Kompas (2025) News article / media

BPJS Kesehatan Ends Partnerships with 32 Health Facilities to Deter Fraud

Kompas

Ref: SRC-005-IDN-001

https://www.kompas.id/artikel/en-berikan-efek-jera-akibat-fraud-bpjs-kesehatan-putus-kerjasama-dengan-32-faskes

Accessed: 3/26/2026

Summary

Reports BPJS Kesehatan terminated cooperation with 32 health facilities (26 advanced, 6 primary) for fraud. Documents evolving fraud patterns: phantom billing (40% in 2023), hemophilia therapy manipulation (52% in 2024), ventilator procedure manipulation (59% in 2025). Reports AI-based filtering causing large numbers of pending claims.

View Harvard reference

Kompas (2025). 'BPJS Kesehatan Ends Partnerships with 32 Health Facilities to Deter Fraud', Kompas.id. Available at: https://www.kompas.id/artikel/en-berikan-efek-jera-akibat-fraud-bpjs-kesehatan-putus-kerjasama-dengan-32-faskes (Accessed 26 Mar 2026).

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Linked Cases (1)

IDN-001 IDN Scaled & Institutionalised

BPJS Kesehatan DEFRADA ML Fraud Detection in Healthcare Claims (Indonesia)

Social insurance Classical ML