Shell Report

Department/unit/Section/SO :____PhilHealth CARES_______________________
Period Covered :____April 16 - 30, 2012_______________________

Purpose :____For payroll_____________________________
4/16/2012
4/17/2012
4/18/2012
4/19/2012
4/20/2012
4/23/2012
4/24/2012
4/25/2012
4/26/2012
4/27/2012
4/30/2012
Prepared by: Certified Correct by: Noted by:
MA. KARLAH V. LACUATA DR. JANETTE MANAOIS DR. MARICAR ARZADON
accomplished
unquantifiable
applied what I learned in membership, collection,benefits and
claims and customer assistance in the given situations;
Learned the policies of the Corporations
Learned about the process in Claims;Assisted
clients,assigned PIN in Membership (w/ assistance)
Learned about situations for denied claim applications(direct
and hospital filing); Learned about the required documents
and payments for healthcare providers and health institutions
for accreditation
Attended TEN-DAY Training for PhilHealth CARES
unquantifiable
unquantifiable
Discussion on Membership
Took the exam;learned about history of Corporation; learned
about the responsibilities as a CAREStaff
Learned about the 5 membership programs and the required
forms and documents for the members and their dependents
Learned about telephone etiquettes and the do's and don'ts
in customer assistance
unquantifiable
Learned about required contributions to a specific member
and the updated required contributions for July 2012;
Learned about availment of benefits and process and
required forms and documents in claims
Customer Service Training
unquantifiable
PHILIPPINE HEALTH INSURANCE CORPORATION
PhilHealth Regional Office I
DATE ACTIVITIES TARGET OUTPUT REMARKS
ACTIVITIES ACCOMPLISHED BASED ON TARGET
OUTPUT
unquantifiable
Introduction, Pre-test and discussion on
PhilHealth Organization and PhilHealth
CARES Project
Orientation on CSIS
Practicum and Orientation w/ HR Staff
learned to used the system; viewing the member's data
record and contributions
Collection-Orientation on PMAIS;learned about different
proof of payments and RF1 & ER2 PMAC-assigned PIN,
edited member's data,issued updated MDR(w/ assistance)
unquantifiable
Immersion in PHRO1-Collection(AM) and
PMAC(PM)
Long Test & Evaluation; Closing Program
took the exam, evaluated the trainors, received the training
certificate
Issued MDR and PHIC card, edited MDR, checked claim
status , assigned PIN to new members, gave information
about case rates(w/ assistance)
unquantifiable
Immersion in PHRO 1-Benefits &
Claims(AM) and Membership(PM)
Discussion on Contribution(AM) and
Benefits & Claims(PM)
Discussion on Benefits & Claims(AM) and
Accreditation(PM)
unquantifiable
Report to the Alaminos Service Office
unquantifiable
unquantifiable
Name of Employee Immediate Supervisor Division Chief
Department/unit/Section/SO :PhilHealth CARES
Period Covered :May 2-15, 2012
Purpose :For payroll
5/2/2012
5/3/2012
5/4/2012
5/5/2012
5/7/2012
5/8/2012
5/9/2012
5/10/2012
5/11/2012
5/12/2012
5/14/2012
5/15/2012
assisted 8 clients 8
inquire about case rates benefits & availments-3; FFS availments-1;
benefit payment notice-1;pin inquiry if active member-1,membership
registration-2
accomplished
inquire about procedure and documentary requirements for hospital filling-
1 and direct filling-1;case rates benefits-1
accomplished
inquire about dependent's eligibility-1;documentary requirements for
availment-1
accomplished
assisted 2 clients 2 inquire about member registration-1; pin inquiry if active member-1 accomplished
inquire about membership registration-2; memeber contribution-1; status
of benefit reimbursement-1; FFS benefits-1; member eligibility to avail
benefits-1
accomplished
inquire about membership registration-3; case rates benefits-1; benefit
status-1
accomplished
inquire about membership registration-2; member eligibility to avail
benefits-2; case rates benefits-1; direct filling procedures-1
accomplished
Jesus Nazarene General Hospital
assisted 2 clients 2 inquire about check status-1; member eligibility-1 accomplished
Report to the PhilHealth Regional
Office1( assign to the Claims
Department)
finished 13
hospital claims
Manual Verification of Hospital Claims (Region 1 Medical Center); FFS-
12;Case Rates-1(w/' assistance)
accomplished
Report to the Alaminos Service
Office
unquantifiable
Assigned to claims; for familiarity of different proof of payments,
adjudication, for familiarity of properly accomplished forms(CF1,CF2,CF3)
accomplished
Travel Order No. unquantifiable Alaminos SO Head introduced us to our respective assign hospitals accomplished
Report to the Alaminos Service
Office
unquantifiable
Assigned to frontline; issued MDR and PIC, amendments of MDR,
inquiring Claim Status(w/ assistance)
accomplished
DATE ACTIVITIES
TARGET
OUTPUT
ACTIVITIES ACCOMPLISHED BASED ON TARGET OUTPUT REMARKS
Period Covered :May 16-31, 2012
5/16/2012
5/17/2012
5/18/2012
5/19/2012
5/21/2012
5/22/2012
5/23/2012
5/24/2012
5/25/2012
5/26/2012
5/28/2012
5/29/2012
5/30/2012
5/31/2012
inquire about case rate benefits-2; fee-for-service benefits-1
inquire about member eligibility-1; case rates benefit availment-1
inquire about member eligibility-1
accomplished
accomplished
accomplished
assisted clients' queries
3 clients
2 clients
1 client
assisted clients' queries 4 clients
inquire about adding dependent-1; correction in member profile-1; hospital
filling procedure & documentary requirements-2
accomplished
inquire about direct filling procedure and documentary requirements-1;
correction in dependent's profile-1
accomplished
inquire about member contribution-1; direct filling procedure & documentary
requirements-1; hospital filling procedure & documentary requirements-1
accomplished
inquire about member eligibilty-1;case rates benefit availment-1; direct illing
procedure & documentary requirements-2; hospital illing procedure &
documentary requirements-1
accomplished
inquire about member eligibility-1; direct filling procedure & documentary
inquire about pin inquiry-1; member eligibility-1;hospital filling procedure &
accomplished
inquire about member eligibility-2; direct filling procedure & documentary
accomplished
accomplished assisted clients' queries 3 clients
inquire about direct filling procedure & documentary requirements-1; hospital
