Coverage at Heartology
What to Confirm
before Your Visit.
Check the terms that apply to your membership and services. The information on this page helps you prepare the paperwork.
A partnership is not claim approval. Coverage, benefit limits, and the costs you pay follow your policy and the insurer's decision.
Benefits and Limits
Service coverage and benefit limits in your policy.
Service Network
Whether the hospital network matches your membership.
Prior Approval
Whether a referral or authorization is needed before services.
Out-of-Pocket Costs
Costs that are not covered or that exceed your benefits.
Administrative process
Understand Your Claim Process.
The claim method is not listed yet. Before you come, ask our team whether your visit with Owlexa Healthcare uses cashless or reimbursement.
Visit preparation
Documents to Prepare.
Use this list as a reminder. The administration team or your insurer may ask for additional documents.
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This list is your own preparation note, not a verification. You do not need to send photos of documents for an initial question.
About and contacting the insurer
Contact Owlexa Healthcare.
Owlexa Healthcare is a healthcare business unit of PT Aplikanusa Lintasarta, an information and communication technology solutions company, launched in 2015. Owlexa provides third party administrator (TPA) services, managing health claims administration on behalf of insurers and client companies, from membership data and member verification at healthcare facilities to claim verification. Owlexa does not underwrite the benefits; your policy remains with your insurer or employer.
For claim administration, contact PT Aplikanusa Lintasarta. Your policy benefits still follow the insurer or employer that covers you.
Menara Thamrin, Lantai 12 - Jl. M.H. Thamrin Kav. 3, Kebon Sirih, Menteng, Jakarta Pusat, DKI Jakarta 10250, Indonesia
The insurer's contacts are separate from the Heartology help team. Links to the insurer's site open in a new tab.
Frequently asked
Questions before Your Visit.
Does cashless mean all costs are covered?
Not always. Covered services, benefit limits, and the costs you pay follow your policy and the insurer's approval.
Is a health checkup package part of my insurance benefits?
Checkup coverage differs between policies. Confirm the package and tests with your insurer before you schedule.
I use a company or TPA card. Who should I contact?
Start with the instructions on your member card or your company's HR department. The Heartology team can help explain the administrative process for your visit.