CASEMIX MANAGEMENT SYSTEM
Integrasi Data • Efisiensi Klaim • Optimalisasi Revenue
30
Admin CasemixCasemix Officer
Dashboard Casemix Rawat Inap
Dashboard langsung membaca tabel Case/Episode dan komponen Casemix terkait.
Total Pasien RI245Episode Rawat Inap
Total Biaya AktualRp 9.409.513.312Rata-rata Rp 38.406.177
Perkiraan KlaimRp 8.562.315.086Tarif hasil Grouper / INA-CBG
Selisih Klaim vs Biaya-Rp 847.198.226-9,0%
Potensi Defisit157 Pasien64,1% dari total
Potensi Surplus88 Pasien35,9% dari total
Episode Aktif49sedang berjalan
Episode Selesai196selesai dirawat
Berkas Belum Lengkap62perlu ditindaklanjuti
Coding Approved107siap grouping/klaim
Klaim Pending30perlu review
Tren Biaya Aktual vs Estimasi Casemix vs Perkiraan Klaim
Distribusi Surplus vs Defisit
245Pasien
Surplus88 (35,9%)
Defisit157 (64,1%)
Top 10 Diagnosis dengan Defisit
Daftar Pasien Rawat Inap
Sumber: tabel cases + patients + diagnosis + grouping + biaya + klaim
| No. | No. Rawat | No. RM | Nama | Umur | Ruang | DPJP yang Merawat | Diagnosis Utama | INA-CBG | LOS | Biaya Aktual | Estimasi Casemix | Perkiraan Klaim | Selisih | Margin | Status Klaim |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2026/RI/000362 | 00045917 | Wulan Kurniawan | 26 th | Tulip 1 | dr. Sari Utami, Sp.JP | K35.8 Apendisitis akut | K-1-13-I | 15 hari | Rp 71.005.668 | Rp 0 | Rp 3.631.000 | -Rp 67.374.668 | -94,9% | dibayar |
| 2 | 2026/RI/000332 | 00045887 | Fitri Kurniawan | 57 th | Tulip 1 | dr. Sari Utami, Sp.JP | S72.9 Fraktur femur | I-3-17-I | 11 hari | Rp 58.669.011 | Rp 0 | Rp 0 | -Rp 58.669.011 | -100,0% | dibayar |
| 3 | 2026/RI/000302 | 00045857 | Wulan Kurniawan | 46 th | Tulip 1 | dr. Sari Utami, Sp.JP | K35.8 Apendisitis akut | I-7-03-I | 9 hari | Rp 10.018.677 | Rp 0 | Rp 8.725.240 | -Rp 1.293.437 | -12,9% | verifikasi |
| 4 | 2026/RI/000272 | 00045827 | Fitri Kurniawan | 37 th | Tulip 1 | dr. Sari Utami, Sp.JP | S72.9 Fraktur femur | I-8-17-II | 6 hari | Rp 51.237.644 | Rp 0 | Rp 38.086.370 | -Rp 13.151.274 | -25,7% | verifikasi |
| 5 | 2026/RI/000242 | 00045797 | Wulan Kurniawan | 26 th | Tulip 1 | dr. Sari Utami, Sp.JP | K35.8 Apendisitis akut | I-7-03-I | 5 hari | Rp 20.638.964 | Rp 0 | Rp 16.839.360 | -Rp 3.799.604 | -18,4% | terkirim |
| 6 | 2026/RI/000212 | 00045767 | Fitri Kurniawan | 57 th | Tulip 1 | dr. Sari Utami, Sp.JP | S72.9 Fraktur femur | S-4-99-III | 11 hari | Rp 7.698.868 | Rp 0 | Rp 0 | -Rp 7.698.868 | -100,0% | siap_kirim |
| 7 | 2026/RI/000182 | 00045737 | Wulan Kurniawan | 46 th | Tulip 1 | dr. Sari Utami, Sp.JP | K35.8 Apendisitis akut | K-1-13-I | 15 hari | Rp 49.403.007 | Rp 0 | Rp 3.631.000 | -Rp 45.772.007 | -92,7% | draft |
| 8 | 2026/RI/000152 | 00045707 | Fitri Kurniawan | 37 th | Tulip 1 | dr. Sari Utami, Sp.JP | S72.9 Fraktur femur | N-4-10-I | 5 hari | Rp 58.595.176 | Rp 0 | Rp 4.005.900 | -Rp 54.589.276 | -93,2% | pending |
