THE Philippine Health Insurance Corporation (PhilHealth) yesterday reminded all hospitals and health facilities with previously denied claims due to late submission to refile them on or before September 21.
In its Advisory No. 2025-0037, PhilHealth said such hospitals and health facilities must refile their claims to avail of the flexibility in the claims submission program.
“Please be advised that effectivity period of this policy is six months which will end on September 21, 2025,” said PhilHealth.
“All concerned facilities are encouraged to file covered claims within the stipulated period and to ensure payment of the subject claims,” it added.
The state-run health insurer said failure to do so will remove all opportunities for their claims to get paid.
“After six months from the date of effectivity of this circular, PhilHealth shall deny with finality all unprotested and unappealed claims covered by this policy,” the state insurer said.
Last March, PhilHealth announced that it would give a second chance to hospital claims denied due to late submission.
Allowed to be refiled are the denied hospital claims originally filed from January 1, 2018 to December 31, 2024.
PhilHealth estimated that they will need to pay over P8 billion for around 1.1 million claims.
