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PRRD orders Philhealth to fast-track  payment of valid hospital claims

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PRRD orders Philhealth to fast-track  payment of valid hospital claims

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QUEZON CITY, April 8 (PIA) —  President Rodrigo Roa Duterte  has directed the Philippine Health Insurance Corporation (PhilHealth) to expedite the payment of valid claims of hospitals, Presidential Spokesperson Secretary Harry Roque said.

Roque  in a statement said Philhealth has  approved the application of a Debit-Credit Payment Method (DCPM) to facilitate the settlement of accounts payable to Health Care Facilities (HCFs) during the state of public health emergency due to the COVID-19 pandemic.

He explained that  HCFs eligible for DCPM must be located in IATF and NTF identified regions, such as the National Capital Region, Batangas, Bulacan, Cavite, Laguna, Pampanga and Rizal.

Roque added that  HCFs must likewise have no Interim Reimbursement Mechanism Fund balance on record. It must be attending to COVID-19 patients or providing the SARS-COV-2 testing package and their accreditation is not suspended during the applicable period.

“Through this measure, we are confident there would be continuous delivery of healthcare services, especially in identified areas of concern, amid the rising number of coronavirus active cases,” Roque said.

Earlier, PhilHealth CEO and President Dante Gierran admitted the state-run medical insurer’s ‘slowness’  in processing  unpaid hospital claims, as some of it employees had tested positive of COVID-19 reducing the workforce and prompting a lock down of their office.

He said that last year, PhilHealth received P107 billion in hospital  claims and was able to settle about 85 percent of these claims. (MACV/PIADDCU)