| 9 | 2026/RI/000361 | 00045916 | Bayu Handayani | 27 th | Kenanga 3 | dr. Dimas Haryanto, Sp.P | Z37.0 Post SC | O-6-13-I | 13 hari | Rp 40.500.017 | Rp 0 | Rp 43.745.586 | Rp 3.245.569 | 8,0% | pending |
| 10 | 2026/RI/000331 | 00045886 | Agus Handayani | 58 th | Kenanga 3 | dr. Dimas Haryanto, Sp.P | E11.9 Diabetes mellitus tipe 2 | A-3-99-I | 16 hari | Rp 28.821.093 | Rp 0 | Rp 0 | -Rp 28.821.093 | -100,0% | terkirim |
| 11 | 2026/RI/000301 | 00045856 | Bayu Handayani | 47 th | Kenanga 3 | dr. Dimas Haryanto, Sp.P | Z37.0 Post SC | A-4-05-III | 9 hari | Rp 10.887.096 | Rp 0 | Rp 0 | -Rp 10.887.096 | -100,0% | dibayar |
| 12 | 2026/RI/000271 | 00045826 | Agus Handayani | 38 th | Kenanga 3 | dr. Dimas Haryanto, Sp.P | E11.9 Diabetes mellitus tipe 2 | E-4-10-I | 14 hari | Rp 22.800.272 | Rp 0 | Rp 25.858.757 | Rp 3.058.485 | 13,4% | dispute |
| 13 | 2026/RI/000241 | 00045796 | Bayu Handayani | 27 th | Kenanga 3 | dr. Dimas Haryanto, Sp.P | Z37.0 Post SC | O-6-13-I | 2 hari | Rp 56.404.340 | Rp 0 | Rp 46.748.528 | -Rp 9.655.812 | -17,1% | dibayar |
| 14 | 2026/RI/000211 | 00045766 | Agus Handayani | 58 th | Kenanga 3 | dr. Dimas Haryanto, Sp.P | E11.9 Diabetes mellitus tipe 2 | I-4-17-III | 9 hari | Rp 17.320.258 | Rp 0 | Rp 2.663.700 | -Rp 14.656.558 | -84,6% | dibayar |
| 15 | 2026/RI/000181 | 00045736 | Bayu Handayani | 47 th | Kenanga 3 | dr. Dimas Haryanto, Sp.P | Z37.0 Post SC | I-4-15-III | 13 hari | Rp 57.579.668 | Rp 7.000.000 | Rp 7.543.800 | -Rp 50.035.868 | -86,9% | terkirim |
| 16 | 2026/RI/000151 | 00045706 | Agus Handayani | 38 th | Kenanga 3 | dr. Dimas Haryanto, Sp.P | E11.9 Diabetes mellitus tipe 2 | N-4-10-III | 2 hari | Rp 30.753.096 | Rp 0 | Rp 5.458.500 | -Rp 25.294.596 | -82,3% | verifikasi |
| 17 | 2026/RI/000360 | 00045915 | Nina Hartono | 28 th | Kenanga 2 | dr. Rina Wulandari, Sp.OG | C50.9 Ca mammae | N-4-01-III | 2 hari | Rp 11.244.091 | Rp 0 | Rp 0 | -Rp 11.244.091 | -100,0% | dispute |
| 18 | 2026/RI/000330 | 00045885 | Laila Hartono | 59 th | Kenanga 2 | dr. Rina Wulandari, Sp.OG | N39.0 Infeksi saluran kemih | N-5-14-I | 15 hari | Rp 25.423.855 | Rp 0 | Rp 19.783.884 | -Rp 5.639.971 | -22,2% | terkirim |
| 19 | 2026/RI/000300 | 00045855 | Nina Hartono | 48 th | Kenanga 2 | dr. Rina Wulandari, Sp.OG | C50.9 Ca mammae | I-9-19-III | 8 hari | Rp 35.320.597 | Rp 0 | Rp 39.803.897 | Rp 4.483.300 | 12,7% | dispute |
| 20 | 2026/RI/000270 | 00045825 | Laila Hartono | 39 th | Kenanga 2 | dr. Rina Wulandari, Sp.OG | N39.0 Infeksi saluran kemih | N-5-14-I | 8 hari | Rp 70.247.358 | Rp 0 | Rp 65.032.752 | -Rp 5.214.606 | -7,4% | terkirim |
| 21 | 2026/RI/000240 | 00045795 | Nina Hartono | 28 th | Kenanga 2 | dr. Rina Wulandari, Sp.OG | C50.9 Ca mammae | I-9-19-III | 8 hari | Rp 30.892.894 | Rp 0 | Rp 28.481.815 | -Rp 2.411.079 | -7,8% | dibayar |
| 22 | 2026/RI/000210 | 00045765 | Laila Hartono | 59 th | Kenanga 2 | dr. Rina Wulandari, Sp.OG | N39.0 Infeksi saluran kemih | N-5-14-I | 13 hari | Rp 20.134.343 | Rp 0 | Rp 23.575.610 | Rp 3.441.267 | 17,1% | terkirim |
