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NBI pushes Tricity fraud raps

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The National Bureau of Investigation (NBI) has recommended the filing of criminal charges against seven officials and staff of Tricity Medical Center over “fraudulent” Philippine Health Insurance Corp. (PhilHealth) claims.

NBI OIC Director Eric B. Distor recommended the prosecution of Dr. Enrico C. Cruz, hospital administrator and a member of the board of the hospital; Dr. Gjay Lalu Ordinal, Dr. Antonio de Leon and Dr. Lourdes Rhoda Reyes Padilla.

Also recommended to face complaints for alleged fraud were Cherry Catalan Flores, a nurse; Arlene Joy Sebuc, a PhilHealth Staff at the hospital; and hospital clerk Svend Agodilos Rances.

Distor said that Tricity, located in Pasig City, has been fraudulently facilitating or claiming reimbursement from PhilHealth for its supposed hemodialysis patients.

The patients were either non-existent or deceased, the NBI official said.

At least 318 “fraudulent” claims were tagged by the NBI for the amount of P824,200. PhilHealth’s database showed a total of P4,308,000 in claims involving the above-mentioned patients.

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