WELCOMES YOU AS OUR

AFFILIATED PROVIDER

Group Medical Services

Call 866-6358 or 866-6337
www.sunlifegrepa.com
 WHAT AND WHO IS
SUNLIFE GREPA FINANCIAL,
INC.?

Established in 1954

One of the Philippine’s

TOP insurance companies

A member of the YGC

Conglomerate
 SYNERGY

YUCHENGCO GROUP OF COMPANIES

 SYNERGY

YUCHENGCO GROUP OF COMPANIES

 SYNERGY

YUCHENGCO GROUP OF COMPANIES

 WHAT AND WHO IS
SUN LIFE FINANCIAL?

The
#1 Life Insurer
Per 2016 Insurance Commission Ranking
BUSINESS PORTFOLIO
Group Clients
COMPANY ADVANTAGE

WE ARE KNOWN FOR:

• Comprehensive benefits
Benefits • Life Accident , Disability, and
Medical

• Vast network of providers

Access • Nationwide access

• Reasonable
Rates • With real value on your
money
AVAILMENT PROCESS
 OUTPATIENT AVAILMENT PROCESS
Step 1
Member shall proceed to SLGFI accredited
clinic/hospital in the area.
a. Clinic Setting- Member shall present SunLife
GREPA card to reception/HMO officer.
b. Hospital Setting – Member shall present SunLife
GREPA card to to the assigned Plan
Coordinator or HMO/Industrial Section of the
hospital.
Step 2
HMO Officer or Assigned Coordinator
shall swipe Sunlife Grepa card to POS
Terminal to validate if member is
ACTIVE.
If ACTIVE, HMO Officer or Assigned
Coordinator shall issue Consultation Form
and refer member to Sunlife grepa
Affiliated physician.
If INACTIVE, HMO Officer or Assigned
Coordinator shall call Sunlife Grepa Call
Center for approval code.
Outpatient Consultation
Form

• Three (3) days validity

• Need to complete form
• Signature
• Affiliated Physician only
 July 1, 2018

12456789 JUAN DELA CRUZ 01/01/1979 39 M ABC Corp.

July 3, 2018 PHILIPPINE GENERAL HOSPITAL DR. PEDRO REYES

Fever

weakness (+) t/c UTI Urinalysis

Dr. Pedro Reyes

Juan Dela Cruz7/3/2018
OUTPATIENT AVAILMENT PROCESS
Step 3
• After consultation, if there are
diagnostic procedures requested by the
Sunlife Grepa affiliated Physician,
Sunlife Grepa member shall proceed to
HMO Officer or Assigned Coordinator
for the Laboratory/Diagnostic Form
• Should the member be referred to
another affiliated physician, member
shall return to HMO Office or
Coordinator for the consultation form.
Step 4
• HMO Officer or Assigned Coordinator
shall swipe Sunlife Grepa card to POS
Terminal.
• If ACTIVE and Diagnostic Procedure
is amounting to Php 999 below, HMO
Officer or Assigned Coordinator shall
issue Diagnostic Form.
• If INACTIVE or Diagnostic Procedure
is amounting to Php 1000 and above,
HMO Officer or Assigned Coordinator
shall call Sunlife Grepa Call Center for
approval code.
Laboratory and Diagnostic
Form

• Three (3) days validity

• Need to complete form
• Signature
• Diagnostic Procedures
amounting to Php 1000 and
above must have an
Approval code
 July 1, 2018
987654321 c/o ferdie
3

123456789 JUAN DELA CRUZ 1/1/1979 38 MALE ABC Corp.

July 3, 2018 PHILIPPINE GENERAL HOSPITAL Dr. Pedro Reyes

T/C UTI URINALYSIS

Marie Santos / H.M.O.

Juan Dela Cruz7/3/2018
CALL CENTER HOTLINE

When do you need to call for

approval?
1. Inactive Cards
2. All Diagnostic Procedures
amounting to Php 1000 and
above
3. Outpatient Surgical
Procedures
 BILLING
All Original Copy of SLGFI Forms (LOA) accompanied by supporting documents
(charge slips, OR techs, etc.) should be billed to Sunlife Grepa within 30 days.

Sunlife Grepa shall pay the provider within 30 days from

the receipt of bills.
 BILLING

Sun Life Grepa Claims Department

Group Allied Services
5th Floor Grepalife Bldg.,
221 Sen. Gil Puyat Ave., Makati City,
1203
CLARIFICATIONS &
QUERIES

Got any questions? 

Glad to be of service:

RICHARD L. TAN
Network Relation and Head Outpatient Services
Group Sales and Servicing Department

(+632) 866-6810
09167046815
Richard.Tan@sunlifegrepa.com

Securing your future is our PASSION FOR

LIFE!
James Victor Pontillas
Network Coordinator
Group Sales and Servicing Department
+632 866 6830
0927 498 4931
Jamesvictor.pontillas@sunlifegrepa.com