Steps and Forms

Select a Service

Here’s how you can avail of your membership benefits and get hold of the forms you’ll be needing.

Outpatient

Step 1

Go to the POS terminal in an accredited hospital or clinic.

In a hospital, the terminal is located at the Intellicare Coordinator’s clinic, at the Industrial office, or at the HMO office.

In a clinic, the terminal is located at the reception area or at the nurse station.

Step 2

Present your Intellicare card to the attending medical staff and have it swiped to validate membership eligibility.

Step 3

If APPROVED, the Out-Patient (OP) Letter of Eligibility (LOE) will be printed.

Sign the LOE.

If DECLINED, attending medical staff will call Intellicare’s Customer Service for assistance.

Step 4

Present the Out-Patient Letter of Eligibility to the Intellicare Coordinator to secure an Intellicare Referral Control Sheet (RCS) 1 for consultation or RCS 2 for laboratory or diagnostic procedures.

Step 5

Avail of the consultation or procedure.

Sign the Referral Control Sheet (RCS).

Step 6

File Philhealth for Philhealth-required procedures.

Inpatient

Step 1

Secure an admitting order from an Intellicare-accredited doctor.

Step 2

Proceed to the adminitting section and have your Intellicare card swiped for validation of membership eligibility.

If APPROVED, the In-Patient Letter of Eligibility (LOE) will be printed.
Sign the LOE.

If DECLINED, attending medical staff will call Intellicare’s Customer Service for assistance.

Step 3

Present the admitting order and LOE to the Intellicare Coordinator.

For emergency cases, confinements will be directly facilitated by the Emergency Room (ER) staff.

Step 4

Occupy allowed room.

Please double-check your room category/plan limit to avoid paying incremental charges.

Step 5

Inform Intellicare’s Customer Service regarding admission within 24 hours.

Step 6

File Philhealth for Philhealth-required procedures.

Step 7

Intellicare’s Patient Relations Officer (PRO) will issue an Intellicare Referral Control Sheet (RCS) 3 for in-patient.

Sign the RCS.

Settle any incremental and miscellaneous charges upon discharge. Please validate if items charged are correct.

Emergency

Step 1

Go to the Emergency Room (ER) of an accredited hospital.

Step 2

Proceed to the admitting section and have your Intellicare card swiped for validation of membership eligibility.

If APPROVED, the ER Letter of Eligibility (LOE) will be printed. Sign the LOE.

If DECLINED, attending medical staff will call Intellicare’s Customer Service for assistance.

Step 3

Undergo medical treatment.

Step 4

If declared as an OUT-PATIENT CASE, sign the hospital bill upon discharge and settle.

Step 5

If FOR ADMISSION, notify Intellicare’s Customer Service within 24 hours. Occupy allowed room.

Please double-check your room category/plan limit to avoid paying incremental charges.

Step 6

File Philhealth for Philhealth-required procedures.

Reimbursement

Step 1

If treated in a non-accredited facility, you may file for reimbursement of your hospital bill (subject to plan coverage).

Secure an Intellicare reimbursement form. Download here or secure from your company HR.

Step 2

Fill out the reimbursement form and attach required documents to it.

All attached official receipts should be original copies.

Step 3

Submit the form and the required documents to Intellicare.

Processing of the request for reimbursement is within 30 days upon receipt of complete documents.

Dental

Step 1

Refer to the dental list provided to you and set an appointment prior to dental visit.

Step 2

Proceed to the dental clinic on the day of your dental availment and present your Intellicare card for validation.

Step 3

Avail of the entitled dental benefit.

Sign the Dental RCS after the procedure.

Steps and Forms

Select a Service

Here’s how you can avail of your membership benefits and get hold of the forms you’ll be needing.

Outpatient

Step 1

Step 2

Step 3

Step 4

Step 5

Step 6

Inpatient

Step 1

Step 2

Step 3

Step 4

Step 5

Step 6

Step 7

Emergency

Step 1

Step 2

Step 3

Step 4

Step 5

Step 6

Reimbursement

Step 1

Step 2

Step 3

Dental

Step 1

Step 2

Step 3

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