filling & documentary requirements-1
accomplished
inquire about hospital filling procedure & documentary requirements-2 accomplished assisted clients' queries 2 clients
assisted clients' queries 2 clients inquire about member eligibility-1; case rates benefit availment-1 accomplished
inquire about member eligibility-1;hospital filling procedure & documentary
requirements-1
accomplished
DATE ACTIVITIES
TARGET
OUTPUT
Period Covered June 1-15, 2012
6/1/2012
6/2/2012
6/4/2012
6/5/2012
6/6/2012
6/7/2012
6/8/2012
6/9/2012
#######
#######
#######
#######
assisted clients' queries 2 clients Inquire about Member Eligibility-1; Benefit availment procedure and documentary -1 accomplished
Inquire about Amendment in Dependent's profile-1; Member Eligibility to avail the
benefit-1; Referred to concerned office-1
accomplished
Inquire about Lifetime membership registration & documentary requirements-1; Case
Rates benefit availment-2; Fee-for-service benefit availment-2; Retroactive payment
shifted category-1; Referred to concern office-1; Hospital filling procedure &
accomplished
Inquire about Case Rates benefit availment-1;Fee-for-service benefit availment-1;Direct
Filling Procedure & documentary requirements-2;Referred to PhRO1-issuance of MDR-
accomplished
Report to PhRO1 55 claims Assigned to claims for manual verification of hospital claims Fee-for-service---55 accomplished
assisted clients' queries 1 client Inquire about Benefit Availment-1 accomplished
Inquire about Amendment in Dependent's Profile-1; Lifetime Membership Registration &
Documentary requirements-1; Case Rates Benefit Availment-1; Referred to PhRO1 for
Certification of Contribution-1;Direct Filling Procedure & Documentary Requirements-1
accomplished
Inquire about Lifetime membership registration& documentary requirements--1; Case
Rates Benefit availments-2; Direct Filling Procedure & Documentary Requirements-3
accomplished
Report to PhRO1 40 claims Assigned to claims for manual verification of hospital claims Fee-for-service---40 accomplished
Inquire about Status of Benefit Reimbursement-1; Member Eligibility-2;Case Rates
benefit availment-2; Direction to PhRO-1; Direct Filling Procedure & documentary
accomplished
Inquire about Case Rates benefit availment-1; Fee-for-Service benefit availment-1;
Direct Filling procedure & documentary requirements-1
accomplished
Inquire about Lifetime Membership Registration & documentary requirements-1; Case
Rates Benefit availment-1; Referred to Membership PhRO for CE1-1; Direct filling
Procedure & documentary requirements-1
accomplished
DATE ACTIVITIES
TARGE
T
Period Covered :June 16-30, 2012
6/16/2012
6/18/2012
6/19/2012
6/21/2012
6/22/2012
6/23/2012 67 claims
6/25/2012
6/26/2012
6/27/2012 5 clients
6/28/2012 6 clients
6/29/2012 5 clients
6/30/2012
Inquire about Member Contribution-1; Member Eligibility-4; Direction to PRO-1; Adding Dependent-1;
Issuance of PCF1-1; Case Rates-2
Report to PhRO1
53 claims accomplished
DATE ACTIVITIES
TARGET
OUTPUT
ACTIVITIES ACCOMPLISHED BASED ON TARGET OUTPUT
Assigned to claims for manual verification - 53
Inquire about Member Eligibility-3; Case Rates-1; Member Contribution-4; Direction to
PRO-2
Inquire about Adding Dependents-3; Direction to PRO for MDR-5; Issuance of PCF1-1; Member
Contribution-1; Change in Membership Category-1; Member Eligibility-3; Retroactive Payment-
1;Correction in Member Profile-1
4 clients
Inquire about Member eligibility-2;Contribution History-2; IPP Registration Procedure and
Documentary Requirements-1
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
6 clients
Inquire about Member Eligibility-3; Change in Membership Category-1; Member Contribution-2;
Certificate of Contribution to PHIC Office-2; Issued PCF1-1
accomplished
accomplished
accomplished
REMARKS
Report to PhRO1 56 claims Assigned to claims for manual verification - 56 accomplished
Report to PhRO1 132 claims Assigned to claims for manual verification( adjutication-132)
Report to PhRO1 106 claims Assigned to claims for manual verification - 106
Report to PhRO1 Assigned to claims for manual verification - 67
Inquire about Referred to PRO for CE1-1; Member Eligibility-4; Request of PCF1-1; Case Rates-2;
FFS-1; Change in membership category-1
34 clients
Inquire about Hospital Check Status-7; Request for PCF1-1; PIN Inquiry-25; Member
Eligibility-1
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
REMARKS
accomplished
Period Covered July 1-15, 2012
7/2/2012
7/3/2012
7/4/2012
7/5/2012
7/6/2012
7/7/2012
7/9/2012
7/10/2012
7/11/2012
7/12/2012
7/13/2012
7/14/2012
Prepared by: Certified Correct by:
MA. KARLAH V. LACUATA DR. JANETTE MANAOIS
Name of Employee Immediate Supervisor
Assisted clients' queries 10 clients
Inquire about Member Eligibility-10; Refer to PRO-6; Shifting Category-2; Change in
Member's Profile-1; Registration Procedure and Documentary Requirements-1;CASE
RATES-5; Issued PCF1-1; No Balance Billing-4;
Report to PhRO1 50 claims Assigned to claims for proof reading-66
Inquire about PIN Inquiry-3; Member Contribution-3; Member Eligibility-19; CASE RATES-
7; Issued PCF1-1; Adding Dependent-1; Registration procedure and documentary
requirements-4; Contribution History-3; No Balance Billing-4; Refer to PhRO-2
Inquire about Member Eligibility-9; Refer to PhRO-3; Refer to concern Office-1; CASE
RATES-6; No Balance Billing-1;Member Contribution-1; Registration Procedure and
Inquiries about Member Eligibility-7; Refer to PhRO-4; CASE RATES-1;Adding
Dependents-2; Issued PCF1-1;Member Contribution-1; PIN Inquiry-1; Contribution
History-2; Registration Procedure and documentary Requirements-6; Correction in
Dependent's Profle-1; Change in Member Category-1
Report to PhRO1 100 claims Assigned to claims for manual adjutication -- 76
Inquiries about Member Eligibility-7; Refer to PhRO-4;Verify Dependent-1; Contribution
History-1; Registation Procedure and Documentary Requirements-1; CASE RATES-2;
Member Contribution-2
Inquiries about Member Eligibility-20; CASE RATES-13; Registration Procedure and
Documentary Requirements-4; Contribution History-1; Member Contribution-4; Direct
Filling Procedure and Documentary Requirements-1; Change in Marital
Status(dependent)-1; Adding dependent-4; No BALANCE Billing-1; Issued PCF1-5; PIN
Inquiry-1; Contribution History-1
