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Membership

  • PMRF: PhilHealth Member Registration Form

  • PMRF-FN: PhilHealth Member Registration Form for Foreign Nationals

  • Claims

  • Claim Signature Form (Revised September 2018)

  • Claim Form 1: Member and Patient Information (Revised September 2018)
  • Claim Form 2: Provider Information (Revised September 2018)
  • Claim Form 3: Patient's Clinical Record
  • Claim Form 4: Clinical Summary

  • PhilHealth Claim Form 1 Guidelines »»
  • PhilHealth Claim Form 2 Guidelines »»
  • PhilHealth Claim Form Reminders »»
  • PhilHealth Claim Form 4 Guidelines »»

  • E-Claims

  • Software Certification Application Form (SCAF)
  • Non-Disclosure Agreement (NDA)
  • Software Certification Agreement (SCA)

  • eClaims Cloud Storage Technical Specifications
  • PCSS Application Form

  • Dialysis Database

  • Registration Form
  • Certification on Diagnosis and Management of CKD Stage 5
  • Hemodialysis Benefits Package Agreement Form

  • Payment

  • PPPS: PhilHealth Premium Payment Slip (for ACAs)
  • PPPS: PhilHealth Premium Payment Slip (for PhilHealth Use Only)

  • Employers

  • ER1: Employer Data Record
  • ER2: Report of Employee-Members
  • ER3: Employer Data Amendment Form
  • RF1: Employer's Remittance Report

  • PhilHealth Employers' Engagement Representative (PEER) Information Sheet
  • Non Disclosure Agreement

  • Accredited Collecting Agents (ACAs)

  • Non-Disclosure Agreement (NDA)
  • PhilHealth Online Access Form (POAF)

  • Kasambahay

  • PPS-HEUR1: Household Employer Unified Registration Form
  • PPS-HEUR2: Household Employment Unified Report Form
  • PPS-KUR FORM: Kasambahay Unified Registration Form
  • PPS: Household PhilHealth Payment Slip

  • COVID-19 Home Isolation Benefit Package

  • Assessment Checklist for COVID-19 Home Isolation Benefit Package

  • COVID-19 Testing Package

  • Cartridge Based PCR
  • Annex C - SARS-CoV-2 claims summary form and instructions for electronic submission
  • Annex D - Waiver for Directly Filed Claims for SARS-CoV-2 Testing Package
  • Annex E - Certificate of classification of at-risk individuals and actual charges for SARS-CoV-2 test
  • RT PCR Test
  • Annex C - SARS-CoV-2 claims summary form and instructions for electronic submission
  • Annex D - Waiver for Directly Filed Claims for SARS-CoV-2 Testing Package
  • Annex E - Certificate of classification of at-risk individuals and actual charges for SARS-CoV-2 test


  • Rheumatic Fever/Rheumatic Heart Disease (RF/RHD)

  • I. Requirements for pre-authorization
  • A. Pre-authorization checklist (Annex A-RF/RHD)
  • B. Member empowerment form (Annex B-ME Form)

  • II. Requirements for submission of claims for reimbursement
  • A. When claiming for Tranche 1
  • 1. Transmittal Form (Annex H)
  • 2. Checklist of Mandatory Services & Other services (Annex C1 –RF/RHD)
  • 3. RF/RHD Satisfaction Questionnaire (Annex D-RF/RHD)
  • 4. Checklist of Requirement for Reimbursement (Annex E-RF/RHD)
  • B. When claiming for Tranche 2
  • 1. Transmittal Form (Annex H)
  • 2. Checklist of Mandatory Services & Other services (Annex C2 –RF/RHD)
  • 3. RF/RHD Satisfaction Questionnaire (Annex D-RF/RHD)
  • 4. Checklist of Requirement for Reimbursement (Annex E-RF/RHD)

  • III. For patients requesting for a transfer to another RF/RHD provider
  • 1. Letter of intent for transfer of RF/RHD care to a referral RF/RHD provider(Annex G-RF/RHD)
  • 2. Checklist for Patient Transfer (Annex M-RF/RHD)

