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Primary Care Benefit 1


PRevEnTS
(Primary Care Revitalized And Enhanced Through Skills And Services)


Z Benefits


Coronary Artery Bypass Graft Surgery
Tetralogy of Fallot
Ventricular Septal Defect Surgery
Mobility, Orthosis, Rehabilitation, Prosthesis Help (Z MORPH)
  • II. Requirement for submission of claims for reimbursement
  • When claiming for reimbursement: Single Tranche

    Cervical Cancer
    Selected Orthopedic Implants
    Colon Cancer
    Rectal Cancer

  • I. Requirements for Pre-authorization

  • II. Requirement for submission of claims for reimbursement
  • A. Rectum Cancer Stage I (clinical and pathologic stage):
  • When claiming for reimbursement: Rectum Cancer Stage I (clinical and pathologic stage) - (Single tranche)

  • B. Rectum cancer pre-operative clinical stage I with post-operative pathologic stage II - III
  • 1. When claiming for Tranche 1, Rectum cancer pre-operative clinical stage I with post-operative pathologic stage II - III

    2. When claiming for Tranche 2, Rectum cancer pre-operative clinical stage I with post-operative pathologic stage II - III

    3. When claiming for Tranche 3, Rectum cancer pre-operative clinical stage I with post-operative pathologic stage II - III

  • C. Rectum cancer pre-treatment clinical stage II - III
  • Acute Lymphocytic Leukemia
    Breast Cancer

  • I. Requirements for Pre-authorization
  • II. Requirement for submission of claims for reimbursement
  • Prostate Cancer
    Kidney Transplantation

    Kasambahay


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