Tacloban City (CNN Philippines, February 29) – A regional official from the Philippine Health Insurance Corporation Inc., has clarified they are not yet investigating any hospital in Eastern Visayas for alleged ghost claims.
Instead, they are validating reports of fraudulent claims, acting PhilHealth Eastern Visayas Vice President Michael Jebson Hernandez said Friday in a statement as he underscored they will not hesitate filing cases against as well as canceling the accreditation of providers found to be defrauding the state health insurance firm.
The clarification stemmed from a report early this week that said 80 medical facilities in the region were under probe for supposedly claiming payments for nonexistent treatments.
The official added that they will continue to strengthen its anti-fraud activities to protect PhilHealth funds.
He also asked for the cooperation of various stakeholders including healthcare providers, employers, as well as the members to combat health insurance fraud.
In Eastern Visayas, PhilHealth has about 80 accredited hospitals in the region and more than four million members as of 2019.