Inquires about Member Eligibility-19; Member Contribution-2; Contribution History-1;
CASE RATES-7; Refer to concern office-1;Refer to PhRO-3; Registration Procedure and
Documentary Requirements-1; No Balance Billing-1; Amendment in Dependent's Profile-
1
Inquiries about Member Eligibility-6; Issued PCF1-1;CASE RATES-3; Contribution History-
1; No Balance Billing-2; Member Contribution-2; Refer to PRO-1
DATE ACTIVITIES
TARGET
OUTPUT
Noted by:
DR. MARICAR ARZADON
Division Chief
Inquire about Member Eligibility-10; Refer to PRO-6; Shifting Category-2; Change in
Member's Profile-1; Registration Procedure and Documentary Requirements-1;CASE
RATES-5; Issued PCF1-1; No Balance Billing-4;
accomplished
Assigned to claims for proof reading-66 accomplished
Inquire about PIN Inquiry-3; Member Contribution-3; Member Eligibility-19; CASE RATES-
7; Issued PCF1-1; Adding Dependent-1; Registration procedure and documentary
requirements-4; Contribution History-3; No Balance Billing-4; Refer to PhRO-2
accomplished
Inquire about Member Eligibility-9; Refer to PhRO-3; Refer to concern Office-1; CASE
RATES-6; No Balance Billing-1;Member Contribution-1; Registration Procedure and
accomplished
Inquiries about Member Eligibility-7; Refer to PhRO-4; CASE RATES-1;Adding
Dependents-2; Issued PCF1-1;Member Contribution-1; PIN Inquiry-1; Contribution
History-2; Registration Procedure and documentary Requirements-6; Correction in
Dependent's Profle-1; Change in Member Category-1
accomplished
Assigned to claims for manual adjutication -- 76 accomplished
Inquiries about Member Eligibility-7; Refer to PhRO-4;Verify Dependent-1; Contribution
History-1; Registation Procedure and Documentary Requirements-1; CASE RATES-2;
Member Contribution-2
accomplished
Inquiries about Member Eligibility-20; CASE RATES-13; Registration Procedure and
Documentary Requirements-4; Contribution History-1; Member Contribution-4; Direct
Filling Procedure and Documentary Requirements-1; Change in Marital
Status(dependent)-1; Adding dependent-4; No BALANCE Billing-1; Issued PCF1-5; PIN
Inquiry-1; Contribution History-1
accomplished
Inquires about Member Eligibility-19; Member Contribution-2; Contribution History-1;
CASE RATES-7; Refer to concern office-1;Refer to PhRO-3; Registration Procedure and
Documentary Requirements-1; No Balance Billing-1; Amendment in Dependent's Profile-
1
accomplished
Inquiries about Member Eligibility-6; Issued PCF1-1;CASE RATES-3; Contribution History-
1; No Balance Billing-2; Member Contribution-2; Refer to PRO-1
accomplished
Period Covered :July 16-31, 2012
7/16/2012
7/17/2012
7/18/2012
7/19/2012
7/20/2012
7/21/2012
7/23/2012
7/24/2012
Inquired about Member Eligibilty-10;PIN Inquiry-3; Adding Dependent-5;MDR Concern-
1;Correction in Member Profile-1; Correction in Dependent's Profile-3;Refer to Concern
Office-2;Issued PCF1-4; Refer to PRO-6;Change Membership Category-6; Contribution
History-4; CASE RATES-2;No Balance Billing-1; Member Contribution-4; Retroactive
Payment-2;Employer-1;
accomplished
Report to PhRO1 100 claims Assigned to claims for manual adjutication-98 accomplished
Inquired about Member Eligibility-7; Refer to PRO-3; Case Rates-1; No Balance Billling-1;
Change Membership Category-2;PIN Inquiry-2; Member Contribution-1; CASE RATES-3;
Contribution History-1;Employer-1; Employer Remitance-1; MDR Concern-1
accomplished
Report to PhRO1 50 claims Assigned to claims for proof reading-57 accomplished
Inquired about Pin Inquiry-3; Member Eligibilty-9; Refer to PRO-4; Contribution History-3;
Adding Dependent-1; Change in Membership Category-1; Retroactive Payment-1; Status of
Benefit Reimbursement-1; Benefit Payment Notice-2; CASE RATES-4; Employer PEN-1;
Change in Civil Status-1;Correction in Member Profile-1; Refer to Concern Office-1; No
Balance Billing-1; Member Contribution-1
accomplished
Inquired about Member Eligibility-17; Registration Procedure and Documentary
Requirements-7; Adding Dependents-4; Change in Membership Category-1;Employer
Remittance-1; Retroactive Payment-3; Refer to PRO-4; CASE RATES-3; No Balance Billing-
1; Correction in Dependent's Profile-2; Issued PCF1-2; Status of Benefit Reimbursement-1;
Benefit Payment Notice-1; Refer to Concern Office-3; Member Contribution-1; Contribution
History-1
accomplished
Inquired about PIN Inquiry-1;Contribution History-4;Issued PCF1-1; Adding Dependent-5;
Member Eligibilty-18;MDR Concern-1;Member Contribution-4;Correction in Member Profile-
1;Change in Membership Category-1;CASE RATES-5;No Balance Billing-3;Refer to PRO-1
accomplished
Report to PhRO1 100 claims Assigned to claims for Manual Adjutication -77 accomplished
DATE ACTIVITIES
TARGET
OUTPUT
7/25/2012
7/26/2012
7/27/2012
7/28/2012 50 claims
7/30/2012
7/31/2012
Assisted clients' queries accomplished
Report to PhRO1 100 claims accomplished
Inquired about Benefit Availment-1; Status of Benefit Reimbursement-1; Benefit Payment
Notice-1; Check Status-1; Refer to PRO-5; Change Membership Category-4; Retroactive
Payment-4; CASE RATES-3; PIN Inquiry-1;Member Contribution-1;Refer to Concern Office-
1;Adding Dependent-1; Issued PCF1-1; Correction in Dependent Profile-1; Correction in
Member Profile-1; Contribution History-1; Member Eligibility-2; Adding Dependent-1
accomplished
Report to PhRO1 Assigned to Claims for manual adjutication-44 accomplished
Inquired about Member Eligibility-3; Contribution History-1; CASE RATES-2; Issued PCF1-
1;Refer to Concern Office-1 ; Correction in Dependents Profile-1; Refer to PRO-4; Change
in Membership Category-2; Retroactive Payment-2; MDR Concern-3; Contribution History-1;
Benefit Availment-2; Benefit Payment Notice-1;Status of Benefit Reimbursement-1; Check
Status-1
accomplished
Inquired about Member Eligibilty-25; CASE RATES-23; Member Contribution-5; PIN Inquiry-
1; No Balance Billing-6; Change Membership Category-2; Retroactive Payment-2;
Registration Procedure and Documentary Requirements-1; Refer to PRO-3;Adding
dependent-3
accomplished
Period Covered :August 1-15, 2012
8/1/2012
8/2/2012
8/3/2012
8/6/2012
8/9/2012
8/10/2012
8/11/2012
8/13/2012 3 clients
8/14/2012
8/15/2012
1box;
40claims;
62 claims
Assigned to Claims for Sorting of Claims(w/ validation reports) per membership category,
