Abstract
BPJS Kesehatan (BPJS-Health) is a public agency for health, established to implement the social security program. The health insurance prepared through BPJS is in the form health protection for participants to get health care benefits and protection to meet the basic needs of health care. It is provided to every person who has paid fees or whose contributions are paid by the government. Claims estimation in BPJS-Health is required to increase the optimal service to participants. Imprecision in determining such estimates could destabilize the BPJS-Health. In this research, estimated total health service claims submitted by partnered health facility to BPJS based on Buhlmann-Straub Credibility. We also use the compound Poisson distribution to illustrate the optimal retentions in a collective risk model.
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