NMKC NMPPK NOSJP TGLSJP NoKAPst

TEGAL RSU ADELLA SLAWI 0168R00512160000391 12/13/2016 0:00 0001716438475

TEGAL RSU ADELLA SLAWI 0168R00512160000391 12/13/2016 0:00 0001716438475
TEGAL RSU ADELLA SLAWI 0168R00512160000391 12/13/2016 0:00 0001716438475
TEGAL RSU ADELLA SLAWI 0168R00502170000479 2/11/2017 0:00 0001439669575
TEGAL RSU ADELLA SLAWI 0168R00502170000479 2/11/2017 0:00 0001439669575
TEGAL RSU ADELLA SLAWI 0168R00502170000479 2/11/2017 0:00 0001439669575
TEGAL RSU ADELLA SLAWI 0168R00502170000479 2/11/2017 0:00 0001439669575
TEGAL RSU ADELLA SLAWI 0168R00502170000479 2/11/2017 0:00 0001439669575
TEGAL RSU ADELLA SLAWI 0168R00502170000338 2/9/2017 0:00 0001125861772
TEGAL RSU ADELLA SLAWI 0168R00502170000338 2/9/2017 0:00 0001125861772
TEGAL RSU ADELLA SLAWI 0168R00502170000338 2/9/2017 0:00 0001125861772
TEGAL RSU ADELLA SLAWI 0168R00502170000338 2/9/2017 0:00 0001125861772
TEGAL RSU ADELLA SLAWI 0168R00501170001141 1/31/2017 0:00 0001791969208
TEGAL RSU ADELLA SLAWI 0168R00501170001141 1/31/2017 0:00 0001791969208
TEGAL RSU ADELLA SLAWI 0168R00501170001141 1/31/2017 0:00 0001791969208
TEGAL RSU ADELLA SLAWI 0168R00501170001141 1/31/2017 0:00 0001791969208
TEGAL RSU ADELLA SLAWI 0168R00501170001141 1/31/2017 0:00 0001791969208
TEGAL RSU ADELLA SLAWI 0168R00501170001141 1/31/2017 0:00 0001791969208
NMPST TglDtgSJP TglPlgSJP Kode_Diagnosa_Prosedur_Topup
R. SIMARMATA 13-Dec-16 15-Dec-16 A09
R. SIMARMATA 13-Dec-16 15-Dec-16 E11.8
R. SIMARMATA 13-Dec-16 15-Dec-16 90.59
MURTININGSIH 11-Feb-17 16-Feb-17 I11.9
MURTININGSIH 11-Feb-17 16-Feb-17 E11.8
MURTININGSIH 11-Feb-17 16-Feb-17 89.52
MURTININGSIH 11-Feb-17 16-Feb-17 90.59
MURTININGSIH 11-Feb-17 16-Feb-17 99.18
RAMLAH 9-Feb-17 11-Feb-17 A09
RAMLAH 9-Feb-17 11-Feb-17 E11.8
RAMLAH 9-Feb-17 11-Feb-17 90.59
RAMLAH 9-Feb-17 11-Feb-17 99.18
KORTINA SITIO 31-Jan-17 3-Feb-17 I10
KORTINA SITIO 31-Jan-17 3-Feb-17 E11.8
KORTINA SITIO 31-Jan-17 3-Feb-17 M15.9
KORTINA SITIO 31-Jan-17 3-Feb-17 R42
KORTINA SITIO 31-Jan-17 3-Feb-17 90.59
KORTINA SITIO 31-Jan-17 3-Feb-17 99.18
Diagnosa_Primer_Skunder_Prosedur_Topup KDINACBG
Diarrhoea and gastroenteritis of presumed infectious origin K-4-17-ii
Non-insulin-dependent diabetes mellitus with unspec comps K-4-17-ii
Microscopic examination of blood, Other microscopic examination K-4-17-ii
Hypertensive heart disease without (conges) heart failure I-4-17-ii
Non-insulin-dependent diabetes mellitus with unspec comps I-4-17-ii
Electrocardiogram I-4-17-ii
Microscopic examination of blood, Other microscopic examination I-4-17-ii
Injection or infusion of electrolytes I-4-17-ii
Diarrhoea and gastroenteritis of presumed infectious origin K-4-17-ii
Non-insulin-dependent diabetes mellitus with unspec comps K-4-17-ii
Microscopic examination of blood, Other microscopic examination K-4-17-ii
Injection or infusion of electrolytes K-4-17-ii
Essential (primary) hypertension I-4-17-ii
Non-insulin-dependent diabetes mellitus with unspec comps I-4-17-ii
Polyarthrosis, unspecified I-4-17-ii
Dizziness and giddiness I-4-17-ii
Microscopic examination of blood, Other microscopic examination I-4-17-ii
Injection or infusion of electrolytes I-4-17-ii
NmInaCBG
NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (SEDANG)
NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (SEDANG)
NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (SEDANG)
HIPERTENSI SEDANG
HIPERTENSI SEDANG
HIPERTENSI SEDANG
HIPERTENSI SEDANG
HIPERTENSI SEDANG
NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (SEDANG)
NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (SEDANG)
NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (SEDANG)
NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (SEDANG)
HIPERTENSI SEDANG
HIPERTENSI SEDANG
HIPERTENSI SEDANG
HIPERTENSI SEDANG
HIPERTENSI SEDANG
HIPERTENSI SEDANG
Los TarifCBG regruping KDINACBG2
3 1667400 A09 K-4-17-I
3 1667400 E11.9
3 1667400 90.59
6 2804700 I11.9 I-4-17-I
6 2804700 E11.9
6 2804700 89.52
6 2804700 90.59
6 2804700 99.18
3 2000900 A09 K-4-17-I
3 2000900 E11.9
3 2000900 90.59
3 2000900 99.18
4 2804700 I10 I-4-17-I
4 2804700 E11.9
4 2804700 M15.9
4 2804700 R42
4 2804700 90.59
4 2804700 99.18
DeskpINACBG2 trfCBG2
NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN) 1,112,000

HIPERTENSI (RINGAN) 2,409,100

NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN) 1,334,400

HIPERTENSI (RINGAN) 2,409,100

ket SELISIH
555,400

tidka ada keterangan dm komplikasi 395,600

666,500

395,600

TOTAL KELEBIHAN BAYAR 2,013,100