| 23 | 2026/RI/000180 | 00045735 | Nina Hartono | 48 th | Kenanga 2 | dr. Rina Wulandari, Sp.OG | C50.9 Ca mammae | I-9-19-III | 13 hari | Rp 36.301.114 | Rp 0 | Rp 38.736.102 | Rp 2.434.988 | 6,7% | pending |
| 24 | 2026/RI/000150 | 00045705 | Laila Hartono | 39 th | Kenanga 2 | dr. Rina Wulandari, Sp.OG | N39.0 Infeksi saluran kemih | N-5-14-I | 12 hari | Rp 34.919.711 | Rp 0 | Rp 31.581.491 | -Rp 3.338.220 | -9,6% | terkirim |
| 25 | 2026/RI/000359 | 00045914 | Fajar Aisyah | 29 th | Kenanga 1 | dr. Bima Prakoso, Sp.B | A41.9 Sepsis | A-4-14-III | 16 hari | Rp 10.824.485 | Rp 0 | Rp 8.088.975 | -Rp 2.735.510 | -25,3% | dibayar |
| 26 | 2026/RI/000329 | 00045884 | Rudi Aisyah | 60 th | Kenanga 1 | dr. Bima Prakoso, Sp.B | I63.9 Stroke | I-6-05-II | 2 hari | Rp 16.924.937 | Rp 0 | Rp 18.988.855 | Rp 2.063.918 | 12,2% | verifikasi |
| 27 | 2026/RI/000299 | 00045854 | Fajar Aisyah | 49 th | Kenanga 1 | dr. Bima Prakoso, Sp.B | A41.9 Sepsis | A-4-14-III | 3 hari | Rp 22.808.451 | Rp 0 | Rp 25.288.060 | Rp 2.479.609 | 10,9% | pending |
| 28 | 2026/RI/000269 | 00045824 | Rudi Aisyah | 40 th | Kenanga 1 | dr. Bima Prakoso, Sp.B | I63.9 Stroke | I-6-05-II | 14 hari | Rp 45.031.395 | Rp 0 | Rp 51.629.676 | Rp 6.598.281 | 14,7% | verifikasi |
| 29 | 2026/RI/000239 | 00045794 | Fajar Aisyah | 30 th | Kenanga 1 | dr. Bima Prakoso, Sp.B | A41.9 Sepsis | A-4-14-III | 16 hari | Rp 29.479.236 | Rp 0 | Rp 33.138.208 | Rp 3.658.972 | 12,4% | dibayar |
| 30 | 2026/RI/000209 | 00045764 | Rudi Aisyah | 60 th | Kenanga 1 | dr. Bima Prakoso, Sp.B | I63.9 Stroke | I-6-05-II | 4 hari | Rp 20.573.591 | Rp 0 | Rp 16.598.679 | -Rp 3.974.912 | -19,3% | verifikasi |
| 31 | 2026/RI/000179 | 00045734 | Fajar Aisyah | 50 th | Kenanga 1 | dr. Bima Prakoso, Sp.B | A41.9 Sepsis | A-4-14-III | 3 hari | Rp 15.301.890 | Rp 0 | Rp 16.569.861 | Rp 1.267.971 | 8,3% | draft |
| 32 | 2026/RI/000149 | 00045704 | Rudi Aisyah | 40 th | Kenanga 1 | dr. Bima Prakoso, Sp.B | I63.9 Stroke | I-6-05-II | 11 hari | Rp 24.825.356 | Rp 0 | Rp 25.055.281 | Rp 229.925 | 0,9% | dibayar |
| 33 | 2026/RI/000358 | 00045913 | Yuni Fauzi | 31 th | Melati 3 | dr. Maya Kartika, Sp.A | J44.9 PPOK | I-6-12-II | -3 hari | Rp 56.369.414 | Rp 0 | Rp 41.936.510 | -Rp 14.432.904 | -25,6% | draft |
| 34 | 2026/RI/000328 | 00045883 | Dewi Fauzi | 61 th | Melati 3 | dr. Maya Kartika, Sp.A | I50.9 Gagal jantung | I-5-21-II | -3 hari | Rp 11.002.380 | Rp 0 | Rp 11.043.767 | Rp 41.387 | 0,4% | verifikasi |
| 35 | 2026/RI/000298 | 00045853 | Yuni Fauzi | 51 th | Melati 3 | dr. Maya Kartika, Sp.A | J44.9 PPOK | I-6-12-II | -3 hari | Rp 28.103.723 | Rp 0 | Rp 27.294.681 | -Rp 809.042 | -2,9% | dibayar |
| 36 | 2026/RI/000268 | 00045823 | Dewi Fauzi | 41 th | Melati 3 | dr. Maya Kartika, Sp.A | I50.9 Gagal jantung | I-5-21-II | -3 hari | Rp 49.281.234 | Rp 0 | Rp 54.851.323 | Rp 5.570.089 | 11,3% | dibayar |
