Medical Billing, PhilHealth e-Claims & PFRS Accounting.
Automate PhilHealth e-Claims 3.0, physician professional fee splits, HMO Letters of Authorization (LOA), dynamic room tariffs, and general ledger journal vouchers. Engineered for international PFRS standards and Philippine healthcare realities.
PhilHealth Claim (Ref: 299-A)
Santos, MariaMaxicare HMO (LOA Ref: 882-B)
Reyes, JonathanOutpatient Settlement (Inv #00223)
Dela Cruz, JuanValidate PhilHealth CF-4 & Case Rate for Santos, M.
Cesarean Delivery RVS 59514 • ₱19,000 benefit calculated • 0.0% RTH Risk
Authorize Maxicare HMO LOA for Bed 12 (Elena Vance)
Benefit ceiling ₱60,000 confirmed • Zero co-pay required • LOA attached
Auto-Post Anesthesia Breathing Circuit (SUP-007) to GL 5020
Scanned in OR Suite 2 • Charge auto-accrued to patient folio
Execute 1-Click Financial Lock for Discharge (Folio #2456)
Final eSOA cleared • Zero remaining balance • Retroactive edits frozen
Operations Center
Manage corporate financials, taxation, and PFRS reporting.
Income Statement Summary
Aging of Receivables
BIR Tax & Compliance
Generate Form 2307 certificates automatically based on AP Voucher accruals.
Manual Journal Voucher
Record adjustments, depreciation entries, and cost transfers with real-time balance validation.
Chart of Accounts (CoA) Mapping
Map legacy codes to standardized PFRS master reporting buckets.
Master Data Mappings
Bind clinical catalog items to GL accounts for automated point-of-care posting.
Real-time financial dashboard & executive PFRS intelligence
Automated Gross Revenue, EBITDA, and Aging of Receivables tracking
Eliminate delayed month-end manual consolidations. Agimat continuously aggregates inpatient ward charges, operating room consumables, LIS diagnostics, and pharmacy sales into automated PFRS financial statements. Executive leadership tracks real-time operating margins, cash liquidity, and receivables aging across self-pay, HMO, and government payers.
Automated BIR Form 2307 & 1601-EQ tax compliance
Zero-delay withholding certificates and 1-click quarterly DAT file exports
Eliminate the quarterly bottleneck of manual tax filing. Agimat automatically computes Expanded Withholding Tax (EWT) on doctor Professional Fees (10% or 15% based on gross receipts) and vendor Accounts Payable (AP) vouchers. Generate official BIR Form 2307 certificates with embedded Tax Identification Numbers (TIN) and Alphanumeric Tax Codes (ATC), and export encrypted 1601-EQ DAT files formatted for BIR eFPS.
Master data item GL linker: bedside scans automatically post to accounting
Bind clinical supplies, implants, and pharmacy SKUs directly to GL accounts
Eliminate inventory shrinkage and missed charges permanently. When a clinical consumable—such as an eggcrate mattress (SUP-003) or anesthesia breathing circuit (SUP-007)—is scanned at bedside or during surgery, Agimat automatically posts the charge to the patient's folio and books the corresponding debit/credit in the General Ledger.
Focus on patient care, we have healthcare billing and corporate accounting covered.
Simplified PhilHealth e-Claims 3.0 & YAKAP (Konsulta) integration
Licensed CSP with 98% auto-completed claims and real-time pre-flight validation
As an accredited PhilHealth Certified Service Provider (CSP), Agimat auto-populates up to 98% of claim data directly from clinical SOAP progress notes, laboratory LOINC biomarkers, and CPOE pharmacy dispensings. Pre-flight validation screens CF-1, CF-2, CF-4, and CSF attachments prior to batch transmittal, reducing Return-to-Hospital (RTH) rejection rates below 0.2%.
Physical document scanning & automatic e-Claims data extraction
Digitize paper Claim Form 1 (CF-1), CF-2, and CSF sheets with zero manual typing
Philippine healthcares and clinics regularly receive handwritten Member Data Records (MDR), paper-based Claim Form 1 sheets, signed Claim Signature Forms (CSF), and physical laboratory attachments. Agimat’s intelligent optical character recognition (OCR) and document understanding engine automatically extracts and cross-checks member PINs, confinement dates, and procedure tariffs directly into PhilHealth e-Claims 3.0 packages with sub-second accuracy.
