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PDR-HF-080323 PROVIDER DATA RECORD PDR FOR HEALTH FACILITIES HFs INSTRUCTIONS All information should be written in UPPER CASE/ CAPITAL LETTERS. All fields are mandatory unless indicated otherwise. If the information is not applicable write N/A. For the Latitude and Longitude fields in Section No* 2 Mailing/Billing Address kindly provide the official geographic coordinates used in the DOH Health Facility Geographic Form* For the name of the Head of Facility HoF in Section No* 8 Name of Head of...
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01
To fill out the provider data record philhealth, follow these steps:
02
Obtain the provider data record form from the nearest PhilHealth office or download it from their website.
03
Fill in your personal information such as your name, address, contact details, and PhilHealth ID number.
04
Provide your medical professional qualifications, including your license number, educational background, and specialty.
05
Indicate the services you offer and the corresponding rates or fees.
06
Submit the completed provider data record form along with any required supporting documents to the PhilHealth office for processing.

Who needs provider data record philhealth?

01
Any healthcare provider who wishes to participate in the PhilHealth program needs to fill out the provider data record form. This includes doctors, dentists, hospitals, clinics, and other medical professionals.
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The Provider Data Record (PDR) is a document used by PhilHealth to collect and maintain accurate information about healthcare providers enrolled in the National Health Insurance Program.
All healthcare providers, including hospitals, clinics, and individual practitioners who are accredited by PhilHealth, are required to file a provider data record.
To fill out the provider data record, healthcare providers must provide necessary information such as their name, address, type of facility, services offered, and other relevant details as specified in the form.
The purpose of the provider data record is to ensure that PhilHealth has up-to-date information about healthcare providers, which facilitates proper billing and claims processing for services rendered to members.
The information that must be reported includes the provider's name, address, contact information, type of provider, accreditation details, and services offered.
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