PhilHealth
A premier government corporation that ensures sustainable, affordable and progressive social health insurance which endeavors to influence the delivery of accessible quality health care for all Filipinos.
CONTACT DETAILS:
CityState Center, 709 Shaw Boulevard, Pasig City
(632) 637-9999
Email:
Website: http://www.philhealth.gov.ph
Available Forms:
APPLICATION FOR ACCREDITATION ( OUT-PATIENT HEALTHCARE PROVIDER) RHUs Form 2 2000
APPLICATION FORM FOR ACCREDITATION OF MIDWIVES PHIC FORM No. M-AF-2
APPLICATION FORM FOR ACCREDITATION OF PROFESSIONALS PHIC FORM No. P-AC-1
Checklist of Requirements for Accreditation of Free Standing Dialysis Clinics
CHECKLIST OF REQUIREMENTS FOR AMBULATORY SURGICAL CLINIC
CHECKLIST OF REQUIREMENTS FOR HOSPITAL ACCREDITATION (PRIMARY)
CHECKLIST OF REQUIREMENTS FOR HOSPITAL ACCREDITATION (SECONDARY)
CHECKLIST OF REQUIREMENTS FOR HOSPITAL ACCREDITATION (TERTIARY)
CHECKLIST OF REQUIREMENTS FOR INITIAL / RENEWAL ACCREDITATION OF RURAL HEALTH UNITS / HEALTH CENTERS
DATA RECORDFOR NON-PAYING MEMBERS(PARA SA MGA MIYEMBRONG HINDI NA MAGBABAYAD) M1c
Employer Data Amendment Form ER3
EMPLOYER'S QUARTERLY REMITTANCE REPORT RF-1
General Practitioner/ Dentist INITIAL / REACCREDITATION REQUIREMENTS
HEALTH CARE PROVIDER'S CERTIFICATION CLAIM FORM 2
Hospital Data Record
MANDATORY MONTHLY HOSPITAL REPORT
MEMBER DATA RECORD FOR EMPLOYED SECTOR(PARA SA MGA NAMAMASUKAN) M1a
MEMBER DATA RECORD FOR INDIVIDUALLY PAYING(PARA SA MGA NAGBABAYAD NA PANSARILI) M1b
MMHR GUIDELINES
PART II – WARRANTIES OF ACCREDITATION
PHILHEALTH CLAIM FORM 1 CLAIM FORM 1
Members Data Record
PHILHEALTH CLAIM FORM 3 PATIENT'S CLINICAL RECORD CLAIM FORM 3
Patients Clinical Record
PHILHEALTH CLAIM FORM 4 MATERNITY CARE PACKAGE CLAIM FORM 4
MATERNITY CARE PACKAGE
REPORT OF EMPLOYEE-MEMBERS ER2
COMPLIANCE TO THE NATIONAL HEALTH INSURANCE ACT 1995 (R.A. 7875), ITS IMPLEMENTING RULES AND REGULATIONS AND PHILIPPINE HEALTH INSURANCE CORPORATION ADMINISTRATIVE ORDERS