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Philhealth Premium Payment Slip Form 3
Philhealth Premium Payment Slip Form 3 > http://is.gd/vCBJeJ
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Requirement for submission of claims for reimbursement A. In case of premium payment for OFW, copy of the OFW's Contract, Visa, or Passport shall be presented to the teller together with PPPS and payment.Wait for the validated Bills Payment Slip as proof of payment.2. Stage I-II (low risk): When claiming for reimbursement: Post-surgery Stage I-II (low risk) - (Single tranche) Transmittal Form (Annex H) Tranche Requirements Checklist (Annex E1.1) Checklist of Mandatory Services and other services (Annex C1.1) Z Satisfaction Questionnaire (Annex D) B. . When claiming for Tranche 3, Rectum cancer pre-operative clinical stage I with post-operative pathologic stage II - III Transmittal Form (Annex H) Tranche Requirements Checklist (Annex E3.2) Checklist of Mandatory Services and other services (Annex C3.2) Satisfaction Questionnaire (Annex D) C. Pre-authorization Checklist and Request (Annex A) B. When claiming for Tranche 1, Rectum cancer pre-treatment clinical stage II - III Transmittal Form (Annex H) Tranche Requirements Checklist (Annex E1.3) Checklist of Mandatory Services and other services (Annex C1.3) Z Satisfaction Questionnaire (Annex D) 2.
When claiming for reimbursement: Tranche 3 Transmittal Form (Annex H) Tranche Requirements Checklist (Annex E3) Checklist of Mandatory Services and other services (Annex C3) Z Satisfaction Questionnaire (Annex D) Breast Cancer I. Membership PMRF: PhilHealth Member Registration Form Claims Claim Form 1: Member and Patient Information Claim Form 2: Provider Information Claim Form 3: Patient's Clinical Record PhilHealth Claim Form 1 Guidelines PhilHealth Claim Form 2 Guidelines PhilHealth Claim Form Reminders Employers ER1: Employer Data Record ER2: Report of Employee-Members ER3: Employer Data Amendment Form RF1: Employer's Remittance Report Accreditation Institutional PDR: Provider Data Record MMHR: Monthly Mandatory Hospital Report SOI: Statement of Intent (Initial/Re-accreditation) MOP: Manual of Procedures of the New Accreditation Process (PEACHeS) Performance Commitment: Performance Commitment for Health Care Institutions (Revision 2) Performance Commitment with Additional Provision for PCB1 Providers Z Packages Self-Assessment Tools: Survey Tool for ZMORPH Providers Survey Tool for TOF/VSD Providers Survey Tool for Kidney Transplant Providers Survey Tool for Breast CA Providers Survey Tool for Peritoneal Dialysis Providers Survery Tool for Coronary Artery Bypass Graft Providers Survery Tool for Prostate CA Providers Professional Requirements for Health Care Professional Accreditation Performance Commitment For Health Care Professionals per PhilHealth Circular 013-2015 Health Care Professional Provider Data Record Collecting Agents CAAF: Collecting Agents Accreditation Form e-Claims e-Claims Implementation Guide Primary Care Benefit 1 Manual of Procedures for Providers PCB Annexes A1-A5 (Excel File) PRevEnTS (Primary Care Revitalized And Enhanced Through Skills And Services) Self Assessment Form for PRevEnTS Letter of Intent: For PRevEnTS Fund Z Benefits Coronary Artery Bypass Graft Surgery I. PPPS: PhilHealth Premium Payment Slip . When claiming for Tranche , Post-surgery Stage II (high risk)- III Transmittal Form (Annex H) Tranche Requirements Checklist (Annex E1.2) Checklist of Mandatory Services and other services (Annex C1.2) Z Satisfaction Questionnaire (Annex D) 2. Pre-authorization Checklist and Request (Annex A) B. Pre-authorization Checklist and Request (Annex A) B. When claiming for reimbursement: Tranche 1 Transmittal Form (Annex H) Tranche Requirements Checklist (Annex E1) Checklist of Mandatory Services and other services (Annex C1) Z Satisfaction Questionnaire (Annex D) B. Home Support Services Log in Loading, please wait.
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by Jarvser on 2016-02-15 11:58:02
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