{"id":278703,"date":"2020-12-15T04:43:47","date_gmt":"2020-12-15T09:43:47","guid":{"rendered":"https:\/\/canadianinquirer.net\/v1\/?p=278703"},"modified":"2020-12-15T04:43:47","modified_gmt":"2020-12-15T09:43:47","slug":"philhealth-urged-to-simplify-process-of-payment-claims","status":"publish","type":"post","link":"https:\/\/canadianinquirer.net\/v1\/2020\/12\/15\/philhealth-urged-to-simplify-process-of-payment-claims\/","title":{"rendered":"PhilHealth urged to simplify process of payment claims"},"content":{"rendered":"<figure id=\"attachment_204928\" aria-describedby=\"caption-attachment-204928\" style=\"width: 520px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/canadianinquirer.net\/v1\/wp-content\/uploads\/2019\/03\/12994564_1115766561821355_2091143319273445715_n.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-204928\" src=\"https:\/\/canadianinquirer.net\/v1\/wp-content\/uploads\/2019\/03\/12994564_1115766561821355_2091143319273445715_n.jpg\" alt=\"\" width=\"520\" height=\"390\" srcset=\"https:\/\/canadianinquirer.net\/v1\/wp-content\/uploads\/2019\/03\/12994564_1115766561821355_2091143319273445715_n.jpg 520w, https:\/\/canadianinquirer.net\/v1\/wp-content\/uploads\/2019\/03\/12994564_1115766561821355_2091143319273445715_n-300x225.jpg 300w\" sizes=\"auto, (max-width: 520px) 100vw, 520px\" \/><\/a><figcaption id=\"caption-attachment-204928\" class=\"wp-caption-text\">Roque said Duterte requested the processing of claims \u201cto be simplified and just let the indigent patient sign so he will be able to go home after his treatment.\u201d (<a href=\"https:\/\/www.facebook.com\/PhilHealthofficial\/photos\/a.261644413900245\/1115766561821355\/?type=3&amp;amp;theater\">File Photo: Philippine Health Insurance Corporation\/Facebook<\/a>)<\/figcaption><\/figure>\n<p><strong>MANILA<\/strong>\u00a0\u2013 President Rodrigo Duterte has urged Philippine Health Insurance Corp. (PhilHealth) to simplify the process of payment claims in hospitals to 60 days following reported delays.<\/p>\n<p>In a Palace press briefing, Presidential Spokesperson Harry Roque said Duterte made this directive during Monday night\u2019s Cabinet meeting where PhilHealth CEO and President Dante Gierran was present.<\/p>\n<p><em>\u201cPagdating po sa<\/em>\u00a0filing of claims,\u00a0<em>binibigyan ang<\/em>\u00a0PhilHealth\u00a0<em>ng<\/em>\u00a060 araw\u00a0<em>na sa pagproseso ng mga dokumento. Pero bagamat mahaba po ang eksplanasyon ng<\/em>\u00a0PhilHealth,\u00a0<em>pinag-utos po ng Presidente ang pagpapaikli, pagpapa<\/em>-reconfigure,\u00a0<em>pagsi<\/em>-simplify\u00a0<em>ng mga<\/em>\u00a0requirements\u00a0<em>para sa<\/em>\u00a0settling\u00a0<em>ng<\/em>\u00a0claims.\u00a0<em>Kasama rin ang pag<\/em>-stretch\u00a0<em>ng<\/em>\u00a0limit\u00a0<em>ng<\/em>\u00a0late filing (When it comes to filing of claims, the PhilHealth was given 60 days to process documents. Despite PhilHealth\u2019s long explanation, the President ordered them to shorten, reconfigure, and simplify requirements for the settling of claims. This includes stretching the limit for late filing,\u201d he said.<\/p>\n<p>Roque said Duterte requested the processing of claims \u201cto be simplified and just let the indigent patient sign so he will be able to go home after his treatment.\u201d<\/p>\n<p><em>\u201cYung<\/em>\u00a0ideal\u00a0<em>po<\/em>\u00a0(What is ideal) is to compress the process more and not bring more hardship to the sick and indigent Filipino patient and not have to worry about the process,\u201d he said.<\/p>\n<p>Roque said Gierran vowed to meet members of the PhilHealth board to implement the President\u2019s directive.<\/p>\n<p>Meanwhile, Roque said the inter-agency task force investigating irregularities in PhilHealth has submitted to Duterte a new report that includes plans to file complaints against PhilHealth officials and medical practitioners involved in anomalies.<\/p>\n<p><em>\u201cNaisumite na nila ang kanilang<\/em>\u00a0report\u00a0<em>kay Presidente at sang-ayon po kay<\/em>\u00a0[Justice] Sec. Meynard Guevarra\u00a0<em>kagabi, e magpa-<\/em>file\u00a0<em>po ang<\/em>\u00a0expanded task force\u00a0<em>ng ilang mga<\/em>\u00a0complaints\u00a0<em>sa<\/em>\u00a0Ombudsman<em>\u00a0laban sa ilang opisyal ng<\/em>\u00a0PhilHealth\u00a0<em>pati ilang<\/em>\u00a0medical practitioners\u00a0<em>na mga kasabwat sa<\/em>\u00a0anomaly (They submitted their report to the President and according to Secretary Meynard Guevarra last night, the expanded task force will file complaints before the Ombudsman against officials of the PhilHealth and some medical practitioners who are accomplices in anomalies),\u201d he said<\/p>\n<p>The task force submitted its 177-page initial report to Duterte last September.<\/p>\n<p>Formed last August 7, the task force conducted seven hearings where it received the testimony of 14 witnesses, reports and summaries of cases, and reports and recommendations of other bodies including the Senate.<\/p>\n<p>The task force called out the state firm&#8217;s alleged \u201cfoot-dragging\u201d in going after thousands of fraud cases involving its employees and some healthcare institutions and has flagged the low and slow rate of prosecution of cases by PhilHealth&#8217;s legal office.<\/p>\n<p>Duterte earlier ordered Gierran to find the officials and persons responsible for irregularities in PhilHealth and has directed a reshuffle of the state firm&#8217;s regional vice presidents.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>MANILA\u00a0\u2013 President Rodrigo Duterte has urged Philippine Health Insurance Corp. (PhilHealth) to simplify the process of payment claims in hospitals &hellip;<\/p>\n","protected":false},"author":33,"featured_media":204928,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16,95],"tags":[],"class_list":["post-278703","post","type-post","status-publish","format-standard","has-post-thumbnail","category-news","category-news-ph","mauthors-azer-parrocha","mauthors-philippine-news-agency"],"_links":{"self":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts\/278703","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/users\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/comments?post=278703"}],"version-history":[{"count":1,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts\/278703\/revisions"}],"predecessor-version":[{"id":278713,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts\/278703\/revisions\/278713"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/media\/204928"}],"wp:attachment":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/media?parent=278703"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/categories?post=278703"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/tags?post=278703"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}