PHILHEALTH CLAIMS SECTION

Member/Dependent

Reviews Philhealth Portal if

Member/ Dependent is eligible for
Philhealth Clerk
Philhealth Benefit.

YES NO

Ask for all necessary documents

(Claim Signature Form, Philhealth
Member Registration Form, Birth
Advise the member/dependent to
Cert, Marriage Cert (if married),
proceed to Medical Social Worker
Proof of payment, Valid IDs, MDR),
for assistance.
then enroll to Philhealth service
provider for Philhealth Benefit
Eligibility Form printing.

All documents (CSF, PMRF, Birth Cert, Marriage

Cert, Valid IDs, MDR , Proof of Payment, CF2,
Scanner
PBEF, SOA, CF3, CF4) including laboratory results
are scanned.

All documents (CSF, PMRF, Birth Cert, Marriage

Cert, Valid IDs, MDR , Proof of Payment, CF2,
Uploader PBEF, SOA, CF3, CF4) including laboratory results
are uploaded to the Philhealth service provider.

Good claim RTH Denied

Will be paid. Will be refiled.