<![CDATA[The BPJS COVID-19 fee claim is the government's support in accelerating the handling of COVID-19 in Indonesia. BPJS Health data from January to October 2021, the submission of claims for COVID-19 reached 1,345,970 cases with a cost value of 72.3 trillion IDR. Of the claims submitted by the hospital, only 79.07% were following BPJS claim verification or equivalent to 64.1 trillion IDR. There are still 21% of COVID-19 cost claims that require clarification on dispute resolution. Therefore, it is necessary to study the COVID-19 cost claim according to the provisions and find out the obstacles that occur in submitting BPJS claims by hospitals. The method used is descriptive-analytic by using literature searches, reading materials, and scientific journals. The results obtained are that the claim for COVID-19 costs uses the provisions of the tariff per day/cost per day which is regulated in the technical instructions for claiming reimbursement of costs for COVID-19 patient services number HK.01.07/MENKES/5673/2021. The conclusion obtained is that there are still problems with COVID-19 cost claims in the administrative aspect, the limitations of the verifier team, and the integration of the claim submission system. Abstrak: Klaim biaya BPJS COVID-19 merupakan dukungan pemerintah dalam percepatan penanganan COVID-19 di Indonesia. Data BPJS Kesehatan Januari-Oktober 2021, pengajuan klaim COVID-19 mencapai 1.34.970 kasus dengan nilai biaya mencapai Rp. 72,3 triliun. Dari pengajuan klaim yang diajukan rumah sakit hanya 79.07% yang sesuai verifikasi klaim BPJS atau setara dengan Rp. 64,1 triliun. Masih ada 21% klaim biaya COVID-19 yang membutuhkan klarifikasi penyelesaian dispute. Oleh karena itu perlu pengkajian mengenai klaim biaya COVID-19 sesuai ketentuan dan mengetahui hambatan yang terjadi dalam pengajuan klaim BPJS oleh rumah sakit. Metode yang digunakan adalah deskriptif analitik dengan menggunakan penelusuran literatur, bahan bacaan dan jurnal ilmiah. Hasil yang diperoleh bahwa klaim biaya COVID-19 menggunakan ketentuan tarif per hari/cost per day yang diatur dalam petunjuk teknis klaim penggantian biaya pelayanan pasien COVID-19 nomor HK.01.07/MENKES/5673/2021. Kesimpulan yang didapat adalah masih ditemukan masalah klaim biaya COVID-19 dalam aspek administrasi, keterbatasan tim verifikator dan integrasi sistem pengajuan klaim.]]>
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