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Patient & Visitors Guide

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PhilHealth

Provides information on PhilHealth for hemodialysis and inpatient services. Our staff can help patients and their family
members complete the necessary forms and guide the documentation required for claims.

For HEMODIALYSIS

OLD PATIENTNEW PATIENT
  • Call #111 / Go to the HD Department and ask for

    the list of patients scheduled on the 1st set of treatments.

  • Print PBEF, CSF, SOA, PDD
  • Signature of patients

(SAME ROUTINE FOR THE FOLLOWING SETS.)

(FIRST TIMER)

  • Ask for the MDR
  • Register to PDD

(TRANSFER FROM ANOTHER CENTER)

  • Ask for the MDR
  • Ask for the PDD wherein

    they undergo 1st hemodialysis session.

  • After completing the forms,

    have it signed by the patients and other authorized signatories:

    • Accredited Hospital

      Representative

    • Healthcare Professionals
  • Ready the documents for filing

    as claims.

    • Scanned Documents (PBEF, CSF,

      SOA, PDD)

    • Properly Accomplished CSF, CF2
    • Encode/Input
    • Send and Transmit

For INPATIENT

NEW MEMBERSENIOR

FILL UP, and SIGNATURE:

  • PMRF
  • CSF, CF2, CF4
  • GENERATE PBEF

ASK FOR:

  • BIRTH CERT
  • VALID ID (PHILHEALTH ID)

FILL UP and SIGNATURE:

  • PMRF
  • CSF, CF2, CF4
  • GENERATE PBEF

ASK FOR:

  • Ask for (Senior ID)
  • Birth cert
DEPENDENT (CHILD)WITH PHILHEALTH

FILL UP, and SIGNATURE:

  • PMRF
  • CSF, CF2, CF4

ASK FOR:

  • MDR
  • BIRTH CERT
  • VALID ID OF THE PARENT(MEMBER)

FILL UP, and SIGNATURE:

  • TXT BPN
  • GENERATE PBEF
  • CSF
  • CF2
  • CF4
  • After completing the forms, have it signed by the patients and other authorized signatories:
    • Accredited Hospital Representative
    • Attending physicians and their co-management (with PhilHealth accreditation)
    • Healthcare Professionals.
  • Ready the documents for filing as claims.
    • Scanned Documents
    • PBEF, CSF, CF2
    • CF3 (For NSD/CS)
    • OR TECH (If Procedures)
    • LAB RESULTS
    • POSITIVE RT-PCR and POSITIVE PNEUMONIA X-RAY RESULTS (If Covid)
    • VITAL SIGNS (If Covid)
    • SOA / ITEMIZED BILLING w/ CTC (If Covid)
  • Encode/Input
  • Send and Transmit
  •