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PhilHealth XII Strenghtens Tie-Up with Employers through PEERS

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PhilHealth XII Strenghtens Tie-Up with Employers through PEERS
Topmost pic: L-R Medical Specialist 1, Dr. Sylvia S. Sumpay; Gen. Santos LHIO Head, Nol S. Valila; PhilHealth XII Regional Vice President, Dr. Miriam Grace G. Pamonag; OIC-FOD Chief, Lorelie G. Bonilla as panelist during one of the fora.

Picture below:  PhilHealth XII Regional Vice President, Dr. Miriam Grace G. Pamonag (inset) delivering her speech in one of the Employer’s Fora held at the EMR Center, City of Koronadal
To provide employers of the National health Insurance updates on their responsibilities and obligations of ensuring on-time compliance to premium remittance and reports submission, PhilHealth XII through the Field Operations Division (FOD) with the Local Health Insurance Offices (LHIOs) of Cotabato, Gensan, Isulan, Kidapawan and Koronadal conducted Employers’ Forum attended by PhilHealth Employer Engagement Representatives (PEERs) in five areas under its jurisdiction last September.

PEERs are Human Resource or Accounting Staff assigned and authorized by their respective employers to serve as an official point persons relative to PhilHealth transactions.

While PhilHealth has PhilHealth Account Information Management Specialists (P-AIMS) handling employer accounts to ensure the timely remittance of premium and submission of reports and takes charge of posting them in the database; employers have PhilHealth Employer Engagement Representative (PEER) responsible of deducting PhilHealth premiums, remitting PhilHealth contribution and submitting reports on time through electronic services provided by the Corporation.

PhilHealth has provided electronic windows for effective and efficient payment premium mechanism through accreditation of banks and non-banks institutions using e-pay facilities and has installed Electronic Premium Reporting System (EPRS) on-site and off-site for easy posting of monthly remittance reports.

It has also an Institutional Health Care Portal (IHCP) to all Accredited Health Care Providers where the hospitals and non-hospital facilities are given access to PhilHealth membership and contribution database.

This means that PhilHealth members can avail of their benefits even on weekends without securing their Member Data Record or proof of remittance from their employers provided PEERS have remitted their premium and submit report on time through the EPRS facility.

The fora also provided PEERS updates on the National Health Insurance Program’s new case rate packages including Z benefits for them to understand the rationale of premium increase effective January 2014 not just for the formal economy but across all sectors.

PEERs issues concerning PhilHealth processes such as membership, contribution and benefits were addressed by PRO XII panellists led by the Regional Vice President Dr. Miriam Grace Pamonag, the OIC of the Field Operations Division Lorelie G. Bonilla, Local Health Insurance Chiefs; Nol S. Valila of Gensan, Ivy E. Monderin of Kidapawan, Sharihana G. Sali of Cotabato, Lea A. Espejo of Isulan and Nonito B. Bayaras of Koronadal.

PHilHealth XII also recognized and commended top remitting and reporting employers and those who have observed the prescribed schedule in terms of premium remittance and submission of reports.

OIC-FOD Chief, Lorelie G. Bonilla stressed that the transformation of manual to automatic information systems of the Corporation is gearing towards an updated and reliable database for all its members regardless of their membership categories and its partners-stakeholders.

This is part of our commitment of delighting our customers in all our services whether through frontline or backroom process.

“We are partners in the implementation of the National Health Insurance Program. We are thankful for your continued support. May we have addressed all your concerns as we commit ourselves in fulfilling our vision that ‘Bawat Pilipinio, Miyembro, Bawat Miyembro Protektado, Kalusugan Natin Segurado’” RVP Pamonag, said.

She hopes that this activity will be sustained and will create better relationship with employers as PhilHealth’s partners in attaining Universal Health Care or Kalusugan Pangkalahatan.

PhilHealth XII PAIMS personnel under the Field Operations Division provided technical and logistical support. (Hanah g. Naanep PRO III with reports from Verly L. Oliver)

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