CASE RATES/Fee-for-Service and Hospital--1 box; Manual Adjutication--40 claims; Sorting
and Attachment of Transmital Voucher and BPN--62 claims; Assisted Fellow CARES in
doing reports for tally sheet
accomplished
Assisted clients queries 14 clients
Inquired about Member Eligibility-13; Member Contribution-5; CASE RATES-8; Adding
Dependents-3; Employer Remitance-2; Refer to Concern Office-6; BPN-2; Contact details
of LHIO- 4; Change Membership Category-2; Correction in dependent's Profile-1;
Retroactive Payment-1;Employer-1;Contribution History-1
accomplished
Report to PhRO1
Assisted clients queries
Inquired about Member eligibility-2; Benefit Availment-1; Refer to LHIO-2; Released PCF1-1;
Contribution History-1; Adding Dependent-1; MDR Concern-1
accomplished
Assigned to Claims for Proof Reading-26 claims
CASE RATES/Fee-for-Service and Hospital- 4 boxes
accomplished
4 boxes
Inquired about CASE RATES-2; Member Eligibility-11; Adding Dependent-4; Lifetime
Membership Inquiry-1; Member Contribution-2; PIN Inquiry-1; Refer to PHIC-1; Refer to
Concern Office-2; Change in Membership Category-1; Retroactive Payment-1; Correction in
Dependent Profile-1; Benefit Availment-2; Benefit Reimbursement-1;
accomplished
Inquired about Member Eligibility-7; Adding Dependent-5; CASE RATES-2; Employer-3;
Refer to PHIC-2
accomplished
DATE ACTIVITIES
TARGET
OUTPUT
Inquired about Adding Dependent-4; Refer to LHIO-3; CASE RATES-5; Member Eligibility-
5;Refer to Concern Office-3; Registraton Procedure and Documentary Requirements-
2;Member Contribution-3;Change in Membership Category-2;Employer-1;
accomplished
Inquired about Member Eligibilty-5; Member Contribution-7; CASE RATES-8; Registration
Procedure and Documentary Requirements-1; Adding Dependent-1; Retroactive Payment-1;
Bayad Center-1; Employer Remittance-2; Contribution History-1; Refer to Concern Office-2;
Refer to PHIC-2; Change Membership Category-1;
accomplished
Report to PhRO1
26 claims
accomplished
Report to PhRO1 2 boxes
CASE RATES/Fee-for-Service and Hospital- 2 boxes
accomplished
Report to PhRO1
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
REMARKS
accomplished
accomplished
accomplished
accomplished
Period Covered :August 16-31, 2012
8/16/2012
8/17/2012
8/22/2012
8/23/2012 7 clients
8/24/2012
8/25/2012
8/28/2012 8 clients
8/29/2012 7 clients
8/30/2012 3 clients
8/31/2012
Inquired about Member Eligibility-3; CASE RATES-2; Member Contribution-1; Refer to LHIO-2; Refer
to Concern Office-1; Adding dependents-1 Registration Procedure and Documentary Requirements-
1; Status of Benefit Reimbursement-1
DATE ACTIVITIES
TARGET
OUTPUT
Inquired about CASE RATES-3; Member Eligibility-6; Adding dependents-3; Issued PCF1-1; Refer to
LHIO-2; Refer to Concern Ofice-2; Employer-1;Contribution History-1
Inquired about Member Eligibility-12; CASE RATES-11; Adding Dependents-4; Registration
Procedure and Documentary Requirements-2; Refer to LHIO-5; Refer to Concern Office-6;Member
Contribution-1; Issued PCf1-1; PIN Inquiry-1; Correction in dependents Profile-1; Contribution History-
1;Correction in Member Profile-1; BPN-2
(Proceed to PRO1 for
passing of DTR,etc.)
6 clients
Inquired about PIN Inquiry-1; Member Eligibility-7; Registration procedure and Documentary
Requirements-1; Member Contribution-2; Refer to LHIO-6; Refer to Concern Office-5; Adding
dependents-3; CASE RATES-5; Correction in Dependents Profile-1; BPN-2; Employer-1
Inquired about Member Eligibility-5; CASE RATES-4; BPN-2; Member Contribution-2; Retroactive
Payment-1; Employer-1; Change in membership Category-2; Adding dependents-2; Refer to LHIO-1;
Refer to Concern Office-1; Contribution History-1
Report to PhRO1 68 claims Assigned to Claims Department for Manual Adjutication of Fee-for Service--68
Inquired about Member Eligibility-7; Refer to LHIO-4; Refer to Concern Office-4; Change in
membership Category-1; PIN Inquiry-1; Member Contribution-4; Adding Dependent-4; Registration
Procedure and Documentary requirements-1; CASE RATES-4
Inquired about Member Eligibility-3; CASE RATES-2; Refer to LHIO-1;Refer to Concern Office-2
Inquired about Employer-2; Issued PC1-2; Contribution History-2; CASE RATES-7; Member
Eligibility-7; Refer to Concern Office-8; PIN Inquiry-2; Refer to LHIO-6; Adding dependents-3;
Correction in member's Profile-1; BPN-1; Correction in dependent's Profile-1; Status of Benefit
Reimbursement-1; Registration Procedure and Documentary Requirements-1; Change in
Membership category-1; Member Contribution-2; Retroactive Payment-1
Inquired about Registration procedure and documentary requirements-1; member Contribution-5;
Adding Dependents-4; Refer to LHIO-4; Change in Membership Category-2; Membership Eligibility-
8; Refer to Concern Office-4;CASE RATES-4;BPN-1
accomplished
REMARKS
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
Period Covered :September 1-15, 2012
9/1/2012
9/3/2012
9/4/2012
9/5/2012
9/6/2012
9/7/2012
9/8/2012 6 clients
9/10/2012 9 clients
9/11/2012 7 clients
9/12/2012 3 clients
9/13/2012 4 clients
9/14/2012 123 claims
9/15/2012
DATE ACTIVITIES
TARGET
OUTPUT
Report to PRO1 70 claims Assigned to CLAIMS for Proof Reading-59; Manual Adjutication-11
Report to LHIO
Alaminos(courtesy call);
23 clients
Inquired about Member Eligibility-23; Refer to LHIO-5; Adding Dependents-8; CASE RATES-13; No
Balance Billing-12; Refer to Concern Office-13; Change Category-2; Member Contribution-5;
Employer-6; Contribution History-1;
Inquired about member eligibility-13; CASE RATES-9; Refer to LHIO-4; Member Contribution-2;
Refer to Concern Office-10; Adding dependents-3; Correction in Dependents profile-1; No Balance
Billing-5; Registration Procedure and Documentary Requirements-1; Issued PCF1-2; PIN Inquiry-2;
Correction in members Profile-1
Inquired about Member eligibility-13; CASE RATES-7; Employer-4; Refer to Concern Office-5;
Member Contribution-3; Contribution History-3;Registration Procedure and Documentary
Requirements-1; PhilHealth ID-1; Adding dependents-3; Refer to LHIO-1; No Balance Billing-1
Inquired about Member Eligibility-15; CASE RATES-8; Refer to Concern Office-2; Adding
Dependents-6; Correction in Member's Profile-3; No Balance Billing-4; Employer-5; PIN Inquiry-1;
Correction in dependents Profile-1; Refer to LHIO-1
Inquired in Member Eligibility-12;CASE RATES-6;Refer to LHIO-1;Registration Procedure and
