ANALISA KLAIM DIGICLAIM

CAPTIVE & NON CAPTIVE

DATA BERDASARKAN TANGGAL KLAIM PERIODE 1 JANUARI 2019 S.D 17 JUNI 2021
PENARIKAN DATA PER TANGGAL 18 JUNI 2021

TOTAL KLAIM
Top 20 RS Provider Berdasarkan Jml Klaim Dibayarkan Tertinggi
Nama Perusahaan RS Provider Diajukan Dibayar Ditolak Jml Klaim
RSIA Puri Bunda 1,301,432,299 925,536,129 375,896,170 777
RS Surya Husadha Serangan 981,472,450 615,933,607 365,538,843 499
RSU Kasih Ibu Denpasar 931,493,518 576,674,718 354,818,800 490
RSU Bali Royal 564,410,128 464,764,495 99,645,633 357
Laboratorium Klinik Nikki Medika Denpasar 392,040,635 388,800,535 3,240,100 304
RSU Prima Medika 602,022,378 360,741,267 241,281,111 360
RS BaliMed 398,518,275 282,877,085 115,641,190 199
RS Siloam Bali 291,702,492 259,502,582 32,199,910 162
Laboratorium Klinik Prodia Cabang Denpasar 244,465,391 224,807,300 19,658,091 244
Laboratorium Klinik Quantum 225,275,781 218,442,146 6,833,635 225
RSU Kertha Usada 155,923,656 146,317,067 9,606,589 203
RSU Surya Husadha Ubung 168,571,928 129,033,723 39,538,205 178
RSU Kasih Ibu Saba Gianyar 136,416,930 107,006,110 29,410,820 71
RSU Kasih Ibu Tabanan 112,389,145 92,426,170 19,962,975 158
Klinik Utama Kasih Ibu Dalung 63,622,457 61,609,377 2,013,080 139
RS Bali Jimbaran 157,881,597 57,157,700 100,723,897 27
RS Famili Husada 57,373,271 45,018,283 12,354,988 61
RSU Parama Sidhi Singaraja 49,748,490 44,349,640 5,398,850 24
RS Ari Canti 41,820,122 37,647,247 4,172,875 35
RSU Puri Raharja 39,717,665 37,643,143 2,074,522 68
Klinik Merdeka Medical Center 31,823,009 27,397,884 4,425,125 123
RSU Manuaba 27,025,910 24,244,953 2,780,957 50
RSU Dharma Yadnya 23,915,283 23,720,592 194,691 16
RSU Surya Husadha Nusa Dua 22,744,224 22,572,602 171,622 31
RSUP Sanglah Denpasar 29,419,500 22,008,945 7,410,555 15
RSU Premagana 22,132,442 19,363,442 2,769,000 43
RSU Ganesha 14,163,511 14,022,971 140,540 8
RSU Kasih Ibu Kedonganan 14,639,153 13,456,670 1,182,483 38
RS Bintang Klungkung 13,190,196 13,125,194 65,002 6
RSU Balimed Negara 10,269,181 10,269,181 - 5
RS BaliMed Karangasem 10,060,688 9,988,060 72,628 16
Optic Seis Level 21 9,570,000 9,000,000 570,000 8
Klinik Sudirman Medical Center - Denpasar 8,546,490 8,159,290 387,200 46
Apotek & Klinik Kimia Farma 34 Denpasar 8,037,615 7,606,781 430,834 72
RSIA Harapan Bunda - Denpasar 6,372,152 4,846,506 1,525,646 5
Klinik SOS Gatotkaca 3,590,802 3,364,802 226,000 8
Apotek & Klinik Kimia Farma KF 82 NusaDua 4,046,600 2,887,540 1,159,060 8
Klinik Prima Medika denpasar 2,714,130 2,714,130 - 11
Klinik Utama Dharma Sidhi 7,880,596 2,466,116 5,414,480 4
RS Bhakti Rahayu Denpasar 2,857,172 2,347,172 510,000 5
Klinik Utama Bunga Emas 2,510,200 2,068,935 441,265 4
RS Khusus Bedah BIMC Siloam Nusa Dua Bali 2,993,498 1,905,430 1,088,068 4
Optic Internasional Bali 2 1,500,000 1,500,000 - 2
Optic Seis Mal Bali Galleria 1,500,000 1,500,000 - 1
Klinik Penta Medika 1,258,991 1,235,791 23,200 8
RSU Karya Dharma Husada 795,945 746,945 49,000 5
RSUD Kabupaten Badung Mangusada 737,000 737,000 - 3
RS Dharma Kerti 722,704 613,163 109,541 3
RSU Permata Hati Klungkung 564,556 564,556 - 2
Klinik Remedium Care Clinic 515,920 515,920 - 3
Klinik Ubud 308,000 308,000 - 2
RSU Bunda Bali 173,656 173,656 - 1
RSIA Pucuk Permata Hati 183,700 165,330 18,370 1
Apotek & Klinik Kimia Farma KF 126 81,146 81,146 - 1
Klinik BaliMed Canggu 342,656 - 342,656 1
Grand Total 7,203,485,234 5,331,967,027 1,871,518,207 5,140

Nb : Nilai klaim diatas termasuk semua status klaim

No Tanggal Konfirmasi Nama Provider Wilayah Sosialisasi Virtual Card
24 Juni 2021 RS Pertamina Jakarta V