Operation

When claims are filed electronically with Our Platform, they have improved accuracy and processed more quickly. It automates all the steps involved in processing claims. This means no looking for files, adding paperwork to the correct file, or manually entering data and codes.

Electronic claims have already increased the operational efficiency BPJS should take full advantage of this capability by using our platform. Additional opportunities for improving a practice’s efficiency include the electronic coordination of multiple claims and adjudication of claims in real time

Automates complex benefit configuration and payment calculations to drive high auto-adjudication rates and minimize the risk of paying claims incorrectly. BPJS can recover significant savings and meet cost containment by leveraging our platform’s real-time alerts, automatic audits and responsive reporting.

Improved reimbursement can expand markets for International Investment (FDI) in Hospitals, Insurance and technologies. And it dramatically reduced cost as compared to current processing costs-Estimated <60% Reduction experienced in the US.

Automated claims status processing remains updated with the current billing policies and ensures that claims are filed on time and with the right codes and information. The overall practice management can be enhanced with automated claims processing systems.

Health administration is an important area to consider as it constitutes a prerequisite to any functioning healthcare system. Greater administrative efficiencies result in lower costs per member per claim.

Flexible integration to provide a lot of capabilities to non-technical people without the hassle, expense, and complexity of custom code. Private insurance and BPJS can stand up a reliable and elegant integration in minutes or hours instead of days or weeks. It’s that simple.

Simplify claims processing workflow, accelerate your clinical data procedures, and improve your financial outcomes with a combined set of solutions. Our Platform is designed to handle the different workflows related to Private Insurance-BPJS services, so they can meet multiple operational needs with one solution.

Cost containment in healthcare is a comprehensive strategy that integrates efforts to reduce existing costs and control current and future costs. Our powerful business analytics (BI/BA) Support alerts healthcare leaders to unfavorable trends, providing a comprehensive and detailed view across cost, quality, and service line measures.

Jalin Health Platform automates complex benefit calculations to drive high auto-adjudication rates and minimize the risk of paying claims incorrectly. Insurance recovers significant savings and reduces utilization costs by leveraging Jalin Health real-time alerts, automatic audits, responsive reporting, and more.

Our security features include advanced encryption and configurable access across multiple roles. Designated personnel custom tailor a detailed security configuration, tightly controlling access to data at the Form level, Field level, Group data level, or the Individual member level.

Since medical services can often be pricey, organizations that pay for healthcare services naturally want to minimize these costs and by establishing a capitation fee system, organizations can mitigate medical services expenses and increase the focus on patient care.

Since medical services can often be pricey, organizations that pay for healthcare services naturally want to minimize these costs and by establishing a capitation fee system, organizations can mitigate medical services expenses and increase the focus on patient care.

Reporting and monitoring key performance indicators are an essential part to maintaining the integrity of the entire revenue cycle system. Jalin Health Platform offers automated reporting that can be measured monthly to determine opportunities for improvement. These reports highlight anything from days to collect A/R, problem payors, and operational deficiencies that lead to collection issues. At a glance, these metrics allow BPJS to proactively fix an issue before it becomes a financial loss.

Not only lowers claims operating expenses, but Jalin Health Platform also drives better medical outcomes for commercial claims with deep insights and alerts. These alerts help improve overall population health and help minimize the risk of chronic illnesses and by extension large dollar claims down the road. Jalin Health Alerts includes cross-application analysis, alerts, and responses.

Data analytics to support

Utilization reviews (for cost containment, service improvements, and resource allocations), premium calculation, and public health interventions

Automation provides a 360-degree view of Indonesian Healthcare

a 360-degree view of customers or citizens offers a holistic, comprehensive picture of a person based on data collected from all touch points. This drives business value by creating more effective outcomes as well as more personalized customer experiences. For instance, this data infrastructure enables a state health workforce to better understand the overall healthcare landscape and subsequently improve individual care and address inequities.