PhilHealth uncovers premium payment scam
MANILA, Philippines — The Philippine Health Insurance Corporation (PhilHealth) said Saturday that checks for premium payment of Accenture, Inc. have not reached its office.
In a statement, PhilHealth President and CEO Dr. Eduardo P. Banzon said that based on corporation’s investigation, the premium payments did not reach its office although the checks were cashed in at least two bank branches in Batangas.
Banzon said that to ensure non-detection of the irregularity, the supposed premium payments were illegally uploaded in the PhilHealth treasury database and posted in the individual accounts of the Accenture employees to make it appear that their health insurance premium contributions have actually been remitted and therefore make them eligible for benefits availment.
“The fictitious crediting of premium payments to Accenture, Inc. in our treasury and membership databases happened from October to December, 2010, and from February to September, 2011 and involves about P114 million. However, ongoing investigation found that the initial attempts of these anomalous transactions were started in late 2009. Management continues to conduct in-depth investigations to determine and confirm these observations,” Banzon said.





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