Daftar Periksa
Daftar Periksa Petugas
Antrean klaim yang perlu diperiksa manusia. Sistem hanya menandai indikasi dan menyediakan bukti; keputusan tetap dilakukan oleh petugas BPJS.
Kasus Baru
155
Belum ditindaklanjuti
Dalam Pemeriksaan
2
Sedang ditinjau petugas
Butuh Klarifikasi
0
Menunggu respons faskes
Rujuk Audit
0
Diteruskan ke tim audit
Human-in-the-loop. Sistem tidak boleh dan tidak dapat menolak klaim secara otomatis. Tombol keputusan di bawah hanya mencatat tindakan petugas manusia, dan setiap keputusan tercatat pada audit log.
Menampilkan 157 dari 157 kasus
| Prioritas | Rumah Sakit | Claim ID | Layanan | Tanggal | Nilai | Pemicu | Skor | Status | Aksi |
|---|---|---|---|---|---|---|---|---|---|
| CRITICAL | RS Sehat SentosaPT-******4821 | CLM-2026-00123 | Fisioterapi | 05 Okt 2026 | Rp 15.0 jt | CAP-001PRICE-001IO-001 | 90 | DALAM PEMERIKSAAN | |
| CRITICAL | RS Sehat SentosaPT-******9052 | CLM-2026-00140 | Alat Bantu Dengar | 05 Okt 2026 | Rp 2.5 jt | DUP-002REPLACE-001PEER-001+1 | 90 | BARU | |
| HIGH | RSU Mitra UtamaPT-******5607 | CLM-2026-00120 | Hemodialisis | 03 Okt 2026 | Rp 900 rb | DUP-001PEER-001IO-001 | 70 | BARU | |
| HIGH | RSU Mitra UtamaPT-******5607 | CLM-2026-00121 | Hemodialisis | 03 Okt 2026 | Rp 900 rb | DUP-001PEER-001IO-001 | 70 | BARU | |
| HIGH | RS Sehat SentosaPT-******7710 | CLM-2026-00124 | Hemodialisis | 05 Okt 2026 | Rp 18.0 jt | CAP-002IO-001 | 70 | DALAM PEMERIKSAAN | |
| HIGH | RS Sehat SentosaPT-******3390 | CLM-2026-00130 | Hemodialisis | 03 Okt 2026 | Rp 450 rb | DUP-001PEER-001IO-001 | 70 | BARU | |
| HIGH | RS Sehat SentosaPT-******3390 | CLM-2026-00131 | Hemodialisis | 03 Okt 2026 | Rp 450 rb | DUP-001PEER-001IO-001 | 70 | BARU | |
| HIGH | RSUD Mandiri AbadiPT-******8669 | CLM-2026-00196 | Obat Kronis | 01 Okt 2026 | Rp 480 rb | PRICE-001PEER-001IO-001 | 60 | BARU | |
| HIGH | RSIA Cahaya HusadaPT-******8847 | CLM-2026-00241 | Hemodialisis | 05 Okt 2026 | Rp 900 rb | DUP-001IO-001 | 60 | BARU | |
| HIGH | RSIA Cahaya HusadaPT-******8847 | CLM-2026-00242 | Hemodialisis | 05 Okt 2026 | Rp 900 rb | DUP-001IO-001 | 60 | BARU | |
| HIGH | RSIA Pelita AsihPT-******3128 | CLM-2026-00278 | Alat Bantu Dengar | 04 Okt 2026 | Rp 6.4 jt | PRICE-001PEER-001IO-001 | 60 | BARU | |
| HIGH | RSUD Bintang BaktiPT-******8454 | CLM-2026-00363 | Fisioterapi | 04 Okt 2026 | Rp 450 rb | DUP-001IO-001 | 60 | BARU | |
| HIGH | RSUD Bintang BaktiPT-******8454 | CLM-2026-00364 | Fisioterapi | 04 Okt 2026 | Rp 450 rb | DUP-001IO-001 | 60 | BARU | |
| HIGH | RSIA Kartika MedikaPT-******4108 | CLM-2026-00450 | Fisioterapi | 01 Okt 2026 | Rp 450 rb | DUP-001IO-001 | 60 | BARU | |
| HIGH | RSIA Kartika MedikaPT-******4108 | CLM-2026-00451 | Fisioterapi | 01 Okt 2026 | Rp 450 rb | DUP-001IO-001 | 60 | BARU | |
| HIGH | RS Sehat SentosaPT-******4821 | CLM-2026-00125 | Fisioterapi | 04 Okt 2026 | Rp 1.2 jt | PRICE-001PEER-001IO-001 | 60 | BARU | |
| MEDIUM | RSIA Prima SentosaPT-******9073 | CLM-2026-00176 | Hemodialisis | 01 Okt 2026 | Rp 1.6 jt | PRICE-001IO-001 | 50 | BARU | |
| MEDIUM | RSUD Bintang BaktiPT-******3393 | CLM-2026-00360 | Hemodialisis | 01 Okt 2026 | Rp 2.3 jt | PRICE-001IO-001 | 50 | BARU | |