  • IV. Other forms
  • 1. RF/RHD systematic clinical assessment and follow-up form (Annex N-RF/RHD)
  • 2. National RF/RHD Registry Data Sheet (Annex O-RF/RHD)
  • 3. Clinical Pathway (Annex P-RF/RHD)
  • 4. RF/RHD Passport

  • Outpatient Benefits for Mental Health

  • A. General Mental Health Services
  • 1. Accreditation Standards
  • Minimum Requirements for Accreditation (Annex A.1)
  • 2. Requirement for patient registration
  • Patient Mental Health Registry (Annex C)
  • 3. When filing claims for reimbursement: Tranche 1
  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement - Tranche 1 (Annex L.1)
  • Sample Claim Form 2 – Tranche 1 (Annex I.1)
  • Checklist of Mandatory Services – Tranche 1 (Annex J.1)
  • MH Satisfaction Questionnaire (Annex K)
  • Mental Health Passport (Annex D)
  • 4. When filing claims for reimbursement: Tranche 2
  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement - Tranche 2 (Annex L.2)
  • Sample Claim Form 2 – Tranche 2 (Annex I.2)
  • Checklist of Mandatory Services – Tranche 2 (Annex J.2)
  • MH Satisfaction Questionnaire (Annex K)
  • Mental Health Passport (Annex D)

  • B. Specialty Mental Health Services
  • 1. Accreditation Standards
  • Minimum Requirements for Accreditation (Annex A.2)
  • 2. Requirement for patient registration
  • Patient Mental Health Registry (Annex C)
  • 3. When filing claims for reimbursement: Tranche 1
  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement - Tranche 1 (Annex L.3)
  • Sample Claim Form 2 – Tranche 1 (Annex I.3)
  • Checklist of Mandatory Services – Tranche 1 (Annex J.3)
  • MH Satisfaction Questionnaire (Annex K)
  • Mental Health Passport (Annex D)
  • 4. When filing claims for reimbursement: Tranche 2
  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement - Tranche 2 (Annex L.4)
  • Sample Claim Form 2 – Tranche 2 (Annex I.4)
  • Checklist of Mandatory Services – Tranche 2 (Annex J.4)
  • MH Satisfaction Questionnaire (Annex K)
  • Mental Health Passport (Annex D)

  • C. Requirements for transfer of care
  • Letter of Intent for Patient Transfer (Annex E)
  • Checklist for Patient Transfer (Annex F)
  • Patient Referral (Annex G)

  • D. Summary of the benefits package
  • Mental Health Benefits Package (Annex B)
  • Health IT Partners

  • e-Claims Implementation Guide »

  • Health Care Professionals

  • Annex A:Documentary Requirements for Accreditation of Health Care Professionals
  • Annex B: Provider Data Record for Health Care Professionals
  • Annex C: Supporting Documents for Updating of Records of Health Care Professionals
  • Annex D: Performance Commitment for Health Care Professionals

  • Health Care Facilities

  • Annex A: Documentary Requirement for Accreditation of Health Facilities
  • Annex B: Provider Data Record for Health Care Facilities (FILLABLE)
  • Annex C: Performance Commitment for Health Facilities (Revised June 2023) (FILLABLE)
  • Annex D: Classification of Administrative Offenses of Health Care Providers as Provided in RA No. 10606
  • Annex E: Classification of Offenses of Health Care Providers as Provided in the PROAC of RA No. 11223

  • ACPS Forms
  • A. Notice of ACPS compliance for private facilities
  • B. Notice of ACPS compliance for public facilities
  • C. Notice of ACPS compliance for LGU-owned facilities
  • D. Bank Certification
  • E. Notice of Change of Bank account for private facilities
  • F. Notice of Change of Bank account for public facilities
  • G. Notice of Change of Bank account for LGU-owned facilities (p1)
  • G. Notice of Change of Bank account for LGU-owned facilities (p2)

