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    Letter To Philhealth

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    CCC Docs
    The Northern Samar Provincial Hospital submitted revised documents to address deficiencies in multiple PhilHealth claims. For four different patients, NSPH provided updated statements of accounts with corrected ICD or RVS codes, attached new claim forms where needed, and included additional required medical documents to facilitate processing of the pending claims totaling over $50,000. They requested PhilHealth to review the new information and contact them with any other questions.

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    © All Rights Reserved
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    Letter To Philhealth

    Uploaded by

    CCC Docs
    171 views5 pages
    The Northern Samar Provincial Hospital submitted revised documents to address deficiencies in multiple PhilHealth claims. For four different patients, NSPH provided updated statements of accounts with corrected ICD or RVS codes, attached new claim forms where needed, and included additional required medical documents to facilitate processing of the pending claims totaling over $50,000. They requested PhilHealth to review the new information and contact them with any other questions.

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    LETTER TO PHILHEALTH

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    The Northern Samar Provincial Hospital submitted revised documents to address deficiencies in multiple PhilHealth claims. For four different patients, NSPH provided updated statements of accounts with corrected ICD or RVS codes, attached new claim forms where needed, and included additional required medical documents to facilitate processing of the pending claims totaling over $50,000. They requested PhilHealth to review the new information and contact them with any other questions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    171 views5 pages

    Letter To Philhealth

    Uploaded by

    CCC Docs
    The Northern Samar Provincial Hospital submitted revised documents to address deficiencies in multiple PhilHealth claims. For four different patients, NSPH provided updated statements of accounts with corrected ICD or RVS codes, attached new claim forms where needed, and included additional required medical documents to facilitate processing of the pending claims totaling over $50,000. They requested PhilHealth to review the new information and contact them with any other questions.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    Republic of the Philippines

    PROVINCE OF NORTHERN SAMAR


    -0- Catarman -0-

    NORTHERN SAMAR PROVINCIAL HOSPITAL (NSPH)

    February 23, 2023

    To : Mr. Ronald S. Jabay


    Regional Vice President
    Philhealth Regional Office VIII
    Tacloban City

    Subject : Appeal for RTH claims

    Dear Mr. Jabay:

    Hope all is well with you!

    In response to your letter dated December 12, 2022, we submit the attached documents to comply for
    the pending processing of the claim with the following details:

    NAME OF PATIENT: CASTILLO, JESSA NARTE


    NAME OF MEMBER: CASTILLO, JESSA NARTE
    MEMBER NO/PIN: P130255339614
    CONFINEMENT PERIOD: 08/26/2022 TO 08/29/2022
    SERIES NUMBER: 2211051300419
    CLAIM AMOUNT: 27,120.00
    DEFICIENCY: 1. RVS/ICD CODE IS INCOMPLETE
    2. CLAIMS INFORMATIONS IN ATTACHMENTS VS ENCODED IN THE
    SYSTEM
    3. CORRECTION OF RVS CLAIMED; NOT ECTOPIC PREGNANCY

    Attached are the following:


    1. Patient’s SOA with the revised ICD-10 code
    2. Other documents we deem necessary for the processing of the claim

    We hope that you find the foregoing in order. Should you have questions and/or concerns, please
    contact us at (055) 500-9162 or email us at [email protected].

    Best regards,

    Marvin Jim C. Cabudsan, CPA


    Administrative Officer IV/Head, NSPH Finance Department

    Noted by:

    Ninfa Caparroso-Kam, MD, MPH


    Provincial Health Officer II/Chief-of-Hospital II
    Republic of the Philippines
    PROVINCE OF NORTHERN SAMAR
    -0- Catarman -0-

    NORTHERN SAMAR PROVINCIAL HOSPITAL (NSPH)

    February 23, 2023

    To : Mr. Ronald S. Jabay


    Regional Vice President
    Philhealth Regional Office VIII
    Tacloban City

    Subject : Appeal for RTH claims

    Dear Mr. Jabay:

    Hope all is well with you!

