UPRAK HUKES PELEPASAN INFORMASI KESEHATAN ASURANSI JASA RAHARJA

Summary

This transcript captures a conversation between a hospital staff member and a patient's family regarding the process of claiming insurance for an accident. The staff member explains the necessary documents for a medical recommendation request, such as accident reports, health certificates, ID cards, and copies of the application form. The staff verifies the patient's details, checks the requirements, and informs the family about the next steps. After completing the process, the staff offers further assistance and guidance on submitting the claim to the insurance company. The interaction is polite, informative, and focused on ensuring the family can proceed with the insurance claim smoothly.

Takeaways

• 😀 The speaker greets the listener politely, offering assistance at the beginning of the conversation.
• 😀 The listener is asked to sit down and the process of medical insurance or claims is being discussed.
• 😀 The speaker mentions that the patient’s name is Ilham Yuda, and asks about the relationship of the listener with the patient, confirming that the listener is the patient's mother.
• 😀 The listener is inquired about the required documents for the claim, including accident details from the police, health certificates from a doctor, and the patient's ID.
• 😀 The speaker lists the necessary documents, including a police report, medical documents, identification, and photocopies of certain forms.
• 😀 The listener is reminded to bring a letter of authorization and original medical receipts to complete the process.
• 😀 The speaker asks if all the required documents have been provided and confirms with the listener.
• 😀 The speaker checks the patient's data in the computer system to ensure everything is in order for the claim.
• 😀 The listener is told that the documents are complete and that there is an additional step to sign a delivery document.
• 😀 The speaker thanks the listener for their visit, apologizes for any shortcomings, and offers further assistance with the insurance claim process if needed.

Q & A

What is the main purpose of the conversation in the transcript?

The main purpose of the conversation is to process the insurance claim for a patient named Ilham Yuda, specifically regarding the necessary documents and procedures required for the claim.

Who is the patient in the conversation, and what is their relation to the person requesting the claim?

The patient is Ilham Yuda, and the person requesting the claim is identified as the patient's mother.

What documents are required for processing the insurance claim?

The required documents include: a statement of the traffic accident from the police or authorized authority, a health certificate from a doctor, the patient's ID card, a photocopy of the patient's family card, a claim submission form from Jasa Raharja, a power of attorney, and original receipts for medical costs.

What is the role of the Jasa Raharja insurance company in the process?

Jasa Raharja is the insurance provider handling the claim, and they require the submission of the necessary documents to process the insurance claim for the patient.

What does the hospital staff member check during the conversation?

The hospital staff member checks the patient's data in the computer system to confirm the patient's information, including their birthdate and registration number.

What specific action does the mother need to take at the end of the conversation?

The mother needs to sign the expedition receipt as confirmation of the document handover and continue the process with the Jasa Raharja insurance company for the claim submission.

What does the hospital staff apologize for?

The hospital staff apologizes for any shortcomings or issues that may have occurred during the process and offers further assistance if needed.

What is the final instruction given to the mother at the end of the conversation?

The final instruction is for the mother to proceed to Jasa Raharja insurance to continue the claim process. The hospital staff also reassures that they are available to help if needed.

What is the role of the police statement in the insurance claim process?

The police statement is crucial as it provides documentation of the traffic accident, which is required for the insurance claim submission.

How does the hospital staff ensure the documents are complete?

The hospital staff verifies the completeness of the documents by checking that all required forms, certificates, and IDs are provided, and ensuring the patient’s data is correctly entered in the system.