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PhilHealth & HMO Integration

Complete Billing & Financial Management for Philippine Hospitals.

Automate claims, payments and financial workflows, designed for international standards and Southeast Asian hospital realities. Get paid faster, reduce errors, and keep your books clean.

Claims Queue

Processing
Batch: #PH-9921 Today, 11:30 AM
PH

PhilHealth Claim

Ref: 299-A • Santos, M.

₱ 12,500

Approved
H

Maxicare HMO

Ref: 882-B • Reyes, J.

₱ 4,250

Pending
C

Outpatient Cash

Inv: #00223 • Dela Cruz

₱ 850

Paid via GCash

Total Processed Today

₱ 17,600.00

Simplified PhilHealth e-Claims, Done Right

As a licensed PhilHealth e-Claims service provider, we streamline submissions, ensure accuracy, and secure your data so your hospital can get reimbursed faster with confidence.

PhilHealth e-Claim

Guided steps for processing a recent hospital visit claim.

  • Required

    Upload

  • Received

    View File

  • Required

    Generate

  • Required

    Generate

Progress: 1/4 Documents Received

25% Complete

Licensed PhilHealth e-Claims Provider

Operate with confidence using a DOH- and PhilHealth-licensed e-Claims system built for hospitals and clinics in the Philippines. Fully compliant, trusted, and ready for nationwide deployment.

90% Auto-Completed Claims for Accuracy

Our system automatically uniquely fills up to 90% of your claim information, reducing human error, and rejected submissions. Enjoy higher approval rates and faster reimbursements than competing platforms.

Fast & Hassle-Free Claim Submission

Cut submission time with automated data entry, pre-validation tools, and real-time PhilHealth connectivity. No more manual forms or repetitive uploads — just quick, accurate e-Claims every time.

Konsulta/Yakap Integration (Coming Soon)

Be ready for the next generation of healthcare programs. PhilHealth Yakap (formerly Konsulta) claim submissions will soon be fully supported to further streamline your revenue streams.

Complete, Flexible Billing Control

Take charge of hospital finances with smart automation from dynamic pricing to real-time balance tracking all in one secure billing system built for Philippine healthcare.

Dynamic Pricing, Discounts & Referral Rules

Automate how you charge for services with flexible pricing setups for room rates, service packages, and referrals. Apply discounts and rate adjustments instantly ensuring accuracy and compliance in every charge.

Comprehensive Statements of Account

Generate general, itemized, or PhilHealth-ready SOAs in seconds. Whether for patients, auditors, or insurers, each statement is clear, professional, and fully aligned with hospital finance standards.

Automated HMO LOA Submission

Submit and monitor Letters of Authorization (LOA) directly to HMOs without phone calls or paperwork. Reduce delays, eliminate manual errors, and speed up approvals with real-time status tracking.

On-Demand Financial Locking & Transparent Balances

Secure accounts with a single click once billing is complete and view real-time outstanding balances, preventing last-minute discrepancies and ensuring smooth patient discharge.

Statement of Account

Invoice ID: IN-957-H0392 | Date: 2025-11-07

Hospital ABC

123 Health Ave, Metro Manila

Bill To:

Maria Ramirez

Member ID: JDOE1985

₱3,100.00

TOTAL AMOUNT DUE

Service Breakdown

Cesarean Delivery RVS Code: 59514
Qty: 1
Price: ₱11,400.00
Amount: ₱11,400.00
CBC Lab Panel LOINC Code: 57021-8
Qty: 1
Price: ₱600.00
Amount: ₱600.00
Inpatient Room & Board 3 Days (2 nights)
Qty: 3
Price: ₱2,500.00
Amount: ₱2,500.00

Multiply Success with Agimat Health

CUSTOMIZE

This product integrates seamlessly and works best with our other complementary product features giving your organization a more connected, efficient, profitable, and patient-centered workflow.