Implementation Model of Timeliness of BPJS Claims Based on Penomenology Study

The purpose of this study was to explore the factors delay in BPJS claims for inpatients at Yukum Medical Center Hospital. type research using qualitative a approach is expected produce basic model providing most appropriate recommendations solving problem timeliness submitting hospital. This subject accuracy claims. object casemix team. results analysis conclude that claim procedure already has an SPO/regulation regulates but not run according SPO/regulation. 2021 around 80%. delays as result lack quality team's human resources and inaccurate incomplete medical resumes. Factors causing from aspects Man, Method, Machine, Material, Money. Expected so recommendations/solutions are proposed again. accordance with implementation flow, been running well. RS claim. 80% late. there no evaluation competency team (man), late resumes (material), printers when increase number patients (mechine), budget HR training (money). Hospital have line expectations, needed.