TRANSMITTAL PHILHEALTH

7/24/2019 TRANSMITTAL PHILHEALTH

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Republic of the PhilippinesPhilippines Health Insurance Corporation

Lucena Grand Terminal, Lucena City

Category: PRIVATE-EMPLOYEDN!"IL#R"IL Transmittal No:Hospital# Health Pro$ider: SMMC “Paanakan”

%ddress: #47 P. ALCANTARA ST. BRGY. VII-B, SAN PABLO CITY, LAGUNA Philhealth%ccreditation No&: M41017565

PHILH%LTH

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0-8050904771-9

JOEL GONZALESBANJAON

MARIBETHBULAHANBANJAON

05-17-2015 TO05-18-2015

GP!-0-0-" PU40 #EE$S AOG

VIA LMP%&EPHALI& IN

LABOR

P 8% 000'00

0-8050904771-9

JOEL GONZALESBANJAON

JA&OBBULAHANBANJAON

05-17-2015 TO05-18-2015

(ULL TERM BABYBOY DELIVERED

VIA NSDP 1% 550'00

0-9050252999-

MELISSAROMBA#A

MELISSAROMBA#A

0-27-2015 TO0-29-2015

G1P1!1-0-0-1" PU9 #EE$S AOG

VIA LMP%&EPHALI& IN

LABOR

P 8% 000'00

0-9050252999-

MELISSAROMBA#A

PRIN&E GEMELROMBA#AMATIBAG

0-27-2015 TO0-29-2015


VIA NSDP 1% 550'00

Total No& of Claims: - CL%I(

P)*+,)* B./ HRLN L%NI & N**L, RN



N,* S3,)* H+,: R*+)**,;*





PHILH%LTHN'()R N%( *"(()R N%( *"P%TINT C*N"IN(NTPRI*+ "IN%L+I%GN*I CL%I(%(*'NT

0-8025422490-5

ARLENE&UASAY

VILLANUEVA

ARLENE&UASAY

VILLANUEVA

04-17-2015 TO04-18-2015

G4P4!4-0-0-4" PU40 #EE$S AOG

VIA LMP%&EPHALI& IN

LABOR

P 8% 000'00

0-8025422490-5

ARLENE&UASAY

VILLANUEVA

ASHLEY RAVEN&UASAY

VILLANUEVA

04-17-2015 TO04-18-2015

(ULL TERM BABYGIRL DELIVERED

VIA NSD

P 1% 550'00

0-8051251815-

ISABEL &AIGBUEN&ILLO


0-19-2015 TO0-20-2015

GP!-0-0-" PU40 #EE$S AOG

VIA LMP%&EPHALI& IN

LABOR

P 8% 000'00

0-8051251815-


<UEEN ALLYSA&AIG

BUEN&ILLO

0-19-2015 TO0-20-2015


VIA NSDP 1% 550'00




P)*+,)* B./

HRLN L%NI & N**L, RN

N,* S3,)* H+,: R*+)**,;*



Category: PRIVATE-EMPLOYEDN!"IL#R"IL Transmittal No:

Hospital# Health Pro$ider:SMMC “Paanakan”