| 37 | 2026/RI/000238 | 00045793 | Yuni Fauzi | 31 th | Melati 3 | dr. Maya Kartika, Sp.A | J44.9 PPOK | I-6-12-II | -3 hari | Rp 34.716.851 | Rp 0 | Rp 28.525.363 | -Rp 6.191.488 | -17,8% | dibayar |
| 38 | 2026/RI/000208 | 00045763 | Dewi Fauzi | 61 th | Melati 3 | dr. Maya Kartika, Sp.A | I50.9 Gagal jantung | I-5-21-II | -3 hari | Rp 31.771.058 | Rp 0 | Rp 33.662.735 | Rp 1.891.677 | 6,0% | dibayar |
| 39 | 2026/RI/000178 | 00045733 | Yuni Fauzi | 51 th | Melati 3 | dr. Maya Kartika, Sp.A | J44.9 PPOK | I-6-12-II | -3 hari | Rp 18.363.341 | Rp 0 | Rp 17.389.754 | -Rp 973.587 | -5,3% | dibayar |
| 40 | 2026/RI/000148 | 00045703 | Dewi Fauzi | 41 th | Melati 3 | dr. Maya Kartika, Sp.A | I50.9 Gagal jantung | I-5-21-II | -3 hari | Rp 15.348.777 | Rp 0 | Rp 17.360.969 | Rp 2.012.192 | 13,1% | dibayar |
| 41 | 2026/RI/000357 | 00045912 | Hendra Kurniawan | 32 th | Melati 2 | dr. Arif Setiawan, Sp.PD | K74.6 Sirosis hepar | I-5-17-III | 3 hari | Rp 20.456.461 | Rp 0 | Rp 23.872.159 | Rp 3.415.698 | 16,7% | draft |
| 42 | 2026/RI/000327 | 00045882 | Joko Kurniawan | 62 th | Melati 2 | dr. Arif Setiawan, Sp.PD | J18.9 Pneumonia, unspecified | J-4-10-I | 3 hari | Rp 7.407.186 | Rp 0 | Rp 6.973.871 | -Rp 433.315 | -5,8% | verifikasi |
| 43 | 2026/RI/000297 | 00045852 | Hendra Kurniawan | 52 th | Melati 2 | dr. Arif Setiawan, Sp.PD | K74.6 Sirosis hepar | I-5-17-III | 16 hari | Rp 46.131.906 | Rp 0 | Rp 43.483.030 | -Rp 2.648.876 | -5,7% | dibayar |
| 44 | 2026/RI/000267 | 00045822 | Joko Kurniawan | 42 th | Melati 2 | dr. Arif Setiawan, Sp.PD | J18.9 Pneumonia, unspecified | J-4-10-I | 15 hari | Rp 30.718.626 | Rp 0 | Rp 28.089.344 | -Rp 2.629.282 | -8,6% | terkirim |
| 45 | 2026/RI/000237 | 00045792 | Hendra Kurniawan | 32 th | Melati 2 | dr. Arif Setiawan, Sp.PD | K74.6 Sirosis hepar | I-5-17-III | 9 hari | Rp 44.578.858 | Rp 0 | Rp 45.956.672 | Rp 1.377.814 | 3,1% | pending |
| 46 | 2026/RI/000207 | 00045762 | Joko Kurniawan | 62 th | Melati 2 | dr. Arif Setiawan, Sp.PD | J18.9 Pneumonia, unspecified | J-4-10-I | 4 hari | Rp 8.999.414 | Rp 0 | Rp 9.547.573 | Rp 548.159 | 6,1% | terkirim |
| 47 | 2026/RI/000177 | 00045732 | Hendra Kurniawan | 52 th | Melati 2 | dr. Arif Setiawan, Sp.PD | K74.6 Sirosis hepar | I-5-17-III | 9 hari | Rp 40.606.622 | Rp 0 | Rp 45.830.004 | Rp 5.223.382 | 12,9% | reject |
| 48 | 2026/RI/000147 | 00045702 | Joko Kurniawan | 42 th | Melati 2 | dr. Arif Setiawan, Sp.PD | J18.9 Pneumonia, unspecified | J-4-10-I | 4 hari | Rp 47.429.040 | Rp 0 | Rp 42.568.264 | -Rp 4.860.776 | -10,2% | siap_kirim |
| 49 | 2026/RI/000356 | 00045911 | Maya Handayani | 33 th | Melati 1 | dr. Sari Utami, Sp.JP | S72.9 Fraktur femur | I-8-17-II | 2 hari | Rp 40.940.980 | Rp 0 | Rp 33.740.090 | -Rp 7.200.890 | -17,6% | reject |
| 50 | 2026/RI/000326 | 00045881 | Nur Handayani | 62 th | Melati 1 | dr. Sari Utami, Sp.JP | K35.8 Apendisitis akut | I-7-03-I | 16 hari | Rp 21.434.748 | Rp 0 | Rp 16.171.026 | -Rp 5.263.722 | -24,6% | verifikasi |
