8 PhilHealth officials, 4 hospital workers face complaint over fraudulent COVID-19 claim

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CEBU CITY, Philippines - A total of 12 individuals, including public officials and medical practitioners, are now facing complaints before the Office of the Ombudsman in the Visayas over allegations

NBI-7 director and lawyer Renan Oliva shows some of their case files on allegations of irregularities involving PhilHealth and several hospitals in Central Visayas

Operatives from the National Bureau of Investigation in Central Visayas filed multiple criminal and administrative complaints against eight officials from the Philippine Health Insurance Corp. and four officers from a private hospital in Cebu City when they discovered irregularities in a patient’s health claims.

CDN Digital has already reached out both to PhilHealth-7 and Perpetual Succour Hospital Inc. for their statements but as of this posting, only PhilHealth-7 responded, saying they will be issuing a statement within the day.Oliva said this stemmed from their findings that the officials and hospital officers allegedly connived to siphon over P300,000 in COVID-19 claims from a patient, referred to as Patient X, who died due to other causes last May.

This, despite the fact that Patient X’s death was due to non-COVID-19 pneumonia, and that he already tested negative for SARS-CoV-2 in at least three tests, including a real-time polymerase chain reaction , prior to his death.

 

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