PHILH%LTH

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P%TINT

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0-805114265-5

RENATO&UBILLA

BENUSA

MI&HELLE&UATON

BENUSA

0-06-2015 TO

0-07-2015

G2P2!2-0-0-2" PU 40#EE$S AOG VIA

LMP% &EPHALI& INLABOR

P 8% 000'00

0-805114265-5

RENATO&UBILLABENUSA

RHEA MAE&UATONBENUSA

0-06-2015 TO

0-07-2015

(ULL TERM BABYGIRL DELIVERED VIA

NSDP 1% 550'00

0-8050718927-

MAR$ ANTHONYLAURESTA

NATAL

RA<UEL&ERVANA

NATAL

0-22-2015 TO

0-2-2015

G4P4!4-0-0-4" PU 41#EE$S AOG VIA


P 8% 000'00

0-8050718927-

MAR$ ANTHONYLAURESTA

NATAL

MARIEL&ERVANA

NATAL

0-22-2015 TO

0-2-2015

(ULL TERM BABYGIRL DELIVERED VIA

NSDP 1% 550'00



0-802592277-

JULIEVILLALOBOS

BALANI

JULIEVILLALOBOS

BALANI

0-08-2015 TO

0-09-2015

GP!-0-0-" PU 8#EE$S AOG VIA


P 8% 000'00

0-802592277-

JULIEVILLALOBOS

BALANI

PRIN&E YUANBALANI

SORIANO

0-08-2015 TO

0-09-2015

(ULL TERM BABYBOY DELIVERED VIA

NSD

P 1% 550'00

Total No& of Claims: . CL%I(P)*+,)* B./


N,* S3,)* H+,: R*+)**,;*





PHILH%LTH

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N%( *"

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0-802552658-0

ROSE-ANNPARDO TARIM

ROSE-ANNPARDO TARIM

05-06-2015 TO05-08-2015

GP!-0-0-" PU9 2=7 #EE$SAOG VIA LMP%&EPHALI& IN

LABOR

P 8% 000'00

0-802552658-0

ROSE-ANNPARDO TARIM

A(YIAH TARIM 05-06-2015 TO05-08-2015


VIA NSDP 1% 550'00



0-80257848-0

&HERRY MAYLOPEZ

SERRANO

&HERRY MAYLOPEZ

SERRANO

04-0-2015 TO04-04-2015

G2P2!2-0-0-2" PU40 5=7 #EE$SAOG VIA LMP%&EPHALI& IN

LABOR

P 8% 000'00

0-80257848-0

&HERRY MAY

LOPEZSERRANO

$AIZER LOPEZSERRANO 04-0-2015 TO04-04-2015

(ULL TERM BABY

BOY DELIVEREDVIA NSD

P 1% 550'00


P)*+,)* B./


N,* S3,)* H+,: R*+)**,;*





PHILH%LTH

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0-205006266-

7

LIEZL ALEMAN

AMOGUIS

LIEZL ALEMANAMOGUIS

0-15-2015 TO0-17-2015

GP!-0-0-" PU9 6=7 #EE$S

AOG VIA LMP%&EPHALI& IN

P 8% 000'00



LABOR

0-205006266-7

LIEZL ALEMANAMOGUIS

TI((ANY BLAIRAMOGUISBALYOYO

0-15-2015 TO0-17-2015


VIA NSDP 1% 550'00

0-0042475-5

REYNALDO

BRAZA&ORNISTA JR'

ANA JANE

MER&ADO&OTONER

0-11-2015 TO0-1-2015

G5P5!5-0-0-5" PU8 #EE$S AOG

VIA LMP%&EPHALI& IN

LABOR

P 8% 000'00

0-0042475-5

REYNALDOBRAZA

&ORNISTA JR'

JIREH &OTONER&ORNISTA

0-11-2015 TO0-1-2015


VIA NSDP 1% 550'00


P)*+,)* B./


N,* S3,)* H+,: R*+)**,;*





PHILH%LTHN'()R

N%( *"(()R

N%( *"P%TINT

C*N"IN(NTPRI*+

"IN%L+I%GN*I

CL%I(%(*'NT



0-805069457-6

MARLONMARA>O

&ADAHING

SHA-SHAABENIDO

&ADAHING

04-11-2015 TO04-12-2015


LABOR

P 8% 000'00

0-805069457-6

MARLON

MARA>O&ADAHING

PRIN&ESS ELLIE

ABENIDO&ADAHING

04-11-2015 TO04-12-2015

(ULL TERM BABY

GIRL DELIVEREDVIA NSD

P 1% 550'00

0-9050089674-

#IL(REDOMARTINEZ

VILLANUEVA

JADI&E <UEENSUSMERANOVILLANUEVA

0-20-2015 TO0-22-2015


LABOR

P 8% 000'00

0-9050089674-

#IL(REDOMARTINEZ

VILLANUEVA

SO(IA ANI&AHSUSMERANO

VILLANUEVA

0-20-2015 TO

0-22-2015


VIA NSD

P 1% 550'00

*/Total No& of Claims: - 0L%I(I,

P)*+,)* B./


N,* S3,)* H+,: R*+)**,;*

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TRANSMITTAL PHILHEALTH