PhilHealth

Browse over 940 requests from this government agency

Go Back

  • REQUEST SUBMITTED

    You have submitted an FOI request

    Date: 2020-07-27 10:42:44.066790

  • PROCESSING REQUEST

    Your request is already in review

    Date: 2020-07-29 13:38:31.925365

  • REQUEST SUCCESSFUL

    Your request was successful

    Date: 2020-08-10 19:55:42.679476

  • 4

    RATE YOUR REQUEST

    How was your request?

Number and average amount of monthly denied and returned-to-hospital claims

Requested from PH by E. Cajes at 10:42 AM on Jul 27, 2020.
Purpose: Research and analytics
Date of Coverage: 01/01/2017 - 06/01/2020
Tracking no: #PH-216262307568

Cajes 10:42 AM, Jul 27, 2020 

Hi, I would like to request for the following information

1. Number and estimated average amount of claims processed (monthly from January 1 2017 to June 1 2020)
2. Number and estimated average amount of claims returned to hospital due to incomplete information (monthly from January 1 2017 to June 1 2020)
3.  Number of and estimated average amount of claims denied

Macatangay Jr. 01:38 PM, Jul 29, 2020 

July 29, 2020

Dear Ernie John,

Thank you for your request dated Jul 27, 2020 under Executive Order No. 2 (s. 2016) on Freedom of Information in the Executive Branch, for Number and average amount of monthly denied and returned-to-hospital claims.

We received your request on Jul 27, 2020 and will respond on or before Aug 17, 2020 10:42:44 AM, in accordance with the Executive Order's implementing rules and regulations.

Should you have any questions regarding your request, kindly contact me using the reply function on the eFOI portal at https://www.foi.gov.ph/requests/aglzfmVmb2ktcGhyHAsSB0NvbnRlbnQiD1BILTIxNjI2MjMwNzU2OAw, for request with ticket number #PH-216262307568.

Thank you.

Respectfully,

Zenaida Marron
FOI Officer

Bacud 07:55 PM, Aug 10, 2020 

August 10, 2020

Dear Ernie John Cajes,

Greetings!

Thank you for your request dated Jul 27, 2020 10:42:44 AM under Executive Order No. 2 (s. 2016) on Freedom of Information in the Executive Branch.

Your Request

You asked for Number and average amount of monthly denied and returned-to-hospital claims.

Response to Request

Your FOI request is approved. I enclose a copy of [most] of the information you requested. For the Average Value Paid per Claim you may refer to our website at https://www.philhealth.gov.ph/about_us/statsncharts/

Your right to request a review

If you are unhappy with this response to your FOI request, you may ask us to carry out an internal review of the response by writing to <BGEN. RICARDO C. MORALES, AFP (RET) FICD, President and Chief Executive Officer (CEO), nrsantiago@philhealth.gov.ph, or privacy.dpo@philhealth.gov.ph>. Your review request should explain why you are dissatisfied with this response, and should be made within 15 calendar days from the date when you received this letter. We will complete the review and tell you the result within 30 calendar days from the date when we receive your review request.

If you are not satisfied with the result of the review, you then have the right to appeal to the Office of the President under Administrative Order No. 22 (s. 2011).

Thank you.

Respectfully,

Paulus Bacud
FOI Receiving Officer

Attachments:
 PhilHealth Claims Received 2017 to 2019.xlsx

Is this request offensive?

Requests for personal information and vexatious requests are not considered valid requests for Official Information.

If you believe this request is not suitable, you can report it for attention by the site administrators.