  • Email addresses of the Accreditation and Quality Assurance Section ot the PROs

  • Pre-Authorization and Claims Reimbursement


    Breast Cancer
  • I. Requirements when filing claims for Diagnostic Tests and Prognostication of Breast Cancer
  • Annex H: Transmittal Form
  • Annex A.1: Checklist of Eligibility Criteria for Diagnostic Tests and Prognostication – Breast Cancer
  • Annex C.1. Checklist of Mandatory and Other Services for Diagnostics and Prognostication
  • Annex D: Z Satisfaction Questionnaire
  • Annex E.1. Checklist of Requirements for Reimbursement – Diagnostic Tests and Prognostication

  • II. Requirements for Pre-authorization
  • Annex A.2: Pre-authorization Checklist and Request Form
  • Annex B: Member Empowerment (ME) Form

  • III. Requirements for submission of claims for reimbursement
  • A. When filing claims for surgical procedure of breast cancer

  • Annex H: Transmittal Form
  • Annex C.2. Checklist of Mandatory and Other Services for Surgery
  • Annex D: Z Satisfaction Questionnaire
  • Z Satisfaction Questionnaire (Annex D)
  • C. When filing claims for chemotherapy of breast cancer

  • Transmittal Form (Annex H)
  • Annex C.3. Checklist of Mandatory and Other Services for Chemotherapy
  • Annex D: Z Satisfaction Questionnaire
  • Annex E.3. Checklist of Requirements for Reimbursement – Chemotherapy
  • Annex F: Breast Cancer Treatment Passport
  • D. Hormonotherapy
    D.1. When filing claims for Hormonotherapy: Tranche 1

  • Transmittal Form (Annex H)
  • Annex C.4.1. Checklist of Mandatory and Other Services for Hormonotherapy Tranche 1
  • Annex D: Z Satisfaction Questionnaire
  • Annex E.4.1. Checklist of Requirements for Reimbursement – Hormonotherapy Tranche 1
  • Annex F: Breast Cancer Treatment Passport
  • D.2. When filing claims for Hormonotherapy: Tranche 2

  • Transmittal Form (Annex H)
  • Annex C.4.2.Checklist of Mandatory and Other Services for Hormonotherapy Tranche 2
  • Annex D: Z Satisfaction Questionnaire
  • Annex E.4.2.Checklist of Requirements for Reimbursement – Hormonotherapy Tranche 2
  • Annex F: Breast Cancer Treatment Passport
  • E. Targeted Therapy
    E.1. When filing claims for Targeted Therapy: Tranche 1

  • Transmittal Form (Annex H)
  • Annex C.5.1. Checklist of Mandatory and Other Services for Targeted Therapy - Tranche 1
  • Annex D: Z Satisfaction Questionnaire
  • Annex E.5.1. Checklist of Requirements for Reimbursement – Targeted Therapy Tranche 1
  • Annex F: Breast Cancer Treatment Passport
  • E.2. When filing claims for Targeted Therapy: Tranche 2

  • Transmittal Form (Annex H)
  • Annex C.5.2. Checklist of Mandatory and Other Services for Targeted Therapy - Tranche 2
  • Annex D: Z Satisfaction Questionnaire
  • Annex E.5.2.Checklist of Requirements for Reimbursement – Targeted Therapy Tranche 2
  • Annex F: Breast Cancer Treatment Passport
  • E.3. When filing claims for Targeted Therapy: Tranche 3

  • Transmittal Form (Annex H)
  • Annex C.5.3. Checklist of Mandatory and Other Services for Targeted Therapy - Tranche 3
  • Annex D: Z Satisfaction Questionnaire
  • Annex E.5.3. Checklist of Requirements for Reimbursement – Targeted Therapy Tranche 3
  • Annex F: Breast Cancer Treatment Passport
  • F. When filing claims for surveillance of breast cancer

  • Transmittal Form (Annex H)
  • Annex C.6. Checklist of Mandatory and Other Services for Surveillance
  • Annex D: Z Satisfaction Questionnaire
  • Annex E.6. Checklist of Requirements for Reimbursement – Surveillance
  • G. Patient transfer

  • Annex G: Checklist for Patient Transfer
  • Annex I: Letter of Intent for Transfer to a Contracted Health Facility
  • H. Sample Claim Form (CF) 2