| MEDIUM | RS Nusantara KencanaPT-******6028 | CLM-2026-00430 | Fisioterapi | 02 Okt 2026 | Rp 550 rb | PRICE-001IO-001 | 50 | BARU | |
| MEDIUM | RSIA Kartika MedikaPT-******6018 | CLM-2026-00452 | Obat Kronis | 02 Okt 2026 | Rp 998 rb | PRICE-001IO-001 | 50 | BARU | |
| MEDIUM | RSUD Prima FarmaPT-******8823 | CLM-2026-00541 | Alat Bantu Dengar | 14 Sep 2026 | Rp 2.5 jt | DUP-002REPLACE-001 | 50 | BARU | |
| MEDIUM | RS Cendana SentosaPT-******1691 | CLM-2026-00543 | Alat Bantu Dengar | 14 Sep 2026 | Rp 2.5 jt | DUP-002REPLACE-001 | 50 | BARU | |
| MEDIUM | RSU Bina InsaniPT-******7227 | CLM-2026-00545 | Alat Bantu Dengar | 16 Sep 2026 | Rp 2.5 jt | DUP-002REPLACE-001 | 50 | BARU | |
| MEDIUM | RSIA Permata JayaPT-******5572 | CLM-2026-00547 | Alat Bantu Dengar | 29 Sep 2026 | Rp 2.5 jt | DUP-002REPLACE-001 | 50 | BARU | |
| MEDIUM | RS Karya UtamaPT-******5767 | CLM-2026-00549 | Alat Bantu Dengar | 26 Sep 2026 | Rp 2.5 jt | DUP-002REPLACE-001 | 50 | BARU | |
| MEDIUM | RSU Mitra UtamaPT-******2486 | CLM-2026-00551 | Alat Bantu Dengar | 28 Sep 2026 | Rp 2.5 jt | DUP-002REPLACE-001 | 50 | BARU | |
| MEDIUM | RSUD Sinar LestariPT-******7650 | CLM-2026-00021 | Alat Bantu Dengar | 10 Sep 2026 | Rp 7.5 jt | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSUD Sinar LestariPT-******7650 | CLM-2026-00022 | Alat Bantu Dengar | 10 Sep 2026 | Rp 7.5 jt | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSUD Sinar LestariPT-******2855 | CLM-2026-00028 | Fisioterapi | 21 Sep 2026 | Rp 300 rb | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSUD Sinar LestariPT-******2855 | CLM-2026-00029 | Fisioterapi | 21 Sep 2026 | Rp 300 rb | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSUD Sinar LestariPT-******2712 | CLM-2026-00036 | Fisioterapi | 01 Okt 2026 | Rp 600 rb | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSUD Sinar LestariPT-******2152 | CLM-2026-00037 | Alat Bantu Dengar | 02 Okt 2026 | Rp 5.0 jt | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSIA Prima SentosaPT-******9048 | CLM-2026-00177 | Obat Kronis | 03 Okt 2026 | Rp 700 rb | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSIA Prima SentosaPT-******8870 | CLM-2026-00179 | Alat Bantu Dengar | 05 Okt 2026 | Rp 2.5 jt | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSUD Mandiri AbadiPT-******4416 | CLM-2026-00198 | Alat Bantu Dengar | 04 Okt 2026 | Rp 2.5 jt | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSUD Sinar PratamaPT-******6456 | CLM-2026-00204 | Hemodialisis | 12 Sep 2026 | Rp 900 rb | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSUD Sinar PratamaPT-******6456 | CLM-2026-00205 | Hemodialisis | 12 Sep 2026 | Rp 900 rb | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSUD Sinar PratamaPT-******1471 | CLM-2026-00207 | Hemodialisis | 13 Sep 2026 | Rp 450 rb | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSUD Sinar PratamaPT-******1471 | CLM-2026-00208 | Hemodialisis | 13 Sep 2026 | Rp 450 rb | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSIA Cahaya HusadaPT-******4126 | CLM-2026-00240 | Alat Bantu Dengar | 05 Okt 2026 | Rp 5.0 jt | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSUD Tunas InsaniPT-******5674 | CLM-2026-00284 | Fisioterapi | 13 Sep 2026 | Rp 150 rb | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSUD Tunas InsaniPT-******5674 | CLM-2026-00285 | Fisioterapi | 13 Sep 2026 | Rp 150 rb | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSUD Tunas InsaniPT-******8530 | CLM-2026-00292 | Fisioterapi | 21 Sep 2026 | Rp 450 rb | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSUD Tunas InsaniPT-******8530 | CLM-2026-00293 | Fisioterapi | 21 Sep 2026 | Rp 450 rb | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSUD Tunas InsaniPT-******7013 | CLM-2026-00295 | Fisioterapi | 23 Sep 2026 | Rp 150 rb | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSUD Tunas InsaniPT-******7013 | CLM-2026-00296 | Fisioterapi | 23 Sep 2026 | Rp 150 rb | DUP-001PEER-001 | 40 | BARU | |
| MEDIUM | RSUD Tunas InsaniPT-******7859 | CLM-2026-00300 | Hemodialisis | 01 Okt 2026 | Rp 450 rb | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSU Bina InsaniPT-******1354 | CLM-2026-00327 | Hemodialisis | 02 Okt 2026 | Rp 1.8 jt | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSIA Mulia PratamaPT-******5882 | CLM-2026-00383 | Fisioterapi | 02 Okt 2026 | Rp 750 rb | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSIA Mulia PratamaPT-******2384 | CLM-2026-00384 | Alat Bantu Dengar | 03 Okt 2026 | Rp 2.5 jt | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSIA Samudra KencanaPT-******7686 | CLM-2026-00399 | Fisioterapi | 05 Okt 2026 | Rp 600 rb | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSU Karya MedikaPT-******3666 | CLM-2026-00471 | Obat Kronis | 02 Okt 2026 | Rp 1.1 jt | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSU Mandiri SejahteraPT-******3893 | CLM-2026-00529 | Fisioterapi | 29 Sep 2026 | Rp 6.6 jt | CAP-001 | 40 | BARU | |
| MEDIUM | RSUD Tunas InsaniPT-******5626 | CLM-2026-00533 | Fisioterapi | 22 Sep 2026 | Rp 6.9 jt | CAP-001 | 40 | BARU | |
| MEDIUM | RSIA Waluya SejahteraPT-******8480 | CLM-2026-00534 | Hemodialisis | 09 Sep 2026 | Rp 4.5 jt | CAP-002 | 40 | BARU | |
| MEDIUM | RSUD Tunas InsaniPT-******3930 | CLM-2026-00556 | Hemodialisis | 05 Okt 2026 | Rp 2.3 jt | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSUD Tunas InsaniPT-******2772 | CLM-2026-00564 | Hemodialisis | 04 Okt 2026 | Rp 2.3 jt | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSUD Tunas InsaniPT-******1123 | CLM-2026-00565 | Hemodialisis | 01 Okt 2026 | Rp 2.3 jt | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSIA Samudra KencanaPT-******4086 | CLM-2026-00573 | Fisioterapi | 02 Okt 2026 | Rp 1.2 jt | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSIA Mulia PratamaPT-******2511 | CLM-2026-00585 | Fisioterapi | 02 Okt 2026 | Rp 450 rb | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSIA Mulia PratamaPT-******2928 | CLM-2026-00591 | Fisioterapi | 03 Okt 2026 | Rp 750 rb | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSU Bina InsaniPT-******2203 | CLM-2026-00605 | Hemodialisis | 05 Okt 2026 | Rp 1.4 jt | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSU Bina InsaniPT-******8148 | CLM-2026-00606 | Hemodialisis | 05 Okt 2026 | Rp 1.8 jt | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RS Sehat SentosaPT-******1773 | CLM-2026-00622 | Alat Bantu Dengar | 04 Okt 2026 | Rp 150 rb | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RS Sehat SentosaPT-******9028 | CLM-2026-00623 | Fisioterapi | 03 Okt 2026 | Rp 150 rb | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RS Sehat SentosaPT-******8234 | CLM-2026-00625 | Alat Bantu Dengar | 01 Okt 2026 | Rp 300 rb | PEER-001IO-001 | 40 | BARU | |
