As the Covid-19 pandemic continues to threaten the well-being of Filipinos, Senator and Chair of Senate Committee on Health and Demography Christopher “Bong” Go echoed President Rodrigo Duterte’s urgent request for the Philippine Health Insurance Corporation to fast-track the processing of unpaid claims due to various hospitals.
On Friday, July 23, Go reached out to PhilHealth President Dante Gierran and expressed his concern that his office has received numerous complaints of unsettled hospital claims.
“Bagama’t overwhelmed ang PhilHealth at apektado rin ang kanilang operasyon dahil sa pandemya, nagbigay ng assurance si Mr. Gierran na ginagawa ng PhilHealth ang lahat para mapabilis ang proseso. They process about 12.5 million claimants every year averaging almost a million each month.” said Go.
Earlier, PhilHealth has introduced the application of a debit-credit payment method (DCPM) to conveniently settle accounts payable to health care facilities (HCFs) during the global pandemic.
According to Gierran, aeound 60% of claims were paid under DCPM, and more or less 40% of claims are still being meticulously validated to ensure that there are no funds that will go to waste.
Go also mentioned that PhilHealth is in coordination with the National Bureau of Investigation to probe cases with false claims to further prevent corruption and delay of processes.
As the Senator acknowledged the struggles of many hospitals to respond to the COVID-19 pandemic, Go also pleaded to hospitals to remain cooperative and honest with their claims, especially during these unprecedented times.
“Please validate your claims and make sure they are correct, accurate, and compliant with the law,” Go expressed.
Go further stressed the need for PhilHealth to settle unpaid reimbursements as he expressed his concern that it might affect the ability of health service providers to respond to the medical needs of Filipinos especially amid an ongoing pandemic.
In addition, Go mentioned that President Duterte assigned the Department of Information and Communications Technology and other government agencies to help PhilHealth address backlogs and streamline their operations.