Documentary Requirements-2;Adding Dependents-2;Refer to Concern Office-4;NBB-2
Report to PRO1 (Signed sworn statement); Assigned to CLAIMS for PROOF READING(CASE RATES)-123
Inquired about Member Eligibility-3; CASE RATES-1; No Balance Billing-1; Registration Procedure
and documentary requirements-1; Member Contribution-1
13 clients
Inquired about Member Eligibility-4; Issued PCF1-1; CASE RATES-3; No Balance Billing-3; Refer to
LHIO-1 ;PIN Inquiry-1; Refer to Concern Ofice-3; Adding Dependent-1
Inquired about Member Eligibility-3; CASE RATES-3; No Balance Billing-3; Adding dependents-1;
Refer to LHIO-1; Refer to Concern Office-3; Issued PCF1-1
Inquired about Member Eligibility-7; CASE RATES-6; No Balance Billing-4; Refer to Concern office-
6; Refer to LHIO-1; Member Contribution-1; Change in Membership Category-1
Inquired about Member Eligibility-6; CASE RATES-3; No Balance Billing-1; Adding dependents-3;
Employer-3; Refer to Concern Office-5; Refer to LHIO-2;Correction in Members Profile-1
Inquired about Member Eligibility-7; CASE RATES-6; Employer-2; Refer to Concern Office-8; Adding
dependents-3; No Balance Billing-1; Status of Benefit Reimbursement-2; Refer to LHIO-2; Issued
PCF1-1
REMARKS
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
Period Covered :September 16-30, 2012
9/17/2012
9/18/2012
9/19/2012
9/20/2012
9/21/2012
9/22/2012
9/24/2012 20 clients
9/25/2012 19 clients
9/26/2012 19 clients
9/27/2012 14 clients
9/28/2012 24 clients
9/29/2012 60 claims
Clients queries about Member Eligibility-24, Correction in Member's Profile-3, Correction Dependent's Profile-
11, Change in Civil Status-1, Employer-6, Contribution History-2, Collecting Agent-1, Member contribution-4,
Retroactice Payment-2, No Balance Billing-7, CASE RATES-18 & Concern Office-19
Report to PRO1 Assigned to CLAIMS for MANUAL ADJUTICATION --123 claims
Clients queries about Member Eligibility-19, CASE RATES-9, No Balance Billing-9, No Balance Billing-8,
Concern Office-18, Adding dependents-9, Contribution History-1, Employer-2, Change in Membership
Category-1 & Member Contribution-1
Clients queries about Member Eligibility-14, CASE RATES-9, No Balance Billing-10, Member Contribution-3,
Concern Office-11, Registration Procedure & Documentary Requirements-2, Adding dependents-5 &
Retroactive Payment-1
Clients queries about PIN Inquiry-1, Correction in Dependent's Profile-14, Employer-6, Collecting Agents-1,
Member Contribution-1, No Balance Billing-9, Member Eligibility-20, CASE RATES-17, LHIO-11, Concern
Office-20
Clients queries about Correction in Member's Profile-1, Correction in Dependent's Profile-11, Employer-1,
Contribution History-1, Member Contribution-3, Status of Benefit Reimbursement-1, BPN-2, No Balance Billing-
13, Member Eligibility-19, CASE RATES-17 & LHIO-3,
Clients queries about Member Eligibility-13, CASE RATES-11, Employer-3, Contribution History-3, Concern
Office-10, Member Contribution-2, Adding Dependents-4, No Balance Billing-5, Correction in Civil Status-1,
Change in Membership category-1 & LHIO-1
Report to PRO1 100 claims Assigned to CLAIMS for PROOFREADING(case rates) -- 100 claims
Clients queries about Registration Procedure & Documentary Requirements-1, Member Contribution-2, LHIO-
5, Concern Office-4, Adding dependents-5, Member Eligibility- 7, CASE RATES-7, Change in Membership
Category-1, No Balance Billing-3, Correction in Dependent's Profile-1, BPN-1, Status of Benefit
Reimbursement-1, Check Status-1, PIN Inquiry-1 & Correction in Member's Profile-1
Clients queries about Member Eligibility-14, CASE RATES-10, Adding Dependents-6, BPN-3, PIN Inquiry-2,
LHIO-6, Employer-1, Contribution History-1, Concern Office-10, No Balance Billing-3, Status of Benefit
Reimbursement-2, Change in Membership Category-1 & Member Contribution-1
Clients queries about Member Eligibility-13, CASE RATES-9, No Balance Billing-5, Adding dependents-5,
Concern office-10, LHIO-4, Change in Membership Category-4, Member Contribution-4, Employer-2 &
Contribution History-2
Clients queries about Member Eligibility-13, CASE RATES-8, No Balance Billing-6, Concern Office-9, LHIO-7,
BPN-2, Adding dependents-5, Status of Benefit Reimbursement-1, Employer-1, Contribution History-1, PIN
Inquiry-3, Correction in Member's Profile-1, Registration Procedure & documentary Requirements-2 & Member
Contribution-2
DATE ACTIVITIES
TARGET
OUTPUT
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
REMARKS
Period Covered :October 1-15, 2012
10/1/2012
10/2/2012
10/3/2012
10/4/2012
10/5/2012
10/6/2012
10/8/2012 21 clients
10/9/2012 13 clients
10/10/2012 17 clients Assisted clients queries
Clients' queries about PCF1-2, Member Eligibility-17, CASE RATES-12, NBB-5, Adding dependents-
6, Concern Office-16, Employer-2, Contribution History-2, Change Category-1,Member Contribution-
4, LHIO-4, PIN Inquiry-2, PhilHealth ID-2, & Correction in dependent's Profile-1
Clients' queries about Member Eligibility-10, Adding Dependents-11, CASE RATES-12, NBB-5,
Concern Office-19, BPN-1, Status of Benefit Reimbursement-1, Employer-2, Change Category-2,
Member Contribution-8, LHIO-8, Retroactive Payment-1, Registration Procedure & Documentary
Requirements-2, Collecting agents-1, Contribution History-2, PCF1-1 & PIN Inquiry-1
Clients' queries about Member Eligibility-13, CASE RATES-7, NBB-6, Concern Office-10, BPN-1,
Adding Dependents-5, LHIO-3, Correction in Member's Profile-1, Member Contribution-3, Correction
in dependent's Profile-1, Retroactive Payment-1 & Change Category-1
Client' queries about Member Eligibility-14, CASE RATES-7, Concern Office-13, BPN-2, LHIO-7,
Status of Benefit Reimbursement-2, Check Status-1, Adding dependents-5, Employer-5,
Contribution History-3, Registration Procedure & Documentary Requirements-1, Member
Contribution-3, PhilHealth ID-3, PIN Inquiry-1& Change Category-1
Clients' queries about Member Eligibility-10, CASE RATES-6, Concern Office-5, LHIO-6,
Registration Procedure & Documentary Requirements-1, Member Contribution-2, Adding
Dependents-5 & PhilHealth ID-1
Clients' queries about Member Eligibility-20, Concern Office-18, Member Contribution-3, CASE
RATES-11, Employer-4, Contribution History-5, Adding Dependents-3, BPN-6, PIN Inquiry-1, LHIO-