| MEDIUM | RSIA Karya MedikaPT-******1482 | CLM-2026-00014 | Hemodialisis | 01 Okt 2026 | Rp 450 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Karya MedikaPT-******3521 | CLM-2026-00015 | Obat Kronis | 03 Okt 2026 | Rp 1.1 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSUD Sinar LestariPT-******1920 | CLM-2026-00019 | Alat Bantu Dengar | 09 Sep 2026 | Rp 7.0 jt | PRICE-001PEER-001 | 30 | BARU | |
| MEDIUM | RSUD Sinar LestariPT-******4847 | CLM-2026-00020 | Fisioterapi | 10 Sep 2026 | Rp 1.3 jt | PRICE-001PEER-001 | 30 | BARU | |
| MEDIUM | RSUD Sinar LestariPT-******5326 | CLM-2026-00039 | Hemodialisis | 04 Okt 2026 | Rp 900 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Mitra JayaPT-******1788 | CLM-2026-00051 | Fisioterapi | 03 Okt 2026 | Rp 600 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Mitra JayaPT-******6540 | CLM-2026-00052 | Hemodialisis | 04 Okt 2026 | Rp 450 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Mitra JayaPT-******5827 | CLM-2026-00053 | Fisioterapi | 05 Okt 2026 | Rp 750 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Waluya SentosaPT-******4120 | CLM-2026-00058 | Alat Bantu Dengar | 15 Sep 2026 | Rp 3.8 jt | PRICE-001PEER-001 | 30 | BARU | |
| MEDIUM | RSIA Waluya SentosaPT-******1706 | CLM-2026-00070 | Fisioterapi | 04 Okt 2026 | Rp 300 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Waluya SentosaPT-******5780 | CLM-2026-00071 | Fisioterapi | 05 Okt 2026 | Rp 600 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSU Wijaya InsaniPT-******4081 | CLM-2026-00087 | Alat Bantu Dengar | 01 Okt 2026 | Rp 5.0 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSU Wijaya InsaniPT-******3181 | CLM-2026-00088 | Alat Bantu Dengar | 04 Okt 2026 | Rp 2.5 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSU Wijaya InsaniPT-******3255 | CLM-2026-00089 | Obat Kronis | 05 Okt 2026 | Rp 1.1 jt | IO-001 | 30 | BARU | |
| MEDIUM | RS Karya UtamaPT-******6695 | CLM-2026-00096 | Hemodialisis | 18 Sep 2026 | Rp 450 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RS Karya UtamaPT-******6695 | CLM-2026-00097 | Hemodialisis | 18 Sep 2026 | Rp 450 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RS Karya UtamaPT-******2442 | CLM-2026-00101 | Hemodialisis | 22 Sep 2026 | Rp 900 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RS Karya UtamaPT-******2442 | CLM-2026-00102 | Hemodialisis | 22 Sep 2026 | Rp 900 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RS Karya UtamaPT-******7867 | CLM-2026-00107 | Alat Bantu Dengar | 02 Okt 2026 | Rp 2.5 jt | IO-001 | 30 | BARU | |
