Philhealth Requirements Filing of Claims
Accomplished Original Philhealth Form
- Philhealth Claim Form 1 - Member and Employer
- Philhealth Claim Form 2 - Member and Attending Physician
Additional Attachment
- Employed Member
- Member Data Record (MDR) with declared Name of Dependents
- Certificate of Philhealth Contribution (3 Months prior to admission)
- Individual Paying Member
- Member Data Record (MDR) with declared Name of Dependents
- Photocopy of Philhealth Official receipt
- 3 Months contribution prior to admission
- Lifetime Member (Pensioner)
- Member Data Record (MDR) with declared Name of Dependents
- Photocopy of non-paying member ID
- Sponsored/Indigent Member
- Member Data Record (MDR) with declared Name of Dependents
- Photocopy of Updated Indigent Card with validity period
- OWWA/OFW Member
- Member Data Record (MDR) with updated payment coverage and
declared name of dependents
*Incomplete PHIC Requirements, no Deduction