HB
Hospital Billing
Claims Administrator
PhilHealth Returns
Claims returned to hospital or denied, sourced from Transmittal. Review the reason and take action.
Return to Hospital
12
₱ 148,343.00
Denied
4
₱ 46,507.50
Pending Action
14
₱ 135,700.50
Refiled
2
₱ 59,150.00
Total Amount on Hold
₱ 194,850.50
| Claim Series | Date Transmitted | PhilHealth No. | Member's Name | Patient's Name | Ward | Total Amount | Type | Reason | Date Returned | Days Returned | Action Status | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 260615030087803 | 06/15/2026 | 020274425327 | BUBBLES, TINY | BUBBLES,PEARLY | PED | ₱ 5,752.50 | RTH | Unavailable, incomplete, inconsistent, or unreadable supporting documents | 08/12/2026 | 58 days | Pending | |
| 260615030087903 | 06/15/2026 | 020501676293 | TOKWA, TOTOY | TOKWA, MISWA | PED | ₱ 5,752.50 | Denied | Cases deemed non-compensable under PhilHealth rules | 08/12/2026 | 58 days | Pending | |
| 260615030086703 | 06/15/2026 | 020501676293 | DEL MUNDO, PATRICK | DEL MUNDO, FE | OB | ₱ 9,750.00 | RTH | Errors or schema bugs in Claim Form 4 | 08/12/2026 | 58 days | Pending | |
| 260615030086803 | 06/15/2026 | 020274425327 | KANNOYAN, PRINCESS | KANNOYAN, PRINCESS | OB | ₱ 9,750.00 | RTH | Discrepancies in data entries or patient information | 08/12/2026 | 58 days | Pending | |
| 260615030087503 | 06/15/2026 | 030272551738 | EUGENIO, BASHA | EUGENIO, GINO | PED | ₱ 5,752.50 | RTH | Discrepancies in data entries or patient information | 08/12/2026 | 58 days | Pending | |
| 260615030087603 | 06/15/2026 | 030266020593 | FONTANILLA, THERESA | FONTANILLA, JESSIE | PED | ₱ 5,752.50 | Denied | Violations of specific policies such as the Single Period Confinement rule | 08/12/2026 | 58 days | Pending | |
| 260615030380803 | 06/15/2026 | 010258195839 | MAGNO, REMY | MAGNO, REMY | IM | ₱ 7,800.00 | RTH | Errors or schema bugs in Claim Form 4 | 08/12/2026 | 58 days | Pending | |
| 260615030381303 | 06/15/2026 | 030256389602 | PENDUKO, PEDRO | PENDUKO, PEDRO | SX-IM | ₱ 22,035.00 | RTH | Improperly accomplished Claim Form 2 | 08/12/2026 | 58 days | Pending | |
| 260615030087003 | 06/15/2026 | 032527768828 | CLARA, MARIA | CLARA, MARIA | OB | ₱ 9,750.00 | RTH | Discrepancies in data entries or patient information | 08/12/2026 | 58 days | Pending | |
| 260615030087103 | 06/15/2026 | 032527768828 | CLARA, MARIA | CLARA, MARIO | PED | ₱ 5,752.50 | Denied | Cases deemed non-compensable under PhilHealth rules | 08/12/2026 | 58 days | Pending | |
| 260615030431603 | 06/15/2026 | 032006796205 | TANSO, TANYA | TANSO, SONYA | PED | ₱ 5,752.50 | RTH | Improperly accomplished Claim Form 2 | 08/12/2026 | 58 days | Pending | |
| 260615030432403 | 06/15/2026 | 062009889987 | GERONIMO, DANTE | GERONIMO, DIANA | PED | ₱ 5,752.50 | RTH | Errors or schema bugs in Claim Form 4 | 08/12/2026 | 58 days | Pending | |
| 260612030076803 | 06/12/2026 | 030265609615 | TING, PATTY | TING, PATTY | OB | ₱ 29,900.00 | RTH | Discrepancies in data entries or patient information | 08/12/2026 | 61 days | Refiled | |
| 260612030077003 | 06/12/2026 | 032002674199 | BANANA, BIBO | BANANA, BIBO | IM | ₱ 29,250.00 | RTH | Improperly accomplished Claim Form 2 | 08/12/2026 | 61 days | Refiled | |
| 260612030076603 | 06/12/2026 | 030266380417 | BODJIE, KUYA | BODJIE, KUYA | IM | ₱ 29,250.00 | Denied | Non-compliance with the standard of care or internal system guidelines | 08/12/2026 | 61 days | Pending | |
| 260612030076303 | 06/12/2026 | 030265597145 | PUSA, ANDREW | PUSA, ANDREW | SX-IM | ₱ 7,098.00 | RTH | Errors or schema bugs in Claim Form 4 | 08/12/2026 | 61 days | Pending |
Showing 16 of 16 claims