PhilHealth denies hospital bill backlogs

by Nina Corpuz, ABS-CBN News

Posted at May 26 2014 04:08 PM | Updated as of May 27 2014 12:08 AM

MANILA - The Philippine Health Insurance Corp. (Philhealth) denied it has payment backlogs in hospitals.

Jennifer Raca, officer in charge of the benefits and research department of Philhealth, explained the 10 hospitals that were allegedly not paid were probably referring to "return to hospital bills" and "denied claims.”

Raca said all “good claims,” or those with complete documents, were paid during the turnaround time of 60 days.

“As per our records, all the good claims are paid within 60 days."

What's left are the "return to hospital bills" and "denied claims". The former may have something to do with the new case rate system, which hospitals are still getting used to.

When the hospital fixes the "return to hospital bills" and submits them again to PhilHealth, there will be another 60-day count.

Raca said the "return to hospital bills" are estimated to amount to more than P1 billion.

The denied claims, on the other hand, can be appealed. The hospital will have to wait another 60 days, she said.