PhilHealth Surprisingly Suspends Fraud Reimbursement Claims
The Philippine Health Insurance Corp. is suspending installments to emergency clinics and clinical experts with repayment claims being scrutinized for misrepresentation — a move that might incite private medical clinic associations to withdraw from the state-run wellbeing safety net provider.
Under PhilHealtlh Circular №2021–0013 gave yesterday, a transitory suspension of installment of cases is as a result for 120 days. TSPC is a “restrictive stoppage of installment for claims going through examination.
PhilHealth president and CEO Dante Gierran said the action has been utilized to guarantee normal utilization of assets by distinguishing expected misrepresentation or repayment maltreatment through questionable cases.