Automated HMO LOA submission & instant guarantor binding
Eliminate long phone queues, manual faxes, and lost paperwork. Submit Letters of Authorization (LOA) directly to top Philippine HMOs including Maxicare, Intellicare, Medicard, PhilCare, and Etiqa with live approval tracking.
PhilHealth case rates, RVS codes & dynamic pricing
Automatically compute PhilHealth 1st and 2nd Case Rates alongside custom healthcare room tariffs, doctor professional fee (PF) caps, and negotiated HMO discounts without manual math.
1-Click financial discharge locks & anti-leakage guards
Stop revenue leakage permanently. Once a patient folio is cleared for discharge, automated financial locking freezes the account. No unapproved retroactive line-item changes, no missing medication charges, and zero ghost adjustments.
Retroactive Line-Item Modifications
Permanently Blocked • Authorized Sign-off RequiredSenior Citizen (20%), PWD exemptions & BIR CAS readiness
Strict adherence to Philippine statutory discounts. Automated computation of 20% Senior Citizen discount and VAT exemptions, withholding tax computation (BIR Form 2307), and Computerized Accounting System (CAS) audit export.
Comprehensive Electronic Statements of Account (eSOA)
Generate general, itemized, or PhilHealth-ready SOAs in seconds. Transparently split room board, operating room fees, pharmacy items, laboratory tests, and professional fees.
Multi-channel cashiering & electronic receipting
Accept payments anywhere in the healthcare—from the main cashier window to bedside tablet checkouts. Seamlessly process Cash, Cards, GCash, Maya, and direct bank transfers with BIR-compliant electronic official receipts.
GCash & Maya Instant Dynamic QR
Automated bedside QR generation with real-time settlement callback.
EMV Chip & Terminal Card Processing
Direct integration with payment POS terminals and zero-reconciliation errors.
Licensed financial compliance for Philippine healthcare
Engineered to exceed Philippine Department of Health (DOH AO 2021-0037) licensing, PhilHealth Certified Service Provider (CSP) standards, BIR Computerized Accounting System (CAS) regulations, and the Data Privacy Act (RA 10173).
Medical Billing, PhilHealth e-Claims & PFRS Accounting in the Philippines
Common questions answered for Philippine Medical Directors, CFOs, and Hospital Billing Teams.
What makes Agimat the leading PhilHealth claims system in the Philippines? ▼
Agimat Financial is an accredited PhilHealth Certified Service Provider (CSP) engine supporting Claim Forms CF-1, CF-2, CF-3, CF-4, CF-5, eSOA, and the Claim Signature Form (CSF). It pulls 98% of required clinical data automatically from attending physicians' SOAP notes, diagnostic lab findings, and medication orders. With integrated pre-flight validation rules, it prevents clerical errors, reducing Return-to-Hospital (RTH) rates below 0.2%.
Does Agimat comply with BIR Computerized Accounting System (CAS) and Form 2307 rules? ▼
Yes. Agimat Financial is built to satisfy Bureau of Internal Revenue (BIR) CAS regulations. It computes Expanded Withholding Tax (EWT) automatically across doctor Professional Fees (ATC WI010 at 10% or 15%) and vendor supplies (ATC WC100 at 1%). It issues signed BIR Form 2307 withholding certificates in real-time and produces 1601-EQ DAT files ready for direct BIR eFPS quarterly submission.
How does Agimat streamline HMO Letter of Authorization (LOA) approvals? ▼
Agimat features a unified direct HMO Gateway that links with major Philippine HMO providers including Maxicare, Intellicare, Medicard, PhilCare, and more. Staff can verify patient benefit ceilings, attach diagnostic lab orders, transmit LOA requests electronically, and calculate patient co-pay shares without making manual telephone inquiries.
How does Agimat Health eliminate billing leakage and calculate statutory Senior / PWD discounts? ▼
Agimat incorporates 1-Click Financial Discharge Locks that freeze patient folios once the electronic Statement of Account (eSOA) is reconciled, blocking unauthorized retroactive adjustments and recovering 2–5% of gross revenue lost to leakage. Additionally, the system automatically applies the statutory 20% Senior Citizen and PWD discounts alongside full 12% VAT exemptions in strict compliance with Philippine law.
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