  • Annex J.1. Diagnostic Tests or Prognostication
  • Annex J.2. Surgery
  • Annex J.3. Cytotoxic Chemotherapy
  • Annex J.4.1. Hormonotherapy Tranche 1
  • Annex J.4.2. Hormonotherapy Tranche 2
  • Annex J.5.1. Targeted Therapy Tranche 1
  • Annex J.5.2. Targeted Therapy Tranche 2
  • Annex J.5.3. Targeted Therapy Tranche 3
  • Annex J.6. Surveillance
  • I. Other Documents

  • Annex K: Pathway of the Benefits Availment of Z Benefits for Breast Cancer
  • Annex L: Breast Cancer Treatment Protocols
  • Annex M: Breast Cancer Medical Records Summary Form
  • Annex N: Outcome Indicators
  • Annex O: Guide on Co-payment Proposal of the Z Benefits Package for Breast Cancer
  • Rectal Cancer
  • I. Requirements for Pre-authorization
  • A. Pre-authorization Checklist and Request (Annex A)
  • B. Member Empowerment Form (Annex B)

  • 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)

  • Transmittal Form (Annex H)
  • Tranche Requirements Checklist (Annex E1.1)
  • Checklist of Mandatory Services and other services (Annex C1.1)
  • Z Satisfaction Questionnaire (Annex D)

  • 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

  • Transmittal Form (Annex H)
  • Tranche Requirements Checklist (Annex E1.2)
  • Checklist of Mandatory Services and other services (Annex C1.2)
  • Satisfaction Questionnaire (Annex D)
  • 2. When claiming for Tranche 2, Rectum cancer pre-operative clinical stage I with post-operative pathologic stage II - III

  • Transmittal Form (Annex H)
  • Tranche Requirements Checklist (Annex E2.2)
  • Checklist of Mandatory Services and other services (Annex C2.2)
  • Satisfaction Questionnaire (Annex D)
  • 3. When claiming for Tranche 3, Rectum cancer pre-operative clinical stage I with post-operative pathologic stage II - III

  • Transmittal Form (Annex H)
  • Tranche Requirements Checklist (Annex E3.2)
  • Checklist of Mandatory Services and other services (Annex C3.2)
  • Satisfaction Questionnaire (Annex D)

  • C. Rectum cancer pre-treatment clinical stage II - III
  • 1. When claiming for Tranche 1, Rectum cancer pre-treatment clinical stage II - III

  • Transmittal Form (Annex H)
  • Tranche Requirements Checklist (Annex E1.3)
  • Checklist of Mandatory Services and other services (Annex C1.3)
  • Z Satisfaction Questionnaire (Annex D)
  • 2. When claiming for Tranche 2, Rectum cancer pre-treatment clinical stage II - III

  • Transmittal Form (Annex H)
  • Tranche Requirements Checklist (Annex E2.3)
  • Checklist of Mandatory Services and other services (Annex C2.3)
  • Z Satisfaction Questionnaire (Annex D)
  • 3. When claiming for Tranche 3, Rectum cancer pre-treatment clinical stage II - III

  • Transmittal Form (Annex H)
  • Tranche Requirements Checklist (Annex E3.3)
  • Checklist of Mandatory Services and other services (Annex C3.3)
  • Z Satisfaction Questionnaire (Annex D)
  • Expanded ZMORPH
  • I. Prior to availment of the Benefit
  • Pre-Authorization checklist for Expanded ZMORPH for Upper and Lower Limb Prosthesis (Annex A1)
  • Member Empowerment Form (Annex B)

  • II. When filing for Tranche 1
  • Transmittal Form (Annex H)
  • Checklist of requirements for reimbursement (Annex E1-EMORPH)
  • Discharge Checklist for Expanded ZMORPH Tranche 1 for Lower Limb Prosthesis (Annex C1.1 - EMORPH)
  • Discharge Checklist for Expanded ZMORPH Tranche 1 for Upper Limb Prosthesis (Annex C1.2 - EMORPH)
  • Z Satisfaction Questionnaire (Annex D)
  • III. When filing for Tranche 2
  • Transmittal Form (Annex H)
  • Checklist of requirements for reimbursement (Annex E2 - EMORPH)
  • Discharge Checklist for Expanded ZMORPH Tranche 2 (Annex C2-EMORPH)
  • Z Satisfaction Questionnaire (Annex D)
  • Outcome Indicators (Annex G)

