PHIC (13 August 2004)

(NAR) VOL. 15 NOS. 3-4 / JULY - SEPTEMBER 2004

[ PHIC, August 13, 2004 ]

ERRATA TO THE IMPLEMENTING RULES AND REGULATIONS (IRR) OF THE NATIONAL HEALTH INSURANCE ACT OF 1995 (REPUBLIC ACT 7875 AS AMENDED BY REPUBLIC ACT 9241)

As Published As Corrected 1. Section 18. Obligations of the 1. Section 18. Obligations of the Employer Employer All government and private employees All government and private are required to register their EMPLOYERS are required to register employees with the corporation and their employees with the Corporation shall be issued a permanent and and shall be issued a permanent and unique PhilHealth Identification unique PhilHealth Identification Number Number Note: In lieu of "employees", it should be EMPLOYERS 2. Section 88. Penalties for 2. Section 88. Penalties for Violations Violations - Violation of the requisites - Violation of the requisites provided provided in Rule XXVII shall in Rule XVII shall constitute breach constitute breach of the accreditation. of warranties of warranties of accreditation. Note: "Rule XXVII" as published should read as "RULE XVII" 3. Section 143. Post-dating of Claims 3. Section 143. Post-dating of Claims Any health care provider who, for Any health care provider who, for purposes of claiming payment from purposes of claiming payment from the NHIP, files a claim for payment of the NHIP, files a claim for payment of services rendered not within one services rendered not within hundred eighty (180) calendar days SIXTY(60) calendar days from the the from date of discharge of the patient date of discharge of the patient or such or such other prescriptive periods as other prescriptive periods as the the Corporation may issue but makes Corporation may issue out but makes it appear so by changing, erasing, it appear so by changing, erasing, adding to the period of confinement or adding to the period of of confinement in any manner altering dates so as to or in any manner altering dates so as conform with the adopted prescriptive to conform with the adopted.period, shall suffer a fine of not less prescriptive period, shall suffer a fine than Ten Thousand Pesos (P10,000) of not less a fine of not less than Ten but not more than Fifty Thousand Thousand Pesos (P10,000) but not Pesos (P50,000) and suspension of more than Fifty Thousand Pesos accreditation for three (3) months to (P50,000) and suspension of the whole term of accreditation. accreditation for three (3) months to the whole term of accreditation. Note: Instead of one hundred eighty (180) calendar days, it should be SIXTY (60) calendar days. Adopted: 13 Aug. 2004

(SGD.) ATTY. VALENTIN C. GUANIO Vice President, Legal Services Group Chairman, Committee on the Review and Amendment of RA 7875 and Revised IRR PhilHealth