QUEZON CITY, (PIA) — The Philippine Health Insurance Corp. (PhilHealth) on Tuesday highlighted the agency’s commitment to improving service delivery through digitalization and the integration of artificial intelligence (AI).
During the Philippine Information Agency’s 16th Kapihan sa Bagong Pilipinas (KBP) media forum in Quezon City with PhilHealth Regional Office NCR and Rizal Vice President Dr. Bernadette C. Lico, and Senior Vice President of Health Finance Policy Sector Dr. Israel Francis A. Pargas, Mr. Raymond P. Acoba, from the Public Affairs Unit of PhilHealth PRO NCR, said the agency is testing AI technology to streamline claims processing.
Acoba revealed that the agency recently signed an agreement with a global IT solutions provider to implement AI software designed to reduce processing times and minimize claims returned to hospitals due to documentation deficiencies.
“This initiative aims to revolutionize our claims processing and improve reimbursements,” he explained.
In addition to using AI, Acoba announced that PhilHealth has integrated with the eGovPH app, allowing members to easily access their profiles, check contributions, and register for the KONSULTA program directly from their mobile devices.
“We urge all of you to download this app to avail of these services with just a few strokes on your mobile phones,” he said, emphasizing the agency’s efforts to make healthcare services more accessible.
He further detailed the agency’s Financial Management and Reporting Enhancement Program (FinMaREP), which aims to reconcile accounts with hospitals to ensure accurate records and compliance with regulations.
He noted that the reconciliation process is part of PhilHealth’s responsibility as a steward of public funds.
PhilHealth’s commitment to client satisfaction is reflected in a recent survey conducted by Novo Trends PH, which revealed a client satisfaction rating of 94.57 percent nationwide, with the NCR office achieving an impressive 98.29 percent.
“Understanding and meeting the needs of our clients is paramount to our mission,” Acoba emphasized.
The agency remains dedicated to improving services and ensuring that every Filipino benefits from accessible and quality healthcare. PhilHealth encourages members to utilize its communication channels for assistance, including a hotline and a callback service introduced during the pandemic.
“PhilHealth’s doors are always open. You may connect with us through our official communication channels for any assistance or inquiries. Our hotline is 8662-2588,” he said.
“Our members can also request a callback through the following mobile numbers: 0998- 857-2957; 0968-865-4670; 0917-127-5987 and 0917-110-98,” he added.
He said just by texting “PHICallback<space>Mobile Number to be called<space>details of concern” members can avail this callback feature, an innovation the agency introduced during the pandemic.
“We will continue with this service which was widely recognized by our members,” he added.
In addition, Acoba said PhilHealth can also be accessed via “Click to Call” in the PhilHealth website, www.philhealth.gov.ph.
“In your personal computer or smartphone that is connected to the internet, just click the icon located at the bottom-right portion of our website and you will be directed to a live agent. This service is available 24 hours a day, seven days a week,” he added.
“As we move forward, let us continue working together to ensure that no Filipino is left behind,” Acoba said. “Our aim is to provide expanded and new benefits for the Filipino people.” (JCO/PIA-NCR)
