Digital Verification Claim System (Vedika) BPJS Kesehatan Sidoarjo Regional Public Hospital in 2019

Abstract

VEDIKA is a system developed by BPJS Kesehatan to reduce the claim of pending, accelerate the process of verifying claims, and reduce the operational burden of BPJS Kesehatan. This is as a follow-up to the emergence of hospital complaints regarding the implementation of INA CBG'S claim payment, The complaint has an impact on hospital satisfaction rate against BPJS Kesehatan decline. This studyto puspose described the VEDIKA BPJS Kesehatan at Sidoarjo Regional Public Hospital in 2019. MethodeThis descriptive research was conducted by researcher Sidoarjo Regional Public Hospital. The unit analysis in this research is the installation of the Sidoarjo regional public hospital. All collected data and analytical techniques were presented in descriptive or narrative form and using univariate analysis. Result: The results showed that the submission of claims at the Sidoarjo Regional Public Hospital was adjusted to the VEDIKA system, the number of hospital staff supported the implementation of the VEDIKA system so that the implementation of the VEDIKA system at Sidoarjo Regional Public Hospital could be carried out properly. Conclusion: Sidoarjo Regional Public Hospital has adjusted to the VEDIKA BPJS Health system, but the implementation of the VEDIKA system is still not optimal in minimizing file returns, the use of the Vclaim application which often experiences server downs and maintenance class rights that do not appear in the system output