DATAFIKASI · PROVIDER & PATIENT DETAIL
Provider & Patient Analytics
Drill-down by provider and patient
KPI Summary
15 indicators
Total PICA Payment
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Total Datafikasi Payment
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Total PICA Claim Amount
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Total Datafikasi Claim Amount
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Total PICA Excess
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Total Datafikasi Excess
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Total Datafikasi Discount
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Average Discount %
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Total Claims
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Average Readability Score
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Mismatched Items
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Mismatched Items %
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Overcharged Items
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Overcharged Items %
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Total Items
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Provider Summary
Total Providers
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active providers this period
Total Patients
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unique patients recorded
Providers with Mismatch
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≥ 1 item mismatch detected
Avg Match Rate
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across all providers
Provider Performance
Top 10 by Volume
PROVIDER VOLUME
Top 10 Providers by Claim Volume
| Provider | Claims | Avg Rp/Claim | Match Rate | Mismatch |
|---|---|---|---|---|
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Providers shown in red = mismatch > 100 items. Needs priority review.
GEO DISTRIBUTION
Claim Distribution by Province
Province color = claim count; darker red = higher.
Provider — Total Claim Amount
PICA and Datafikasi ranked independently
TOTAL PICA CLAIM AMOUNT
Top 10 Providers — Highest Total PICA Claim Amount
TOTAL DATAFIKASI CLAIM AMOUNT
Top 10 Providers — Highest Total Datafikasi Claim Amount
Provider — Total Payment
PICA and Datafikasi ranked independently
TOTAL PICA PAYMENT
Top 10 Providers — Highest Total PICA Payment
TOTAL DATAFIKASI PAYMENT
Top 10 Providers — Highest Total Datafikasi Payment
Provider — Data Quality
Average OCR readability score
DATA QUALITY
Top 10 Providers — Lowest Average Readability Score
Sorted ascending (lowest first); claims without a score are excluded.
Incomplete Documents
Based on is_document_complete
% INCOMPLETE
Top 10 Providers — Highest Incomplete Document Percentage
Claims with an unknown (NULL) is_document_complete value are excluded from the percentage calculation.
INCOMPLETE COUNT
Top 10 Providers — Claims with Incomplete Documents
Item Anomalies
Price mismatch & overcharge by provider
MISMATCHED ITEMS
Top 10 Providers — Most Mismatched Items
OVERCHARGED ITEMS
Top 10 Providers — Most Overcharged Items
Patient Analytics
Patients without a valid card number are excluded
TOP PATIENTS
Top 10 Patients by Total Claims
The 10 patients (by card number) with the highest claim count this period.
TOTAL PICA CLAIM AMOUNT
Top 10 Patients — Highest Total PICA Claim Amount
TOTAL DATAFIKASI CLAIM AMOUNT
Top 10 Patients — Highest Total Datafikasi Claim Amount
TOTAL PICA PAYMENT
Top 10 Patients — Highest Total PICA Payment
TOTAL DATAFIKASI PAYMENT
Top 10 Patients — Highest Total Datafikasi Payment
Claim Detail by Patient
Search patients to drill down
PATIENT LOOKUP
Claim Detail by Patient
| Card Number | Corporate | Provider | ICD10 | Claim (P) | Paid (P) | Status |
|---|---|---|---|---|---|---|
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