| 51 | 2026/RI/000296 | 00045851 | Maya Handayani | 53 th | Melati 1 | dr. Sari Utami, Sp.JP | S72.9 Fraktur femur | I-8-17-II | 4 hari | Rp 28.247.952 | Rp 0 | Rp 21.905.868 | -Rp 6.342.084 | -22,5% | dibayar |
| 52 | 2026/RI/000266 | 00045821 | Nur Handayani | 42 th | Melati 1 | dr. Sari Utami, Sp.JP | K35.8 Apendisitis akut | I-7-03-I | 7 hari | Rp 69.357.733 | Rp 0 | Rp 74.281.759 | Rp 4.924.026 | 7,1% | terkirim |
| 53 | 2026/RI/000236 | 00045791 | Maya Handayani | 33 th | Melati 1 | dr. Sari Utami, Sp.JP | S72.9 Fraktur femur | I-8-17-II | 14 hari | Rp 16.747.283 | Rp 0 | Rp 16.004.245 | -Rp 743.038 | -4,4% | siap_kirim |
| 54 | 2026/RI/000206 | 00045761 | Nur Handayani | 62 th | Melati 1 | dr. Sari Utami, Sp.JP | K35.8 Apendisitis akut | I-7-03-I | 6 hari | Rp 16.453.580 | Rp 0 | Rp 16.251.928 | -Rp 201.652 | -1,2% | dibayar |
| 55 | 2026/RI/000176 | 00045731 | Maya Handayani | 53 th | Melati 1 | dr. Sari Utami, Sp.JP | S72.9 Fraktur femur | I-8-17-II | 16 hari | Rp 30.429.959 | Rp 0 | Rp 29.917.084 | -Rp 512.875 | -1,7% | reject |
| 56 | 2026/RI/000146 | 00045701 | Nur Handayani | 42 th | Melati 1 | dr. Sari Utami, Sp.JP | K35.8 Apendisitis akut | I-7-03-I | 10 hari | Rp 31.018.380 | Rp 0 | Rp 22.664.119 | -Rp 8.354.261 | -26,9% | pending |
| 57 | 2026/RI/000355 | 00045910 | Dedi Hartono | 34 th | Mawar 3 | dr. Dimas Haryanto, Sp.P | E11.9 Diabetes mellitus tipe 2 | E-4-10-I | 15 hari | Rp 23.545.708 | Rp 0 | Rp 21.645.334 | -Rp 1.900.374 | -8,1% | draft |
| 58 | 2026/RI/000325 | 00045880 | Budi Hartono | 63 th | Mawar 3 | dr. Dimas Haryanto, Sp.P | Z37.0 Post SC | O-6-13-I | 3 hari | Rp 65.856.815 | Rp 0 | Rp 59.570.436 | -Rp 6.286.379 | -9,5% | reject |
| 59 | 2026/RI/000295 | 00045850 | Dedi Hartono | 54 th | Mawar 3 | dr. Dimas Haryanto, Sp.P | E11.9 Diabetes mellitus tipe 2 | E-4-10-I | 8 hari | Rp 46.387.574 | Rp 0 | Rp 46.295.119 | -Rp 92.455 | -0,2% | pending |
| 60 | 2026/RI/000265 | 00045820 | Budi Hartono | 43 th | Mawar 3 | dr. Dimas Haryanto, Sp.P | Z37.0 Post SC | O-6-13-I | 4 hari | Rp 58.931.642 | Rp 0 | Rp 56.772.682 | -Rp 2.158.960 | -3,7% | verifikasi |
| 61 | 2026/RI/000235 | 00045790 | Dedi Hartono | 34 th | Mawar 3 | dr. Dimas Haryanto, Sp.P | E11.9 Diabetes mellitus tipe 2 | E-4-10-I | 11 hari | Rp 44.967.685 | Rp 0 | Rp 49.714.418 | Rp 4.746.733 | 10,6% | pending |
| 62 | 2026/RI/000205 | 00045760 | Budi Hartono | 63 th | Mawar 3 | dr. Dimas Haryanto, Sp.P | Z37.0 Post SC | O-6-13-I | 4 hari | Rp 70.907.747 | Rp 0 | Rp 81.144.102 | Rp 10.236.355 | 14,4% | terkirim |
| 63 | 2026/RI/000175 | 00045730 | Dedi Hartono | 54 th | Mawar 3 | dr. Dimas Haryanto, Sp.P | E11.9 Diabetes mellitus tipe 2 | E-4-10-I | 4 hari | Rp 63.788.330 | Rp 0 | Rp 69.708.142 | Rp 5.919.812 | 9,3% | terkirim |
