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benefit availment procedures

Outright/automatic deduction of benefits

Submit to the billing section of the accredited health care institution the following documents prior to discharge:

  • Duly accomplished PhilHealth Claim Form 1
  • Clear copy of Member Data Record (MDR)

If patient is a qualified dependent but is not listed in the MDR, the member must submit applicable proof of dependency.

The accredited health care institution must deduct the entire Case Rate amount from your total hospital bill prior to discharge.