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(NAR) VOL. 21 NO.2 APRIL - JUNE 2010
[ PHIC CIRCULAR NO. 12, S. 2010, June 01, 2010 ]
ENHANCED PHILHEALTH CLAIM FORMS
For operational efficiency and to reduce administrative cost for both the Corporation and its partner stakeholders, the herein attached enhanced PhilHealth Claim Forms* 1, 2 and 3 are issued. These forms shall be used for all types of claims to include confinements, packages and out-patient services.
For verification purposes, National Tuberculosis Program (NTP) card are still required for all TB-DOTS package claims. Providers are also advised to fill-out Part II of Claim Form 3 for Maternity Care Package (MCP) claims.
In order to give ample time to prepare and consume old forms, these forms shall be used for all types of reimbursements effective admission date September 1, 2010.
The new forms to include the guidelines on proper filling-out may be downloaded from the official Corporate website (www.philhealth.gov.ph)
All issuances inconsistent hereof are hereby effectively repealed accordingly. For strict compliance.
(SGD.) DR. REY B. AQUINO
President and CEO
* Text Available at Office of the National Administrative Register, U.P. Law Complex, Diliman, Quezon City