PhilHealth portals installed in CV accredited hospitals

• Source:http://news.pia.gov.ph/article/view/1091465801785/philhealth-portals-installed-in-cv-accredited-hospitals
• Monday, June 13, 2016

By Hazel F. Gloria (rmn/hfg/PIA-7/Philhealth-7)

CEBU CITY, June 13 (PIA) – Philippine Health Insurance Corporation (PhilHealth) installed the Health Care Institution (HCI) portal in accredited hospitals and facilities in Central Visayas.

As of April this year, 93 percent of accredited hospitals already have access to the HCI portal to provide members with an easy, fast, and hassle-free way of having their health insurance applied to their hospital bill.

The portal allows facilities to quickly verify upon admission if a patient is entitled to PhilHealth coverage.

The portal generates a PhilHealth Benefit Eligibility Form (PBEF) which provides information as to whether a patient is covered based on the Corporation’s policies on membership and dependency, qualifying contribution, and compliance to the 45-day coverage limit per year.

With this, members don’t need to bring a copy of their Member Data Record (MDR) and/or proof of contribution.

Upon portal verification, the facility will automatically deduct from the member’s hospital bill his/her health insurance coverage.

A case rate predetermined per medical condition or procedure.

Only when the member’s records are not updated or when there are discrepancies in the information provided that supporting document(s) will be required in order for the health insurance coverage to be applied.

PhilHealth enjoins all accredited hospitals and other health care facilities to make use of the portal.

Members are also encouraged to avail themselves of the ease afforded by this system.