Rep u blic ofthe Pftilippi11es
PHILIPPINE HEALTH INSURANCE CORPORATION
Citystate Centre Bui lding, 709 Shaw Boulevard, Pasig City
Healthhne 441-7444 www philhcalth.gov.ph
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AJaminat
Gamltin
PHILHEALTH CIRCULAR
No.
0 I.E
, s-2014
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TO
ALL HEALTH CARE PROVIDERS, FORMAL & INFORMAL
ECONOMY MEMBERS, PHILHEAL TH REGIONAL/BRANCH/
SERVICE OFFICES AND ALL OTHERS CONCERNED
S UBJECT
Approva l of the Revised LBC Acknowledgement Receipt (AR) as
Proof of Payment for P hilHealtb Premiums and t he Resumption of
Co llection of PhiiHealth Premium Payments by LBC Express, Inc. as
a Collecting Partner of CIS-Bayad Center, Inc.
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tln view of the t ie-up between CIS Bayad Center and LBC the PCA Accrecom approved and z
issued PCA Resolution No. 13, s-20 14 dated April 22, 2014 on the use of the revised LBC 0
Acknowledgement Receipt as proof of payment for Phi!Health premiums and the resumption of u
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co llection of Ph ilHealth premium payments by LBC Express, inc. as collecting partner of CI - :J
Bayad Center.
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Relative thereto, nationw ide outlets of LBC Express, lnc. (LBC) shall resume collection of
Phi!Health premium payments effective May 12, 2014 with the use of the LBC
Acknowledgement Receipt (AR) as pro f of payment {Annex "A").
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Official Receipt
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Date of Payment
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Applicable Period_.. Ati;,ll~"'atlh:- Month
Amount of Premium
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