| 64 | 2026/RI/000145 | 00045700 | Budi Hartono | 43 th | Mawar 3 | dr. Dimas Haryanto, Sp.P | Z37.0 Post SC | O-6-13-I | 10 hari | Rp 45.387.726 | Rp 0 | Rp 38.619.878 | -Rp 6.767.848 | -14,9% | siap_kirim |
| 65 | 2026/RI/000354 | 00045909 | Rina Aisyah | 35 th | Mawar 2 | dr. Rina Wulandari, Sp.OG | N39.0 Infeksi saluran kemih | N-5-14-I | 5 hari | Rp 69.725.193 | Rp 0 | Rp 52.949.686 | -Rp 16.775.507 | -24,1% | terkirim |
| 66 | 2026/RI/000324 | 00045879 | Siti Aisyah | 64 th | Mawar 2 | dr. Rina Wulandari, Sp.OG | C50.9 Ca mammae | I-9-19-III | 11 hari | Rp 39.363.477 | Rp 0 | Rp 44.341.203 | Rp 4.977.726 | 12,6% | siap_kirim |
| 67 | 2026/RI/000294 | 00045849 | Rina Aisyah | 55 th | Mawar 2 | dr. Rina Wulandari, Sp.OG | N39.0 Infeksi saluran kemih | N-5-14-I | 10 hari | Rp 41.211.286 | Rp 0 | Rp 46.622.158 | Rp 5.410.872 | 13,1% | verifikasi |
| 68 | 2026/RI/000264 | 00045819 | Siti Aisyah | 44 th | Mawar 2 | dr. Rina Wulandari, Sp.OG | C50.9 Ca mammae | I-9-19-III | 3 hari | Rp 34.277.090 | Rp 0 | Rp 34.198.665 | -Rp 78.425 | -0,2% | terkirim |
| 69 | 2026/RI/000234 | 00045789 | Rina Aisyah | 35 th | Mawar 2 | dr. Rina Wulandari, Sp.OG | N39.0 Infeksi saluran kemih | N-5-14-I | 4 hari | Rp 19.915.825 | Rp 0 | Rp 22.303.440 | Rp 2.387.615 | 12,0% | draft |
| 70 | 2026/RI/000204 | 00045759 | Siti Aisyah | 64 th | Mawar 2 | dr. Rina Wulandari, Sp.OG | C50.9 Ca mammae | I-9-19-III | 5 hari | Rp 57.812.140 | Rp 0 | Rp 50.578.726 | -Rp 7.233.414 | -12,5% | dispute |
| 71 | 2026/RI/000174 | 00045729 | Rina Aisyah | 55 th | Mawar 2 | dr. Rina Wulandari, Sp.OG | N39.0 Infeksi saluran kemih | N-5-14-I | 5 hari | Rp 27.995.651 | Rp 0 | Rp 24.222.009 | -Rp 3.773.642 | -13,5% | dispute |
| 72 | 2026/RI/000144 | 00045699 | Siti Aisyah | 44 th | Mawar 2 | dr. Rina Wulandari, Sp.OG | C50.9 Ca mammae | I-9-19-III | 14 hari | Rp 58.732.033 | Rp 0 | Rp 43.458.989 | -Rp 15.273.044 | -26,0% | pending |
| 73 | 2026/RI/000353 | 00045908 | Andi Fauzi | 36 th | Mawar 1 | dr. Bima Prakoso, Sp.B | I63.9 Stroke | I-6-05-II | -1 hari | Rp 51.153.715 | Rp 0 | Rp 48.816.503 | -Rp 2.337.212 | -4,6% | terkirim |
| 74 | 2026/RI/000323 | 00045878 | Ahmad Fauzi | 65 th | Mawar 1 | dr. Bima Prakoso, Sp.B | A41.9 Sepsis | A-4-14-III | -1 hari | Rp 45.191.228 | Rp 0 | Rp 44.112.605 | -Rp 1.078.623 | -2,4% | terkirim |
| 75 | 2026/RI/000293 | 00045848 | Andi Fauzi | 56 th | Mawar 1 | dr. Bima Prakoso, Sp.B | I63.9 Stroke | I-6-05-II | -1 hari | Rp 19.012.706 | Rp 0 | Rp 18.723.455 | -Rp 289.251 | -1,5% | draft |
| 76 | 2026/RI/000263 | 00045818 | Ahmad Fauzi | 46 th | Mawar 1 | dr. Bima Prakoso, Sp.B | A41.9 Sepsis | A-4-14-III | -1 hari | Rp 44.913.610 | Rp 0 | Rp 35.766.635 | -Rp 9.146.975 | -20,4% | siap_kirim |
| 77 | 2026/RI/000233 | 00045788 | Andi Fauzi | 36 th | Mawar 1 | dr. Bima Prakoso, Sp.B | I63.9 Stroke | I-6-05-II | -1 hari | Rp 30.857.233 | Rp 0 | Rp 28.430.439 | -Rp 2.426.794 | -7,9% | terkirim |
