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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 cares…Win!!!
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)
ePOAF
• 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, what’s 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?
What’s inside the EPRS?
• EPRS v.2.4 has five modules:
Employer Profile Employees
Management Employees Remittance
Status Payment Management Transaction Monitoring
What’s 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 employee’s 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, 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: rllimsiacojr@yahoo.com
Cel No. 09173065138
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