Question & AnswerQ&A (PHILHEALTH CIRCULAR NO. 24, S. 2005)
The purpose is to require accredited health care facilities and providers to issue official receipts (O.R.) for Medicare reimbursements in compliance with Section 237, Chapter II of the National Internal Revenue Code and to aid in PhilHealth reconciliation efforts.
Effective October 1, 2005.
The official receipts must be sent through mail, submitted personally, or hand-carried by an authorized representative. A provisional receipt may be initially issued, and the corresponding official receipt must be issued upon pick-up of succeeding checks.
Both the O.R. and P.R. should indicate the check number(s), date, and the corresponding amount(s) received.
Physicians must await receipt of the Professional Fee Payment Notice (PFPN) from PhilHealth and thereafter submit an official receipt indicating the amount and the date it was credited.
Physicians are advised to confirm their balances with Landbank through Express Net ATMs regularly for verification.
Official receipts must be submitted within 30 working days from receipt of payment/reimbursement.
The date stamped as received by the post office is considered for reckoning.
A system shall be instituted or installed to monitor compliance with the issuance of official receipts, which may affect future reimbursements from PhilHealth.
Section 237, Chapter II of the National Internal Revenue Code mandates the issuance of official receipts for such transactions.