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(Claim Form -1. 1)1) Revised September 2018. IMPORTANT REMINDERS: PLEASE WRITE IN CAPITAL LETTERS AND CHECK THE APPROPRIATE BOXES. ould be filed within 60 days from date of discharge. For availment of benefits abroad, this form together with other supporting documents sh.
Annex C - SARS-CoV-2 claims summary form and instructions for electronic submission. Annex D - Waiver for Directly Filed Claims for SARS-CoV-2 Testing Package. Annex E - Certificate of classification of at-risk individuals and actual charges for SARS-CoV-2 test.
II. Specific Guidelines: A. Claim Form 1 (CF1) CF1 is divided into five (5) parts: Part I - Member Information requires information about the member to ascertain the identity of the member for eligibility to PhilHealth benefits.
This page contains all the forms, checklists and resources you need for PhillHealth. Browse for your required PhillHealth Form.
Fill out CF1 : http://www.philhealth.gov.ph/downloads/claim/PhilHealth_ClaimForm1.pdf2. Sign CF2: http://www.philhealth.gov.ph/downloads/claim/PhilHealth_...
(Claim Form 1) revised November 2013 Series # IMPORTANT REMINDERS: PLEASE WRITE IN CAPITAL LETTERS AND CHECK THE APPROPRIATE BOXES. For local availment, this form together with other PhilHealth claim forms and other supporting documents should be filed within 60 days from date of discharge.
(Claim Form 1) revised November 2013 Series # IMPORTANT REMINDERS: PLEASE WRITE IN CAPITAL LETTERS AND CHECK THE APPROPRIATE BOXES. uld be filed within 60 days from date of discharge. For availment of benefits abroad, this form together with other supporting documents sho.
