PhilCare Physician Affiliation Process

 

Hi.

Thank you for your desire to join the PhilCare network of physicians. We made our affiliation process easier. To help you get started, we have outlined our simple affiliation process below: 

1. Accomplish the PhilCare Affiliation Form / Conforme (philcare.com.ph/md/join)
2. Evaluation by PhilCare Network Management Department
3. Confirmation by PhilCare Network Management Department

Also, before proceeding, please make sure you have soft copies (pdf, jpg, png) of the following updated documents as we will be asking for these:

1. Diplomate and/or Fellow Certificate from your Specialty Society
2. BIR Certificate of Registration (Form 2303)
3. PRC ID 
4. Curriculum Vitae

Please don't hesitate to reach out if you have any questions through nmd@philcare.com.ph.

Thank you very much.

Sincerely,

NICHOLAS OBA
Head, Network Management Department
Medical Services Division
PHILHEALTHCARE, INC. (PhilCare)

 

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Data Privacy Consent Form and Terms and Conditions

By clicking next you agree to

 

1. PhilHealthCare, Inc.'s (PhilCare) Privacy Policy and giving consent to the collection and processing of my personal information in accordance to the Data Privacy Act of 2012.
2. Terms and conditions as stipulated in philcare.com.ph/md/terms
    

If there are any information or documents that are not yet available, you can opt to save the form. With this, you will not lose your previously provided information and uploaded files.

• How to save the form?
  
  You can save the form by clicking the "Save" button at the buttom right of every page.
  
  
   

• How to continue with the form? 
  
  You will then receive an email of the saved draft through your provided email address or you can copy the provided draft link and save it somewhere. To continue editing the form, you can either click the link provided through the email, or paste on your browser the provided draft link. 
  
  

Below are the important provisions from philcare.com.ph/md/terms we would like to highlight:
 

• Secure Approval prior to availment
  
  Please make sure a Letter of Authorization (LOA) with approval code is issued prior to any availment. LOAs can be generated through the hospital/clinic's HMO Concierge or self-service through our HeyPhil App, Kiosk, Website. 
  
  
• Billing Turn-Around-Time
  
  You should bill us within 30 days for NCR and 60 days for provincial providers from the date of availment or discharge.
   
• Affiliated Physicians
  
  Please only refer to affiliated Physicians. Please check with your HMO Coordinator, HMO Concierge, or through our call-center. 
  
  
• Due Notice
  
  Please make sure to let us know through nmd@philcare.com.ph at least seven (7) working days in advance and in writing for any changes in your affiliation such us  but not limited to disaffiliation, suspension, update (addition and deletion) in list of affiliated hospitals and clinics.

Any non-compliance with the above guidelines may result to delayed or non-payment.

• Payment Turn-Around-Time
  
  Our committment is to settle our payment within 30 working days upon receipt of your complete billing documents.

For our updated hotlines and billing address, please visit philcare.com.ph/directory

Again, here is the updated terms: philcare.com.ph/md/terms

• PhilCare Coordinator
  

Our affiliated hospitals have an assigned PhilCare Coordinator which is selected from the affiliated physicians of the hospital. He/she has additional functions and responsibilities to help us with various functions such as but not limited to:

1. Utilization management of members
2. Physician related concerns (including affiliation of physicians)
3. Visitation to our admitted patients
4. Hospital related concerns

As such, we recommend you reach out to the assigned PhilCare Coordinator/s of your affiliated hospital/s as courtesy. 

For any concern or clarification, please contact our Network Management Department at nmd@philcare.com.ph.

Rehab Med = Physical and Rehabilitation Medicine
Ortho = Orthopedic Surgery
ENT = Otorhinolaryngology
Optha = Ophthalmology
Nuc Med = Nuclear Medicine
Radio Onco = Radiation Oncology

If you are not sure which to select, please email us at nmd@philcare.com.ph.

50% of the Professional Fee of the Surgeon but not less than Php 2,000.00.

Standard Rate of Php 2,000.00 for Radiologic procedures necessitating sedation.

If you still cannot find where you belong, please email us at nmd@philcare.com.ph.

Balance Billing is defined as the act of an affiliated physician charging PHILCARE or any PHILCARE member for the payment of Professional Fees (PF) in excess of those prescribed by PHILCARE, such as but not limited to disinfection fee, as agreed upon by the Parties.


An affiliated physician agrees to follow PHILCARE's standard Professional Fee rates and shall not charge in excess thereof. If the the affiliated physician charges in excess of such rates or in any shape or manner engages in balance billing, the excess shall not be paid by PHILCARE and shall result in the immediate and automatic disaffiliation of the physician. The affiliated physician agrees and understands that engaging in balance billing is a violation of this agreement and shall open the physician to liability for damages as provided for by law.

Before you proceed, if you are unsure of if you have any concern with your documentary requirements please contact our Network Mangement Department at nmd@philcare.com.ph. 

Hospital / Clinic (e.g. PhilCare Medical Center)

Room / Clinic Number (e.g. Room 101)

Schedule (Day - Time) (e.g. M 9AM to 11AM ; W 1PM to 3PM ; F None)

I certify that all my information written here are TRUE and CORRECT.

I am willing to be affiliated with PhilHealthCare, Inc. (PhilCare) and I have read, understood, and agreed to the following

 

1. The terms and conditions set forth in philcare.com.ph/md/terms
2. Data Privacy Statement located at philcare.com.ph/md/privacypolicy
3. To receive my professional fees through my provided bank account details above.
4. To re-accomplish this form should there be any relevant changes including but not limited to changes in my basic information, contact details, bank details, and affiliated hospitals and clinics located at philcare.com.ph/md/join.
5. Should I have any concern, I will contact Network Management Department through nmd@philcare.com.ph.

If you're having difficulty signing (e.g. using touchpad of a laptop), you can opt to save this form and continue using your smartphone. 

We are sorry that you are not happy with our standard rate. Rest assured our PhilCare PF rate is standard accross all physicians of the same specialization across the country. 

We would appreaciate if you can help us by providing us your your inputs so we can consider this when we discuss your PF rates with your respective specialty societies. 

NOTE:

Please note that due to the system limitation of Jotform, you will still be asked to review the PDF form and confirm your signature after clicking the "Continue" button. Though, there are no information about yourself in the said document nor any signature so please just disregard it.