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PhilHealth Integration (YAKAP & eClaims)

"This module bridges clinical care with financial protection. YAKAP enables standardized outpatient documentation, while eClaims streamlines reimbursement workflows—ensuring compliance with PhilHealth policies and reducing claim denials. It supports ICD-10, RVS, and CPT mappings for accurate coding and audit readiness."

Maximum Accessibility:

  • Web-based Client enables fast deployment

  • Smartphone App and SMS Ready

  • Secured ID Card Verification

 

  • Portable Electronic Medical Record which enables Medical Physician to provide a faster and more accurate diagnosis, treatments and prescription of medication.

 

Electronic Endorsement of Medical Service Request to accredited network of integrated diagnostic centers and other medical specialists

 

  • Maximize the budget provided by Philhealth under Universal Healthcare

 

Reduces Utilization and Costs of Implementation of Universal Healthcare

 

Ready to Deploy a Complete end-to-end cloud-based system with no installations necessary allows for faster deployment as a requirement for the implementation of Universal Healthcare Act

 

Minimizes INITIAL INVESTMENT by providing a system on a per subscription fee basis.

Summary of Features:

  • Auto-generation of YAKAP forms from EMR entries

  • ICD-10 , CPT and RVS code validation engine

  • Real-time eligibility check via PhilHealth API

  • eClaims submission dashboard with rejection analytics

  • Batch upload and reconciliation tools

  • Compliance alerts for missing documentation

  • KPI tracker for claim turnaround and approval rates

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