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    Implementasi Aplikasi E-Klaim v5.2 (Update Brigdging) PDF

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    galih wicaksono
    This document discusses the implementation of the E-Klaim v5 application in Indonesia. It provides a history of the claim application program from version 1 to the current version 5. It also outlines the claim process, data sources, facility data updates, data flows, online submission methods, and troubleshooting for key mismatches. Updates to the E-Klaim v5.2 are announced, including bridging the application to the Vclaim system and unifying variables between the two systems. Contact information is provided for questions.

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    Implementasi Aplikasi E-Klaim v5.2 (Update Brigdging) PDF

    Uploaded by

    galih wicaksono
    135 views39 pages
    This document discusses the implementation of the E-Klaim v5 application in Indonesia. It provides a history of the claim application program from version 1 to the current version 5. It also outlines the claim process, data sources, facility data updates, data flows, online submission methods, and troubleshooting for key mismatches. Updates to the E-Klaim v5.2 are announced, including bridging the application to the Vclaim system and unifying variables between the two systems. Contact information is provided for questions.

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    Implementasi Aplikasi E-Klaim v5.2 (Update Brigdging).pdf

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    This document discusses the implementation of the E-Klaim v5 application in Indonesia. It provides a history of the claim application program from version 1 to the current version 5. It also outlines the claim process, data sources, facility data updates, data flows, online submission methods, and troubleshooting for key mismatches. Updates to the E-Klaim v5.2 are announced, including bridging the application to the Vclaim system and unifying variables between the two systems. Contact information is provided for questions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    135 views39 pages

    Implementasi Aplikasi E-Klaim v5.2 (Update Brigdging) PDF

    Uploaded by

    galih wicaksono
    This document discusses the implementation of the E-Klaim v5 application in Indonesia. It provides a history of the claim application program from version 1 to the current version 5. It also outlines the claim process, data sources, facility data updates, data flows, online submission methods, and troubleshooting for key mismatches. Updates to the E-Klaim v5.2 are announced, including bridging the application to the Vclaim system and unifying variables between the two systems. Contact information is provided for questions.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 39

    IMPLEMENTASI

    APLIKASI E-KLAIM v5

    IT Support
    National Casemix Center (NCC)
    Centerfor Health Financing and Health Security
    Ministry of Health, Indonesia
    2018
    HISTORY APLIKASI

    INA-CBG v1 INA-CBG v2 INA_CBG v3 INA-CBG v4 E-Klaim v5

    • Program • Program • Program • Program • Program


    Piloting Jamkesmas Jamkesmas JKN JKN
    • Jamkesmas • Jamkesda • Jamkesda • Jamkesda
    SUMBER INFORMASI
    Claim Prosess
    PEMBAHARUAN DATA FASKES
    ALUR DATA
    MoH Data Center

    Unverified Claim

    Verified claim
    METODE PENGIRIMAN ONLINE
    Dasboard Claim RS – inacbg.kemkes.go.id
    Data flow
    System start :
    Okt 26 2016
    admission date
    Penyebab Key Mismatch
    1. Install Ulang Aplikasi E-Klaim v5
    2. Melakukan pergantian komputer/ server
    untuk melakukan pengiriman online
    3. Terblok oleh data center dikarenakan data
    individual klaim yang dikirimkan oleh rumah
    sakit tidak lengkap sesuai kondisi lokal yang
    ada di server rumah sakit
    KONDISI
    DATABASE
    FASKES

    Key Mismatch
    METODE PENGGABUNGAN 2 ATAU LEBIH DATABASE E-KLAIM
    MENU COB
    PERHATIAN PENTING !!!!
    VIDEO TUTORIAL
    PADA WEBSITE
    UPDATE
    E-KLAIM 5.2
    Aplikasi INA-CBG

    PMK 52 & 64 Thn 2016


    PMK 4 Thn 2017
    PMK 76 Thn 2016

    PMK 59 Thn 2014


    PMK 27 Thn 2014 Susulan, Pending, Revisi E-Klaim 5.2

    Aplikasi 4.1 E-Klaim 5.1

    Tanggal Masuk
    1 Januari 2018
    26 Oktober 2016
    Surat Edaran
    E-Klaim 5.2
    UPDATE DATABASE FASKES

    1
    2
    NOTIFICATION CENTER
    NOTIFICATION
    CENTER
    MANUAL UPDATE
    BILLING COMPONENT
    METODE KIRIM ONLINE
    Bridging
    E-Klaim & Vclaim
    Tahap 1 :
    • Bridging dengan SEP
    • Patch Publish 14 Februari 2017

    Tahap 2 :
    • Bridging dengan penyamaan variable
    antara Vclaim dan E-Klaim
    • Menu LPK akan otomatis terisi
    Apa yg harus dilakukan rs
    1. Cek Server Masing – masing apakah apakah sudah terupdate atau belum
    (pastikan status online)
    2. Bagi yang sudah mempuna Consumer ID dan Secret bisa lsg digunakan
    3. Bagi rumah sakit yang belum mempunyai Consumer ID dan secret bisa membuat
    permohonan kepada BPJS Kesehatan setempat dengan tujuan untuk bridging
    antara Vclaim dan E-Klaim. Karena saat ini dengan Vclaim Consumer ID terbuka
    juga untuk rumah sakit yang selama ini belum mempunyai SIMRS dan belum
    integrasi dengan SEP.
    4. Brigding Vclaim dengan Eklaim WAJIB menggunakan Consumer ID dan secret
    FUTURE
    PETUNJUK TEKNIS
    E-KLAIM v5 - Updated
    Contact
    q Website : inacbg.kemkes.go.id
    q Email : [email protected] (korespondensi)
    [email protected]
    (permasalahan aplikasi E-klaim)
    q Telegram
    Terimakasih
    BETTER FINANCING FOR BETTER HEALTH

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