The Journal of Society Medicine (JSOCMED)
Vol. 1 No. 1 (2022): October

E-Claim System For Health Insurance And Social Security (BPJS) Types In Indonesia: Innovation And Effectiveness Of Services

Hadi Saputra, Wachyoe (Unknown)
Prima, Agus (Unknown)



Article Info

Publish Date
07 Oct 2022

Abstract

There are four situations in the use of Hospital Information Technology applications or better known as SIMRS in Indonesian hospitals, first, the hospital has not had SIMRS yet, second, the hospital already has SIMRS but it has not been integrated, third, the hospital has an integrated SIMRS based on non-web service but has not bridged with E-claim application, and fourth, the hospital already has SIMRS based on Web Services and bridged with INA-CBG's E-Claim Application. The purpose of this study was to discuss the effectiveness of the National Health Insurance ( JKN ) Inpatient Claim using an integrated SIMRS web-based (Bridging System) with the INA-CBG'S E-Claim application Version 5.2 at Indonesia. Electronic Claims (E-Claims) or the INA-CBG's application is one of the patient data entry tools used to group rates based on data derived from medical resumes. The INA-CBG's E-Claim application has been installed in hospitals that serve JKN participants.

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Journal Info

Abbrev

go

Publisher

Subject

Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

Description

The Journal of Society Medicine (JSOCMED) | ISSN (e): 2964-5565 is a leading voice in the Indonesia and internationally for medicine and healthcare. Published continuously, JSOCMED features scholarly comment and clinical research. JSOCMED is editorially independent from and its The Editor-in-Chief ...