| MEDIUM | RS Karya UtamaPT-******6264 | CLM-2026-00108 | Fisioterapi | 03 Okt 2026 | Rp 600 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSU Mitra UtamaPT-******5621 | CLM-2026-00117 | Obat Kronis | 01 Okt 2026 | Rp 350 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSU Mitra UtamaPT-******7818 | CLM-2026-00118 | Fisioterapi | 02 Okt 2026 | Rp 150 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSU Mitra UtamaPT-******2571 | CLM-2026-00119 | Obat Kronis | 03 Okt 2026 | Rp 350 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Harapan SehatPT-******4211 | CLM-2026-00139 | Hemodialisis | 29 Sep 2026 | Rp 1.4 jt | DUP-001 | 30 | BARU | |
| MEDIUM | RSIA Harapan SehatPT-******4211 | CLM-2026-00141 | Hemodialisis | 29 Sep 2026 | Rp 1.4 jt | DUP-001 | 30 | BARU | |
| MEDIUM | RSIA Harapan SehatPT-******6838 | CLM-2026-00143 | Obat Kronis | 01 Okt 2026 | Rp 700 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Harapan SehatPT-******9635 | CLM-2026-00144 | Fisioterapi | 02 Okt 2026 | Rp 150 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Harapan SehatPT-******2105 | CLM-2026-00145 | Obat Kronis | 03 Okt 2026 | Rp 350 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Harapan SehatPT-******8589 | CLM-2026-00146 | Hemodialisis | 04 Okt 2026 | Rp 900 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSU Mandiri SejahteraPT-******1036 | CLM-2026-00147 | Obat Kronis | 07 Sep 2026 | Rp 575 rb | PRICE-001PEER-001 | 30 | BARU | |
| MEDIUM | RSU Mandiri SejahteraPT-******1584 | CLM-2026-00161 | Hemodialisis | 02 Okt 2026 | Rp 1.8 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSU Mandiri SejahteraPT-******9305 | CLM-2026-00162 | Hemodialisis | 04 Okt 2026 | Rp 1.8 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSUD Mandiri AbadiPT-******2444 | CLM-2026-00197 | Fisioterapi | 03 Okt 2026 | Rp 150 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSUD Mandiri AbadiPT-******1305 | CLM-2026-00199 | Fisioterapi | 05 Okt 2026 | Rp 300 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSUD Sinar PratamaPT-******5121 | CLM-2026-00216 | Fisioterapi | 22 Sep 2026 | Rp 300 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSUD Sinar PratamaPT-******5121 | CLM-2026-00217 | Fisioterapi | 22 Sep 2026 | Rp 300 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSUD Sinar PratamaPT-******8577 | CLM-2026-00219 | Obat Kronis | 04 Okt 2026 | Rp 350 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSUD Sinar PratamaPT-******7100 | CLM-2026-00220 | Fisioterapi | 05 Okt 2026 | Rp 450 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Cahaya HusadaPT-******4109 | CLM-2026-00226 | Alat Bantu Dengar | 16 Sep 2026 | Rp 8.5 jt | PRICE-001PEER-001 | 30 | BARU | |
| MEDIUM | RSIA Cahaya HusadaPT-******5432 | CLM-2026-00232 | Hemodialisis | 25 Sep 2026 | Rp 900 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSIA Cahaya HusadaPT-******5432 | CLM-2026-00233 | Hemodialisis | 25 Sep 2026 | Rp 900 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSIA Cahaya HusadaPT-******4964 | CLM-2026-00236 | Hemodialisis | 01 Okt 2026 | Rp 1.8 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Cahaya HusadaPT-******4175 | CLM-2026-00237 | Fisioterapi | 02 Okt 2026 | Rp 450 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Cahaya HusadaPT-******8665 | CLM-2026-00238 | Hemodialisis | 03 Okt 2026 | Rp 1.8 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Cahaya HusadaPT-******1933 | CLM-2026-00239 | Fisioterapi | 04 Okt 2026 | Rp 300 rb | IO-001 | 30 | BARU | |
