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PhilHealth eClaims Transmittal System

Nothing is created the same.

If you have experienced downtime, PhilHealth delayed payments, RTH (return-to-hospital) claims and unhappy with the way your support is handled by your provider, we’re here to turn your situation around. Discover why Claims Assure™ is the most sought after PhilHealth eClaims Transmittal System in the country.

FEATURES

1

Claims Eligibility Web Service

Check your patients PhilHealth eligibility prior to claims submission. By using this module, you can also verify if patients are eligible to file PhilHealth Claims prior to their admission.

2

No Downtime

Uninterrupted Sending of PhilHealth Claims because your data are managed in Microsoft© Azure®, the largest and most secured cloud computing service provider so you are assured of continued service even when others are not.

3

No Batch Filing

Send Claims At Your Own Phase as soon as you are done with a patient PhilHealth forms, you can immediately send it to PhilHealth for claims without the need to collect and send it in one batch making it more cost effective by eliminating time and resources spent in waiting.

4

CF4 with Drug Code Setup Tool

Claims Assure CF4 Module contains the summary of pertinent clinical information of a patient/member during their hospitalization/episode of care and includes the Drug Code Setup Tool to help you in managing the drugs included in your claims.

5

Course in the Ward Image Attachment Tool (Integrated with HIMS)

Easily integrate your images from X-ray and Lab results. Images are automatically compressed so it would not occupy large amount of space in your storage.

6

eCCSA Integration

All attachments are easily uploaded with eCSSA or eclaims Cloud Storage API, a PhilHealth developed application program integrated with Comlogik’s healthcare solutions which will help in easily uploading all documentary attachments required to process the patients claims.

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