25/09/2023 29/09/2023 5 USMAN AHMAD 304956
74 23/09/2023 29/09/2023 7 SUWARDI 272577
75 27/09/2023 30/09/2023 4 ELISA 435610
76 17/09/2023 30/09/2023 14 KARTILA WATI 276385
TOTAL_TARIF
NOKARTU SEP TARIF RS SELISIH
INACBGs
0002873667183 0501R0020823V008420 1,616,700 4,755,297 - 3,138,597

0003001763946 0501R0020823V007810 4,143,500 5,365,548 - 1,222,048
0001728231625 0501R0020823V008634 6,785,600 8,183,008 - 1,397,408
0000023278858 0501R0020823V008711 5,304,700 7,187,453 - 1,882,753
0002421456546 0501R0020923V000243 2,140,400 3,745,700 - 1,605,300
0000023242522 0501R0020823V007367 4,642,100 15,523,154 - 10,881,054
0001280726807 0501R0020823V008457 2,813,600 3,915,883 - 1,102,283
0000023725664 0501R0020823V008466 8,213,600 9,251,045 - 1,037,445
0003093779046 0501R0020923V000563 4,730,400 8,278,200 - 3,547,800
0002612878198 0501R0020923V000577 2,601,700 5,197,850 - 2,596,150
0001292537553 0501R0020923V000959 4,163,500 5,940,687 - 1,777,187
0000023671359 0501R0020923V001673 4,126,000 6,246,649 - 2,120,649
0001498611677 0501R0020923V001837 5,372,500 3,982,047 1,390,453
0000305622279 0501R0020923V001652 3,573,800 4,996,890 - 1,423,090
0000300986324 0501R0020923V002577 3,102,300 4,731,005 - 1,628,705
0001498383573 0501R0020923V001396 5,283,500 7,277,351 - 1,993,851
0003293927886 0501R0020923V002396 4,730,400 6,321,246 - 1,590,846
0002305118463 0501R0020923V002581 2,970,200 4,455,299 - 1,485,099
0001443772372 0501R0020823V006226 20,945,100 26,254,498 - 5,309,398
0002698080715 0501R0020923V001236 2,367,000 6,025,934 - 3,658,934
0000024160869 0501R0020923V002990 5,304,700 7,945,800 - 2,641,100
0003547412291 0501R0020923V002891 4,163,500 5,618,308 - 1,454,808
0002303530661 0501R0020923V002559 1,833,800 3,247,452 - 1,413,652
0003523025924 0501R0020923V002603 3,418,500 5,010,790 - 1,592,290
0003547432484 0501R0020923V002923 2,592,300 3,888,450 - 1,296,150
0003268439752 0501R0020923V002928 1,616,700 4,666,044 - 3,049,344
0001906764669 0501R0020923V002599 4,413,000 8,807,000 - 4,394,000
0000023309864 0501R0020923V002002 2,757,600 4,280,688 - 1,523,088
0000301114023 0501R0020923V001378 18,282,500 19,303,716 - 1,021,216
0003090207036 0501R0020923V003392 5,179,700 6,668,147 - 1,488,447
0000023686525 0501R0020923V001869 4,753,100 6,350,920 - 1,597,820
0001864048296 0501R0020923V003448 4,163,500 5,304,566 - 1,141,066
0002461301853 0501R0020923V002992 2,922,700 4,016,061 - 1,093,361
0003518357782 0501R0020923V003761 2,745,500 4,804,625 - 2,059,125
0001477446614 0501R0020923V004156 4,014,900 5,499,550 - 1,484,650
0001292387657 0501R0020923V003522 4,833,400 5,982,209 - 1,148,809
0002935714713 0501R0020923V003743 1,616,700 4,839,976 - 3,223,276
0002480264201 0501R0020923V003370 3,139,900 4,250,613 - 1,110,713
0001805232115 0501R0020923V003610 4,962,400 8,065,471 - 3,103,071
0001965167853 0501R0020923V003662 2,601,700 3,626,125 - 1,024,425
0000023164288 0501R0020923V003457 4,431,100 7,470,162 - 3,039,062
0002613540508 0501R0020923V004174 4,511,600 6,442,725 - 1,931,125
0000174001667 0501R0020923V004518 4,431,100 5,851,315 - 1,420,215
0002468196167 0501R0020923V004175 1,326,200 3,244,607 - 1,918,407
0000023395116 0501R0020923V004650 1,763,800 3,085,427 - 1,321,627
0000023815541 0501R0020923V004188 5,630,900 7,099,816 - 1,468,916
0002288028069 0501R0020923V004163 3,972,600 5,402,363 - 1,429,763
0003284870567 0501R0020923V004509 2,388,100 4,634,120 - 2,246,020
0002232922072 0501R0020923V003755 3,554,500 5,182,011 - 1,627,511
0003540555933 0501R0020923V004420 3,573,800 5,173,212 - 1,599,412
0001496898459 0501R0020923V005269 5,251,800 7,289,985 - 2,038,185
0002420234133 0501R0020923V004999 2,418,800 3,780,666 - 1,361,866
0001496226688 0501R0020923V003306 4,086,300 6,793,399 - 2,707,099
0003261490277 0501R0020923V005272 2,136,300 3,376,331 - 1,240,031
0001163762976 0501R0020923V004858 3,254,000 4,275,324 - 1,021,324
0003506782983 0501R0020923V004840 2,270,700 4,727,107 - 2,456,407
0002297563007 0501R0020923V005692 3,788,000 5,289,675 - 1,501,675
0003535818704 0501R0020923V002998 6,656,400 12,806,996 - 6,150,596
0000023306433 0501R0020923V005958 1,763,800 3,880,905 - 2,117,105
0001498501359 0501R0020923V004797 6,829,400 10,125,698 - 3,296,298
0001106640303 0501R0020923V005638 4,143,500 5,489,395 - 1,345,895
0001862376388 0501R0020923V006836 1,326,200 2,483,391 - 1,157,191
0002479981285 0501R0020923V006518 1,545,000 2,790,291 - 1,245,291
0001104218447 0501R0020923V006593 2,136,300 3,884,174 - 1,747,874
0003312464927 0501R0020923V006827 2,601,700 3,885,720 - 1,284,020
0003302908367 0501R0020923V006686 1,908,600 2,913,972 - 1,005,372
0001104955749 0501R0020923V005479 3,881,400 5,866,693 - 1,985,293
0000023704828 0501R0020923V006829 2,140,400 3,629,904 - 1,489,504
0000194230179 0501R0020923V006821 4,836,200 6,527,953 - 1,691,753
0001795203101 0501R0020923V007568 2,745,500 4,804,625 - 2,059,125
0001864779333 0501R0020923V006127 3,972,600 7,840,321 - 3,867,721
0001873230963 0501R0020923V007223 2,418,800 4,254,313 - 1,835,513
0002252253262 0501R0020923V006864 2,552,600 4,364,126 - 1,811,526
0001104007037 0501R0020923V006650 2,404,900 3,952,181 - 1,547,281
0001861400136 0501R0020923V007980 1,874,900 2,982,613 - 1,107,713
0001498603083 0501R0020923V004849 4,628,100 32,418,419 - 27,790,319
DPJP
RISKA DWI SEPTIANTI, DR, Sp.PD