  • For Expanded ZMORPH for Lower Limb Orthosis

  • I. Prior to availment of the Benefit
  • Pre-Authorization Checklist for Expanded ZMORPH for Lower Limb Orthosis (Annex A2)
  • ME Form (Annex B)
  • II. When filing for Tranche 1
  • Transmittal Form (Annex H)
  • Checklist of requirements for reimbursement (Annex E1-EMORPH)
  • Discharge Checklist for Expanded ZMORPH Tranche 1 for Lower Limb Orthosis (Annex C1.3 - EMORPH)
  • Z Satisfaction Questionnaire (Annex D)
  • III. When filing for Tranche 2
  • Transmittal Form (Annex H)
  • Checklist of requirements for reimbursement (Annex E2 - EMORPH)
  • Discharge Checklist for Expanded ZMORPH Tranche 2 (Annex C2-EMORPH)
  • Z Satisfaction Questionnaire (Annex D)
  • Outcome Indicators (Annex G)

  • For Expanded ZMORPH for Spinal Orthosis

  • I. Prior to availment of the Benefit
  • Pre-Authorization chcklist for Expanded ZMORPH for Spinal Orthosis (Annex A3)
  • ME Form (Annex B)
  • II. When filing for Tranche 1
  • Transmittal Form (Annex H)
  • Checklist of requirements for reimbursement (Annex E1-EMORPH)
  • Discharge Checklist for Expanded ZMORPH Tranche 1 for Spinal Orthosis (Annex C1.4 - EMORPH)
  • Z Satisfaction Questionnaire (Annex D)
  • Outcome Indicators (Annex G)
  • III. When filing for Tranche 2
  • Transmittal Form (Annex H)
  • Checklist of requirements for reimbursement (Annex E2 - EMORPH)
  • Discharge Checklist for Expanded ZMORPH Tranche 2 (Annex C2-EMORPH)
  • Z Satisfaction Questionnaire (Annex D)
  • Outcome Indicators (Annex G)
  • Z Benefits for Children with Mobility Impairment
  • Prior to availment of the Z Benefits
  • A. Pre-authorization Checklist and Request (Annex A)
  • B. Member Empowerment Form (Annex B)

  • II. Assistive Device Provision, Training and Rehabilitation
  • A. When claiming for assessment, prescription, casting and measurement of the assistive device (1st Tranche)

  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement (Tranche 1) (Annex E1)
  • Checklist of Mandatory Services Z Benefits for Children with Mobility Impairment (Tranche 1) (Annex C1)
  • Z Satisfaction Questionnaire (Annex D)
  • B. When claiming for assistive device fitting and mobility training (2nd Tranche)

  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement (Tranche 2) (Annex E2)
  • Checklist of Mandatory Services Z Benefits for Children with Mobility Impairment (Tranche 2) (Annex C2)
  • Z Satisfaction Questionnaire (Annex D)
  • Certificate of Completed Training on the Safe and Functional use of the Device (Annex J)
  • C. When claiming for rehabilitation services (3rd tranche)

  • Transmittal Form (Annex H)
  • Checklist of Mandatory Services Z Benefits for Children with Mobility Impairment (Tranche 3) (Annex E3)
  • Z Satisfaction Questionnaire (Annex D)
  • Certificate of outcomes after rehabilitation session (Annex K)

  • III. Assistive device repair, replacement and yearly service

  • Transmittal Form (Annex H)
  • Checklist of Requirement for Reimbursement Mobility Impairment Yearly Services and Replacement (Annex E)
  • Checklist of Mandatory Services Z Benefits for Children with Mobility Impairment Yearly Services and Replacement (Annex C)
  • Z Satisfaction Questionnaire (Annex D)
  • Z Benefits for Children with Developmental Disabilities
  • I. Prior to availment of the Z Benefits
  • A. Pre-authorization Checklist and Request (Annex A)
  • B. Member Empowerment Form (Annex B)

  • II. Initial Assessment
  • A. When claiming for Initial Assessment from a Medical Specialist (1st Tranche)

