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Date: Aug. 25, 2020, 4:23 p.m.

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Date: 2020-08-26 12:33:48.000000

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Date: 2020-09-01 10:29:59.000000

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Issuances regarding denied claims due to late submission (submitted after 60 days)

Published by PhilHealth(PH) on Aug. 25, 2020.
Requested from PH by M. Gannaban at 04:23 PM on Aug. 25, 2020.
Purpose: Personal
Date of Coverage: 08/25/2015 - 08/25/2020
Tracking no: #PH-420808908673

M.GANNABAN Aug. 25, 2020, 4:23 p.m.

Good day. I am hoping someone can assist me with my query. I was a former Medical Officer employed with a government hospital under the DOH. Are there any issuances from Philhealth and/or DOH, specifically for government hospitals, regarding Philhealth claims that were allegedly submtted beyond the allowed 60-day period, by any medical officer? Can the medical officer be held liable for denied claims due to alleged late submission of the claims, under any Philhealth or DOH issuance? If so, can someone please provide me with a list of said issuances, that may provide enlightenment with regards

S.MACATANGAY JR. Aug. 26, 2020, 12:33 p.m.

August 26, 2020 Dear MARIA SOPHIA, Thank you for your request dated Aug 25, 2020 under Executive Order No. 2 (s. 2016) on Freedom of Information in the Executive Branch, for Issuances regarding denied claims due to late submission (submitted after 60 days). We received your request on Aug 25, 2020 and will respond on or before Sep 15, 2020 04:23:49 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://www.foi.gov.ph/requests/aglzfmVmb2ktcGhyHAsSB0NvbnRlbnQiD1BILTQyMDgwODkwODY3Mww, for request with ticket number #PH-420808908673. Thank you. Respectfully, Zenaida Marron FOI Officer

P.BACUD Sept. 1, 2020, 10:29 a.m.

September 1, 2020 Dear MARIA SOPHIA Gannaban, Greetings! Thank you for your request dated Aug 25, 2020 04:23:49 PM under Executive Order No. 2 (s. 2016) on Freedom of Information in the Executive Branch. Your Request You asked for Issuances regarding denied claims due to late submission (submitted after 60 days). Response to Request Your FOI request is approved. I enclose a copy of [some] of the information you requested. 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). Thank you. Respectfully, Paulus Bacud FOI Receiving Officer

Attachments:

circ2017-0013.pdf - Paulus Bacud - [email protected]

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