How to Manage Insurance Plan

How to Manage Insurance Plan

This article explains how to create, search, and edit insurance plans in the Claim Module of Ksatria eHospital.


Notes
Create Insurance Plan

Purpose

To register a new insurance plan under an existing insurance provider, including plan-specific coverage limits and identifiers.

Steps

  1. Log in to the Ksatria eHospital system.

  2. Click on the Claim module.

  3. Click the Create + button.

  4. On the Create Insurance Plan page, fill out the required fields.

a. General Information

  • Insurance Plan No. – Unique identifier for the plan

  • Insurance Plan Name – Name of the specific insurance plan

  • Insurance Provider – Select from the list of providers created via the Create Insurance Provider process

  • Maximum Coverage – Define the plan's coverage limit

  1. Click the Save button to store the information.

  2. The insurance plan is now successfully created.


Notes
Search Insurance Plan

Purpose

To find existing insurance plans using simple or advanced search criteria.

Steps

  1. Log in to the Ksatria eHospital system.

  2. Click on the Claim module.

  3. In the search bar, type any keyword related to the insurance plan (e.g., name, number).

    • The system will automatically search across all columns and display results.

  4. For more specific results:

    • Use the Search By dropdown to select a particular field (e.g., Plan Name, Provider)

    • Enter the keyword accordingly

    • The system will return results from the selected column

  5. For advanced filtering, click the Filter button.

  6. Combine multiple criteria as needed (e.g., by provider and ownership).

  7. Click Apply Filter to run the search.

  8. Results will be displayed in the Insurance Plan table.

  9. The search process is now complete.


Notes
Edit Insurance Plan

Purpose

To update or correct an existing insurance plan’s details.

Steps

  1. Perform steps 1–8 from the Search Insurance Plan process to locate the record.

  2. Click the Edit button in the same row as the insurance plan to be modified.

  3. On the Edit Insurance Plan page, update the required data fields.

  4. Click the Save button to apply the changes.

  5. The updated plan will appear in the Insurance Plan table, and the edit process is complete.

    • Related Articles

    • How to Manage Insurance Provider

      This article covers how to create and search insurance providers in the Claim Module of Ksatria eHospital. Create Insurance Provider Purpose To register a new insurance provider into the system, including both private insurers and company-sponsored ...
    • How to Manage Patient Profile

      This article explains how to manage patient profile data in the Ksatria eHospital system. It covers the following topics: Patient Profile CRUD List Searching for a Patient Profile Editing a Patient Profile Follow the step-by-step instructions below ...
    • Claim Module Overview

      The Claim module in Ksatria eHospital acts as an electronic repository for all health insurance data used in the hospital. It supports both: Private insurance (from general health insurance companies) Government insurance (such as BPJS or other ...
    • How to Register Patient

      The Registration module is used by administrative staff to manage patient registrations and appointment scheduling. This module ensures that patient data is securely saved and distributed to the relevant departments. Note: Make sure the patient ...
    • Introduction to SOAP Note Creation Feature using Artificial Intelligence (AI)

      In the rapidly evolving medical world, Artificial Intelligence (AI) technology is now available to assist healthcare professionals in recording medical notes more efficiently. Ksatria Medical System (KMS) provides a SOAP Note Creation feature powered ...