ARTA calls out PhilHealth for slow release of hospital claims

Published April 6, 2021, 11:53 AM

by Bernie Cahiles-Magkilat

The Anti-Red Tape Authority (ARTA) has called out the Philippine Health Insurance Corporation (PhilHealth) to address the backlogs on the release of claims of hospitals.

“There seems to be a mounting request from the hospitals to reimburse immediately specifically those hospitals, the smaller ones that are really dying to continue their operations for their people,” ARTA Director General Jeremiah Belgica relayed this to the Inter-Agency Task Force (IATF).

ARTA Director-General Jeremiah Belgica (FACEBOOK/MANILA BULLETIN FILE PHOTO)

The ARTA chief attended Monday, April 5, the dialogue between PhilHealth and Philippine Hospital Association (PHA) on the latter’s call for the timely reimbursement of their claims yesterday.

Under ARTA’s enforcement function, Belgica said sanctions will be imposed to those who will delay the processing of such financial claims.

For his part, PHA President Dr. Jaime Almora backed up the suggestion of a colleague to automate the filing of benefit claims to resolve the current problem.

However, Belgica, stressing this time the empowerment function of the ARTA, said that the state insurer’s processes must be streamlined first before shifting to full automation. 

“ARTA have offices that help come up with more rational solution and in reengineering systems. One of the things that we encountered with other government agencies is that some would jump to automation without first seeing the most rational and simplified process. But we cannot automate without first removing redundancies and streamlining the process,” the ARTA chief said.

PhilHealth’s President and CEO Atty. Dante Gierran openly welcomed ARTA’s continued support to them to improve their service delivery. 

Previously, ARTA had formed a Special Task Force to monitor PhilHealth’s services in relation to the health insurer’s Citizen’s Charter and their streamlining efforts. ARTA had also asked PhilHealth to explain previous complaints for supposedly violating the Ease of Doing Business law. “What you have is solution. What you have is help. With that, I am greatly consoled. You have that, DG Atty. Jeremiah Belgica,” Gierran said.

 
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