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PhilHealth assures private hospitals of claims’ payment

THE Philippine Health Insurance Corporation (PhilHealth) has assured a group of private hospitals that it would settle its P7 billion to P9 billion in unpaid hospital claims.

The state-run health insurance agency and the Private Hospital Association of the Philippines (PHAPI) signed a joint statement acknowledging the concern of PHAPI whose members have threatened to shut down and agreeing to address them by identifying paid claims, claims in process, and claims that have been denied, among others.

“We would like to inform the public that the PHAPI and PhilHealth have acknowledged the concerns of hospitals in some regions over the perceived delay and non-payment of their claims filed for their services that they have rendered to PhilHealth members and patients,” said Dr. Rustico Jimenez, PHAPI president, and Celestina de la Serna, interim PhilHealth president who signed the statement.

The two parties also agreed to launch a portal “to continuously update hospitals of their claims profile which will help avoid a recurrence of the problem,” and meet on a weekly basis “to see developments of reconciliation activities on the ground.”


“We hereby assure all accredited health care institutions, our members, their families, the government and the general public that we will both exert all efforts to put this issue to an end,” PhilHealth and PHAPI said.

PhilHealth has been in hot water over the past weeks over allegations that de la Serna misused its funds.

At the joint oversight committee hearing on the performance of PhilHealth, de la Serna reiterated that she did not violate any laws, despite allegations that she spent P627,000 on travel in 2017.

“Let me assure you I am here in PhilHealth to protect the people’s money, to ensure that every peso translates into better healthcare our people,” de la Serna said. GLEE JALEA

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