Availment Summary

Beginning of Contract to Date Hospital Name Physician Name

MARIKINA MEDICAL DOCTORS
3/10/2022 12:00:00 AM CLINIC AND LABORATORY
(MARMED DIAGNOSTICS)
MARIKINA MEDICAL DOCTORS
3/10/2022 12:00:00 AM CLINIC AND LABORATORY
(MARMED DIAGNOSTICS)
MARIKINA MEDICAL DOCTORS
3/10/2022 12:00:00 AM CLINIC AND LABORATORY
(MARMED DIAGNOSTICS)
MARIKINA MEDICAL DOCTORS
3/10/2022 12:00:00 AM CLINIC AND LABORATORY
(MARMED DIAGNOSTICS)
MARIKINA ST. VINCENT GENERAL
3/8/2022 12:00:00 AM (1). TAMARGO, AILEN ALBANA |
HOSPITAL

Out-Patient

Admission Date Discharge Date Hospital Name Physician Name

MARIKINA MEDICAL DOCTORS

3/10/2022 12:00:00 AM CLINIC AND LABORATORY
(MARMED DIAGNOSTICS)

MARIKINA MEDICAL DOCTORS

3/10/2022 12:00:00 AM CLINIC AND LABORATORY
(MARMED DIAGNOSTICS)
MARIKINA MEDICAL DOCTORS
3/10/2022 12:00:00 AM CLINIC AND LABORATORY
(MARMED DIAGNOSTICS)
MARIKINA MEDICAL DOCTORS
3/10/2022 12:00:00 AM CLINIC AND LABORATORY
(MARMED DIAGNOSTICS)

MARIKINA ST. VINCENT (1). TAMARGO, AILEN

3/8/2022 12:00:00 AM
GENERAL HOSPITAL ALBANA |

In-Patient

Admission Date Discharge Date Hospital Name Physician Name

IBNR

Admission Date Hospital Name Physician Name

6/2/2022 9:23:05 PM SDS MEDICAL CENTER INC.

 Availment Type

OUTPATIENT

OUTPATIENT

OUTPATIENT

OUTPATIENT

OUTPATIENT

Diagnosis Cost of Availment

DISORDERS OF
LIPOPROTEIN
5,920.00
METABOLISM AND
OTHER LIPIDAEMIAS

ELEVATED BLOOD
0.00
GLUCOSE LEVEL

OTHER ACUTE
ISCHAEMIC HEART 0.00
DISEASES

HYPERTENSIVE HEART
0.00
DISEASE

HAEMANGIOMA AND
LYMPHANGIOMA, ANY 600.00
SITE

Diagnosis Cost of Availment

Diagnosis Cost of Availment

(1) W55 : W55.9 - BITTEN OR
STRUCK BY OTHER
MAMMALS: BITTEN OR
15500
STRUCK BY OTHER
MAMMALS, UNSPECIFIED
PLACE [PHP 15500.00] |