2, Status of Benefit Reimbursement-2, NBB-2 & Collecting Agent-1
Clients' queries about Member Eligibility-30, Employer-10, CASE RATES-11, Contribution History-6,
Concern Office-26, LHIO-14, PIN Inquiry-2, Member Contribution-5, Registration Procedure &
Documentary Requirements-3, Adding Dependents-7, BPN-6, NBB-1 & Change Category-1
(passed DTR to PRO1)
19 clients
Clients' queries about Member Eligibility-19, CASE RATES-10, NBB-9, Adding Dependents-7,
Concern Office-18, PIN Inquiry-1, LHIO-2, Member Contribution-1, Employer-3, Contribution History-
3, Change Category-1,Retroactive Payment-1 & Correction in Member's Profile-1
Clients' queries about Member Eligibility-16, Concern Office-16, Adding Dependents-6, Registration
Procedure & Documentary Requirements-4, Member Contribution-4, CASE RATES-12, Retroactive
Payment-3, No Balance Billing-5, Employer-3, Contribution History-3, LHIO-4, Change Category-1,
PIN Inquiry-1
DATE ACTIVITIES
TARGET
OUTPUT
10/11/2012 20 clients
10/12/2012 10 clients
10/13/2012 10 clients
10/15/2012 35 clients
Clients' queries about Member Eligibility-10, CASE RATES-6, Concern Office-10, LHIO-3,
Registration Procedure & Documentary Requirements-1, Member Contribution-2, Adding
Dependents-5, Collecting agents-2, Retroactive Payment-2 & PhilHealth ID-1
Clients' queries about Member Eligibility-32, Adding Dependents-11, CASE RATES-23, NBB-10,
Concern Office-19, BPN-1, Status of Benefit Reimbursement-1, Employer-3, Change Category-2,
Member Contribution-8, LHIO-8, Retroactive Payment-5, Registration Procedure & Documentary
Requirements-2, Collecting agents-1, Correction in Member's Profile-2 & Contribution History-2
Clients' queries about Member Eligibilty-10, CASE RATES-8, Employer-5, Contribution History-5,
adding dependents-8, Concern Ofice-7, LHIO-2, Member Contribution-1 & Registration Procedure &
Clients' queries about Member Eligibilty-20, CASE RATES-11, Member Contribution-5, Concern
Office-19, LHIO-5, Adding Dependents-3, Employer-3, Retroactive Payment-2 PhilHealth ID-1,
Contribution History-2, BPN-1, Registration Procedure & Documentary Requirements-1 & Change
category-1
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
REMARKS
accomplished
accomplished
accomplished
accomplished
Period Covered :October 16-31, 2012
10/16/2012
10/17/2012
10/18/2012
10/19/2012
10/20/2012
10/22/2012
10/23/2012 25 clients
10/24/2012 11 clients
DATE ACTIVITIES
TARGET
OUTPUT
18 clients
Clients' queries about Member Eligibility, Adding Dependents, Concerned Office, Registration
Procedure and Documentary Requirements, Member Contribution, LHIO, CASE RATES, No
Balance Billing, Correction in Member's Profile, Retroactive Payments, Employer, Contribution
History & PIN Inquiry
Clients' queries about Member Eligibility, CASE RATES, MDR, LHIO, Adding Dependents,
Concerned Offices, Registration Procedure and Documentary Requirements, Member Contribution,
Employer, Contribution History, Change Category, Bayad Centers, PhilHealth ID, No Balance Billing,
PCF1, Status of Benefit Reimbursement & PIN Inquiry
Clients' queries about Member Eligibility, Member Contribution, Concerned Office, Retroactive
Payment, CASE RATES, Registration Procedure and Documentary Requirements, LHIO, Employer,
PIN Inquiry, Adding dependents & Contribution History
Clients' queries about Member Eligibility, Employer, Contribution History, CASE RATES, Adding
dependents, Concerned Office, PIN Inquiry, LHIO, Member Contribution, Correction in Member's
Profile, Change Category, Retroactive Payment & BPN
Accompanied Dr.
Manaois & Assisted
clients queries
10 clients
A.M.--Accompanied Dr. Manaois for inspection of LDH (ACCRE for Level 2);P.M.--Assisted clients'
queries About Member Eligibility, CASE RATES. Adding Dependents, Correction in Members and
Dependents Profile, No Balance Billing , BPN, Change Category, LHIO, Concerned Office and
Member Contribution
Clients' queries about Member Eligibility, CASE RATES, Registration Procedure and Documentary
Requirements, Member Contribution, Adding dependents,LHIO,Concerned Office, Employer &
Contribution History
Clients' queries about Member Eligibility, Correction in Member and Dependents Profile, Concerned
Office, Adding dependents, CASE RATES, BPN & No Balance Billing
Clients' queries about Member Eligibility, Adding Dependents, Concerned Office, CASE RATES,
Contribution History, No Balance Billing, Change Category, PhilHealth ID, Employer, BPN,
Correction in Member's Profile, Member Contribution, PIN Inquiry,LHIO, Registration Procedure and
Documentary Requirements & PCF1
10/25/2012 26 clients
10/27/2012 12 clients
10/29/2012 Assisted clients queries 22 clients
10/30/2012 12 clients
10/31/2012 12 clients
Clients' queries about Member Eligibility, CASE RATES, Adding Dependents, Concerned Office,
BPN, Status of Benefit Reimbursement, LHIO,Change Category, Member Contribution, No Balance
Billing, Employer, Contribution History, PhilHealth ID & PIN Inquiry
Clients' queries about Member Eligibility, CASE RATES, No Balance Billing, Concern Office, LHIO,
BPN, Contribution History, Change Category, Adding Dependent, Employer, Status of Benefit
Reimbursement, Correction in Member and Dependents Profile, Retroactive Payment, Member
Contribution, and Registration Procedure and Documentary Requirements
(out @2pm according to
Command Center)
Clients queries about Member Eligibility, CASE RATES, Employer, Contribution History, Adding
Dependents, Concern Ofice, Registration Procedure and Documentary Requirements, Member
Contribution, BPN & LHIO
Clients' queries about Member Eligibility, Member Contribution, Adding Dependents, CASE RATES,
Concerned Office, BPN, LHIO, Employer, Contribution History, PIN Inquiry & Status of Benefit
Reimbursement
Clients' queries about Member Eligibility, CASE RATES, No Balance Billing, Adding Dependents,
Concerned Office, BPN, Employer, Contribution History & LHIO
REMARKS
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
Period Covered :November 1-15, 2012
1/16/2013
1/17/2013
1/18/2013
1/19/2013
1/21/2013
1/22/2013
1/23/2013
1/25/2013
1/26/2013
1/28/2013
Office MEMo
holiday
holiday
DATE ACTIVITIES
TARGET
OUTPUT
Prepared by: Certified Correct by:
MA. KARLAH V. LACUATA DR. JANETTE MANAOIS
Name of Employee Immediate Supervisor
