Wednesday, April 25, 2012

ARMM and CARAGA list of successful CARES applicants


Region 11 and 12 list of successful CARES applicants


Region 9 and 10 list of successful CARES applicants


Region 8 list of successful CARES applicants


Region 7 list of successful CARES applicants


Region 6 list of successful CARES applicants


Region 5 list of successful CARES applicants


Romblon list of successful CARES applicants


Region 4B list of successful CARES applicants


Quezon list of successful CARES appicants


Region 4A list of successful CARES applicants


Region 3 and Bulacan list of successful CARES applicants


Region 2 and CAR list of successful CARES applicants


Region 1 list of successful CARES applicants


Sunday, April 22, 2012

Glossary of PhilHealth forms and download links

Membership

PMRF: PhilHealth Member Registration Form - Download

Claims

Claim Form 1: Member and Patient Information - Download
Claim Form 2: Provider Information - Download
Claim Form 3: Patient's Clinical Record - Download

Employers

ER1: Employer Data Record - Download
ER2: Report of Employee-Members - Download
ER3: Employer Data Amendment Form - Download
RF1: Employer's Remittance Report - Download

Accreditation

Institutional

IAF: Institutional Accreditation Form - Download
MMHR: Monthly Mandatory Hospital Report - Download
SOI: Statement of Intent for Hospital, ASC and FSDC - Download
SOI: Statement of Intent for OPB, MCP and DOTS Providers - Download

Professional

PAF: Professionals Accreditation Form with Warranties for Accreditation and Checklist of Requirements - Download

Collecting Agents

CAAF: Collecting Agents Accreditation Form - Download

Payment

PPPS: PhilHealth Premium Payment Slip - Download

eClaims

HCPAP: Health Care Provider Account Profile application form - Download

Reference: http://www.philhealth.gov.ph/downloads/