Proceedings of the 2022 ‘AISYIYAH International Conference on Health and Medical Sciences (A-HMS 2022)

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Factors Causing Delay in Submitting BPJS Claim at Nur Hidayah Hospital

Authors
Jeni Eka Purwitasari1, *, Rawi Miharti1, Tria Harsiwi Nurul Insani1
1Health Information Management Study Program, STIKes AKBIDYO, Yogyakarta, Indonesia
*Corresponding author. Email: jeniekapurwitasari81202@gmail.com
Corresponding Author
Jeni Eka Purwitasari
Available Online 27 July 2023.
DOI
10.2991/978-94-6463-190-6_15How to use a DOI?
Keywords
claim; BPJS; delay
Abstract

BPJS is a legal entity established to administer the Social Security Program. One of the problems in implementing National Health Insurance is the delay in submitting a claim. Based on the preliminary study at Nur Hidayah Hospital, the delay in submitting the claim occurred every month. This paper aims to analyze the factors causing delay in submitting the BPJS claim. This paper is descriptive with a qualitative approach. The process of claim is nonetheless discovering incomplete files, it is the result of the PA that has not been collected, the negligence of the officer, and experiencing delay running from 3–6 days within the stipulated time. The factor of man occurred the negligence of the officer, the factor of machine occurred the server maintenance frequently such as software errors and the internet network is unstable, the factor of Method occurred the procedure related to BPJS claim has not been socialized, and the factor of material occurred the incomplete medical support such as PA, Laboratory, and X-ray results.

Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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Volume Title
Proceedings of the 2022 ‘AISYIYAH International Conference on Health and Medical Sciences (A-HMS 2022)
Series
Advances in Health Sciences Research
Publication Date
27 July 2023
ISBN
10.2991/978-94-6463-190-6_15
ISSN
2468-5739
DOI
10.2991/978-94-6463-190-6_15How to use a DOI?
Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

Cite this article

risenwbib
TY  - CONF
AU  - Jeni Eka Purwitasari
AU  - Rawi Miharti
AU  - Tria Harsiwi Nurul Insani
PY  - 2023
DA  - 2023/07/27
TI  - Factors Causing Delay in Submitting BPJS Claim at Nur Hidayah Hospital
BT  - Proceedings of the 2022 ‘AISYIYAH International Conference on Health and Medical Sciences (A-HMS 2022)
PB  - Atlantis Press
SP  - 113
EP  - 117
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-190-6_15
DO  - 10.2991/978-94-6463-190-6_15
ID  - Purwitasari2023
ER  -