    In response to your letter dated November 22, 2022, we submit the attached documents to comply for
    the pending processing of the claim with the following details:

    NAME OF PATIENT: DE ANDRES, RITZ YUSUF ALICANTE


    NAME OF MEMBER: DE ANDRES, DOROTHY MADONNA GERDA ALICANTE
    MEMBER NO/PIN: P132025886139
    CONFINEMENT PERIOD: 03/01/2022 TO 03/05/2022
    SERIES NUMBER: 2204181300338
    CLAIM AMOUNT: 5,680.00
    DEFICIENCY: 1. RVS/ICD CODE NEED TO CLARIFY AND VERIFY
    2. NO ATTACH PROPERLY ACCOMPLISHED PHILHEALTH CLAIM FORM 2
    3. REQUIRED MEDICAL DOCUMENTS AND COMPLETE CLINICAL CHART

    Attached are the following:


    1. Patient’s SOA with the revised RVS code
    2. Attached Philhealth Claim form 2
    3. Other documents we deem necessary for the processing of the claim

    We hope that you find the foregoing in order. Should you have questions and/or concerns, please
    contact us at (055) 500-9162 or email us at [email protected].

    Best regards,

    Marvin Jim C. Cabudsan, CPA


    Administrative Officer IV/Head, NSPH Finance Department

    Noted by:

    Ninfa Caparroso-Kam, MD, MPH


    Provincial Health Officer II/Chief-of-Hospital II
    Republic of the Philippines
    PROVINCE OF NORTHERN SAMAR
    -0- Catarman -0-

    NORTHERN SAMAR PROVINCIAL HOSPITAL (NSPH)

    February 23, 2023

    To : Mr. Ronald S. Jabay


    Regional Vice President
    Philhealth Regional Office VIII
    Tacloban City

    Subject : Appeal for RTH claims

    Dear Mr. Jabay:

    Hope all is well with you!

    In response to your letter dated November 25, 2022, we submit the attached documents to comply for
    the pending processing of the claim with the following details:

    NAME OF PATIENT: TEJERO, FRANCIS KING DE GUIA


    NAME OF MEMBER: DE GUIA, LEONORA BAILE
    MEMBER NO/PIN: P130252354116
    CONFINEMENT PERIOD: 8/18/2022 TO 8/25/2022
    SERIES NUMBER: 2210281301191
    CLAIM AMOUNT: 10,000.00
    DEFICIENCY: 1. RVS/ICD CODE NOT PROPERLY INDICATED
    2. STATEMENT OF ACCOUNT NOT PROPERL ACCOMPLISHED

    Attached are the following:


    1. Patient’s SOA with the revised RVS/ICD code
    2. Other documents we deem necessary for the processing of the claim

    We hope that you find the foregoing in order. Should you have questions and/or concerns, please
    contact us at (055) 500-9162 or email us at [email protected].

    Best regards,

    Marvin Jim C. Cabudsan, CPA


    Administrative Officer IV/Head, NSPH Finance Department

    Noted by:

    Ninfa Caparroso-Kam, MD, MPH


    Provincial Health Officer II/Chief-of-Hospital II
    Republic of the Philippines
    PROVINCE OF NORTHERN SAMAR
    -0- Catarman -0-

    NORTHERN SAMAR PROVINCIAL HOSPITAL (NSPH)

    February 23, 2023

    To : Mr. Ronald S. Jabay


    Regional Vice President
    Philhealth Regional Office VIII
    Tacloban City

    Subject : Appeal for RTH claims

    Dear Mr. Jabay:

    Hope all is well with you!

    In response to your letter dated December 23, 2022, we submit the attached documents to comply for
    the pending processing of the claim with the following details:

    NAME OF PATIENT: NOGALES, FRIYA


    NAME OF MEMBER: DE GUIA, LEONORA BAILE
    MEMBER NO/PIN: P130252354116
    CONFINEMENT PERIOD: 8/24/2022 TO 8/27/2022
    SERIES NUMBER: 2211141300257
    CLAIM AMOUNT: 10,000.00
    DEFICIENCY: 1. RVS/ICD CODE NOT PROPERLY INDICATED

    Attached are the following:


    1. Patient’s SOA with the revised RVS/ICD code
    2. Other documents we deem necessary for the processing of the claim

    We hope that you find the foregoing in order. Should you have questions and/or concerns, please
    contact us at (055) 500-9162 or email us at [email protected].

    Best regards,

    Marvin Jim C. Cabudsan, CPA


    Administrative Officer IV/Head, NSPH Finance Department

    Noted by:

    Ninfa Caparroso-Kam, MD, MPH


    Provincial Health Officer II/Chief-of-Hospital II

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