AIRA PHIC Assessment

Hi — I’m AIRA, your governance advisor at airagov.com. This assessment covers the Philippine Health Insurance Corporation (PhilHealth) regulatory framework for AI systems used in health insurance, claims processing, and member data management. We’ll map your compliance against RA 11223 (Universal Health Care Act), RA 7875 (National Health Insurance Act), PhilHealth Circular PC No. 2021-0025, the PHIC IT Security Policy (2022), PHIC Anti-Fraud Guidelines, PHIC ACR/DRG Implementation Guidelines, the Z-Benefit Package Guidelines, DOH AO 2021-0032, RA 11055 (PhilSys Act), RA 10173 (Data Privacy Act), and NPC Circular 16-03. PhilHealth is one of the most data-intensive regulatory environments in the Philippines — member health data, claims adjudication, benefit entitlements, and Z-Benefit packages for catastrophic illness all carry significant obligations. Let’s see where your organization stands. Ready to get started?