PhilHealth vows to release 60% of P21-B hospital claims next week

Published August 26, 2021, 4:29 PM

by Noreen Jazul

The Philippine Health Insurance Corporation (PhilHealth) has vowed to pay 60 percent of the in-process claims of its partner hospitals by next week through its Debit-Credit Payment Method (DCPM).


“Next week babayaran it (we will pay), doon pa rin sa (through the) DCPM, 60 percent kung mag kano ang amount na babayaran naming doon sa healthcare institution ay babayaran agad (60 percent of the amount of payables to the healthcare institutions, we will pay immediately),” PhilHealth President and Chief Executive Officer (CEO) Dante Gierran told House Committee on Good Government and Public Accountability Chairperson and DIWA Party-list Representative Michael Edgar Aglipay during a hearing on Thursday (Aug. 26).

Under the DCPM, Philhealth shall pay 60 percent of the total amount of receivables of private eligible healthcare facilities, “subject to two percent expanded withholding tax.”

Gierran said the remaining amount of claims that PhilHealth has yet to pay as of Aug. 24, 2021, is P21.1 billion.

From the P21.1 billion, P10.6 billion are payables for the private hospitals.

The state health insurer, according to Gierran has received a total of P170 billion in claims from the year 2020 to 2021. Out of the total amount of claims, Gierran said P132 billion has been paid or 72.2 percent.

The 60 percent of the P21.1 billion, or an estimate of P17 billion, is already “on the pipeline,” according to Gierran.

“Hinihintay na lang po ang dokumentasyon. Kaya lang may hearing kami bukas, maaantala na naman ang trabaho (We’re just waiting for documentation. However, we have a hearing tomorrow, so that would delay our work),” Gierran told the House Committee.

“By next week, hopefully, ma wipe out yung (we will wipe out) 60 percent and will be complying with the rest of the balance,” the Philhealth president vowed.