MANILA, Philippines — The Philippine Health Insurance Corp. (PhilHealth) on Wednesday said it denied claims totaling P8.3 billion in nearly two years.
“From January 1, 2020 up to October 6, 2021, P8.3 billion po ang [denied claim],” PhilHealth president Dante Gierran told senators during the budget hearing of the Department of Health (DOH).
ADVERTISEMENT
Binay expressed concern about Gierran’s report, warning that it might encourage hospitals to ask patients to pay upfront medical costs before claiming PhilHealth.
“P8.3 billion is a big amount…Gusto sana natin na wag tayong umabot sa point na yun na yung mga ospital na mismo yung magsasabi na, ‘Hindi na namin io-honor yung PhilHealth kayo na lang ang mag-process on your own to claim yung benefits niyo sa PhilHealth,’” Binay said.FEATURED STORIES
NEWSINFO
Roque bares Sara Duterte’s last-minute appeal for him to run for Senate
NEWSINFO
‘Saving’ Manila Bay: Dolomite beach, wetlands drowning in wastes
NEWSINFO
Bongbong, family attend China embassy’s photo wall ribbon-cutting event
(P8.3 billion is a big amount…We don’t want to reach a point where hospitals will say they will no longer honor PhilHealth and ask patients to ‘just process your own claim with PhilHealth.’)
“We don’t want to be in a scenario na yung pasyente na lang muna yung mag-aabono kasi nga natatakot yung ospital na hindi naman pala sila makaka-claim sa PhilHealth,” she added.
Recommended videosPowered by AnyClip1/7WATCH: OCEAN PARK SA MANILA, BUKAS NA | CHONA YURead More
50.7K
9
Video Player is loading.Play VideoUnmuteDuration /Current Time Playback Speed Settings1xLoaded: 0%Remaining Time - FullscreenPlayUp NextThis is a modal window.Beginning of dialog window. Escape will cancel and close the window.TextColorWhiteBlackRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentBackgroundColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentTransparentWindowColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyTransparentSemi-TransparentOpaqueFont Size50%75%100%125%150%175%200%300%400%Text Edge StyleNoneRaisedDepressedUniformDropshadowFont FamilyProportional Sans-SerifMonospace Sans-SerifProportional SerifMonospace SerifCasualScriptSmall CapsReset restore all settings to the default valuesDoneClose Modal DialogEnd of dialog window.Playback Speed0.25x0.5x1x Normal1.5x2xReplay the listPowered by AnyClip Privacy Policy
TOP ARTICLES
WATCH: OCEAN PARK SA MANILA, BUKAS NA | CHONA YU
NOW PLAYING
UP NEXT
WATCH: MGA MAGSASAKA, UMAARAY NA SA SMUGGLING NG GULAY NA GALING CHINA | CHONA YU
NOW PLAYING
UP NEXT
WATCH: MGA MAGSASAKA, SUMUGOD SA MENDIOLA | CHONA YU
NOW PLAYING
UP NEXT
Atienza: Makabayan endorses Pacquiao
NOW PLAYING
UP NEXT
Bongbong pressed by Atienza to apologize not revise martial law's dark history
NOW PLAYING
UP NEXT
Palace believes medical graduates, board passers to suffice resigning health workers
NOW PLAYING
UP NEXT
Duterte admin ‘not soft’ on cops as cases will be filed to those linked in drug war cases —Roque
NOW PLAYING
UP NEXT
WATCH: OCEAN PARK SA MANILA, BUKAS NA | CHONA YU
(We don’t want to be in a scenario where the patients will have to shoulder the hospital cost because hospitals fear that PhilHealth will not approve their claims.)
But Gierran said that hospitals may still appeal these denied claims.
From the date the hospitals receive the denial notification, they have 15 days to appeal to PhilHealth’s claims review committee, he said.
Claims denied for ‘valid reasons’
Meanwhile, Health Secretary Francisco Duque III said more claims are approved than denied.
He said that if the P8.3 billion is divided among 1,283 hospitals in the country, the financial impact to each hospital would amount to P6.2 million yearly.
