Philhealth EPRS

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 caresWin!!!

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)

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?

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?

Whats inside the EPRS?

EPRS v.2.4 has five modules:

Employer Profile Employees

Management Employees Remittance

Status Payment Management Transaction Monitoring

Whats 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 employees remittance status


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 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: [email protected]

Cel No. 09173065138

Philhealth EPRS

Documents

Transcript of Philhealth EPRS