| MEDIUM | RS Cendana SentosaPT-******9157 | CLM-2026-00248 | Hemodialisis | 16 Sep 2026 | Rp 1.4 jt | DUP-001 | 30 | BARU | |
| MEDIUM | RS Cendana SentosaPT-******9157 | CLM-2026-00249 | Hemodialisis | 16 Sep 2026 | Rp 1.4 jt | DUP-001 | 30 | BARU | |
| MEDIUM | RS Cendana SentosaPT-******1433 | CLM-2026-00258 | Fisioterapi | 01 Okt 2026 | Rp 600 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Pelita AsihPT-******2863 | CLM-2026-00270 | Fisioterapi | 17 Sep 2026 | Rp 150 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSIA Pelita AsihPT-******2863 | CLM-2026-00271 | Fisioterapi | 17 Sep 2026 | Rp 150 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSIA Pelita AsihPT-******4750 | CLM-2026-00277 | Obat Kronis | 03 Okt 2026 | Rp 700 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Pelita AsihPT-******8074 | CLM-2026-00279 | Fisioterapi | 05 Okt 2026 | Rp 600 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSU Samudra MedikaPT-******1254 | CLM-2026-00309 | Fisioterapi | 23 Sep 2026 | Rp 300 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSU Samudra MedikaPT-******1254 | CLM-2026-00310 | Fisioterapi | 23 Sep 2026 | Rp 300 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSU Samudra MedikaPT-******7482 | CLM-2026-00313 | Hemodialisis | 03 Okt 2026 | Rp 450 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSU Bina InsaniPT-******3735 | CLM-2026-00326 | Fisioterapi | 01 Okt 2026 | Rp 450 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSU Bina InsaniPT-******3682 | CLM-2026-00328 | Fisioterapi | 04 Okt 2026 | Rp 750 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSU Bina InsaniPT-******7706 | CLM-2026-00329 | Obat Kronis | 05 Okt 2026 | Rp 350 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSUD Prima KencanaPT-******3409 | CLM-2026-00345 | Alat Bantu Dengar | 01 Okt 2026 | Rp 2.5 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSUD Prima KencanaPT-******2064 | CLM-2026-00346 | Fisioterapi | 03 Okt 2026 | Rp 300 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSUD Prima KencanaPT-******6376 | CLM-2026-00347 | Fisioterapi | 04 Okt 2026 | Rp 600 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSUD Prima KencanaPT-******1935 | CLM-2026-00348 | Obat Kronis | 05 Okt 2026 | Rp 1.1 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSUD Bintang BaktiPT-******7342 | CLM-2026-00352 | Fisioterapi | 14 Sep 2026 | Rp 450 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSUD Bintang BaktiPT-******7342 | CLM-2026-00353 | Fisioterapi | 14 Sep 2026 | Rp 450 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSUD Bintang BaktiPT-******8571 | CLM-2026-00361 | Fisioterapi | 02 Okt 2026 | Rp 150 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSUD Bintang BaktiPT-******7088 | CLM-2026-00362 | Hemodialisis | 04 Okt 2026 | Rp 900 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Mulia PratamaPT-******9212 | CLM-2026-00371 | Fisioterapi | 13 Sep 2026 | Rp 894 rb | PRICE-001PEER-001 | 30 | BARU | |
