ESCALATION TEMPLATE FOR PHILHEALTH IDENTIFICATION NUMBER VERIFICATION
Caller's Name:
Phone Number:
• Last Name:
• First Name:
• Middle Name:
• Date of Birth:
• Place of birth:
• Address:
• SSS no.:
• TIN:
• Employer:
Alternative Callback Number:
Best Time for Callback:
ESCALATION TEMPLATE FOR OTHER CONCERNS FROM EMPLOYERS
Caller's Name:
Phone Number:
• PEN of the Employer:
• Name of the Company:
• Company Address:
• Number of Employees:
• Source of Escalation: (FB, Call, Email or SMS)
• Best Time for Callback:
ESCALATION TEMPLATE FOR OTHER CONCERNS
Caller's Name:
Phone Number:
• PIN of the Member:
• Full Name of the Member:
• Issue:
• Source of Escalation: (FB, Call, Email or SMS)
• Best Time for Callback:
ESCALATION TEMPLATE FOR EMAIL
• Email ID number:
• Member's Email Address:
• Member's Concern:
•Source of Escalation:
ESCALATION TEMPLATE FOR CLAIM STATUS
Caller's Name:
Phone Number:
• Name of Member
• PhilHealth Identification Number (PIN):
• Name of Patient:
• Name of Hospital:
• Date of Confinement:
• Date filed, if directly filed:
• Best Time for Callback:
ESCALATION TEMPLATE FOR ACCREDITATION FOLLOW UP
Caller's Name:
Phone Number:
• PIN of the Member:
• Accreditation Number:
• Full Name of the Member/Doctor:
• Date of Birth:
• Place of Birth:
• Where and when did you file for accreditation:
• Source of Escalation: (FB, Call, Email or SMS)
• Best Time for Callback:
ESCALATION TEMPLATE FOR Complaint on YAKAP
Caller's Name:
Phone Number:
•Pangalan ng YAKAP Clinic:
•Pangalan ng Pasiyente:
•Complaint details:
• Best Time for Callback: