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

Presentation Agenda:

1. PhilHealth
Management

Account

1. PhilHealth EPRS
1. Other Updates-Imposition
Interest for Late Payment

of

G O A L:
delighted employed members

1. Updated and reconciled records,

membership
&
contribution(Er&Ee)
2. Ease in the availment of benefits
3. Empowerment of members

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

It desires to
reach
a
Partnership
relationship
with
employers.

Compliance to Commitment
Who caresWin!!!
5

PAMStrategy

LHIO

PhilHealthAIMS
250-300
EMPLOYERS

PEERs

P-AIMS Functions
Assist the Employers in EPRS registration
Assist the Employers in the updating
membership, remittance and reporting

of

Assist the Employers in the availment of PhilHealth

benefits of the members
Conduct NHIP Orientation for the employee-members
Update the employers/employee-members on PhilHealth
Programs

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.

EPRS is an acronym
for Electronic
Premium Remittance
System

A web-based
application designed
for PhilHealth
employers, to use in
reporting premium
contributions

What is EPRS?

How can I get

access to the
EPRS?

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*

or Electronically:

http://www.philhealth.gov.ph/onlineservices
and look for EPRS ePOAF link
*PhilHealth Online Access Form (POAF)

ePOAF

I have filled-out
the
POAF/submitte
d registration
through ePOAF,
whats next?

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 my user
account for
the EPRS, have
installed the
certificate,
What should I
do next?

You may now start to

prepare your monthly
remittance report.

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

 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, s2012

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

To acknowledge payment of interest, a separate

Official Receipt shall be issued
All underpayments, non and or late remittances will
be charged two percent (2%) of the monthly
interest that shall be computed as follows:
Interest = Remittable Amount x 2% x Number of Days Delayed
---------------------------------30 days
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.

Vision About the Corporation

Visiongovernment
About the Program
A premier
Vision Aboutcorporation
the Member

thatAdequate
ensures sustainable,
and
and affordable,
affordable
Bawat
Pilipino,
miyembro;
progressive social health insurance
social
health
coverage
which
endeavors
to insurance
influence theprotektado;
delivery
of
Bawat
miyembro,
accessible quality
health
care for all Filipinos.
for all
Filipinos.

Kalusugan natin, segurado.

Values

Innovation
Quality Service
Utmost Integrity

Mission First version

version
MissionSecond
New
version
As a financial Mission
intermediary,
PhilHealth
shall continuously
evolve
a sustainable
National
Health
Insurance
that shall:
To ensure
adequate
finance
access
of every
Bigyan
ang
bawat
miyembro

Lead towards universal coverage

Filipino
to
quality
health
careat services
through
Ensure better
benefits
forna
its members
affordable premiums
ng
sulit
benepisyo
Establish
coordination
with its clients
the effective
and close
efficient
administration
of the
through
a
strong
partnership
with
all
stakeholders;
and,
atinternal
dekalidad
na serbisyo.
National
Health
Program.
Provide effective
informationInsurance
and management
systems to influence the
delivery of quality health care services.

Equity
Social Solidarity
Total Care

Alone we can do so
little;
together we can do
so much.
Helen Keller

contact details:
rllimsiacojr@yahoo.com
Cel No. 09173065138