The PhilHealth regional office in Ilocos had sought the NBI’s help in investigating fraud in the company, specifically double claims and fictitious members, that was discovered in 2014. Pamela del Rosario caseAmong the cases investigators looked into were the claims of Del Rosario, a PhilHealth member. According to PhilHealth sources, Del Rosario pulled off the scam with help from conniving PhilHealth employees and officials. Records showed that Del Rosario’s claims were quickly processed by PhilHealth, with checks issued to her in as short as five days — a far cry from the standard 60-day wait for most PhilHealth claims, according to company sources. Claims scrutinizedFor claims, PhilHealth members are usually asked to submit proof of their membership, along with documents showing the expenses incurred, as well as hospital confinement records.

Source: Philippine Daily Inquirer June 18, 2019 21:00 UTC