No.

Kode Tarif Nama Tarif Grup Tarif

1 TM00576 SECTIO CAESARIA TINDAKAN MEDIK BESAR 2 OBGYN

2 TM00673 DEBRIDEMENT OPEN FRACTURE TINDAKAN MEDIK BESAR 4
3 TM01476 MULTIPLE EKSTRAKSI GIGI (2-5) TINDAKAN MEDIK SEDANG 4

Nilai Klaim BPJS

TM00576 SECTIO CAESARIA
TM00673 DEBRIDEMENT OPEN FRACTURE
TM01476 MULTIPLE EKSTRAKSI GIGI (2-5)

Perhitungan

ODONTECTOMY Tarif RS
total klaim bpjs
dibagi menjadi jasa pelayanan 42.5%
Dokter
 MEDIS MEDIK
MEDIK
SARANA PELAYANAN SPESIALIS SPESIALIS SPESIALIS ASISTEN Total
ANASTESI ANAK

2,618,750 523,750 576,125 230,450 1,152,250 136,175 5,237,500

3,581,250 716,250 859,500 - 1,719,000 286,500 7,162,500
1,662,500 332,500 399,000 - 798,000 133,000 3,325,000

Tarif Dokter
1,000,000
1,000,000
800,000

% tarif
7,741,639
4,335,600
1,842,630
1,000,000