Jurnal Health Sains
Vol. 2 No. 7 (2021): Jurnal Health Sains

Analisis Prosedur Klaim Asuransi Jaminan Kesehatan Nasional Pasien Rawat Inap RSUD Lembang

Hafni Zahara (Politeknik Piksi Ganesha Bandung Jawa Barat, Indonesia)
Dian Amalia Rahmi (Politeknik Piksi Ganesha Bandung Jawa Barat, Indonesia)
Ai Susi Susanti (Politeknik Piksi Ganesha Bandung Jawa Barat, Indonesia)



Article Info

Publish Date
24 Jul 2021

Abstract

Implementation of the National Health Insurance Claim Procedure at the Lembang Hospital in the Implementation of the National Health Insurance Claim Procedure is guided by the cooperation agreement between Lembang Hospital and the Cimahi branch of BPJS. Based on the results of interviews, officers still found obstacles including incomplete medical support data, administrative requirements that were still lacking, such as patients who did not carry ID cards, family cards, resulting in incomplete filling of patient identity files, inactive BPJS cards, and loss of letters. Referral causes the claim procedure to be hampered. The purpose of this study was to determine the Procedure for Claiming National Health Insurance for Inpatients at Lembang Hospital. The method used is using the interview and observation methods. The type of research used in this study uses a descriptive method with a qualitative approach. Assembling, coding and data entry officers for INA CBGs act as subjects, while the object of this research is the JKN Claim Procedure for inpatients at Lembang Hospital. the process of collecting data using interviews and observation. The data processing technique used in this research is colleting, editing, and presenting data.

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Journal Info

Abbrev

jhs

Publisher

Subject

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

Description

Jurnal Health Sains adalah jurnal yang diterbitkan sebulan sekali oleh Ridwan Institute. Jurnal Health Sains akan menerbitkan artikel ilmiah dalam lingkup ilmu kesehatan. Artikel yang diterbitkan adalah artikel dari penelitian, studi atau studi ilmiah kritis dan komprehensif tentang isu-isu penting ...