Some PhilHealth claimants exempted from 60-day rule after system upgrade
PHILIPPINE HEALTH Insurance Corp. (PhilHealth) claimants, whose applications were filed online and with the 61st day falling within Aug. 6-31, have been exempted from the 60-day filing rule in consideration of a systems upgrade undertaken by the agency. In an advisory published on Oct. 25, PhilHealth said the recent systems update affected the submission of claims, “although the issues were already addressed.” It stressed that “all electronic claims submitted online, either directly by the HCI (Health Care Institutions) or thru their IT service providers, whose 61st day of filing falls within the period Aug. 6 to 31, 2018, shall not be denied in the system.” As such, HCIs no longer have to undergo the claims appeal process.