ADVERTISEMENT
“It’s the bigger hospitals that will really have the bigger bulk of the claims that are not paid for valid reasons. Marami pong rason yan, maraming kaso, maraming breach of warranties. But just to put it in context, the yearly impact kung ganoon ang halaga and monthly my P500,000 a month,” Duque said.
(It’s the bigger hospitals that will really have the bigger bulk of the claims that are not paid for valid reasons. There’s a lot of reasons, cases, and breach of warranties. But just to put it in context, that’s the yearly impact if that is the amount, and P500,000 if we compute the monthly impact.)
Binay doubted that this was the best way to handle the matter.
“I don’t know kung tama yung ganoong pag-divide…it may be little but it’s still an amount that is due to them right? Lalo na sa mga private hospitals, negosyo pa rin naman po para sa kanila ito,” she said.
(I don’t know if that’s how we should divide it…it may be little, but it’s still an amount that is due to them, right? Especially for private hospitals, they still need to do business.)
Duque maintained that the P8.3 billion mentioned by PhilHealth is an “accumulation over the years,” as he compared this with the P130-billion worth of total payouts to hospitals last year.
“So malaki pa rin talaga yung natatanggap nila as a [So they still receive a decent amount when we look at the] percentage of good claims,” he added.
Meanwhile, PhilHealth was asked to submit to the Senate finance subcommittee a breakdown of the denied claims and the amount of claims that will no longer be paid even if hospitals appeal for them.
abc
.inline_ffff input { width: 70%!important; }
.bypro {
float: right;
width: 71%;
text-align: center;
margin-top: -12px;
margin-right: 15px;
clear: both;
color: #5C5C5C;
font-size: 8px!important;
line-height: 9px!important;
}
.lfform-inquirer-horizontal h2 {
font-weight: bold !important;
font-family: mallory !important;
}
@media only screen and (min-width: 360px) and (max-width: 767px) {
.lfform-inquirer-horizontal #myForm3 {
width: 100%;
display: flex;
flex-wrap: wrap;
justify-content: center;
}
.lfform-inquirer img {
width: 100% !important;
margin: 0 !important;
}
.bypro {
margin-top: 10px;
}
.lfform-inquirer-horizontal input[type=""email""] {
width: 100% !important;
}
.lfform-inquirer-horizontal input[type=""submit""], .lfform-inquirer-horizontal input[type=""button""] {
width: 100% !important;
}
}
.formv4 {
width: 100%!important;
max-width: 100%;
margin: 15px 0;
}
.formv4 input[type=""email""] {
font-weight: bold;
float: left;
-webkit-appearance: none;
margin: 0!important;
width: 70% !important;
}
.formv4 input[type=""submit""] {
font-weight: bold;
width: 28% !important;
padding: 3%;
float: left;
-webkit-appearance: none;
}
.formv4 #myForm3 {
width: 100%;
display: flex;
flex-wrap: wrap;
justify-content: space-between;
}
.formv4 .bypro {
width:100%;
font-family: 'noto serif';
float: unset;
clear: both;
color: #333333;
font-size: 11px!important;
line-height: 1 !important;
margin: 10px 3px;
text-align:left;
}
.formv4 a, .formv4 a:visited, .formv4 a:hover {
color: #0b72b5 !important;
text-decoration: none; !important;
}
.formv4 h2 {
font-weight: bold !important;
text-align: left;
font-family: mallory !important;
color: #333333 !important;
margin:5px 0 !important;
padding: 0 !important;
}
.formv4 p {
width: 100%;
text-align: left;
color: #5A5A5A !important;
font-family: 'noto serif' !important;
font-size: 14px !important;
margin: 0 !important;
line-height: 1.6em !important;
margin-bottom: 15px !important;
padding: 0 !important;
}
@media only screen and (min-width: 360px) and (max-width: 767px) {
.formv4 h2 {
font-size: 16px !important;
}
.formv4 .bypro {
font-size: 12px!important;
margin: 5px 5px;
}
.formv4 input[type=""email""] {
width: 100% !important;
}
.formv4 input[type=""submit""] {
width: 100% !important;
margin: 10px 0;
}
.formv4 {
width: 95%!important;
max-width: 95%;
margin: 20px auto;
}
}
Subscribe to our daily newsletter
By providing an email address. I agree to the Terms of Use and
acknowledge that I have read the Privacy Policy.
