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RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH


Tingkat Pelayanan : RITL
Bulan Pelayanan : Maret 2021

No No.SEP Tgl. Verifikasi Biaya


Riil RS Diajukan Disetujui
1 0617R0010221V001080 2021-06-03 1,022,820 1,423,100 1,423,100
2 0617R0010221V001091 2021-06-03 25,978,299 9,328,000 9,328,000
3 0617R0010321V000046 2021-06-03 2,675,357 1,257,500 1,257,500
4 0617R0010321V000070 2021-06-03 2,545,605 1,180,200 1,180,200
5 0617R0010321V000099 2021-06-03 5,562,512 2,135,300 2,135,300
6 0617R0010321V000102 2021-06-03 1,562,736 1,180,200 1,180,200
7 0617R0010321V000108 2021-06-03 804,625 1,180,200 1,180,200
8 0617R0010321V000244 2021-06-03 1,377,793 1,180,200 1,180,200
9 0617R0010321V000310 2021-06-03 2,126,614 2,220,600 2,220,600
10 0617R0010321V000364 2021-06-03 3,093,591 4,047,700 4,047,700
11 0617R0010321V000369 2021-06-03 2,549,365 1,180,200 1,180,200
12 0617R0010321V000420 2021-06-03 1,492,145 3,372,600 3,372,600
13 0617R0010321V000490 2021-06-03 1,149,086 1,180,200 1,180,200
14 0617R0010321V000578 2021-06-03 6,985,644 3,484,600 3,484,600
15 0617R0010321V000631 2021-06-03 4,238,271 2,490,300 2,490,300
16 0617R0010321V000722 2021-06-03 2,730,939 2,071,900 2,071,900
17 0617R0010321V000726 2021-06-03 4,248,111 2,995,400 2,995,400
18 0617R0010321V000728 2021-06-03 1,340,022 1,257,500 1,257,500
19 0617R0010321V000767 2021-06-03 1,205,463 1,257,500 1,257,500
20 0617R0010321V000769 2021-06-03 14,455,162 13,059,300 13,059,300
21 0617R0010321V000792 2021-06-03 2,223,878 1,779,700 1,779,700
22 0617R0010321V000802 2021-06-03 3,354,485 1,580,900 1,580,900
23 0617R0010321V000805 2021-06-03 2,769,706 2,947,100 2,947,100
24 0617R0010321V000960 2021-06-03 3,319,972 1,284,600 1,284,600
25 0617R0010321V001057 2021-06-03 3,802,305 3,372,600 3,372,600
26 0617R0010321V001068 2021-06-03 4,595,821 2,244,700 2,244,700
27 0617R0010321V001164 2021-06-03 2,508,591 2,071,900 2,071,900
28 0617R0010321V001175 2021-06-03 3,898,947 2,335,700 2,335,700
TOTAL 113,617,865 75,099,700 75,099,700

RESUME
Total Bea.Diajukan : 75,099,700
Hal.2/2

RINCIAN DATA HASIL VERIFIKASI

Nama RS : RSUD BANGKA TENGAH - KAB. BANGKA TENGAH


Tingkat Pelayanan : RITL
Bulan Pelayanan : Maret 2021

Total Bea.Disetujui : 75,099,700

Menyetujui Mengetahui
Direktur RS BPJS KESEHATAN

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