PhilHealth E-Claims Portal

Overview:
Philippine Health Insurance Corporation (PhilHealth) is committed to ensuring ease of availment at the point of care for all its beneficiaries. In lieu with this, in 2011, PHIC launched the eClaims Project through PhilHealth Circular No.14 and Office Order No. 69 which broadly aims to streamline key processes such as eligibility check, claims submission, verification, and payment in order to serve both members and partner providers better.

By accrediting your hospital or organization for PHIC E-Claims, you can directly file for claims and unite with PhilHealth’s vision of a more efficient, enhanced and effective claims processing. We will help  you with the  processing. This is not the same with the e-claims module inside our HIS Phase 1.

• E-Claims in Phase 1: PhilHealth claims are done via a middle-ware and has a payment per transaction (around P20sh)
• This E-claims in Phase 3: No more middle-ware and claims are without per-transaction costs. You hospital herself is accredited.

PhilHealth E-Claims Portal (PHIC) is an integrative system that is made for citizens of all ages to assist them throughout their PhilHealth E-Claims. With these functions, namely Application, Outright Deductions, Patient List, and PHIC Transmittal, the PhilHealth E-Claims Portal is the definitive answer to PhilHealth members who are longing for a better and faster service in acquiring these claims.