MAASIN CITY- Employers in the private and public sector must see to it that they do not just remit the total PhilHealth monthly or quarterly payment of their employees in one full sweep.
They should also submit a report containing a list employees’ names whose paid contributions each correspond to the period when such payment was applicable.
According to Misael Paigan, PhilHealth provincial manager, offices or agencies regularly paying contributions without the accompanying remittance report are subject to an unwarranted claim when an employee got sick and hospitalized, because the individual record was not updated.
“We can still proceed with the processing of proper benefits, as the office or agency had paid the contributions on time, but PhilHealth will charge those to the office/agency concerned. This is the unwarranted claim,” Paigan explained during the Kapihan sa PIA live at DYDM on Friday.
To avoid an unwarranted claim, the office or those in-charge of remitting PhilHealth dues must also submit a detailed names of personnel covered by the remittance, Paigan emphasized, adding that there are still some offices needed to be reminded about this.
Romulo Carbonilla, Jr., a PhilHealth staff who was also at the Kapihan, said updating of individual records is critical since the current policy for paying members to avail of claims was 9 out of 12, or nine months straight payment out of 12 months.
Meanwhile, Paigan reported that PhilHealth’s expanded primary care benefits (EPCB) will be extended to the employed sector sooner through EPCB accredited hospitals.
Also during the weekly radio program, Paigan announced that the point of service (POS) availment of non-PhilHealth members and inactive members confined in government hospitals was ongoing, as well as the renewal of indigent members like 4Ps and senior citizens.
A PhilHealth learner’s manual has been included to Grade 10 student curriculum in public and private schools in an effort to instill awareness of PhilHealth programs and services early on, Paigan said. (LDL/MMPedalino/PIA-8 Southern Leyte)