#inqplus-article2 {
width: 100%;
height: 250px;
margin: 20px auto;
background-color: #a5b8c5;
display: flex;
flex-wrap: wrap;
justify-content: space-between;
align-items: flex-start;
}
#inqplus-cta-wrap {
width: 50%;
height: 250px;
background-image: url(/single2017/images/inqplus-sub/inqplus-cta-bg1.png);
background-repeat: no-repeat;
background-size: cover;
}
#inqplus-cta2 {
width: 89%;
height: auto;
margin: 35px auto 0;
}
#inqplus-cta2 img {
width: 100%;
}
#newsletter-cta-wrap {
width: 50%;
height: 250px;
background-image: url(/single2017/images/inqplus-sub/newsletter-bg1.png);
position: relative;
background-repeat: no-repeat;
background-size: cover;
}
#newsletter-cta2 {
width: 95%;
position: absolute;
bottom: -4px;
z-index: 1;
}
#newsletter-cta2 img {
width: 100%;
}
#inqplus-nl-sub2 {
width: 65%!important;
display: flex;
font-size: 0;
box-sizing: border-box;
z-index: 2;
position: absolute;
bottom: 10px;
right: 10px;
}
#inqplus-nl-sub2 form {
width: 100%!important;
}
.sub-input2 {
width: 70%!important;
height: 25px!important;
border: 0!important;
padding: 5px 0 5px 10px!important;
margin: 0!important;
box-sizing: border-box!important;
border-radius:0;
-webkit-appearance:none;
}
.sub-btn2 {
width: 30%!important;
height: 25px!important;
border: 0!important;
padding: 0!important;
margin: 0!important;
background-color: #004a87!important;
color: #f5f5f5!important;
text-transform: uppercase!important;
border-radius:0;
-webkit-appearance:none;
}
/* 414px */
@media only screen and (min-width: 414px) and (max-width: 599px){
#inqplus-article2 {
width: 98%;
height: auto;
}
#inqplus-cta-wrap {
width: 100%;
height: auto;
}
#newsletter-cta-wrap {
width: 100%;
}
#newsletter-cta2 img {
width: 90%;
}
}
/* 320px */
@media only screen and (min-width: 320px) and (max-width: 413px){
#inqplus-article2 {
width: 98%;
height: auto;
}
#inqplus-cta-wrap {
width: 100%;
}
#newsletter-cta-wrap {
width: 100%;
}
}
Read Next
52 drug war cases just the tip of the iceberg — Colmenares
window._taboola = window._taboola || [];
_taboola.push({
mode: 'thumbnails-d',
container: 'taboola-below-article-thumbnails-desktop',
placement: 'Below Article Thumbnails - newsinfo',
target_type: 'mix'
});
window._taboola = window._taboola || [];
_taboola.push({
mode: 'thumbnails-e',
container: 'taboola-below-article-thumbnails-mobile',
placement: 'Below Article Thumbnails - newsinfo',
target_type: 'mix'
});
EDITORS' PICK
Next level mobile photography within reach with vivo X70 co-engineered with ZEISS
Leaked: A 60x Zoom and all-new Helio G96 mean a complete overhaul for TECNO Mobile’s new CAMON 18 series
US FDA clears Moderna, J&J COVID-19 boosters, backs use of different vaccine for boost
Delivering delight against all odds
Pagasa: Fair weather on Thursday; cooler days coming
DOJ drug war review: Killer cops had it easy
MOST READ
Drilon: Tax and then ban Chinese firm in pandemic funds mess
‘Saving’ Manila Bay: Dolomite beach, wetlands drowning in wastes
US FDA clears Moderna, J&J COVID-19 boosters, backs use of different vaccine for boost
Villar scolds DENR over ‘scant’ funding proposal for protected areas
Don't miss out on the latest news and information.
View comments" - https://www.affordablecebu.com/