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
Noted by:
DR. MARICAR ARZADON
Division Chief
accomplished
Period Covered :November 16-30, 2012
11/16/2012
11/17/2012
11/19/2012
11/20/2012
11/21/2012
11/22/2012
11/23/2012 10 clients
11/24/2012 80 claims
11/26/2012 20 clients
11/27/2012 5 clients
11/28/2012 89 claims
11/29/2012 126 claims
DATE ACTIVITIES
TARGET
OUTPUT
Clients' queries about Member Eligibility, Adding Dependents, Concerned Office, Member
Contribution, LHIO, CASE RATES, No Balance Billing, Correction in Member's Profile, Retroactive
Payments, Employer, Contribution History & PIN Inquiry
Report to PRO1 55 claims CLAIMS for manual adjutiction(FFS)-- 60 claims
11 clients
Clients' queries about Member Eligibility, Member Contribution, Concerned Office, Retroactive
Payment, CASE RATES, Registration Procedure and Documentary Requirements, LHIO, Employer,
PIN Inquiry, Adding dependents, BPN & Contribution History
Clients' queries about Member Eligibility, Employer,CASE RATES, Adding dependents, Concerned
Office, PIN Inquiry, LHIO, Member Contribution, Change Category& released PCF1
CARES MEETING
@PRO1
unquanti-
fiable
Learned all information about CARES Congress, new updates, & schedule for next month
(w/ Dr. Janette Manaois)
Clients' queries about Member Eligibility, CASE RATES, Adding Dependents, Concerned Office,
BPN, Status of Benefit Reimbursement, LHIO,Change Category, Member Contribution, No Balance
Billing, Employer, Contribution History, PhilHealth ID & PIN Inquiry
Clients' queries about Member Eligibility, CASE RATES, No Balance Billing, Concern Office, LHIO,
BPN, Contribution History, Change Category, Adding Dependent, Employer, Status of Benefit
Reimbursement, Correction in Member and Dependents Profile, Retroactive Payment, Member
Contribution, and Registration Procedure and Documentary Requirements
Clients' queries about Member Eligibility, Adding Dependents, Concerned Office, CASE RATES,
Contribution History, No Balance Billing, Change Category, PhilHealth ID, Employer, BPN, Correction
in Member's Profile, Member Contribution, PIN Inquiry,LHIO, Registration Procedure and
Documentary Requirements
Report to PRO1 CLAIMS for PROOFREADING (CASE RATES)--80 claims
Report to PRO1 CLAIMS for PROOFREADING (CASE RATES)--126 claims
Report to PRO1
Clients' queries about Member Eligibility, Member Contribution, Adding Dependents, CASE RATES,
Concerned Office, BPN, LHIO, Employer, Contribution History, PIN Inquiry, Status of Benefit
Reimbursement & released PCF1
CLAIMS for PROOFREADING (FFS)--89 claims
REMARKS
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
Period Covered :December 1-15, 2012
12/3/2012
12/4/2012
12/5/2012
12/6/2012
12/7/2012 11 clients
12/8/2012
12/10/2012 25 clients
12/11/2012 90 claims
12/12/2012 13 clients
12/13/2012 13 clients
12/14/2012
12/15/2012 7 clients
Assisted Sponsored and Govenment-Employed members about Eligibility requirements, CASERATES, No
Balance Billing, Fee-for-Service, adding dependents, Correctio in Member's Profile and referred to LHIO and
Concerned Offices.
PhilHealth CARES Assembly
Assisted Lifetime, Non-member, Private & Govenment-Employed, and Self-employed members about Eligibility
requirements, CASERATES, Fee-for-Service, adding dependents, Registration Procedure and documentary
requirements, Direct Filling,Change Category, Benefit Exhausted, Accredited facilities and referred to LHIO and
Concerned Offices.
Assisted Sponsored, Lifetime,OFW, Non-member, Private & Govenment-Employed members about Eligibility
requirements, CASERATES, No Balance Billing, Fee-for-Service, adding dependents, Issued PCf1, Verified last
posted payment, Registration Procedure and documentary requirements and referred to LHIO and Concerned
Offices.
Assisted Lifetime, Non-member, Private & Govenment-Employed, OFW and Self-employed members about
Eligibility requirements, CASERATES, Fee-for-Service, adding dependents, Registration Procedure and
documentary requirements, Direct Filling,Correction in Member's Profile, and referred to LHIO and Concerned
Offices.
Report to PRO1 CLAIMS for Manual Adjutication of FFS --- 90 claims
Assisted Sponsored, Private -Employed, and Self-employed members about Eligibility requirements,
CASERATES,No Balance Billing, Fee-for-Service, adding dependents, referred to Concerned Offices.
PhilHealth Express @ Robinsons Calasiao
Assisted Private and Government-Employed, and Self-employed members about Eligibility requirements,
CASERATES, Fee-for-Service, adding dependents,Direct Filling,Registration Procedure & documentary
requirements,Change Category,referred to LHIO & Concerned Offices.
Assisted Sponsored & Private-Employed members about Eligibility requirements, CASERATES, No Balance
Billing, Fee-for-Service, adding dependents,Correction in Dependent's Profile, Bayad Centers, Issued PCF1,
Verified Dependents, MDR Inquiry thru iCares,Change Category,referred to LHIO & Concerned Offices.
17 clients
Assisted Sponsored, Lifetime, Non-member, Privately Employed, OFW and Self-employed members about
Eligibility requirements, CASERATES, Fee-for-Service, adding dependents, Registration Procedure and
documentary requirements, Direct Filling, 45 days/yr., same illness within 90 days and referred to LHIO and
Concerned Offices.
Assisted clients queries 14 claims
Assisted Sponsored, Lifetime, Non-member, Private and Government-Employed, and Self-employed members
about Eligibility requirements, CASERATES, Fee-for-Service, adding dependents, Registration Procedure and
documentary requirements, Change Category, Issued PCF1, iCARES thru fellow CARES, referred to LHIO and
Concerned Offices.
DATE ACTIVITIES
TARGET
OUTPUT
accomplished
PhilHealth CARES Assembly
accomplished
accomplished
accomplished
accomplished
accomplished
PhilHealth Express @ Robinsons Calasiao
accomplished
accomplished
accomplished
accomplished
REMARKS
Department/unit/Section/SO : PhilHealth CARES
Period Covered : January 16-31, 2013
Purpose : For payroll
1/16/2013
1/17/2013
1/18/2013
1/19/2013
1/21/2013
1/22/2013
1/23/2013
1/24/2013 110 claims
1/25/2013
1/26/2013
1/28/2013
1/29/2013
1/30/2013
1/31/2013 110 claims
Reported to PRO1
Assisted Employed-Private & Govt., LifetimePrivate & Govt.,Self-Employed & OFW members about Eligibility
