·         Patient Searching ( Inpatient, Outpatient and Discharged)
·         Monitoring of 45 days / year
·         Monitoring of Patient’s Philhealth availment per year
·         Philhealth entry
·         Printing of form III & IV
·         Automatic Philhealth Computation
·         Printing of form II
·         Entry for Form II
·         Payment allocation for Lump sum check
·         Philhealth payment entry
·         Philhealth batch payment entry
·         Automatic tagging of Doctor (Physicians, Surgeon and Anesthesiology)
·         Automatic Display of Diagnosis from nurse station
·         Checking of Missing Documents
·         Reports and Logbook
·         Philhealth Receivable Monitoring report
·         Philhealth transmittal
·         TB-DOTS Transmittal Report
·         Direct Filing
·         Printout of claim form 3
·         RVS and ICD-10 tagging
·         Statement of accounts (Philhealth Version)
·         Signatories
·         Doctor’s Philhealth Receivables
·         Automated SMS to patient/watcher when bill is ready


PhilHealth Features:
	Claim Form I, II, III (Entry & Printout)
	Claim Signature Form (Printout)
	Claim Form 4 (Entry & Printout)
	Claim Processors (Entry)
	Automatic PhilHealth Computation
	PhilHealth Member Registration Form - PMRF (Entry & Printout) 
	Direct Filing (Entry & Printout)
	Denied Claims (Entry & Printout)
	Return To Hospital - RTH (Entry & Printout)
	Payment Allocation - By Batch (Entry & Printout)
	Payment Allocation - By Individual (Entry & Printout)
	Previous Member Availment
	Previous Patient Availment
	Previous Patient Confinement & to Other Hospital (Entry)
	Transmittal Report (Entry & Printout)
	TB-DOTS Transmittal Report (Entry & Printout)
	Statement of Account (Printout)
	Mandatory Monthly Hospital Report (Entry & Printout)
	PhilHealth Receivable (Printout)
	
	PNF Circular 20210012 
	24-Hour Confinement Rule
	Single Period of Confinement Rule
	45-Day Benefit Limit Rule	
	Checking of Nearly Elapsed Claims (Notification, Monitoring)
	Checking of Nearly, expired Doctors PHIC accreditation (Notification)
	 
	
	Payment Reports
	Receivable Reports
	Claims Monitoring Reports
	Census Reports
	Logbooks
	Monthly Statistical Report
	Claims Payment Performance Report
	Doctors Expiring PHIC Licenses Report
	
	
	Build File All Case Rates
	Build File All Case Rates Terms and Conditions
	Build File Classification
	Build File PhilHealth Accreditation of Doctor
	Build File PhilHealth Dialysis Database
	Build File Signatories
	
	Checklist Compensable Medicine
	Checklist PhilHealth Case Rates
	CheckList RUV 
	Searching of Patient Logs (Printout)
	
	Verified CF4, Encoded CF1, Transmitted Claims (Color Coding)
	To allow reverse PhilHealth Deduction for Professional Fees 
	To allow computation of CF4 Processing Fee for PHIC Professional Fees Payment
	To use ER Admission Time  as Admission Time; only if patient is with ER record
	To prompt message when allocating PF Package amount is insufficient [Auto-Computation]
	To restrict claims with unverified cf4 with non-exempt codes
	Enable restriction of Claims with UnVerified CF4 on PhilHealth Transmittal
	Enable restriction of Claims with Unprinted CF2 on PhilHealth Transmittal