Over 87 million euro is owed to hospitals in the west for private health insurance claims.
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The Chairman of the HSE's Regional Health Forum West says 35 million of this is waiting to be signed-off on by a consultant, 16 million of that in the Mid-West.
Clare County Councillor Tom McNamara has criticised the delay saying this money would go a long way towards tackling the half a billion euro budget overrun expected for this year.
Councillor McNamara is calling on the Minister for Health to address the situation