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NBI set to probe PhilHealth, accredited facilities over bogus claims

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By Jeffrey Damicog

The National Bureau of Investigation (NBI) is set to conduct an investigation against officials of the Philippine Health Insurance Corporation (PhilHealth) and other medical facilities suspected of making bogus medical claims.

NBI presents Bryan Sy, Liezel Aileen De Leon, and Edwin Roberto in connection with ghost dialysis scandal of PhilHealth and WellMed. (ALI VICOY / MANILA BULLETIN)

NBI presents Bryan Sy, Liezel Aileen De Leon, and Edwin Roberto in connection with ghost dialysis scandal of PhilHealth and WellMed. (ALI VICOY / MANILA BULLETIN)

NBI Deputy Director Vicente De Guzman III assured this Thursday (June 13) now that criminal complaints have been filed against 10 persons including officers of WellMed Dialysis and Laboratory Center for their alleged involvement in the “ghost dialysis” scam

“That is the next phase of the investigation of the NBI,” he told reporters.

“We are also investigating the claims of other medical entities,” De Guzman said.

NBI spokesman Deputy Director Ferdinand Lavin said the Bureau will investigate “all the entities claiming refunds or reimbursements from PhilHealth.”

He added this is already being done by the NBI jointly with PhilHealth.

READ MORE:  ‘Ghost dialysis’ blamed on corruption at Philhealth

Last Tuesday, the NBI and PhilHealth filed a complaint before the DOJ which accused 10 respondents of estafa and falsification of public documents in violation of the Revised Penal Code.

Among the 10 respondents, three were arrested and presented for inquest before the Department of Justice (DOJ) in Manila.

Those presented for inquest were WellMed owner Dr. Bryan Christopher Sy and the two whistleblowers, namely, former WellMed employees Liezel Aileen De Leon and Edwin Roberto.

The other respondents in the complaint are officials and employees of WellMed, namely, Sy’s father Claro Sy; Sy’s wife Therese Francesca Tan-Sy; Dr. John Ray Gonzales; Alvin Sy; Dick Ong; Dr. Porsha Natividad; and Dr. Joemie Soriano.

In the complaint, WellMed was able to get from Philhealth P808,600 for 27 “ghost dialysis” claims representing 280 dialysis sessions.

Lavin explained the whistleblowers will have to be charged and only later will the prosecutors will seek for their discharge before a court to become state witnesses.

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