KLAIM PELAYANAN PASIEN COVID-19

RSUD BUDHI ASIH

TAHUN 2020

Nama Rumah Sakit Rujukan Klaim Klaim Diajukan UM Diterima Hasil Verifikasi BPJS Pelunasan
No
(Pusat/Pemda) Pasien Tanggal Nilai Tanggal Nilai No. BA Tanggal Jmlh Pasien Layak Nilai Layak Jmlh Pasien Dispute Nilai Dispute Tanggal Nilai
1 RSUD BUDHI ASIH 4 15 Mei 2020 Rp 179,764,200 - Rp - - - 0 Rp - 4 Rp 179,764,200 - Rp -
2 RSUD BUDHI ASIH 80 15 Juni 2020 Rp 4,927,020,000 22 June 2020 Rp 2,160,000,000 4559/BA/IV-03/0620 6/19/2020 28 Rp 1,711,640,000 52 Rp 3,215,380,000 - Rp (448,360,000)
3 RSUD BUDHI ASIH 83 03 July 2020 Rp 4,934,780,000 09 July 2020 Rp 1,875,640,000 5253/BA/IV-03/0720 7/10/2020 58 Rp 3,450,620,000 25 Rp 1,484,160,000 15 July 2020 Rp 1,126,620,000
4 RSUD BUDHI ASIH 95 30 July 2020 Rp 7,200,445,500 06 August 2020 Rp 2,552,000,000 5980/BA/IV-03/0820 8/7/2020 62 Rp 4,638,068,400 33 Rp 2,562,377,100 13 August 2020 Rp 2,086,068,400
5 RSUD BUDHI ASIH 71 13 August 2020 Rp 4,201,660,000 - Rp - 6425/BA/IV-03/0820 8/25/2020 41 Rp 2,414,230,000 30 Rp 1,787,430,000 26 August 2020 Rp 2,414,230,000
6 RSUD BUDHI ASIH 63 27 August 2020 Rp 4,297,057,100 31 August 2020 Rp 1,798,000,000 6802/BA/IV-03/0920 9/3/2020 56 Rp 3,702,057,100 6 Rp 595,000,000 07 September 2020 Rp 1,904,057,100
7 RSUD BUDHI ASIH 95 16 September 2020 Rp 10,207,750,000 18 September 2020 Rp 5,103,875,000 7425/BA/IV-03/0920 9/23/2020 87 Rp 8,975,740,000 8 Rp 1,232,010,000 25 September 2020 Rp 3,871,865,000
8 RSUD BUDHI ASIH 8 01 October 2020 Rp 862,010,000 02 October 2020 Rp 431,005,000 7993/BA/IV-03/1020 10/6/2020 8 Rp 862,010,000 0 Rp - 12 October 2020 Rp 431,005,000
9 RSUD BUDHI ASIH 87 14 October 2020 Rp 8,551,261,000 21 October 2020 Rp 4,275,630,500 8654/BA/IV-03/1020 10/21/2020 72 Rp 7,070,751,000 15 Rp 1,480,510,000 23 October 2020 Rp 2,795,120,500
10 RSUD BUDHI ASIH 6 26 October 2020 Rp 417,010,000 - Rp - 9149/BA/IV-03/1120 11/4/2020 6 Rp 417,010,000 0 Rp - 06 November 2020 Rp 417,010,000
11 RSUD BUDHI ASIH 2 - Rp 228,000,000 - Rp - - 11/12/2020 2 Rp 228,000,000 0 Rp - 23 November 2020 Rp 228,000,000
12 RSUD BUDHI ASIH 112 23 November 2020 Rp 8,779,675,000 - Rp - 10095/BA/IV-03/1120 11/30/2020 51 Rp 3,719,640,000 61 Rp 5,060,035,000 04 December 2020 Rp 3,719,640,000
13 RSUD BUDHI ASIH 3 08 December 2020 Rp 387,500,000 - Rp - 10620/BA/IV-03/1220 12/14/2020 3 Rp 387,500,000 0 - 17 December 2020 Rp 387,500,000
14 RSUD BUDHI ASIH 41 30 December 2020 Rp 3,258,742,000 - Rp - 145/BA/IV-03/0121 1/7/2021 33 Rp 2,396,015,000 8 Rp 862,727,000 - Rp -

Rp 58,432,674,800 Rp 18,196,150,500 507 Rp 39,973,281,500 242 Rp 18,459,393,300 Rp 19,381,116,000