Download - Philhealth EPRS
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GACPA 35th ANNUAL NATIONAL CONVENTION
PhilHealth EPRS: Towards Excellence
in Member Management
April 18, 2013 Crown Regency Suites & Residence, Mactan, Cebu City
Dr. Renato L. Limsiaco, Jr., CPA Head, Employed Segment
Formal Sector-Member Management Group PhilHealth Head Office, Pasig City
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1. PhilHealth Account Management
1. PhilHealth EPRS
1. Other Updates-Imposition of Interest for Late Payment
Presentation Agenda:
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1. Updated and reconciled records, membership & contribution(Er&Ee)
2. Ease in the availment of benefits
3. Empowerment of members
G O A L:
delighted employed members
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PHILHEALTH ACCOUNT
MANAGEMENT STRATEGY(PAMS)
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PhilHealth Account Management Strategy(PAMS)
A systematic approach to identify and serve the employers.
It involves the assignment of Account Officer to a particular Employers.
It desires to reach a Partnership relationship with employers.
Compliance to Commitment
Who caresWin!!!
It is supported by all units in the organization to attain set objectives in delivering quality service for its members.
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PhilHealth-
AIMS LHIO
250-300
EMPLOYERS
PAMStrategy
PEERs
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P-AIMS Functions
Assist the Employers in EPRS registration
Assist the Employers in the updating of membership, remittance and reporting
Conduct NHIP Orientation for the employee-members
Update the employers/employee-members on PhilHealth Programs
Assist the Employers in the availment of PhilHealth benefits of the members
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PhilHealth Circular No. 25, s-2012
dated May 29, 2012
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adopt the Electronic Premium Remittance
System (EPRS) as the mode of
preparation and submission / transmission
of the Employer Remittance Report (RF-1)
effective January 1, 2013.
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What is EPRS?
EPRS is an acronym for Electronic Premium Remittance System
A web-based
application designed for PhilHealth employers, to use in reporting premium contributions
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Register to secure a user account and password
Registration can be done through walk-in to nearest PRO/Branch/LHIOs and fill-out the POAF*
How can I get access to the EPRS?
http://www.philhealth.gov.ph/onlineservices and look for EPRS ePOAF link
or Electronically:
*PhilHealth Online Access Form (POAF)
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ePOAF
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Please check your email and carefully follow the instruction.
You will be required to
confirm your identity Membership clean-up Install the SSL Certificate User account and
password activation
I have filled-out the POAF/submitted registration through ePOAF, whats next?
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You may now start to prepare your monthly remittance report.
I have my user account for the EPRS, have installed the certificate, What should I do next?
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Whats inside the EPRS?
EPRS v.2.4 has five modules:
Employer Profile Employees
Management Employees Remittance
Status Payment Management Transaction Monitoring
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Whats inside the EPRS?
PhilHealth Employer Engagement Representative(PEER) Information
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Employer Profile module Displays the employer profile
Sync icon Updates employer profile in the EPRS based on what is in the Membership Database
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Employees Management Module
Displays employees masterlist View employees profile Edit employees profile Link to Online Registration Add New Employee
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Employees Remittance Status Module
Management of employees remittance status -Tab for the list of Active employees (Default)
-Tab for the list of employees with No Earnings status -Tab for the list of employees with Separated status -Tab for the list of All employees -Pencil icon for setting applicable period -Pencil icon for editing employees remittance status
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Employees Remittance Status Module
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Employees Remittance Status Module
Setting Applicable Period
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Payment Management module
- Print PEPRL (Optional)
- Generate SPA/PPPS
- Payment for Posting
- SPA History
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Payment Management module PEPRL
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Payment Posting module Generation of SPA
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Payment Management module Generated SPA
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Payment Management module Generated SPA
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Payment Management module SPA for Payment and Posting
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SPA for Payment and Posting
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SPA for Payment and Posting
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SPA for Payment and Posting
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SPA for Payment and Posting
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SPA for Payment and Posting
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SPA for Payment and Posting
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Payment Posting module SPA History
Link for printing SPA
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Payment Posting module SPA History
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Transaction Monitoring module
eRF-1 in PDF format
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Transaction Monitoring module
Last page of the Posted eRF-1
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EPRS six (6) Easy Steps:
1. Membership & Premium Updating
2. Generate PEPRL
3. Generate SPA/PPPS
4. Prepare Voucher & Check
5. Remit premium at PhilHealth or ACAs
6. Post premium payment
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EPRS Enhancements: a. Can accept NGA Un-even Premium Payment
b. Can accept Textfile reporting
c. Can accept Multiple Ors/Users
d. Grouping of Employees/Dept./Office
e. Bookkeeping/Accounting firms/ARRA
f. Electronic Claim Form 1
g. Updating of dependent thru EPRS
h. Online Payment with Collecting Agents
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Section 32(d) of Implementing Rules &
Regulations (IRR) of the National Health
Insurance Act of 1995 (Republic Act 7875);
Title III Rule 1, Section 6(e) of IRR;
PhilHealth Board Resolution No. 1669, s-
2012
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Government employers
Private employers
Household help employers
April 12, 2013
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Deadline of remittance of monthly premium:
On or before the 10th calendar day of the month
following the applicable month for which the payment is
due and applicable
If the deadline falls on a Saturday or Sunday, or has been declared a regular/ special or a non- working
holiday, payment shall be made on the next working
day
Computation and payment of premium contribution with interest shall be accomplished at the nearest
PRO/LHIO
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The number of days delayed includes the day right after the deadline up to the date of
remittance including Saturdays, Sundays
and non-working holidays.
All underpayments, non and or late remittances will
be charged two percent (2%) of the monthly
interest that shall be computed as follows:
To acknowledge payment of interest, a separate
Official Receipt shall be issued
Interest = Remittable Amount x 2% x Number of Days Delayed
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30 days
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Mission First version As a financial intermediary, PhilHealth shall continuously
evolve a sustainable National Health Insurance that shall: Lead towards universal coverage
Ensure better benefits for its members at affordable premiums
Establish close coordination with its clients
through a strong partnership with all stakeholders; and,
Provide effective internal information and management systems to influence the
delivery of quality health care services.
Mission Second version
To ensure adequate finance access of every
Filipino to quality health care services through
the effective and efficient administration of the
National Health Insurance Program.
Vision About the Corporation A premier government corporation
that ensures sustainable, affordable, and
progressive social health insurance
which endeavors to influence the delivery of
accessible quality health care for all Filipinos.
Mission New version
Bigyan ang bawat miyembro
ng sulit na benepisyo
at dekalidad na serbisyo.
Values
Innovation
Quality Service Utmost Integrity
Equity
Social Solidarity
Total Care
Vision About the Program
Adequate and affordable
social health insurance coverage
for all Filipinos.
Vision About the Member
Bawat Pilipino, miyembro;
Bawat miyembro, protektado;
Kalusugan natin, segurado.
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Alone we can do so little;
together we can do so much.
Helen Keller
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contact details: [email protected]
Cel No. 09173065138