SP OKs pact with TTSI for Philhealth e-claims

TO foster efficiency in the processing and payment of Philhealth benefit claims, the 18th City Council during its regular session Monday presided over by Vice Mayor Raineir Joaquin V. Uy authorized the city mayor to enter into a business agreement with the Total Transcript Solutions, Incorporated for the implementation of the electronic filing of Philhealth benefit claims by city health facilities with the Philhealth Regional Office.

The TTSI will provide three modules to local health care institutions in compliance with Philhealth requirements. The modules are: Claims Eligibility Web Services (CEWS), Online Claims Submission (ECS) and Claims Status Verification and Payment (CSV/P).

Under the agreement, the TTSI shall assist the city in coordinating with Philhealth and in the setup of its users. It shall, likewise, make available tools and processes to allow the city to promptly report technical issues and assign a point person from Monday to Saturday for coordination during the setup, training and implementation phases.

TTSI shall assign a dedicated customer care personnel from Monday to Saturday to manage reported issues and assist the city.

For its part, the city government shall assign a lead person and make available the technology tools to accomplish the intent of the agreement. It shall, likewise, provide an official list of eClaim users and the necessary information or personnel resource for the successful completion of the eClaims program setup, training and implementation.

Both parties agree to identify each other in promotional materials, presentations, proposals and other marketing initiatives as partner in Philhealth’s eClaims project.