| 78 | 2026/RI/000203 | 00045758 | Ahmad Fauzi | 65 th | Mawar 1 | dr. Bima Prakoso, Sp.B | A41.9 Sepsis | A-4-14-III | -1 hari | Rp 55.399.553 | Rp 0 | Rp 55.260.113 | -Rp 139.440 | -0,3% | siap_kirim |
| 79 | 2026/RI/000173 | 00045728 | Andi Fauzi | 56 th | Mawar 1 | dr. Bima Prakoso, Sp.B | I63.9 Stroke | I-6-05-II | -1 hari | Rp 28.736.088 | Rp 0 | Rp 25.231.077 | -Rp 3.505.011 | -12,2% | verifikasi |
| 80 | 2026/RI/000143 | 00045698 | Ahmad Fauzi | 45 th | Mawar 1 | dr. Bima Prakoso, Sp.B | A41.9 Sepsis | A-4-14-III | -1 hari | Rp 40.913.084 | Rp 0 | Rp 38.555.200 | -Rp 2.357.884 | -5,8% | draft |
| 81 | 2026/RI/000352 | 00045907 | Fitri Kurniawan | 37 th | Tulip 1 | dr. Maya Kartika, Sp.A | I50.9 Gagal jantung | I-5-21-II | 3 hari | Rp 67.742.049 | Rp 0 | Rp 52.991.736 | -Rp 14.750.313 | -21,8% | pending |
| 82 | 2026/RI/000322 | 00045877 | Wulan Kurniawan | 27 th | Tulip 1 | dr. Maya Kartika, Sp.A | J44.9 PPOK | I-6-12-II | 12 hari | Rp 37.576.947 | Rp 0 | Rp 30.632.478 | -Rp 6.944.469 | -18,5% | dibayar |
| 83 | 2026/RI/000292 | 00045847 | Fitri Kurniawan | 57 th | Tulip 1 | dr. Maya Kartika, Sp.A | I50.9 Gagal jantung | I-5-21-II | 9 hari | Rp 55.777.854 | Rp 0 | Rp 63.402.406 | Rp 7.624.552 | 13,7% | verifikasi |
| 84 | 2026/RI/000262 | 00045817 | Wulan Kurniawan | 47 th | Tulip 1 | dr. Maya Kartika, Sp.A | J44.9 PPOK | I-6-12-II | 9 hari | Rp 33.721.114 | Rp 0 | Rp 29.366.545 | -Rp 4.354.569 | -12,9% | siap_kirim |
| 85 | 2026/RI/000232 | 00045787 | Fitri Kurniawan | 37 th | Tulip 1 | dr. Maya Kartika, Sp.A | I50.9 Gagal jantung | I-5-21-II | 16 hari | Rp 27.946.893 | Rp 0 | Rp 23.207.360 | -Rp 4.739.533 | -17,0% | draft |
| 86 | 2026/RI/000202 | 00045757 | Wulan Kurniawan | 27 th | Tulip 1 | dr. Maya Kartika, Sp.A | J44.9 PPOK | I-6-12-II | 16 hari | Rp 17.835.442 | Rp 0 | Rp 15.334.093 | -Rp 2.501.349 | -14,0% | verifikasi |
| 87 | 2026/RI/000172 | 00045727 | Fitri Kurniawan | 57 th | Tulip 1 | dr. Maya Kartika, Sp.A | I50.9 Gagal jantung | I-5-21-II | 8 hari | Rp 7.662.603 | Rp 0 | Rp 8.920.658 | Rp 1.258.055 | 16,4% | dibayar |
| 88 | 2026/RI/000142 | 00045697 | Wulan Kurniawan | 47 th | Tulip 1 | dr. Maya Kartika, Sp.A | J44.9 PPOK | I-6-12-II | 4 hari | Rp 48.014.141 | Rp 0 | Rp 45.351.808 | -Rp 2.662.333 | -5,5% | draft |
| 89 | 2026/RI/000351 | 00045906 | Agus Handayani | 38 th | Kenanga 3 | dr. Arif Setiawan, Sp.PD | J18.9 Pneumonia, unspecified | J-4-10-I | 16 hari | Rp 28.699.660 | Rp 0 | Rp 29.564.685 | Rp 865.025 | 3,0% | verifikasi |
| 90 | 2026/RI/000321 | 00045876 | Bayu Handayani | 28 th | Kenanga 3 | dr. Arif Setiawan, Sp.PD | K74.6 Sirosis hepar | I-5-17-III | 3 hari | Rp 20.232.989 | Rp 0 | Rp 21.909.331 | Rp 1.676.342 | 8,3% | dibayar |
| 91 | 2026/RI/000291 | 00045846 | Agus Handayani | 58 th | Kenanga 3 | dr. Arif Setiawan, Sp.PD | J18.9 Pneumonia, unspecified | J-4-10-I | 5 hari | Rp 26.150.549 | Rp 0 | Rp 25.794.111 | -Rp 356.438 | -1,4% | dibayar |
