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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 RiastiningsihUniversitas Muhammadiyah JakartaAAAndriyani AndriyaniUniversitas Muhammadiyah ParepareSSSuherman SuhermanUniversitas Syiah Kuala

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Implication

Analysis identifies issues in claims processing due to document completeness and operational procedures.

Key Points

  • Pending claims disrupt hospital cash flow and increase administrative workload, delaying service provision.
  • Key factors include limited training for the Casemix team and inaccuracies in medical documentation.
  • Absence of a comprehensive hospital information system further exacerbates claim processing delays.
  • The research highlights the need for better training and improved documentation practices.

Cite This Study

Riastiningsih et al. (2025) studied this question.

synapsesocial.com/papers/68d4565b31b076d99fa5b147https://doi.org/10.55324/enrichment.v3i6.448
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Factors Causing Delays in BPJS Health Inpatient Claims at Dr. Harjono S Regional General Hospital in Ponorogo Regency2025 · 3 citations
  2. 2Scoping Review: Factors Causing Claim Pending in Indonesian Hospitals2025 · 2 citations
  3. 3Factors contributing to delayed health insurance outpatient claims and administrative optimization strategies2025
  4. 4Factors Causing Pending Claims on Health BPJS Patients with Fishbone Diagrams at Al–Hikmah Clinic Sukorejo Ponorogo Districrt2025
  5. 5Analysis Of Accuracy In Determining Diagnosis Coding And Completeness Of Claim Files For Pending Claims Bpjs Kesehatan Inpatient Services Uobk Simpang Lima Gumul Rsud Kediri District2024