PhilHealth partners with PSA to modernize systems, protect member benefits

CEBU CITY -- The Philippine Health Insurance Corporation (PhilHealth) and the Philippine Statistics Authority (PSA) signed a Memorandum of Agreement (MOA), March 26 to modernize the PhilHealth systems, prevent fraudulent claims, and ensure benefits reach every Filipino and for the Philippine Identification System (PhilSys) co-location and the launch of PhilHealth Check Utility (PCU).

“Filipinos deserve a health insurance system that is modern, secure, and reliable. Through our partnership with the PSA, we are strengthening our systems, improving the accuracy of our records, and ensuring that every peso of the health fund supports legitimate claims and reaches every Filipino.   As we clean and modernize our systems, we remain committed to ensuring to ensuring that no eligible member is denied service. Our priority is to deliver services that are both secure and accessible for all,” said PhilHealth President and CEO, Dr. Edwin Mercado.

Mercado added that while safeguards are strengthened, access to benefits remains fully protected. Through the co-location initiative, PhilSys registration is available directly at selected PhilHealth offices, allowing members to register for their National ID while accessing PhilHealth services.

The PCU integrates PhilSys data to verify identities in real time, perform biometric liveness checks, and match records for accuracy, ensuring that only valid claims are processed. The system is fully integrated into key programs, including the Yaman ng Kalusugan Program (YAKAP) and the Guaranteed and Accessible Medications for Outpatient Treatment (GAMOT) benefit availment process, streamlining the patient journey from consultation to medicine access.

These initiatives mark a significant step in PhilHealth’s digital transformation and modernization efforts, aligned with the Universal Health Care Act. By strengthening identity verification, improving data integrity, and streamlining processes, PhilHealth and PSA reaffirm their commitment to a more accountable, efficient, and people-centered health system for all Filipinos. (Photos: PhilHealth7)