| 92 | 2026/RI/000261 | 00045816 | Bayu Handayani | 48 th | Kenanga 3 | dr. Arif Setiawan, Sp.PD | K74.6 Sirosis hepar | I-5-17-III | 11 hari | Rp 41.537.890 | Rp 0 | Rp 37.386.306 | -Rp 4.151.584 | -10,0% | dispute |
| 93 | 2026/RI/000231 | 00045786 | Agus Handayani | 38 th | Kenanga 3 | dr. Arif Setiawan, Sp.PD | J18.9 Pneumonia, unspecified | J-4-10-I | 16 hari | Rp 18.715.198 | Rp 0 | Rp 20.258.146 | Rp 1.542.948 | 8,2% | terkirim |
| 94 | 2026/RI/000201 | 00045756 | Bayu Handayani | 28 th | Kenanga 3 | dr. Arif Setiawan, Sp.PD | K74.6 Sirosis hepar | I-5-17-III | 11 hari | Rp 38.518.459 | Rp 0 | Rp 39.769.057 | Rp 1.250.598 | 3,2% | dibayar |
| 95 | 2026/RI/000171 | 00045726 | Agus Handayani | 58 th | Kenanga 3 | dr. Arif Setiawan, Sp.PD | J18.9 Pneumonia, unspecified | J-4-10-I | 3 hari | Rp 64.563.813 | Rp 0 | Rp 57.720.229 | -Rp 6.843.584 | -10,6% | siap_kirim |
| 96 | 2026/RI/000141 | 00045696 | Bayu Handayani | 48 th | Kenanga 3 | dr. Arif Setiawan, Sp.PD | K74.6 Sirosis hepar | I-5-17-III | 8 hari | Rp 57.890.590 | Rp 0 | Rp 45.772.523 | -Rp 12.118.067 | -20,9% | terkirim |
| 97 | 2026/RI/000350 | 00045905 | Laila Hartono | 38 th | Kenanga 2 | dr. Sari Utami, Sp.JP | K35.8 Apendisitis akut | I-7-03-I | 3 hari | Rp 39.023.674 | Rp 0 | Rp 37.242.769 | -Rp 1.780.905 | -4,6% | pending |
| 98 | 2026/RI/000320 | 00045875 | Nina Hartono | 29 th | Kenanga 2 | dr. Sari Utami, Sp.JP | S72.9 Fraktur femur | I-8-17-II | 8 hari | Rp 31.109.735 | Rp 0 | Rp 23.911.805 | -Rp 7.197.930 | -23,1% | terkirim |
| 99 | 2026/RI/000290 | 00045845 | Laila Hartono | 58 th | Kenanga 2 | dr. Sari Utami, Sp.JP | K35.8 Apendisitis akut | I-7-03-I | 8 hari | Rp 17.780.884 | Rp 0 | Rp 14.585.720 | -Rp 3.195.164 | -18,0% | siap_kirim |
| 100 | 2026/RI/000260 | 00045815 | Nina Hartono | 49 th | Kenanga 2 | dr. Sari Utami, Sp.JP | S72.9 Fraktur femur | I-8-17-II | 7 hari | Rp 14.038.792 | Rp 0 | Rp 13.278.479 | -Rp 760.313 | -5,4% | verifikasi |
Menampilkan 100 data teratas dari 245 episodeEstimasi Casemix mengikuti nilai terakhir dari form Pembiayaan; perkiraan klaim mengikuti tarif hasil Grouper/INA-CBG.
Analisis Pembiayaan
Rata-rata Biaya Aktual / PasienRp 38.406.177
Rata-rata Perkiraan Klaim / PasienRp 34.948.225
Rata-rata Selisih / Pasien-Rp 3.457.952
Persentase Surplus35,9%
Persentase Defisit64,1%
Top 5 Diagnosis Defisit
| No. | Diagnosis | Rata-rata Defisit | Pasien |
|---|---|---|---|
| 1 | S72.9 · Fraktur femur | -Rp 8.951.792 | 20 |
| 2 | K35.8 · Apendisitis akut | -Rp 8.763.825 | 20 |
| 3 | A41.9 · Sepsis | -Rp 6.554.332 | 20 |
| 4 | Z37.0 · Post SC | -Rp 6.443.851 | 20 |
| 5 | E11.9 · Diabetes mellitus tipe 2 | -Rp 4.128.853 | 21 |
Ringkasan
- 157 pasien berada pada potensi defisit.
- Diagnosis dengan total defisit tertinggi: S72.9 · Fraktur femur.
- Masih ada 62 episode dengan berkas belum lengkap.
- 30 klaim berstatus pending dan perlu tindak lanjut.
- Perkiraan klaim diambil dari tarif hasil Grouper/INA-CBG pada tabel groupings.