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PhilHealth to Probe Over 8,000 Cases Of Fraudulent Acts

PHILHEALTH – Spokesperson of PhilHealth said they are probing over 8,000 cases of fraudulent cases.

Following a previous article, PhilHealth filed a case against a dialysis center for allegedly receiving the benefits of deceased patients.

The acting President of the health insurance company, Roy Ferrer, confirmed that they filed 28 counts of administrative cases against WellMed Dialysis & Laboratory Center Corp.

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The former employee of the dialysis center claimed that the health insurance firm continues to pay for the benefits of the deceased patients.

Roy Ferrer said PhilHealth will not tolerate the anomalous transactions with the government health insurance company.

“Such acts as it undermines the people’s entitlement to one of their basic rights as human beings – the right for appropriate medical care,” he said.

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Based on a report from GMA News, PhilHealth spokesperson Dr. Shirley Domingo said they have been investigating over 8,000 cases.

“Hindi po isolated case ‘to. Sabi ko nga earlier, our record showed that currently we are investigating up to 8,900 plus cases… that’s pending in our investigation department… may mga ghost patients, false claims, misrepresentation, upcasing nakikita po namin ‘yan,” she said.

Photo Source: Rappler

According to the report, the spokesperson clarified that they haven’t had any employee who connived with the dialysis center.

“Wala namang nireklamo na kasabwat sa PhilHealth but we are investigating a lot of cases and kung mayroon ngang kasabwat ay talagang mahahanap po natin ‘yan at we will give necessary due process and penalty,” said Domingo.

Photo Source: BusinessMirror

Based on the report, PhilHealth spokesperson warned that the involved dialysis center may lose its license once they are proved guilty.

“Depende po ‘yun sa findings and severity. At most, we can revoke their accreditation,” she said.

Hopefully, PhilHealth will capture all the people who take advantage of the government’s health funds.

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