  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement (Tranche 1) (Annex E1)
  • Checklist of Mandatory Services Z Benefits for Children with Developmental Disabilities (Tranche 1) (Annex C1)
  • Z Satisfaction Questionnaire (Annex D)
  • Certificate of Assessment and recommendations(Annex J)
  • B. When claiming for Initial Assessment from a Rehabilitation Therapist/Allied Health Professional (2nd Tranche, if applicable)

  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement (Tranche 2) (Annex E2)
  • Checklist of Mandatory Services Z Benefits for Children with Developmental (Tranche 2) (Annex C2)
  • Z Satisfaction Questionnaire (Annex D)
  • Certificate of Assessment and recommendations(Annex J)

  • III. When claiming for Rehabilitation Tranches (up to 9 claims)
  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement Z Benefits for Children with Developmental Disabilities Rehabilitation Therapy (Annex E)
  • Checklist of Mandatory Services Z Benefits for Children with Developmental Disabilities Rehabilitation Therapy (Annex C)
  • Z Satisfaction Questionnaire (Annex D)

  • IV. Discharge Assessment
  • A. When claiming for Discharge Assessment from a Rehabilitation Therapist/Allied Health Professional (1st tranche, if applicable)

  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement (Tranche 1) (Annex E1)
  • Checklist of Mandatory Services Z Benefits for Children with Developmental Disabilities (Tranche 1) (Annex C1)
  • Z Satisfaction Questionnaire (Annex D)
  • Certificate of Assessment and recommendations(Annex J)
  • B. When claiming for Discharge Assessment from a Medical Specialist (2nd tranche)

  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement (Tranche 2) (Annex E2)
  • Checklist of Mandatory Services Z Benefits for Children with Developmental (Tranche 2) (Annex C2)
  • Z Satisfaction Questionnaire (Annex D)
  • Certificate of Assessment and recommendations(Annex J)
  • Z Benefits for Visual Disabilities
  • I. Prior to availment of the Z Benefits
  • A. Pre-authorization Checklist and Request (Annex A)
  • B. Member Empowerment Form (Annex B)

  • II. Category 1
  • A. Initial Assessment and Intervention
  • 1. When claiming for initial assessment and intervention (Tranche 1)
  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement (Annex E1.1)
  • Checklist of Mandatory Services (Annex C1.1)
  • Z Satisfaction Questionnaire (Annex D)

  • 2. When claiming for appropriate assistive device (add-on) (Tranche 2)
  • Transmittal Form (Annex H)
  • Checklist of requirements for reimbursement (Annex E2.1)
  • Checklist of Mandatory Services (Annex C2.1)
  • Z Satisfaction Questionnaire (Annex D)

  • 3. When claiming for other services including training and rehabilitation (Tranche 3)
  • Transmittal Form (Annex H)
  • Checklist of requirements for reimbursement (Annex E3.1)
  • Certificate of Training and Rehabilitation (Annex J)
  • Z Satisfaction Questionnaire (Annex D)

  • B. Yearly Diagnostics
  • Checklist of Requirements for Reimbursement (Annex E.4)
  • Checklist of Mandatory Services (Annex C.3)
  • Z Satisfaction Questionnaire (Annex D)

  • III. Category 2, 3, 4
  • A. Initial Assessment and Intervention
  • 1. When claiming for initial assessment and intervention (Tranche 1)
  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement (Annex E1.2)
  • Checklist of Mandatory Services (Annex C1.2)
  • Z Satisfaction Questionnaire (Annex D)

  • 2. When claiming for appropriate assistive device (add-on) (Tranche 2)
  • Transmittal Form (Annex H)
  • Checklist of requirements for reimbursement (Annex E2.2)
  • Checklist of Mandatory Services (Annex C2.2)
  • Z Satisfaction Questionnaire (Annex D)

  • 3. When claiming for other services including training and rehabilitation (Tranche 3)
  • Transmittal Form (Annex H)
  • Checklist of requirements for reimbursement (Annex E3.2)
  • Certificate of Training and Rehabilitation (Annex J)
  • Z Satisfaction Questionnaire (Annex D)

