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Advisory ID# 18
MMG ADVISORY as of 01-DEC-2018

Temporary Suspension of SPA Generation in the Grouping Module

Pursuant to Section 6e, 6f, 15d and 15e of the Revised Implementing Rules and Regulations of the National Health Insurance Act of 2013, PhilHealth was mandated to establish an efficient premium collection mechanism and maintain an updated membership and contributions database. Employers, on the other hand, are obliged to keep true and accurate work records for such period and containing such information as the Corporation may prescribe Further, Section 18 on the payment of premium contribution states that the monthly premium contribution of employed members shall be remitted by the employer on or before the date prescribed by the Corporation.

In September 2016, the Grouping Module in the EPRS was deployed for use of employers in the business of providing the work force for principals such as shipping, manpower and security agencies to name a few. However, based on accounts monitoring reports, a number of employers have abused the said module. To avoid the further misuse of the Grouping Module and ensure the accuracy of reports generated thru the EPRS, the SPA generation for employers using the grouping module will be temporarily suspended effective the applicable month of March 2019 onwards, pending employers’ submission of the documentary requirements such as a letter-request for re-activation and a copy of the contract per principal or fund source to justify the creation of the group folder. 

For any clarifications, please contact your respective PhilHealth Accounts Management Specialist (PAIMS). 

Thank you.

Advisory ID# 17
MMG ADVISORY as of 01-OCT-2018

Operating Hours of the PhilHealth Corporate Action Center

The Corporate Action Center (CAC) is primarily tasked to spearhead the proactive management of PhilHealth's virtual customer care services. 

In view of the expiration of the one (1) year partial outsourcing project of the CAC with Pilipinas Teleserv,Inc., the 24/7 operations ceased effective August 8, 2018. Hence, the call center operation reverts back to regular office hours of 8:00am to 5:00 pm from Mondays to Fridays. 

We are apologizing for this temporary inconvenience because live agents will not be available to handle members' queries after office hours, on weekends and holidays. The Corporation is expediting the procurement of the services of an outsourcing partner that will also include other channels of communication (i.e. webchat, chatbot, and social media platforms) to provide members more options.

However, the CAC can still provide valuable assistance to our esteemed members and stakeholders through the Interactive Voice Response System (IVRS) which can retrieve contributions history and determine also the status of claim reimbursements. The IVRS also provides an option for callers to leave their contact information in order for CAC agents to call them back on the next working day.

In addition, we are recommending to the general public to also utilize the following communication channels as other options to lodge their inquiries on their benefits and services under the National Health Insurance Program (NHIP).

E-mail: actioncenter@philhealth.gov.ph
Facebook Page: www.facebook.com/PhilHealth
Short Messaging System (SMS): 0917-TXT-PHIC (09178987442)

Further inquiries may be directed to the CAC at (02) 4417442. Suggestions, comments, feedback and complaints may still be sent via email at actioncenter.philhealth.gov.ph

Reference URL: https://www.philhealth.gov.ph/advisories/2018/adv2018-0070.pdf

Advisory ID# 16
MMG ADVISORY as of 01-OCT-2018

Expansion of the Cashiering Functions of all PhilHealth Collecting Officers Nationwide

To All Employers;

Effective October 1, 2018, PhilHealth cashiers will now accept premium payments. For full details, please refer to PhilHealth Advisory No. 2018-0069.

Reference URL: https://www.philhealth.gov.ph/advisories/2018/adv2018-0069.pdf

Advisory ID# 14
MMG ADVISORY as of 31-MAY-2018

Reminders

To All Employers and Accredited Collecting Agents;

PhilHealth Circular Nos. 025, s.2015 and 2016-0008 mandates the use of the Electronic Premium Remittance System or EPRS and prescribes that all PhilHealth Accredited Collecting Agents or ACAs shall not accept premium contribution payments without the Statement of Premium Account or SPA or any amount not equal to the total amount due in the SPA. 

ONE SPA, ONE OFFICIAL RECEIPT

NO SPLITTING OF PAYMENTS

Thus, non-compliance to these rules will result to a FOR RECONCILIATION status in the EPRS and may cause inconveniences in benefit availment, for example:

1.	Unequal payment versus the total amount due in the SPA.
2.	Split or separate payments made for premium and penalties.
3.	One receipt issued for multiple months or applicable periods.
4.	Wrong posting of payment details such as the applicable month or year.

Please be reminded that employers are obliged to regularly update and ensure the accuracy of their reports before finalizing, generating the SPA, making the payment and posting the reports. The premium amount reflected in the SPA shall be the basis in the preparation of payroll. All paid SPA are not to be deleted.

The employees PIN, monthly basic salary and status such as newly-hired, no earnings and separated for the applicable month must be thoroughly reviewed before finalization. 

PhilHealth shall only process editing requests once transactions from the ACAs are reverted, cancelled or edited. ACAs are also expected to exercise due diligence in processing PhilHealth transactions and strictly observe the existing policies. 

Further inquiries pertaining to this advisory may be referred to your assigned Accounts Officers.
 
Thursday, December 13, 2018

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