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LAPORAN REKAP KLAIM - KLINIK UTAMA BUDI MULIA

Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 1 Jul 2023 s/d 31 Jul 2023
Filter: / / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = TARIF RS KELAS D SWASTA
No. Tgl. Masuk Tgl. Pulang No. RM Nama Pasien No. Klaim / SEP INACBG Top Up Total Tarif Tarif RS Jenis
1 29 Jun 2023 2 Jul 2023 05678/0623 MUHAMMAD ARKA ENZIO 0140S0020623V000350 A-4-13-I 2.007.900 4.672.000 RI
2 2 Jul 2023 3 Jul 2023 0579/0723 MUHAMMAD YUNUS NUR 0140S0020723V000022 E-4-10-I 4.106.600 2.792.000 RI
3 30 Jun 2023 4 Jul 2023 0291/0618 MULIA ULFAH HAFSARI 0140S0020623V000347 E-4-11-I 3.265.600 3.135.000 RI
4 4 Jul 2023 5 Jul 2023 15385/0523 HARTATI 0140S0020723V000039 W-4-16-I 2.475.200 2.807.000 RI
5 5 Jul 2023 6 Jul 2023 15484/0623 JAHRAH 0140S0020723V000051 W-4-16-I 2.475.200 2.808.000 RI
6 4 Jul 2023 6 Jul 2023 6599/0119 LEHA 0140S0020723V000050 O-6-13-I 2.477.700 4.532.000 RI
7 5 Jul 2023 7 Jul 2023 15574/0723 UMUL YOSAR 0140S0020723V000058 W-4-16-I 2.475.200 2.859.000 RI
8 7 Jul 2023 8 Jul 2023 6084/0723 MUHAMMAD ARDAN ALHANAN 0140S0020723V000078 E-4-11-I 3.265.600 3.765.000 RI
9 7 Jul 2023 8 Jul 2023 15385/0523 HARTATI 0140S0020723V000067 O-6-13-I 2.477.700 4.620.000 RI
10 12 Jul 2023 14 Jul 2023 15601/0723 RISKY ANANDA MAULANI 0140S0020723V000104 O-6-13-I 2.477.700 4.310.000 RI
11 14 Jul 2023 15 Jul 2023 0583/0723 INDRIANI NOVITA LESTARI 0140S0020723V000112 K-4-18-I 1.407.000 3.250.000 RI
12 18 Jul 2023 20 Jul 2023 7873/0323 YASMINA BUSTAN ATTIRA 0140S0020723V000139 J-4-16-I 4.108.600 3.900.000 RI
13 21 Jul 2023 22 Jul 2023 7386/0619 SRI UTAMI 0140S0020723V000162 K-4-18-I 1.407.000 2.740.000 RI
14 18 Jul 2023 22 Jul 2023 1234/0723 MARYAM NUR HAFIZAH 0140S0020723V000153 J-4-16-I 4.108.600 5.500.000 RI
15 25 Jul 2023 26 Jul 2023 0394/0222 ROSADALIMA APORTHA BATU NGE 0140S0020723V000192 E-4-11-I 3.265.600 3.410.000 RI
16 25 Jul 2023 27 Jul 2023 4122/0420 ATTHAYA RAISYA AQILA 0140S0020723V000183 J-4-16-I 4.108.600 3.920.000 RI
17 25 Jul 2023 27 Jul 2023 15635/0723 MELI 0140S0020723V000184 W-4-16-I 2.475.200 3.967.000 RI
18 26 Jul 2023 27 Jul 2023 11144/0522 SURIYANI ASTUTI 0140S0020723V000199 W-4-14-I 2.534.100 3.066.000 RI
19 27 Jul 2023 28 Jul 2023 15578/0723 SITI YULIYANTI NINGSIH 0140S0020723V000198 W-4-16-I 2.475.200 3.144.000 RI
Total 53.394.300 69.197.000

Kode RS: K6401002 Halaman 1/1

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