PhilHealth
Patient’s Guide to PhilHealth (PHIC) Processing
Phase 1: Requirements & Approval
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Secure Your Forms: Obtain the PHIC form and the list of required documents from the billing or PHIC desk.
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Submit for Review: Hand in your completed forms.
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Note: If anything is missing, the staff will ask you to provide the specific documents before moving forward.
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Receive Your Slip: Once cleared, you will be issued an Accomplishment Slip. This confirms your documents are in order.
Phase 2: Billing & Payment
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Benefit Deduction: The hospital will automatically deduct your PhilHealth benefits from your total hospital bill.
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Final Payment: Head to the Cashier to pay any remaining balance after the deduction has been applied.
Phase 3: Medical Finalization (Behind the Scenes)
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Doctor’s Sign-off: After payment, the hospital retrieves your medical chart. Your doctors must sign off on your final diagnosis and surgical records to validate the claim.
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Final Review: The hospital staff double-checks that the doctors have completed all technical sections (like ICD-10 coding) to ensure your claim is processed correctly by PhilHealth.
Patient’s Guide to Out-Patient PhilHealth (PHIC) Processing
Step 1: Forms & Documentation
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Pick up your forms: Start by getting the PHIC form and the list of required documents from the designated window.
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Submission & Verification: Submit your filled-out forms and requirements for a completeness check.
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If something is missing: You will be asked to complete the requirements before moving to the next step.
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If complete: You will immediately receive your Accomplishment Slip.
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Step 2: Billing & Savings
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Automatic Deduction: Present your slip so the hospital can calculate and apply your PHIC Benefit Deduction directly to your bill.
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Payment: Go to the Cashier to settle any remaining balance after your PhilHealth benefits have been applied.
Step 3: Discharge
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Final Slip: Once payment is settled, you will be given your Discharge Slip, confirming that your transaction is complete and you are cleared to go.