primary care benefit 1 - Philippine Health Insurance Corporation

11. Are there any incentives offered to PCB Providers who will submit their reports
electronically?
For the transition period, a maximum incentive of One Hundred Pesos (P100) PFPR per
enlisted member shall be released to PCB Providers who will submit reports
electronically according to the format prescribed by PhilHealth.
12. How long will it take for PhilHealth to release the PFPR to the PCB1
PhilHealth shall release the quarterly PFPR to PCB providers within 30 days upon receipt
of complete reports (i.e. updated masterlist of enlisted members, A.2 and A.4), provided that
the reports A.2 and A.4 are submitted on time and in electronic form.
In the event that the PCB Provider submit hard copies of their reports, their PFPR 500
for PCB services will be computed according to their report but they will not get any amount
from the PFPR 100 intended for electronic reporting.
13. How shall the PFPR be disposed and allocated?
The PFPR shall be paid to the PCB provider where the entitled members are enlisted. This shall
be divided into:
1. Eighty percent (80%) of PFPR shall be spent for the operations of the PCB Provider as
stated in the Circular.
2. Twenty percent (20%) shall be used exclusively for the honoraria of the health personnel,
non‐health personnel, and volunteer health workers such as community health teams
and women’s health teams who are connected to the PCB provider. Specifically, this is
broken down as follows:
a. Ten percent (10%) for the physician;
b. Five percent (5%) for other health professional staff of the facility; and
c. Five percent (5%) for non‐health professionals/staff, including volunteers
and community members of health teams (e.g., Women's Health Team,
Community Health Team)
For details, please contact PhilHealth’s Call Center at 4417442
X.
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