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 FOR ACCREDITATION NON-HOSPITAL HEALTH FACILITY FOR THE MATERNITY CARE PACKAGE PHIC Form MCPC-AF-2

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 DATA RECORD ER1

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 AMENDMENT FORM M2

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

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

TB-DOTS PACKAGE CLAIM FORM 5

WARRANTIES OF ACCREDITATION

WARRANTIES OF ACCREDITATION

COMPLIANCE TO THE NATIONAL HEALTH INSURANCE ACT 1995 (R.A. 7875), ITS IMPLEMENTING RULES AND REGULATIONS AND PHILIPPINE HEALTH INSURANCE CORPORATION ADMINISTRATIVE ORDERS