Archives of The Medicine and Case Reports
Vol. 4 No. 4 (2023): Archives of The Medicine and Case Reports

The Relationship between Insurance Participants' Knowledge of Pending Claims: A Study on Insurance Managed by PT. Multiniaga Intermedia Proteksi

Tantri Wilananda (Diploma of Medical Records Study Program, Faculty of Health Sciences, Universitas Esa Unggul, Jakarta, Indonesia)
Daniel Happy Putra (Lecturer, Diploma of Medical Records Study Program, Faculty of Health Sciences, Universitas Esa Unggul, Jakarta, Indonesia)
Puteri Fannya (Lecturer, Diploma of Medical Records Study Program, Faculty of Health Sciences, Universitas Esa Unggul, Jakarta, Indonesia)
Lily Widjaja (Lecturer, Diploma of Medical Records Study Program, Faculty of Health Sciences, Universitas Esa Unggul, Jakarta, Indonesia)



Article Info

Publish Date
11 Oct 2023

Abstract

The impact of pending claims can affect insurance service activities, becoming hampered and officers' workloads increasing because they have to revise pending claims that are sent. This study aimed to assess the relationship between insurance participants' knowledge of the occurrence of pending claims: a study on insurance managed by PT. Multiniaga Intermedia Proteksi. This study was an observational study of cross-sectional design. A total of 107 research subjects participated in this study. The results of this study show that the claim submission process at PT. Multiniaga Intermedia Proteksi had 107 claims submitted to insurance, and it was known that the results of paid claims submissions were 87 submissions (81.3%), and pending submissions were 20 submissions (18.7%). The results of participants' level of knowledge regarding submitting claims were obtained from 107 respondents. The average value of participants' knowledge was 89.15, with a median of 86.67. The highest value was 86.67. The lowest score obtained by respondents was 60, and the highest score was 100 as the results of knowledge testing on the results of claim status using the t-test, obtained with a probability value (Sig.) 0.196 > 0.1, indicating that knowledge has no significant effect on submitting claims.

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Journal Info

Abbrev

AMCR

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing Public Health

Description

Archives of The Medicine and Case Reports (AMCR) is a broad scope journal aims to publish the most exciting Case studies/reports in Clinical and Medical Sciences. AMCR aims to provide an excellent platform for Clinical Practitioners, medical/ health practitioners, students, professionals, ...