PhilHealth Circular 2017-0030 published last January 9, 2018, defines the eClaims as “an interconnected modular information system for claim reimbursement transactions.” It starts from the time a patient expresses intent to avail oneself of the PhilHealth benefits at accredited Health Care Institutions (HCIs) and ends when the claim is paid.

GOOD NEWS: Last September 5, 2022, MYCURE has been officially certified by the Philippine Health Insurance Corporation (PhilHealth) as a Certified Service Provider for eClaims.

PhilHealth Eligibility Form via MYCURE

This means all Health Care Institutions (HCIs) that are accredited by PhilHealth may now use MYCURE as a tool to register their Philhealth member patients and process the eClaims while utilizing all the other features and functionalities of MYCURE that can improve the operational efficiency of health facilities.

MYCURE PhilHealth Module includes:

  • Benefit Eligibility Form Generator
  • PIN/PEN Verification
  • Doctor Accreditation Checking
  • Form Generators for CF1, CF2, CF3, and CF4
  • Claims Status Verification

MYCURE Features and Functionalities for HCIs:

  • Queueing and Appointment System
  • Professional Website (check out our demo here)
  • Electronic Medical Records (EMR)
  • Laboratory and Imaging Machine Integrations
  • POS, Pharmacy, and Inventory Management
  • HIPAA and DPA Compliance (read more here)