Title
Authorized Signatory for PhilHealth Claims
Law
Phic Philhealth Circular No. 11, S. 2004
Decision Date
Jun 9, 2004
PhilHealth allows authorized signatories, such as a spouse, parent, or sibling, to sign Claim Form 1 on behalf of members who are unavailable due to confinement or other circumstances, provided proper identification and relationship documentation are submitted.

Circumstances Permitting Signature by Authorized Persons

  • Instances occur where the member cannot personally sign the claim form, such as during the confinement of a dependent.
  • Members may be assigned to locations away from their families, rendering them unavailable to sign.
  • PhilHealth allows certain authorized individuals to sign on behalf of the member under such circumstances.

Authorized Signatories Based on Member Status

  • For a married member:
    • The legal spouse is the first authorized signatory.
    • If the spouse is unavailable, a child who is 18 years or older may sign.
    • In the absence of both spouse and child, either parent (mother or father) may sign.
  • For a single member:
    • Either parent (mother or father) is authorized to sign on the member's behalf.
    • If the member is orphaned, a brother, sister, or guardian may sign.

Documentation and Requirements for Signing on Behalf

  • The reason for signing on behalf of the member must be clearly stated on the PhilHealth Claim Form 1 or on an attached certification.
  • A photocopy of the authorized signatory's identification card must be attached.
  • Proof establishing the relationship between the signatory and the member is required.
  • The full name, complete address, and contact information of the signatory must be legibly written on the form or on a separate sheet.

Administrative Guidance and Adoption

  • PhilHealth Circular No. 11, Series of 2004, issued guidance regarding authorized signatories.
  • The circular aims to facilitate claims processing while maintaining regulatory compliance.
  • Officially adopted on June 9, 2004, signed by PHIC President and CEO Francisco T. Duque, M.D., M.Sc.

This framework ensures that claims can proceed even in the absence of the member while safeguarding the integrity and authenticity of the claim process through designated authorized signatories.


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