Paying Right, Paying Smart : Improving Claims Management
Overview & Synopsis
This note provides an overview of the claims management processes of national health insurance agencies (HIAs) administering case-based payments such as diagnosis-related groups (DRGs) in lower-middle-income countries. It describes the steps typically taken before and aft er payment and suggests areas for improvement in Indonesia. It complements related briefs on payer functions, credentialing, and contracting.
Indexed from repository: World Bank Documents & Reports
(
documents.worldbank.org)
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Document Information
| Document Title | Paying Right, Paying Smart : Improving Claims Management |
|---|---|
| Author / Organization | World Bank |
| Subject & Discipline | FY17 - Public Administration - Health |
| Categories | Economics & Development |
| Publication Year | 2026 |
| License / Rights | Creative Commons Attribution 4.0 (CC BY 4.0) |
| Resource Verification | Listed PDF (Verification Pending) |
| Original Host Website |
World Bank Documents & Reports
(documents.worldbank.org)
|
| File Format | application/pdf (Portable Document Format) |
| Language | EN |
| Catalog ID | DOC-142016 |
| Original Source Link | Visit Source Page on documents.worldbank.org » |