MUTYA.DR.SP.A
HENDRA, DR, SP. U
BUDI. J, DR. SP. OT
MUTYA.DR.SP.A
ANUNGSARI ANANDITA, DR, SP.S
MUTYA.DR.SP.A
RIXENDO, DR. SP. B
PANDJI,DR, SPA
MUTYA.DR.SP.A
RIXENDO, DR. SP. B
RAHADIYAN, DR, SP. JP
ERYASNI, DR, SP. PD
DENNISON, DR. SPB.
ERYASNI, DR, SP. PD
MUTYA.DR.SP.A
MUTYA.DR.SP.A
BAMBANG SUTOPO, DR.DR.,SP.PD,DTM&
NADRIZAL, DR, SP. PD
BUDI. J, DR. SP. OT
RIXENDO, DR. SP. B
EVI SUPRIADI.S, SP.JP
PANDJI,DR, SPA
WILLY HARDY. M, DR. SP.BA
MUHAMMADONG, SP.THT
ERYASNI, DR, SP. PD
AMRAN, DR, SP. B
AMRAN, DR, SP. B
SRI NOVIYANTY YUSUF, DR.SP. S
ERYASNI, DR, SP. PD
ERYASNI, DR, SP. PD
RIXENDO, DR. SP. B
DENNISON, DR. SPB.
VIVI SEPTIANI, DR, SPA
EVI SUPRIADI.S, SP.JP
PUJI LESTARI,DR. SP. M
ALPINO MAULANA, DR, SP. PD
DEDEN SUCAHYANA, DR. SPB
IKALIUS, DR, SP. P
ERYASNI, DR, SP. PD
PANDJI,DR, SPA
BUDI. J, DR. SP. OT
IKALIUS, DR, SP. P
PANDJI,DR, SPA
MUHAMMADONG, SP.THT
ERYASNI, DR, SP. PD
RIXENDO, DR. SP. B
PANDJI,DR, SPA
AMRAN, DR, SP. B
ERYASNI, DR, SP. PD
IKALIUS, DR, SP. P
ALPINO MAULANA, DR, SP. PD
SRI NOVIYANTY YUSUF, DR.SP. S
DESKRIPSI_INACBG
PERADANGAN KULIT/CELLULITIS (RINGAN)

