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  • Acknowledgment Receipt Advisory

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    This document is an acknowledgment of receipt from the Philippine Health Insurance Corporation (PhilHealth) Regional Office in Caraga regarding an advisory about submitting claim forms through their E-Claims system. The acknowledgment asks the receiver to sign and provide their name, designation, hospital, and date of receipt to confirm they have read and received the advisory. It then provides contact information to return the completed acknowledgment.

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    This document is an acknowledgment of receipt from the Philippine Health Insurance Corporation (PhilHealth) Regional Office in Caraga regarding an advisory about submitting claim forms through their E-Claims system. The acknowledgment asks the receiver to sign and provide their name, designation, hospital, and date of receipt to confirm they have read and received the advisory. It then provides contact information to return the completed acknowledgment.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    7 views1 page

    Acknowledgment Receipt Advisory

    Uploaded by

    mary
    This document is an acknowledgment of receipt from the Philippine Health Insurance Corporation (PhilHealth) Regional Office in Caraga regarding an advisory about submitting claim forms through their E-Claims system. The acknowledgment asks the receiver to sign and provide their name, designation, hospital, and date of receipt to confirm they have read and received the advisory. It then provides contact information to return the completed acknowledgment.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Republic of the Philippines

    PHILIPPINE HEALTH INSURANCE CORPORATION


    PhilHealth Regional Office - Caraga
    766 Lynzee’s Bldg., J. Rosales Avenue, Butuan City
    Call Center (02) 441-7442 Telephone Nos. 225-7026; 816-0019
    www.philhealth.gov.ph

    ACKNOWLEDGMENT of RECEIPT

    I, ______________________________________, of___________________________________,
    Name and Designation of Receiver Name of Hospital

    Hereby acknowledge that I have read and received a copy of the recent PhilHealth Caraga
    Advisory No. 02-13-2019-02 Claim Forms Submission on E-Claims, and that this advisory is
    being conveyed to the responsible department/person in-charge.

    ___________________________
    (Signature of Receiver)

    Date Received: ______________

    Please complete the acknowledgment of receipt and you may send it to


    hcdmd.procaraga@philhealth.gov.ph

    Thank you.

    teamphilhealth www.facebook.com/PhilHealth www.youtube.com/teamphilhealth actioncenter@philhealth.gov.ph

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