Advanced Medical Access Phil. Inc.

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MEMBER ID: 8-000154-132

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Reimbursement Requirements

Reimbursement Requirements

OUTPATIENT

Medical certificate or doctor request indicating diagnosis and procedure(s) done if any, issued only by the doctor.
Original BIR registered Official receipt(s)/Sales invoice with TIN
Charge slips or detailed itemized/breakdown of charges (charges per item paid)
Police report for cases of assault and vehicular accidents.

INPATIENT

Medical certificate or doctor request indicating diagnosis and procedure(s) done if any, issued only by the doctor.
Original BIR registered Official receipt(s)/Sales invoice with TIN
Statement of Account (Summary of Hospital Bill charges).
Charge slips or detailed itemized/breakdown of charges (charges per item paid)
Police report for cases of assault and vehicular accidents

MATERNITY

Medical certificate or doctor request indicating diagnosis and procedure(s) done if any, issued only by the doctor.
Original BIR registered Official receipt(s)/Sales invoice with TIN
Statement of Account (Summary of Hospital Bill charges).
Charge slips or detailed itemized/breakdown of charges (charges per item paid)

OUTPATIENT MEDICINES

Medical certificate or doctor request indicating diagnosis and procedure(s) done if any, issued only by the doctor.
Original BIR registered Official receipt(s)/Sales invoice with TIN
Detailed/Itemized breakdown of charges.
Prescription for medicines

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