Jurnal Relevansi : Ekonomi, Manajemen dan Bisnis
Vol 10 No 5 (2026): October

Operational Analysis of BPJS Claim Duration: Coding Accuracy, Medical Record, Claim Document

Intan Sekarlangit (Universitas Sangga Buana YPKP)
Kosasih (Universitas Sangga Buana YPKP)
Farida Yuliaty (Universitas Sangga Buana YPKP)
Taufan Nugroho (Universitas Sangga Buana YPKP)
Vip Paramarta (Universitas Sangga Buana YPKP)



Article Info

Publish Date
21 Oct 2026

Abstract

The pending Health Social Security Administering Body (Badan Penyelenggara Jaminan Sosial/BPJS) claims remain a challenge affecting hospital operational continuity. This study aimed to determine and analyze the partial associations of Diagnosis Coding Accuracy, Medical Record Completeness, and Claim Document Completeness with BPJS claim duration, as well as their joint contribution to model fit. A quantitative approach with descriptive and verificative methods was applied using secondary data from 365 inpatient claim files from October-December 2025, selected through proportionate stratified random sampling. Data were analyzed using ordinal logistic regression, with hypotheses tested using the Wald test for partial associations and Model Fitting Information for joint model fit. Descriptive analysis showed that Diagnosis Coding Accuracy was appropriate in 91.2% of files, Medical Record Completeness in 90.1%, Claim Document Completeness in 97.5%, and BPJS claim duration was categorized as fast in 90.7% of files. Diagnosis Coding Accuracy was the only independent variable that showed a statistically significant partial association with BPJS claim duration, whereas Medical Record Completeness and Claim Document Completeness did not show statistically significant partial associations. Jointly, the three predictors provided a significantly better-fitting model than the intercept-only model.

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Journal Info

Abbrev

relevansi

Publisher

Subject

Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Social Sciences

Description

Jurnal Relevansi: Jurnal Ekonomi, Manajemen, dan Bisnis  is a peer-reviewed journal. Ekombis invites academics and researchers who do original research in the fields of economics, management, and accounting, including but not limited to: Economics      Monetary Economics, Finance, and Banking ...