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.

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