E-Klaim / BPJS VClaim
E-Klaim is the claim-submission application Indonesian hospitals use to grade (group) and submit INA-CBGs claims to BPJS Kesehatan — Badan Penyelenggara Jaminan Sosial Kesehatan, the country's national health insurer — while VClaim is BPJS Kesehatan's verification web service and API that validates eligibility, referrals and claim data. Together they form the operational pipeline through which a coded inpatient episode becomes a paid claim.
In practice a hospital codes the encounter, runs it through the E-Klaim grouper to produce the INA-CBGs tariff, and exchanges eligibility and verification data with BPJS through VClaim before the claim is approved and paid. Both tools sit downstream of the clinical record, so what they can submit is only as complete as the documentation they receive.
Micromeet works one layer upstream of E-Klaim and VClaim: governed healthcare AI structures the clinical documentation so the codes and completeness checks that feed these systems rest on an accurate record, with the clinician confirming it before anything is submitted.
Micromeet — AI for governed healthcare. See the public benchmark →