THE owner of WellMed Dialysis and Laboratory Center was charged before the Department of Justice (DOJ) yesterday over the anomaly involving “ghost dialysis” claims paid by Philippine Health Insurance Corp. (PhilHealth).
The National Bureau of Investigation (NBI) filed charges of estafa under Article 315, of the Revised Penal Code and falsification of documents under Article 172 in relation to Art. 171 of the Revised Penal Code against Dr. Bryan Sy, who was arrested last Monday while being interviewed by the bureau.
The NBI filed the complaint on behalf of PhilHealth after two former employees of the Quezon City-based dialysis center accused Sy of filing benefit claims with PhilHealth on behalf of dead patients and taking advantage of a loophole in the patient’s death reporting system of PhilHealth.
Aside from Sy, the NBI complaint named other WellMed executives as respondents -- Dr. John Ray Gonzales, medical director; Claro Sy, chairman; Alvin Sy, corporate treasurer; Therese Francesca Tan, purchasing officer; Dick Ong, administration officer; and physicians Dr. Porshia Natividad and Joemie Soriano.
The NBI alleged that the clinic received payments from PhilHealth for dialysis treatments even though some of the patients have long been dead.