  • B. Yearly Diagnostics
  • Checklist of Requirements for Reimbursement (Annex E.4)
  • Checklist of Mandatory Services (Annex C.3)
  • Z Satisfaction Questionnaire (Annex D)

  • C. Electronic assistive device replacement
  • Checklist of Mandatory Services (Annex C.4)
  • Z Satisfaction Questionnaire (Annex D)

  • IV. Category 5
  • A. Initial Assessment and Intervention
  • 1. When claiming for initial assessment and intervention (Tranche 1)
  • Transmittal Form (Annex H)
  • Checklist of Requirements for Reimbursement (Annex E1.3)
  • Checklist of Mandatory Services (Annex C1.3)
  • Z Satisfaction Questionnaire (Annex D)

  • 2. When claiming for appropriate assistive device (add-on) (Tranche 2)
  • Checklist of requirements for reimbursement (Annex E2.3)
  • Checklist of Mandatory Services (Annex C2.3)
  • Z Satisfaction Questionnaire (Annex D)

  • 3. When claiming for other services including training and rehabilitation (Tranche 3)
  • Checklist of requirements for reimbursement (Annex E3.3) Certificate of Training and Rehabilitation (Annex J)
  • Z Satisfaction Questionnaire (Annex D)

  • B. Yearly Follow up Consultations
  • Checklist of Requirements for Reimbursement (Annex E.4)
  • Checklist of Mandatory Services (Annex C.3)
  • Z Satisfaction Questionnaire (Annex D)

  • C. Electronic assistive device replacement
  • Checklist of Mandatory Services (Annex C.4)
  • Z Satisfaction Questionnaire (Annex D)


  • Annex A: Standards for Accreditation of PhilHealth Konsulta Facilities
  • Annex B. Self-Assessment Accreditation Survey Tool for PhilHealth Konsulta Facility
  • Annex B.1 Health Human Resource Survey Tool for PhilHealth Konsulta Facility
  • Annex B.2 Checklist of PhilHealth Konsulta Drugs and Its Preparations
  • Annex B.3 Checklist of PhilHealth Konsulta Laboratories and Diagnostic Services
  • Annex C. Procedures and Documentary Requirements for Accreditation of PhilHealth Konsulta Providers
  • Annex D.1 Certification of Service Delivery Support (Laboratory and Diagnostic Services)
  • Annex D.2 Certification of Service Delivery Support (Medicines)
  • Annex E. Non-disclosure Agreement

  • Infomercials

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  • Universal Health Care Episode 2
  • Universal Health Care Episode 3
  • Universal Health Care Episode 4
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  • Online Payment
  • Member Portal
  • Konsulta Overview
  • PhilHealth Anti-fraud
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  • PhilHealth Indigent NHTS
  • PhilHealth Confinement Abroad
  • PhilHealth Monthly Payment Scheme
  • The PhilHealth Story
  • PhilHealth Cares, Nagmamalasakit
  • Corporate Action Center, Nagmamalasakit
  • PhilHealth Medical Detoxification Drug Rehabilitation Package
  • Benepisyong PhilHealth para sa mga OFWs
  • Z Benefits for Premature and Small Newborns
    Laking pasasalamat ni Gng. Mary Grace Calamba ng Bonbon, Lower Loboc, Bohol sa PhilHealth Z Benefits para sa premature and small babies. Alamin ang kanyang kwento.
  • Z Benefits for Premature and Small Newborns
    Nabigyan ng Gov. Celestino Gallares Memorial Hospital ang 41 premature babies ng serbisyong medikal sa ilalim ng Z Benefits para sa premature and small babies simula Disyembre 2018. Ang Gallares ang kauna-unahang hospital sa buong bansa na naging contracted para sa nasabing benepisyo.
  • Z Benefits for Premature and Small Newborns
    Panoorin ang kwento ng mag-inang Mary Grace at Matt Franco Calamba ng Bonbon, Lower Loboc, Bohol, na naka-avail ng Z Benefits para sa premature at small babies.

  • Infographics

  • Labanan ang Upcasing, maging ASTIG

  • Jingle

  • Basta't Ika'y Pinoy