SIMPLE PNEUMONIA & WHOOPING COUGH (RINGAN)
PROSEDUR PADA URETRA DAN TRANSURETRA (RINGAN)
EKSISI LOKAL DAN PENGANGKATAN ALAT FIKSASI INTERNAL (RINGAN)
NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN)
PERDARAHAN INTRA KRANIAL BUKAN TRAUMATIK (RINGAN)
INFEKSI GINJAL DAN SALURAN URIN (RINGAN)
PROSEDUR SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN (RINGAN)
PROSEDUR APPENDIK (RINGAN)
GANGGUAN KONDUKSI & ARITMIA JANTUNG (RINGAN)
TUMOR GINJAL & SALURAN URIN & GAGAL GINJAL (BERAT)
GANGGUAN KONDUKSI & ARITMIA JANTUNG (RINGAN)
KECEDERAAN PEMBULUH DARAH OTAK DENGAN INFARK (RINGAN)
PROSEDUR SISTEM PERNAFASAN NON-KOMPLEKS (RINGAN)
GANGGUAN SEL DARAH MERAH SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN)
EKSISI LOKAL DAN PENGANGKATAN ALAT FIKSASI INTERNAL (RINGAN)
ATHEROSKLEROSIS (RINGAN)
INFARK MYOKARD AKUT (RINGAN)
PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN LARINGOTRAKEITIS (RINGAN)
PROSEDUR TONSIL & ADENOID (RINGAN)
GANGGUAN SEL DARAH MERAH SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN)
PROSEDUR SISTEM PERNAFASAN NON-KOMPLEKS (SEDANG)
PROSEDUR PADA PAYUDARA (RINGAN)
MASALAH BAGIAN PUNGGUNG/PINGGANG BELAKANG (RINGAN)
HIPERTENSI (RINGAN)
TUMOR GINJAL & SALURAN URIN & GAGAL GINJAL (SEDANG)
PROSEDUR HERNIA INGUINAL DAN FEMORAL (RINGAN)
SERANGAN KEJANG (RINGAN)
ANGINA PEKTORIS DAN NYERI DADA (SEDANG)
GANGGUAN HATI LAIN-LAIN (RINGAN)
PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN)
GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
PROSEDUR HERNIA INGUINAL DAN FEMORAL (RINGAN)
GANGGUAN SISTEM PEMBULUH DARAH LAIN-LAIN (RINGAN)
PENYAKIT KENCING MANIS & GANGGUAN NUTRISI/ METABOLIK (RINGAN)
PROSEDUR JARINGAN LUNAK (RINGAN)
TRAUMA PADA KULIT, JARINGAN BAWAH KULIT DAN PAYUDARA (RINGAN)
PLEURAL EFUSI DAN PNEUMOTORAK (RINGAN)
KEGAGALAN JANTUNG (RINGAN)
PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN LARINGOTRAKEITIS (RINGAN)
PROSEDUR TONSIL & ADENOID (RINGAN)
CHOLESISTEKTOMI TANPA LAPAROSKOPIK (SEDANG)
CHOLESISTEKTOMI TANPA LAPAROSKOPIK (RINGAN)
INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
PROSEDUR APPENDIK (SEDANG)
HIPERTENSI (RINGAN)
TRAUMA PADA KULIT, JARINGAN BAWAH KULIT DAN PAYUDARA (RINGAN)
ASTHMA & BRONKIOLITIS (RINGAN)
HIPERTENSI (RINGAN)

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REKAP KLAIM RAWAT INAP HASIL VERIFIKASI BPJS KESEHATAN

BULAN SEPTEMBER 2023

NO TGL MASUK TGL KELUAR LOS NAMA_PASIEN MRN

1 29/08/2023 01/09/2023 4 AHMAD AL RASYID 434071

0002873667183 0501R0020823V008420 1,616,700 4,755,297 - 3,138,597

RISKA DWI SEPTIANTI, DR, Sp.PD

PERADANGAN KULIT/CELLULITIS (RINGAN)

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