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Klaim Dispute Berkas Pasien Rawat Inap Covid-19 Dirumah Sakit Hermina Depok, Nur Fadilah Dewi, Ayu Puspita Nurdaliani

Jurnal Administrasi Bisnis Terapan

The process of submitting a claim for a COVID-19 patient file that has been sent is verified by BPJS Kesehatan to ensure the suitability of the diagnosis and procedure on the bill with the ICD-10 and ICD-9 CM codes. Lack of files or data on claim submissions found after the verification process may occur. This is due to differences in diagnosis or dispute. This study aims to determine the proportion of suitability of COVID-19 inpatient claim files. The quantitative descriptive research methodology uses secondary data from reports on the results of the verification of claim files for COVID-19 inpatients for …