Requested from PH by D. Flores at 04:09 PM on
Aug 30, 2023.
Purpose: Research and Development
Date of Coverage: 01/01/2017 - 08/30/2023
Tracking no: #PH-381593065922
Flores 04:09 PM, Aug 30, 2023
Hi! I would like to request for information regarding:
1. Number of submitted, denied and successfully reimburssed claims in the past 5 years nationwide.
2. Number of submitted, denied and successfully reimburssed value per region in the past 5 years nationwide.
3. Amount of money per facility received from PhilHealth Claims nationwide in the most recent year.
4.Top 20 most claimed disease with claims amount and claims count.
5. Top 10 reasons why claims are denied.
Macatangay Jr. 11:08 AM, Aug 31, 2023
August 31, 2023
Dear Dean Adriane,
Thank you for your request dated Aug 30, 2023 under Executive Order No. 2 (s. 2016) on Freedom of Information in the Executive Branch, for Information about the PhilHeath Claims for the past 5 years.
We received your request on Aug 30, 2023 and will respond on or before Sep 20, 2023 04:09:38 PM, 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://foi.gov.ph/requests/aglzfmVmb2ktcGhyHAsSB0NvbnRlbnQiD1BILTM4MTU5MzA2NTkyMgw, for request with ticket number #PH-381593065922.
Thank you.
Respectfully,
Zenaida Marron
FOI Officer
Ferwelo 11:54 AM, Sep 13, 2023
September 13, 2023
Dear Dean ,
Greetings!
Thank you for your request dated Aug 30, 2023 04:09:38 PM under Executive Order No. 2 (s. 2016) on Freedom of Information in the Executive Branch.
Your Request
You asked for Information about the PhilHeath Claims for the past 5 years.
Response to Request
Your FOI request is approved. I enclose a copy of [all] of the information you requested. You may access the file through this link: https://drive.google.com/file/d/1vcef8KOcjt8Lu-W31WcCqMKSU1EK9nbm/view?usp=sharing
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 <Emmanuel R. Ledesma, Jr. - President and Chief Executive Officer (PCEO), 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).
Please be guided that the purpose of the information/data being requested should be solely used for the intent stated in your request.
Help us also improve our services by answering a quick survey at https://tinyurl.com/FOI-Request-Feedback.
Thank you.
Respectfully,
Patrick Collen Ferwelo
FOI Receiving Officer
Flores 01:46 PM, Sep 13, 2023
We would like to request for the file that we requested in Excel, SQL or CSV File Format. Thank you for your attention on this matter.
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