“It’s really difficult sometimes to detect fraud so that’s why we are encouraging the public and the people to report to us any fraudulent activities that you observed of PhilHealth,” said Dr. Roy Benedicto Ferrer acting President and CEO of Philippine Health Insurance Corporation (PHIC).
He encouraged the public to come out and inform the agency in case they have witnessed any malicious incident. This is connected with the “ghost” kidney treatments.
Ferrer mentioned that PhilHealth has found “strong evidence” that Wellmed Dialysis and Laboratory Center Corp in Novaliches, Quezon City has been misusing the state insurance fund since 2016. PhilHealth has been investigating the said medical center and discovered that it has not been paid since February.
"The corporation (has) filed 28 counts of administrative cases for claims for non-admitted, treated patients, misrepresentations by furnishing false or incorrect information, and breach of warranties of accreditation, performance, and commitments against the mentioned dialysis center," he said in a media briefing. "We acted upon this case and not sitting on it."