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Patient Claim Financing at RSUP Dr. Kariadi Semarang During the Covid-19 Pandemic

Unnes Journal of Public Health · Vol. 11 No. 2 (2022) · hlm. 160–172

DOI
10.15294/ujph.v11i2.51664
ISSN
2548-7604, 2252-6781
Terbit
2022-07-25
Penerbit
Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))
Bahasa
eng

Abstrak

Findings on the health status and condition of patients who came to Dr. Kariadi were classified into two categories comorbid and co-incident. For patient claims to be funded, an assembling process and case-mix coding are carried out for the submission process based on the results of checking the status and health conditions of comorbid and co-incident patients. This study explores the procedure for the process of financing the patient's claim at Dr. RSUP. Kariadi Semarang during the covid-19 pandemic. The research was conducted in a phenomenological descriptive qualitative manner with the data sources coming from primary informants. Sampling technique with the selection according to the criteria then conducted an interview. Flow analysis model and interactive analysis model were used to analyze the data. For Covid-19 patients with comorbidities, previously a claim was made for Covid-19 cases, and if the Covid-19 case was completed but the comorbidities persisted, the guarantor switched from the Ministry of Health to BPJS Health. The procedure for the process of financing a patient's claim at Dr. RSUP. Kariadi Semarang during the COVID-19 pandemic there were two guarantors from the Ministry of Health and BPJS Health.

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  • Institut Agama Islam Negeri Kendari
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Rekan penulisOrganisasiArtikel bersama
Rizqi Basuki PutriAfiliasi tidak diketahui3
Via AyusasmitaAfiliasi tidak diketahui2
Baju WidjasenaAfiliasi tidak diketahui2
Dyah ErnawatiAfiliasi tidak diketahui1
Nur Azizha RamadhanyAfiliasi tidak diketahui1
Jaka PrasetyaAfiliasi tidak diketahui1
Susanti SusantiInstitut Agama Islam Negeri Kendari1
Dwi AstutiAfiliasi tidak diketahui1
Sylvia AnjaniAfiliasi tidak diketahui1
Maulana Tomy AbiyasaAfiliasi tidak diketahui1

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://journal.unnes.ac.id/sju/index.php/ujph/oai, pertama di-harvest 6 Nov 2026, terakhir terlihat 6 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Patient Claim Financing at RSUP Dr. Kariadi Semarang During the Covid-19 Pandemic</dc:title>
	<dc:creator>Agiwahyuanto, Faik</dc:creator>
	<dc:creator>Suharyo, Suharyo</dc:creator>
	<dc:creator>Widianawati, Evina</dc:creator>
	<dc:creator>Wulan, Widya Ratna</dc:creator>
	<dc:creator>Setiadi, Deddy</dc:creator>
	<dc:description xml:lang="en-US">Findings on the health status and condition of patients who came to Dr. Kariadi were classified into two categories comorbid and co-incident. For patient claims to be funded, an assembling process and case-mix coding are carried out for the submission process based on the results of checking the status and health conditions of comorbid and co-incident patients. This study explores the procedure for the process of financing the patient's claim at Dr. RSUP. Kariadi Semarang during the covid-19 pandemic. The research was conducted in a phenomenological descriptive qualitative manner with the data sources coming from primary informants. Sampling technique with the selection according to the criteria then conducted an interview. Flow analysis model and interactive analysis model were used to analyze the data. For Covid-19 patients with comorbidities, previously a claim was made for Covid-19 cases, and if the Covid-19 case was completed but the comorbidities persisted, the guarantor switched from the Ministry of Health to BPJS Health. The procedure for the process of financing a patient's claim at Dr. RSUP. Kariadi Semarang during the COVID-19 pandemic there were two guarantors from the Ministry of Health and BPJS Health.</dc:description>
	<dc:publisher xml:lang="en-US">Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))</dc:publisher>
	<dc:date>2022-07-25</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
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	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unnes.ac.id/sju/ujph/article/view/51664</dc:identifier>
	<dc:identifier>10.15294/ujph.v11i2.51664</dc:identifier>
	<dc:source xml:lang="en-US">Unnes Journal of Public Health; Vol 11 No 2 (2022): Unnes Journal of Public Health; 160-172</dc:source>
	<dc:source>2548-7604</dc:source>
	<dc:source>2252-6781</dc:source>
	<dc:source>10.15294/ujph.v11i2</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://journal.unnes.ac.id/sju/ujph/article/view/51664/22158</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2022 Unnes Journal of Public Health</dc:rights>
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