| MEDIUM | RSIA Mulia PratamaPT-******7075 | CLM-2026-00379 | Fisioterapi | 26 Sep 2026 | Rp 1.2 jt | PRICE-001PEER-001 | 30 | BARU | |
| MEDIUM | RSIA Samudra KencanaPT-******3493 | CLM-2026-00398 | Hemodialisis | 03 Okt 2026 | Rp 1.8 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Waluya SejahteraPT-******2436 | CLM-2026-00409 | Fisioterapi | 24 Sep 2026 | Rp 450 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSIA Waluya SejahteraPT-******2436 | CLM-2026-00410 | Fisioterapi | 24 Sep 2026 | Rp 450 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSIA Waluya SejahteraPT-******1918 | CLM-2026-00416 | Fisioterapi | 05 Okt 2026 | Rp 900 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Kartika MedikaPT-******1215 | CLM-2026-00449 | Fisioterapi | 01 Okt 2026 | Rp 150 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Kartika MedikaPT-******9765 | CLM-2026-00453 | Fisioterapi | 03 Okt 2026 | Rp 600 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Kartika MedikaPT-******2218 | CLM-2026-00454 | Fisioterapi | 04 Okt 2026 | Rp 600 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Kartika MedikaPT-******7417 | CLM-2026-00455 | Obat Kronis | 05 Okt 2026 | Rp 700 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSU Karya MedikaPT-******1265 | CLM-2026-00470 | Hemodialisis | 01 Okt 2026 | Rp 1.8 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Nusantara BaktiPT-******1727 | CLM-2026-00484 | Fisioterapi | 01 Okt 2026 | Rp 300 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Nusantara BaktiPT-******2985 | CLM-2026-00485 | Alat Bantu Dengar | 02 Okt 2026 | Rp 2.5 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Nusantara BaktiPT-******2828 | CLM-2026-00486 | Hemodialisis | 03 Okt 2026 | Rp 450 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Permata JayaPT-******9701 | CLM-2026-00496 | Fisioterapi | 21 Sep 2026 | Rp 450 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSIA Permata JayaPT-******9701 | CLM-2026-00497 | Fisioterapi | 21 Sep 2026 | Rp 450 rb | DUP-001 | 30 | BARU | |
| MEDIUM | RSIA Permata JayaPT-******8498 | CLM-2026-00501 | Alat Bantu Dengar | 28 Sep 2026 | Rp 2.5 jt | DUP-001 | 30 | BARU | |
| MEDIUM | RSIA Permata JayaPT-******8498 | CLM-2026-00502 | Alat Bantu Dengar | 28 Sep 2026 | Rp 2.5 jt | DUP-001 | 30 | BARU | |
| MEDIUM | RSIA Permata JayaPT-******8614 | CLM-2026-00505 | Hemodialisis | 01 Okt 2026 | Rp 1.4 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Permata JayaPT-******8095 | CLM-2026-00506 | Obat Kronis | 05 Okt 2026 | Rp 700 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSUD Prima FarmaPT-******5133 | CLM-2026-00511 | Alat Bantu Dengar | 11 Sep 2026 | Rp 5.0 jt | DUP-001 | 30 | BARU | |
| MEDIUM | RSUD Prima FarmaPT-******5133 | CLM-2026-00512 | Alat Bantu Dengar | 11 Sep 2026 | Rp 5.0 jt | DUP-001 | 30 | BARU | |
| MEDIUM | RSUD Prima FarmaPT-******9641 | CLM-2026-00526 | Fisioterapi | 05 Okt 2026 | Rp 300 rb | IO-001 | 30 | BARU | |
| MEDIUM | RSIA Nusantara BaktiPT-******8071 | CLM-2026-00538 | Fisioterapi | 04 Okt 2026 | Rp 3.6 jt | IO-001 | 30 | BARU | |
| MEDIUM | RSUD Prima FarmaPT-******6685 | CLM-2026-00539 | Hemodialisis | 04 Okt 2026 | Rp 3.6 jt | IO-001 | 30 | BARU |