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...Advances in social science education and humanities research volume rd international conference on vocational higher icvhe analysis of health insurance claim decisions indonesia asrori yulial hikmah administration business department program universitas email yuli alhikmah gmail com abstract this explains the process filing a as well one indonesian company s decision making regarding medical claims is descriptive qualitative data was collected using observations interviews relevant documents submission form must be filled out accompanied by all required are approved rejected or postponed pending for includes completing necessary verifying that submitted accurate incomplete can cause settlements to if customer does not complete requested within days will information valid fraud abuse indicated policy exclusion its require further investigation about investigations done contacting forum hospital other related parties keywords introduction role insurers has become increasingly significant...