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    Philippine Health Insurance Corporation Quarterly Report Form Name of PCB Provider Health Facility Data SUMMARY OF BENEFITS AVAILMENT (Members and Dependents)

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    Alibasher Macalnas
    1. The document is a quarterly report from a Philippine health insurance provider detailing services provided by a PCB or primary care benefit provider from October to December 2017. 2. It shows the number of members and dependents served, obligated primary preventive services targets and accomplishments, benefits and services provided including consultations, examinations, diagnostics, and top illnesses treated. 3. Key statistics include 305 total members and dependents served, 218 BP measurements accomplished against a target of 0, and common illnesses treated including type 2 diabetes, URTI/pneumonia, and UTI.

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    Philippine Health Insurance Corporation Quarterly Report Form Name of PCB Provider Health Facility Data SUMMARY OF BENEFITS AVAILMENT (Members and Dependents)

    Uploaded by

    Alibasher Macalnas
    26 views2 pages
    1. The document is a quarterly report from a Philippine health insurance provider detailing services provided by a PCB or primary care benefit provider from October to December 2017. 2. It shows the number of members and dependents served, obligated primary preventive services targets and accomplishments, benefits and services provided including consultations, examinations, diagnostics, and top illnesses treated. 3. Key statistics include 305 total members and dependents served, 218 BP measurements accomplished against a target of 0, and common illnesses treated including type 2 diabetes, URTI/pneumonia, and UTI.

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    1. The document is a quarterly report from a Philippine health insurance provider detailing services provided by a PCB or primary care benefit provider from October to December 2017. 2. It shows the number of members and dependents served, obligated primary preventive services targets and accomplishments, benefits and services provided including consultations, examinations, diagnostics, and top illnesses treated. 3. Key statistics include 305 total members and dependents served, 218 BP measurements accomplished against a target of 0, and common illnesses treated including type 2 diabetes, URTI/pneumonia, and UTI.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    26 views2 pages

    Philippine Health Insurance Corporation Quarterly Report Form Name of PCB Provider Health Facility Data SUMMARY OF BENEFITS AVAILMENT (Members and Dependents)

    Uploaded by

    Alibasher Macalnas
    1. The document is a quarterly report from a Philippine health insurance provider detailing services provided by a PCB or primary care benefit provider from October to December 2017. 2. It shows the number of members and dependents served, obligated primary preventive services targets and accomplishments, benefits and services provided including consultations, examinations, diagnostics, and top illnesses treated. 3. Key statistics include 305 total members and dependents served, 218 BP measurements accomplished against a target of 0, and common illnesses treated including type 2 diabetes, URTI/pneumonia, and UTI.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    PHILIPPINE HEALTH INSURANCE CORPORATION

    QUARTERLY REPORT FORM

    NAME OF PCB PROVIDER


    HEALTH FACILITY DATA
    SUMMARY OF BENEFITS AVAILMENT (Members and Dependents)

    I. Covered Period IV. Obligated Services


    From October 2017
    TARGET ACCOMPLISHMENT
    To December 2017 OBLIGATED SERVICES
    (for the quarter) (number)
    Primary Preventive Services
    II. PCB Participation No. 1. BP Measurement 0 218
    Hypertensive 0 27

    III. Municipality/City/Province
    Nonhypertensive 0 193
    2. Periodic Clinical Breast Examination 0 25
    3. Visual Inspection with Acetic Acid 0 0

    No. of Members/Dependents VII. Medicines Given No. of Members


    VI. BENEFITS/SERVICES PROVIDED
    V. Members and Dependents Served Given Referred (Generic Name) Dependents
    Male Female TOTAL Primary Preventive Services M D M D I. Asthma M D
    1. Consultation 92 213 AMBROXOL 30 mg TABLET 0 2
    Members: 66 26 92
    2. Visual inspection with acetic acid 0 0 II. AGE with no or mild dehydartion
    Dependents: 63 150 213 3. Regular BP measurements 72 135 Dicycloverine 10mg. as hydrochloride 0 1
    TOTAL 129 176 305 4. Breastfeeding program education 2 10 Metronidazole 125mg/5mL
    0 4
    5. Periodic clinical breast examination 1 24 suspension, 60mL
    6. Counselling for lifestyle modification 50 50 Cotrimoxazole 400mg 0 1
    7. Counceling for smoking cessation 28 23 COTRIMOXAZOLE 800MG 0 2
    8. Body Measurements 26 50 Cefalexin 500mg cap 0 1
    VIII. 10 Common Number of III. URTI/Pneumonia (minimal & low risk)
    Illnesses (Morbidity) Cases 9. Digital rectal examination 0 0
    Diagnostics Examinations Ascorbic Acid 500mg. tablet 1 0
    1. Complete blood count (CBC) 3 2 0 0 Cotrimoxazole 800mg 0 1
    Paracetamol 125mg Syrup 1 0
    2. Urinalysis 5 11 0 0
    Cotrimoxazole 400mg 1 2
    3. Fecalysis 0 3 0 0
    Paracetamol 500 mg tab 1 1
    4. Sputum Microscopy 1 9 0 0
    COTRIMOXAZOLE 200/40mg
    Type II diabetes mellitus, 5. Fasting blood sugar (FBS) 14 6 0 0 0 1
    3 Suspension 60ml
    non-insulin-requiring
    6. Lipid profile 0 0 0 0 COTRIMOXAZOLE 800MG 2 3
    7. Chest x-ray 1 5 0 0 IV. UTI
    Ciprofloxacin 500mg 0 6
    V. Nebulisation Services

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