Kolekta agad sa PhilHealth.

Cleaner claims. Faster reimbursements. Less work.

Use Atomix to reduce returned claims, recover delayed reimbursements, and improve working capital tied up in PhilHealth collections.

Estimate the PhilHealth cash stuck in my pipeline →
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How Atomix Works With Your Hospital

Step 1Claim pack received
Atomix AI scans and reviews
Step 2Issues flagged
Supporting docs missing
Discharge summary not attached
Resolved
Issue cleared before submission
ICD / procedure mismatch
Diagnosis code does not match billed procedure
Resolved
Issue cleared before submission
Circular rule issue
Coverage criteria needs review
Resolved
Issue cleared before submission
Procedure not supported
Claim packet needs stronger documentation
Resolved
Issue cleared before submission
Issues resolved, forms generated
Step 3Completed PhilHealth forms
CF1
Member and patient details
CF2
Provider and case details
CF4
Clinical summary
CSF
Claim signature form
EVID
Supporting evidence

Most PhilHealth collection delays start with the same few documentation gaps.

Atomix turns returned-claim patterns into a prioritized plan for cleaner claims and faster collection.

Why claims get returned

Sample root causes from PhilHealth RTH notices

PH HCI sample · 2024
ABS
Insufficient clinical abstract
Chief complaint, HPI, or PE details missing
27%
RVS
RVS code not supported by abstract
Procedure billed but not justified by the clinical narrative
22%
CIW
Course in the Ward incomplete
Missing daily progress notes or attending orders
18%

Three reasons revenue gets delayed or lost.

Denied reimbursements
Claims that can be recovered when documentation gaps are fixed.
Slow filing and working-capital drag
Cash collected weeks earlier when claims move closer to discharge.
RTH collection delay cost
Avoidable cycles created when PhilHealth sends claims back.
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