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

1. PhilHealth Account Management

1. PhilHealth EPRS

1. Other Updates-Imposition of Interest for Late Payment

Presentation Agenda:

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

4

PHILHEALTH ACCOUNT

MANAGEMENT STRATEGY(PAMS)

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 cares…Win!!!

It is supported by all units in the organization to attain set objectives in delivering quality service for its members.

5

PhilHealth-

AIMS LHIO

250-300

EMPLOYERS

PAMStrategy

PEERs

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

PhilHealth Circular No. 25, s-2012

dated May 29, 2012

- requires all employers to use and/or

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.

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

• 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)

ePOAF

• 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, what’s next?

• 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?

What’s inside the EPRS?

• EPRS v.2.4 has five modules:

Employer Profile Employees

Management Employees Remittance

Status Payment Management Transaction Monitoring

What’s inside the EPRS?

PhilHealth Employer Engagement Representative(PEER) Information

• Employer Profile module Displays the employer profile

Sync icon – Updates employer profile in the EPRS

based on what is in the Membership Database

• Employees Management Module

•Displays employees masterlist

•View employees’ profile

•Edit employees’ profile

•Link to Online Registration

•Add New Employee

• 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 employee’s remittance status

• Employees Remittance Status Module

• Employees Remittance Status Module

Setting Applicable Period

• Payment Management module

- Print PEPRL (Optional)

- Generate SPA/PPPS

- Payment for Posting

- SPA History

• Payment Management module – PEPRL

• Payment Posting module – Generation of SPA

• Payment Management module – Generated SPA

• Payment Management module – Generated SPA

• Payment Management module – SPA for Payment and Posting

• SPA for Payment and Posting

• SPA for Payment and Posting

• SPA for Payment and Posting

• SPA for Payment and Posting

• SPA for Payment and Posting

• SPA for Payment and Posting

• Payment Posting module – SPA History

Link for printing SPA

• Payment Posting module – SPA History

• Transaction Monitoring module

eRF-1 in PDF format

• Transaction Monitoring module

Last page of the Posted eRF-1

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

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

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

Government employers

Private employers

Household help employers

April 12, 2013

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

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

----------------------------------

30 days

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.

Alone we can do so little;

together we can do so much.

Helen Keller

contact details: rllimsiacojr@yahoo.com

Cel No. 09173065138