MANILA — Hospitals may resubmit claims previously denied for late filing to the Philippine Health Insurance Corp. (PhilHealth) for reprocessing starting November 15 until March 31, the state-run insurer announced.

“We know that denied claims have long been a grievance of our hospitals. Some were not paid because it was past the deadline for submission to PhilHealth or due to other administrative reasons,” PhilHealth president and CEO Dr. Edwin Mercado said in Filipino in a Facebook post.

“These are not fraudulent claims and will once again be processed,” he added.

PhilHealth clarified that hospitals may submit denied claims that were unprotested and unappealed from January 1, 2018, up to December 31, 2024. The insurer urged hospitals to coordinate with their respective regional offices for additional details.

Mercado also reminded hospitals to file claims within the prescribed deadlines to ensure timely payment.

“The administration of health care is a coordinated effort. PhilHealth is helping to reduce expenses for [health care]. On the other hand, PhilHealth also needs to be aware of the services being delivered by health-care providers,” Mercado said.

“That’s why we continuously remind [hospitals] to file their claims immediately, so that they would quickly be paid by PhilHealth,” he added.

As of September this year, PhilHealth said it has released over P217 billion in benefit claims payments to health-care facilities nationwide, a 94.18 percent increase from the P112.23 billion disbursed during the same period last year. Private facilities received P127 billion, while public facilities accounted for P90 billion.

The insurer reported that the average turnaround time for claims processing was around 22 days.