UnofficialOfficial site ↗ReportFeedback

Evaluation of PhilHealth Eligibility for In-Patients and Out-Patients

In-patients and out-patients get their PhilHealth eligibility checked and issued a benefit eligibility form.

At a glance

  • Office: Amai Pakpak Medical Center
  • Classification: Simple
  • Who may apply: All Patients or Authorized Representatives
  • Total fees: None
  • Total processing time: 11 Minutes

Requirements

RequirementWhere to get it
Member's Data RecordPhilhealth Main Office PRO BARMM
Philhealth IDPhilhealth Main Office PRO BARMM
PhilHealth Benefit and Eligibility Form (PBEF)Billing and Claims Section

Steps

What you doWhat the office doesFeeTime
Authorized Representative approach the Billing / PhilHealth Evaluator window and present the patient's MDR / Philhealth ID.Receive the Philhealth documents from the Authorized Representative, if any. If not a PhilHealth member, proceed to the Medical Social Service for Point of Service application. (Administrative Officer Billing and Claims)None2 Minutes
Check the eligibility of the patient to avail of PhilHealth benefits using the SEGHIS. (Administrative Officer Billing and Claims)None2 Minutes
Receive the printed PhilHealth Benefit Eligibility Form (PBEF)Print a copy of the generated PBEF/Portal to be presented upon discharge. (Administrative Officer Billing and Claims)None5 Minutes
If not eligible due to errors, inconsistencies and deficiencies, advise the patient/ watcher on what to do to correct / complete the records / requirements. (Administrative Officer Billing and Claims)None2 Minutes

Source

Read from the office's Citizen's Charter by Muse Spark. Fees and steps change: check the PDF and the office before you go.

Evaluation of PhilHealth Eligibility for In-Patients and Out-Patients | APMC (unofficial RE:GOV concept) · RE:GOV