State health insurer PhilHealth has paid a total of P137.6 billion in benefit claims to more than 12,000 accredited health care facilities nationwide from January 1 to October 31 of 2024, with a national average turnaround time (TAT) of 25 days. Screenshot The said payment is P37.6 billion or 37.
State health insurer PhilHealth has paid a total of P137.6 billion in benefit claims to more than 12,000 accredited health care facilities nationwide from January 1 to October 31 of 2024, with a national average turnaround time of 25 days.The said payment is P37.6 billion or 37.7 percent higher compared to P99.9 billion over the same period last year.
Marami nang pagbabago sa mga nakaraang buwan tungkol sa pagbabayad ng PhilHealth sa mga ospital. Personal na bumibisita sa mga ospital sa iba’t ibang regions para mag-reconcile at alamin ang mga problema. Dahil dito, nababawasan na ang negatibong issues sa pagitan ng PhilHealth at mga ospital, at nagkakaroon ng magandang relationship ang PhilHealth at PHA. Ramdam na namin ang pagbabago.
Moving forward, the PhilHealth Chief have expressed hope that in due time, they will be able to address the remaining bottlenecks in claims processing through the use of Artificial Intelligence . “This will help ensure claims are complete and in order, free from deficiencies, incomplete documents or signatures, and unreadable attachments, among other reasons”,Claims are returned to the hospitals because of discrepancies in entries; incomplete, inconsistent or unreadable documents, and improperly completed claim forms.
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