Modes of Payment and Prescribed Issuance Procedures for Receipts
- Check Payments Received by Mail:
- Providers should send the O.R. through mail, submit it personally, or have it delivered by an authorized representative.
- A provisional receipt (P.R.) may be issued initially, with a corresponding O.R. issued upon collection of subsequent checks.
- Check Payments Picked Up by Authorized PhilHealth Representatives:
- Both the O.R. and P.R. must specify check number(s), date, and the exact amount received.
- Professional Fee Payments via Auto Credit System (PFPN):
- Physicians must wait to receive the Professional Fee Payment Notice (PFPN) from PhilHealth.
- Subsequently, an O.R. indicating amount and date credited must be submitted.
- Physicians are encouraged to regularly verify their balances through Landbank Express Net ATMs.
Receipt Requirements for Government Health Care Facilities
- Government health care facilities must issue the Republic of the Philippines Official Receipt, specifically Accountable Form No. 51.
Timeline and Submission of Official Receipts
- All issued O.R.s must be submitted to PhilHealth within 30 working days from the receipt of the payment or reimbursement.
- For O.R.s mailed, submission date is considered the post office's received date stamp.
Monitoring and Compliance Enforcement
- PhilHealth Regional and Service Offices are tasked with installing and maintaining systems to monitor adherence to these requirements.
- Compliance status may influence the approval or denial of future reimbursements from PhilHealth.
Legal and Administrative Authority
- The circular was adopted on September 15, 2005, and signed by Lorna O. Fajardo, Officer-in-Charge, Office of the President and CEO of PhilHealth.
- The directive enforces strict compliance for accountability and regulatory conformity.