ANALYSIS OF THE CAUSES OF PENDING BPJS HEALTH CLAIMS FOR INPATIENTS TO SUPPORT THE SUCCESS OF CLAIMS

Abstract

Study This focused on a study about factors main influencing factors delay processing BPJS Health claims for patients take care hospitalization at Bandung Kiwari Regional Hospital . In order to increase claims process efficiency , objectives main from study This is For know the reasons behind it delay BPJS Health claims for patient take care hospitalization at Bandung Kiwari Regional Hospital . Interview deep with Coordinator National Health Insurance (JKN) at Bandung Kiwari Regional Hospital , which is involved in part administration claim , made as part from technique study qualitative . A number of variables , including documents that are not complete , identified as reason main delay claim in findings study this , and error in the coding process . Constraints This in a way significant hinder smoothness of the claims process and result in delay in payment claim . Implications from study This covers the need repair in system administration claim as well as improvement coordination inter-unit service . With understand and overcome factors identified , RSUD Bandung Kiwari can increase level success BPJS Health claims for patient take care stay , which in the end will increase quality service health and level satisfaction patient in a way comprehensive , and give base for repair more system​ effective in the future .