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Date: Aug. 30, 2023, 4:09 p.m.

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Date: 2023-08-31 11:08:36.000000

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Date: 2023-09-13 11:54:20.000000

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Information about the PhilHeath Claims for the past 5 years

Published by PhilHealth(PH) on Aug. 30, 2023.
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

D.FLORES Aug. 30, 2023, 4:09 p.m.

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.

S.MACATANGAY JR. Aug. 31, 2023, 11:08 a.m.

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

P.FERWELO Sept. 13, 2023, 11:54 a.m.

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 . 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

D.FLORES Sept. 13, 2023, 1:46 p.m.

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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