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PhilHealth: Public Interest Remains Our Top-of-Mind June 30, 2018

It has also created the Health Insurance Data Analytics Committee (HIDAC) for the conduct of preliminary analysis of benefit payments and collections to understand the extent of its operational and financial challenges and its underlying root causes.

The state health insurer has also sustained dialogues with PHAPI to reconcile their respective books and created a portal through which health care institutions (HCIs) may seek updates on their records.

To further keep its partner-HCIs updated, PhilHealth has initiated an email blast through the HCIs’ official email accounts. These regular email reports contain information on the status of claims paid, those that are still for payment, claims that are pending, denied and returned to them. Through this initiative, PhilHealth hopes to facilitate the reconciliation of its records with those of its providers.

The state-run insurer also called on the public to continuously be vigilant in its fight against health insurance fraud, emphasizing that it is doing its best to curb all types of irregularities that may affect the stability of the National Health Insurance Fund. It also cautioned its members against unscrupulous health care providers, adding that irregular or uncommon incidents may be reported to the nearest PhilHealth office, or through PhilHealth’s 24/7 Corporate Action Center Hotline, (02) 441-7442. (END)

Reference: Corporate Affairs Group | Trunkline: 441-7444 loc. 7652 & 7653

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PhilHealth: Public Interest Remains Our Top-of-Mind