STRATEGI DIVISI YAN HC SURABAYA DALAM MENCEGAH FRAUD TAGIHAN KESEHATAN DENGAN METODE DATA SAMPLING

The purpose of this study was to determine the strategy of preventing health bill fraud by the Yan HC Surabaya division at PT PLN (Persero) UID East Java. The research method used is qualitative research by interviewing one of the employees who handles fraud cases. This research in formulating fraud prevention strategies uses data sampling. The data is taken from the admedika webclaim. Webclaim admedika is the insurance transaction history data of PT PLN (Persero). The results showed that the sampling data collection method can minimize fraud on health bills and internal control has an impact on preventing fraud. This sampling data can identify suspicious patterns or anomalies in transaction data or financial activity. This means that the better the prevention strategy and internal control implemented, the higher the level of fraud prevention on health bills of PT PLN (Persero) UID East Java. Keyword : Fraud Prevention Strategy; Data Sampling Method; Internal Control