Published by PhilHealth(PH) on Nov. 13, 2023.
Requested from PH by J. Tumang at 12:06 PM on
Nov. 13, 2023.
Purpose: Letter to Congress on the Matter
Date of Coverage: 11/12/2023 - 11/12/2023
Tracking no: #PH-012747548858
J.TUMANG
Nov. 13, 2023, 12:06 p.m.
From my study of Medical Billing & Coding, I've learned that there are International Statistical Classification of Diseases and Related Health Problems - 10 - Clinical Modification (I.C.D.-10-.C.M.) diagnostic-codes for rape: Z04.041-Z04.042, Z04.081-Z04.082, and others. How many such diagnoses were invoked in insurance reimbursement-request across the PH, annually from 2018-2023? Are their numbers lower, close-enough to, or exceed the P.N.P.'s reported annual numbers for those years?
https://didm.pnp.gov.ph/index.php/23-sidebar/96-crime-statistics
Any trends in the numbers?
S.MACATANGAY JR.
Nov. 13, 2023, 3:24 p.m.
November 13, 2023
Dear Jose-Mari,
Thank you for your request dated Nov 13, 2023 under Executive Order No. 2 (s. 2016) on Freedom of Information in the Executive Branch, for On Healthcare-Facilities' Rape-Diagnoses in Insurance-Claims.
We received your request on Nov 13, 2023 and will respond on or before Dec 04, 2023 12:06:34 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/aglzfmVmb2ktcGhyHAsSB0NvbnRlbnQiD1BILTAxMjc0NzU0ODg1OAw, for request with ticket number #PH-012747548858.
Thank you.
Respectfully,
Zenaida Marron
FOI Officer
J.TUMANG
Nov. 13, 2023, 7:36 p.m.
Thanks for accepting. The best to you, then!
P.FERWELO
Nov. 23, 2023, 10:59 a.m.
November 23, 2023
Dear Jose-Mari,
Greetings!
Thank you for your request dated Nov 13, 2023 12:06:34 PM under Executive Order No. 2 (s. 2016) on Freedom of Information in the Executive Branch.
Your Request
You asked for On Healthcare-Facilities' Rape-Diagnoses in Insurance-Claims.
Response to Request
Your FOI request is approved. I enclose a copy of [some] of the information you requested. As to the PhilHealth list of medical case rates, these codes related to examination and observation following alleged adult rape, etc. were not compensable and PhilHealth does not have received any related cases of rape.
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.
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Thank you.
Respectfully,
Patrick Collen Ferwelo
FOI Receiving Officer
J.TUMANG
Nov. 24, 2023, 6:06 a.m.
Thanks for the surprising information. The info will be used to address the pressing issue. The best to you, then!
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