PhilHealth Advisory: HCPs Must Comply with Circular & NDA

The PhilHealth Regional Office NCR has issued an important advisory (Advisory No. 2025-01-006) to all PRO NCR and Rizal Accredited Health Care Providers (HCPs). This advisory serves as a crucial reminder about the implementation and effectiveness of PhilHealth Circular No. 0002-2014, which focuses on the Enhanced Health Care Institution Portal (HCI Portal) and the associated Non-Disclosure Agreement (NDA).

Key Highlights of the Advisory:

1. Implementation of HCI Portal: The advisory underscores the necessity for all accredited HCPs to ensure the proper implementation and adherence to the Enhanced Health Care Institution Portal. This portal, formerly known as the Institutional Health Care Provider Portal, is designed to streamline healthcare processes and improve service delivery.

2. Compliance with Non-Disclosure Agreement: HCPs are reminded to strictly observe the provisions outlined in the NDA. This includes safeguarding any information received or generated through the PhilHealth Online Access System. Unauthorized sharing of user IDs and passwords is strictly prohibited.

3. Notification of Account Changes: The advisory mandates that HCPs must notify PhilHealth within two days of any changes to HCI Portal user accounts. This includes cases of resignation, termination, change of function, or misuse.

4. Accountability and Consequences: Both HCI Portal users and HCI management are held accountable for any violations or misuse of the portal. Non-compliance may affect the Performance Commitment of the HCP and could result in violations of PhilHealth rules and relevant laws.

Conclusion:

This advisory, signed by Bernadette C. Lico, M.D., Vice President of PhilHealth Regional Office NCR and Rizal, and dated January 17, 2025, serves as a vital reminder for all accredited HCPs to maintain strict compliance with PhilHealth Circular No. 0002-2014 and the NDA. By adhering to these guidelines, HCPs can ensure the integrity and security of the healthcare system, ultimately benefiting all stakeholders involved.

For more information and guidance, HCPs are encouraged to review the full advisory and the attached NDA provisions.

Reference: To All PRO NCR and Rizal Accredited Health Care Providers