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[ 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 Employer 1. Section 18. Obligations of the Employer

All government and private employees are required to register their employees with the corporation and shall be issued a permanent and unique PhilHealth Identification Number All government and private EMPLOYERS are required to register their employees with the Corporation and shall be issued a permanent and unique PhilHealth Identification Number

Note: In lieu of "employees", it should be EMPLOYERS

2. Section 88. Penalties for Violations - Violation of the requisites provided in Rule XXVII shall constitute breach of the accreditation. 2. Section 88. Penalties for Violations - Violation of the requisites provided in Rule XVII shall constitute breach 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 purposes of claiming payment from the NHIP, files a claim for payment of services rendered not within one hundred eighty (180) calendar days from date of discharge of the patient or such other prescriptive periods as the Corporation may issue but makes it appear so by changing, erasing, adding to the period of confinement or in any manner altering dates so as to conform with the adopted prescriptive period, shall suffer a fine of not less than Ten Thousand Pesos (P10,000) but not more than Fifty Thousand Pesos (P50,000) and suspension of accreditation for three (3) months to the whole term of accreditation.
Any health care provider who, for purposes of claiming payment from the NHIP, files a claim for payment of services rendered not within SIXTY(60) calendar days from the the date of discharge of the patient or such other prescriptive periods as the Corporation may issue out but makes it appear so by changing, erasing, adding to the period of of confinement or in any manner altering dates so as to conform with the adopted. prescriptive period, shall suffer a fine of not less a fine of not less than Ten Thousand Pesos (P10,000) but not more than Fifty Thousand Pesos (P50,000) and suspension of 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

As Published		As Corrected

1. Section 18. Obligations of the Employer		1. Section 18. Obligations of the Employer

All government and private employees are required to register their employees with the corporation and shall be issued a permanent and unique PhilHealth Identification Number		All government and private EMPLOYERS are required to register their employees with the Corporation and shall be issued a permanent and unique PhilHealth Identification Number

Note: In lieu of "employees", it should be EMPLOYERS

2. Section 88. Penalties for Violations - Violation of the requisites provided in Rule XXVII shall constitute breach of the accreditation.		2. Section 88. Penalties for Violations - Violation of the requisites provided in Rule XVII shall constitute breach 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 purposes of claiming payment from the NHIP, files a claim for payment of services rendered not within one hundred eighty (180) calendar days from date of discharge of the patient or such other prescriptive periods as the Corporation may issue but makes it appear so by changing, erasing, adding to the period of confinement or in any manner altering dates so as to conform with the adopted prescriptive period, shall suffer a fine of not less than Ten Thousand Pesos (P10,000) but not more than Fifty Thousand Pesos (P50,000) and suspension of accreditation for three (3) months to the whole term of accreditation.		Any health care provider who, for purposes of claiming payment from the NHIP, files a claim for payment of services rendered not within SIXTY(60) calendar days from the the date of discharge of the patient or such other prescriptive periods as the Corporation may issue out but makes it appear so by changing, erasing, adding to the period of of confinement or in any manner altering dates so as to conform with the adopted. prescriptive period, shall suffer a fine of not less a fine of not less than Ten Thousand Pesos (P10,000) but not more than Fifty Thousand Pesos (P50,000) and suspension of accreditation for three (3) months to the whole term of accreditation.