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  • Sheet1 - 1: Laporan Rekap Klaim - Rs Islam Jakarta Timur

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    Rien Gloria Sihombing
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    1. This document is a claims recap report for RS Islam Jakarta hospital from April 1-30, 2020. It includes patient information like name, medical record number, admission and discharge dates for inpatients and outpatients. 2. The report also includes 9 claim numbers, the INACBG and top up costs, total tariff, and hospital tariff for each claim. The total claim amount is Rp4,814,100 and total hospital tariff is Rp16,200,207.

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    1. This document is a claims recap report for RS Islam Jakarta hospital from April 1-30, 2020. It includes patient information like name, medical record number, admission and discharge dates for inpatients and outpatients. 2. The report also includes 9 claim numbers, the INACBG and top up costs, total tariff, and hospital tariff for each claim. The total claim amount is Rp4,814,100 and total hospital tariff is Rp16,200,207.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    9 views2 pages

    Sheet1 - 1: Laporan Rekap Klaim - Rs Islam Jakarta Timur

    Uploaded by

    Rien Gloria Sihombing
    1. This document is a claims recap report for RS Islam Jakarta hospital from April 1-30, 2020. It includes patient information like name, medical record number, admission and discharge dates for inpatients and outpatients. 2. The report also includes 9 claim numbers, the INACBG and top up costs, total tariff, and hospital tariff for each claim. The total claim amount is Rp4,814,100 and total hospital tariff is Rp16,200,207.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 2

    sheet1 -1

    LAPORAN REKAP KLAIM - RS ISLAM JAKAR


    Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 1 A
    Filter: / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jeni
    No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien
    1 1 Apr 2020 1 Apr 2020 00881795 HJ. MARYAM
    2 2 Apr 2020 2 Apr 2020 00897678 MOCHAMAD KEENAN A.
    3 2 Apr 2020 2 Apr 2020 00907042 CHOIRIL APRIYANTO
    4 6 Apr 2020 6 Apr 2020 00829574 SUKARNI
    5 12 Apr 2020 12 Apr 2020 00907459 ADAM FIQRI
    6 15 Apr 2020 15 Apr 2020 00263025 TURMUDI, DRS.
    7 15 Apr 2020 15 Apr 2020 00796021 MOECHLIS NOERDIN
    8 28 Apr 2020 28 Apr 2020 00908035 DJA'AM
    9 30 Apr 2020 30 Apr 2020 00371280 SYAFRIL NAZAR, SH

    Kode RS: 3172505

    Page 1
    sheet1 -1

    M - RS ISLAM JAKARTA TIMUR


    riode Tanggal Pulang: 1 Apr 2020 s/d 30 Apr 2020
    ra Pulang = Semua / Jenis Tarif = TARIF RS KELAS B SWASTA
    No. Klaim / SEP INACBG Top Up Total Tarif Tarif RS Jenis
    0903R0090420V000072 Q-5-36-0 383,200 3,144,730 RJ
    0903R0090420V000304 J-3-13-0 327,300 1,888,567 RJ
    0903R0090420V000463 Q-5-30-0 641,000 4,102,480 RJ
    0903R0090420V001098 N-3-15-0 923,100 1,578,000 RJ
    0903R0090420V002105 Q-5-41-0 307,100 1,652,410 RJ
    0903R0090420V002807 N-3-15-0 923,100 1,578,000 RJ
    0903R0090420V003060 N-3-15-0 923,100 1,578,000 RJ
    0903R0090420V005095 Q-5-42-0 193,800 425,777 RJ
    0903R0090420V005554 Q-5-44-0 192,400 252,243 RJ
    Total 4,814,100 16,200,207

    Page 2

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