Introduction: Hospital Management Information Systems (HMIS) support integrated clinical documentation, hospital operations, and health insurance claim processing. However, effective implementation depends not only on technological infrastructure but also on human factors, including user competence, discipline, collaboration, and acceptance. This study explored human factors associated with HMIS implementation and Social Security Agency of Health Insurance claim processing at Dr. H. L.M. Baharuddin M.Kes Regional General Hospital, Muna Regency, Indonesia. Method: This study uses a qualitative approach based on the philosophy of postpositivism with reference to the HOT-Fit model. Data source sampling was carried out purposively and by snowball sampling. Data collection techniques used triangulation; data analysis was inductive. Informants in this study were 4 informants consisting of 1 key informant and 3 regular informants. Data processing was carried out using the NVivo V15 application. Result: The findings identified several human-related factors affecting HMIS implementation, including user competence, training needs, work experience, knowledge, problem-solving capacity, discipline, collaboration, commitment, and system acceptance. Among these factors, discipline in completing electronic medical records emerged as a prominent barrier to timely social security agency claim processing. Conclusion: Human factors play an important role in effective HMIS implementation and social security agency claim processing. Strengthening user competence, documentation discipline, continuous training, supervision, and organizational support may improve HMIS utilization and facilitate more timely and complete claim processing.
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