Digitalization Strengthens the Integration of Medical Services from Patient Care to Health Insurance Claims

Illustration of medical services in the digital era. (Freepik)

JAKARTA - The need for integrated health services is increasingly important amid the increasing number of people accessing health facilities and the complexity of managing medical financing.

A system that is able to connect patients, health facilities, insurance providers, to claim management is considered to help create more efficient, transparent, and accessible services.

In an effort to strengthen the health services ecosystem, Fullerton Health announced the joining of PT Administrasi Medika (AdMedika) and its subsidiary, TelkoMedika, into the group of companies.

This step is expected to strengthen coordination of health services which so far include claim administration, health facility networks, to the use of digital technology in patient service management.

AdMedika is known as one of the health administration service providers that manages digital claims systems and networks of health facilities in Indonesia. The integration is considered to support a more connected service process, ranging from access to medical services to the completion of health administration.

As the community's need for fast and efficient health services increases, the utilization of technology becomes one of the important factors in supporting service quality.

The presence of a system that is able to integrate data, health facility networks, and claim management is expected to help accelerate service processes for patients and health service providers.

Group Chief Executive Officer and Executive Director of Fullerton Health, Ho Kuen Loon, said that this step is part of efforts to strengthen more integrated health services in Indonesia.

"We are working to strengthen the operational system in health service administration while utilizing the Group's strong regional capabilities to better support Indonesia's growing health service needs," said Ho Kuen Loon.

According to him, strengthening health services not only requires adequate medical facilities, but also a support system that is able to effectively connect various elements in the health ecosystem.

Fullerton Health Indonesia press conference. (doc. Fullerton Health)

On the other hand, President Director of TelkomMetra, Pramasaleh Haryo Utomo, assessed that this collaboration could open up opportunities for the development of broader health services for the community.

"Under the ownership of Fullerton Health, we believe that AdMedika is in a strong position to improve its capabilities and gain access to a wider regional health services ecosystem, while maintaining the strong foundation it has built in Indonesia," he said.

Regionally, Fullerton Health currently has a network of healthcare services in a number of Asian countries with thousands of healthcare providers.

The network is considered to support the development of wider access to health services, including specialist referral opportunities and cross-country health services for people in need.

However, AdMedika and TelkoMedika are said to continue to operate with the same identity and leadership in Indonesia. This is done to maintain continuity of services for patients, health facility partners, and various parties who have been using the services of the two.

The aspect of health data security is also a concern in the development of digital health services. The company emphasizes that health data and claims of Indonesian people will still be managed domestically in accordance with applicable regulations, by prioritizing the protection of personal data, cyber security, and compliance with health regulations.

AdMedika Group Chief Executive Officer, Dian Prambini, said that this strengthening of collaboration is expected to improve the quality of health services received by the public. Especially in the digital era, the development of technology-based health services and collaboration between service providers is seen as one of the keys to facing the increasingly complex challenges of the health sector.

"Together with Fullerton Health, we can strengthen the integrated health service platform, deepen partnerships with service providers and clients, and continue to provide more quality and reliable services to patients and clients throughout Indonesia," said Dian.