THE Philippine Health Insurance Corporation (PhilHealth) will pay P8.8 billion for claims that were rejected due to late filing beyond the 60-day period, according to PhilHealth spokesperson Dr. Israel Francis Pargas.
This policy covers claims from January 1, 2018, to December 31, 2024.
PhilHealth began electronic claims filing in 2018, which automatically rejects late submissions. The new policy includes claims that are still with PhilHealth, those that were returned but not yet filed, and those that have been re-filed by hospitals.
According to PhilHealth President and CEO Dr. Edwin Mercado, 30% to 40% of rejected claims are due to late filing, while the remaining 60% are still under review
