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(NAR) VOL. 18 NO. 4/OCTOBER - DECEMBER 2007
[ PHIC PHILHEALTH CIRCULAR NO. 17, s. 2007, October 09, 2007 ]
DISCONTINUANCE OF COMPENSABILITY OF CLAIMS FOR CATARACT SURGERY PERFORMED DURING MEDICAL MISSIONS AND THRU OTHER RECRUITMENT SCHEMES AND FURTHER LIMITING THE NUMBER OF COMPENSABLE CLAIMS FOR CATARACT SURGERY
Pursuant to PhilHealth Board Resolution No. 1046 s. 2007, PhilHealth shall hereby discontinue the compensability of claims for cataract operations performed during medical missions and other recruitment schemes for cataract surgery.
The said Resolution also directs PhilHealth to employ necessary measures to limit the number of claims for the said procedure which may be compensated under the program by ascertaining the veracity of volume claims prior to processing and payment.
Implementing guidelines for compliance to this Circular shall be issued forthwith.
This Circular shall take effect on all claims for cataract operations with admission dates starting November 1, 2007. All other issuances inconsistent herein are hereby repealed and modified accordingly.
For strict compliance.
Adopted: 09 Oct. 2007
The said Resolution also directs PhilHealth to employ necessary measures to limit the number of claims for the said procedure which may be compensated under the program by ascertaining the veracity of volume claims prior to processing and payment.
Implementing guidelines for compliance to this Circular shall be issued forthwith.
This Circular shall take effect on all claims for cataract operations with admission dates starting November 1, 2007. All other issuances inconsistent herein are hereby repealed and modified accordingly.
For strict compliance.
Adopted: 09 Oct. 2007
(SGD.) LORNA O. FAJARDO
Acting President and CEO
Acting President and CEO