requirements, CASERATES, FFS, LHIO, CO, Adding Dependent, Direct Filling, Change Category, Date of Last
Payment, Membership Effectivity & verified declared dependent.
Claims Department-- Manual Adjutication(FFS)-111 claims
Assisted Employed-Govt. & Private, Self-employed, Sponsored & Lifetime-Govt. members about Eligibility
requirements, CASERATES, FFS, CO, LHIO, Adding Dependents & Direct Filling,
unquantifiable
unquantifiable
DATE ACTIVITIES
TARGET
OUTPUT
Assisted Employed-Private, IPP, Sponsored, Lifetime-govt.,Non-member & OFW about Eligibility requirements,
FFS CASERATES, CO, LHIO, Registration Procedure & Documentary Requirem,ents, Contribution, Change
Category & Retroactive Payment
Assisted IPP, Employed-Private & Govt., Lifetime-Private members about Eligibility Requirements, CASERATES,
FFS,CO, Direct Filling, Contribution, LHIO, & same illness w/in 90days
Assisted Employed-Private & Govt., IPP, Sponsored, Lifetime-Govt., OFW, Non-Member about Eligibility
Requirements, FFS, CASERATES, CO,LHIO, adding dependent, & Retro-active Payment.
Assisted Employed-Private & Govt., Lifetime-Private, IPP, OFW & Non-Member about Eligibility
requirements,CASERATES, FFS, CO, LHIO, Adding dependent, Direct Filling, Change Category & date of last
payment.
unquantifiable
Assisted clients queries unquantifiable
Assisted IPP, OFW, Employed-Govt. &Private, Sponsored, Lifetime-Govt. members about Eligibility
Requirements, CASERATES, FFS, CO, Adding Dep, LHIO, Change in Civil Status& Direct Filling
Assisted OFW, IPP, Employed-Private, Lifetime-Govt. members about Eligibility requirements, CASERATES,
FFS, CO, LHIO, Adding dependent, Direct Filling & Change Category
unquantifiable
Assisted Employed-Govt.& Priv., IPP, OFW & Lifetime-Priv about Eligibility Requirements, CASERATES, FFS,
CO, LHIO, Adding Dependent, Contribution, Change Category & Direct Filling.
Assisted Employed-Priv.&Govt, IPP, Lifetime-Govt., Non-memebr about Eligibility Requirements,CASERATES,
FFS, CO, LHIO, Adding Dependent, Direct Filling, Registration Procedure & Documentary requirements &
Contribution.
Assisted Employed-Priv &Govt., IPP, Sponsored, OFW, Non-member, Lifetime-Govt., SE-KASAPI About Eligibility
Requirements, FFS, CO, CASERATES,LHIO, Adding Dependent, Retro-Active Payment, Change Category,
Direct Filling & Correction in Member's Profile.
Claims Department-- Manual Adjutication(FFS)-106 claims
unquantifiable
unquantifiable
unquantifiable
Assisted Employed-Govt. & Priv., IPP, OFW, about Eligibility Requirements, CASERATES, FFS, CO, LHIO,
Adding Dependent & Direct Filling.
Reported to PRO1
unquantifiable
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
REMARKS
Period Covered : March 16-31, 2013
1/16/2013
1/18/2013
1/19/2013
1/20/2013
1/21/2013
1/25/2013
1/26/2013
1/27/2013
DATE ACTIVITIES
TARGET
OUTPUT
Reported to PRO1 110 claims CLAIMS for Manual Adjutication -- 99 claims
Assisted clients
queries (passed DTR
to PRO1)
Assisted clients
queries
unquantifiable
Assisted Sponsored, Employed-Government & Private, self-employed & OFW
members about Membership eligibility, FFS, CASERATES, NBB, referred to
concerned offices & LHIO, Adding dependents & Correction in Member's Profile.
unquantifiable
Assisted Employed-Private member about Member Eligibility & Contribution History
Assisted clients
queries
unquantifiable
Assisted Sponsored, Employed-Private & Government members about Memebr
Eligibility, CASERATES, FFS, NBB, referred to Conerned Offices & LHIO, released
PCF1, Change Membership category & Adding dependents.
Assisted clients
queries
unquantifiable
Assisted Sponsored, Self-Employed & OFW members about Membership eligibility,
CASERATES, FFS, NBB, referred to Concerned Oficces & LHIO & Adding
dependents.
Assisted Sponsored, Non-Member, Employed-Government, OFW & Self-employed
members about Membership Eligibility, CASERATES, NBB, referred to Concerned
Offices & LHIO, Adding Dependents, Registration Procedure & Documentary
Requirements, FFS, Membership Effectivity,Verified Declared Dependents, released
PCF1 & same illness within 90days.
Assisted Sponsored, Self-employed, Employed-Government & Private members
about Membership Eligibility, FFS, CASERATES, referred to Concerned Offices
&lhio, Adding Dependents, NBB, Change Membership Category & Membership
Eligibility.
unquantifiable
Assisted clients
queries
unquantifiable
Assisted clients
queries
Assisted OFW, Sponsored & Non-member about Membership Eligibility,
CASERATES, FFS, Referred to Concerned Offies & LHIO, Adding
Dependents,NBB, same illness within 90days,Correction in Member & Dependent's
Profile.
Assisted clients
queries
unquantifiable
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
accomplished
REMARKS
Period Covered SEPTEMBER 16-30 2014
9/16/2014 accomplished
9/18/2014 Acomplished
9/19-20,2014
9/23/2014 Accomplished
9/25/2014 ABSENT
VMMC unquantifiable
Rights and responsibility of a member discussed. Assisted Employed-Private
member about Member Eligibility & Contribution History. Room visit conducted.
VMMC unquantifiable
Rights and responsibility of a member discussed. PPFF ACCOMPLISHED. ACR
explained. Member eligibility checked. Answered queries. Room visit conducted.
VMMC unquantifiable
VMMC unquantifiable
VMMC unquantifiable
DATE ACTIVITIES TARGET OUTPUT ACTIVITIES ACCOMPLISHED BASED ON TARGET OUTPUT REMARKS
WORK SUSPENDED
VMMC unquantifiable
Rights and responsibility of a member discussed. Assisted Employed-Private
member about Member Eligibility & Contribution History. Room visit conducted.
9/27/2014 unquantifiable accomplished
9/29/2014
Prepared by: Certified correct: Noted by:
RESHELL G. TICMAN CLARINDA F. SUMANGIL DR. JANETTE D. MANAOIS
Name of Employee CARES Focal Person Immediate Supervisor
VMMC unquantifiable
CARES ASSEMBLY
VMMC
VMMC unquantifiable
`

Shell Report

Hochgeladen von

Dokumentinformationen

Copyright

Verfügbare Formate

Dieses Dokument teilen

Dokument teilen oder einbetten

Freigabeoptionen

Stufen Sie dieses Dokument als nützlich ein?

Sind diese Inhalte unangemessen?

Copyright:

Verfügbare Formate

Shell Report

Hochgeladen von

Copyright:

Verfügbare Formate

Department/unit/Section/SO :PhilHealth CARES___________________

Period Covered :April 16 - 30, 2012___________________

Das könnte Ihnen auch gefallen