Claim auditing is the quality assurance review conducted by SSS to ensure that approved claims follow internal policies, legal guidelines, and financial standards. Auditing helps detect errors, inconsistencies, or irregularities in benefit approval.
Auditing may occur before or after claim approval, depending on claim type and risk level. High-value claims, disability benefits, and cases with complex documents may undergo stricter auditing.
Members should keep supporting documents even after approval, as SSS may request additional verification during post-audit.
Hospital delivery in the Philippines can easily cost ₱60,000 - ₱200,000 depending on the hospital and type of delivery.
Many parents use a credit card to manage these expenses while waiting for their SSS maternity benefits.
