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Republic of flic Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION CitysLitc Cculrc Building 709 Shaw Boulcvaid Pasip Cily

MciilLliIinL1 441 -74-14 i.vw\tpUmiC illli ..^Q>4?ll

Phi lHca l t li C i rc i ilnr

1MO.02K 2012

To:All PhilHeallll Accredited Hospitals. All PliilHcaUli Offices and All Others

Concerned

Subject: Phi lHenl t li CARES Fo rm I

One of the main ob jec t ives in the deployment of the Phi lHeal th CA RES Cus tomer A ss i stance , Rela t ionsand Empowerment Staff) is to facil i tate the availment of benefi ts by PhilHealth members and dependents.

T he M e mb er D a t a Re co r d MD R ) h a s b ee n i den t if ied a s a p r im a ry docume n t t o be su bm i tt ed when amem ber c la im s benef i ts . In cases when the mem ber does not have a copy of h is / her M DR , a proper lyf i ll ed up Phi lHeal th CA RES Form 1 as shown be low can be a t tached to the Cla ims Form 1 :

In view of this, PhilHealth Claims Forms with a properly tilled up PhilHealth CARES Form 1 shall beaccepted.

This C ircular shall take effect 15 da ys after publication in a new spaper of gen eral circulation.

DHrEDUARDO)P. BANZONPrudent and C)ZCK"

MA. TQRESA F\\ OUIAO \ i A.O.I\^|ii^lS^r I

jGERT F3EP TRV'i-" COFV_j

icampliilhEiMi w.facehookcom/PhilHealth S0 mtmjpliilhealtli.gov ph

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