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September 16, 2025Enrichment Journal of Multidisciplinary Research and Development

Analysis Of The Causes Of Pending Bpjs Health Claims At Melania Bogor Hospital

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Authors

SRSari RiastiningsihAAAndriyani AndriyaniSSSuherman Suherman

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Overview

This analysis uncovers key factors affecting BPJS claims processing, pointing to documentation issues and team capacity.

Key Points

  • Pending BPJS claims disrupt hospital cash flow and strain administrative resources, leading to delayed services.
  • Limited capacity of the claims team, with only one trained member, greatly contributes to the backlog of claims.
  • Inaccurate medical documentation and the lack of a robust hospital information system hinder timely claim approvals.
  • Improving training for staff and enhancing documentation practices is essential for effective claims processing.

Cite This Study

Riastiningsih et al. (2025) studied this question.

synapsesocial.com/papers/68d42710713b0b5dfea6d175https://doi.org/10.55324/enrichment.v3i6.448
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