Healthcare solutions

Choose the system that fits your facility.

Compare EHMSPE for complete hospital operations and EnsureClaims for focused PhilHealth eClaims processing. Features and pricing information can be updated anytime from the administrator dashboard.

Two solutions. One trusted technology partner.

Complete hospital management or eClaims-only implementation.

EHMSPE combines clinical, administrative, financial, ancillary, inventory, and PhilHealth workflows. EnsureClaims focuses on claims preparation, validation, submission, monitoring, and reporting while working alongside an existing hospital or clinic system.

eClaims only
EnsureClaims
Focused PhilHealth eClaims solution

EnsureClaims

PhilHealth eClaims System Only

A dedicated eClaims platform designed to work with an existing hospital, clinic, billing, or patient information system.

EnsureClaims helps healthcare facilities prepare, validate, submit, monitor, and report PhilHealth claims without replacing the facility’s complete operational system. Data can be encoded, imported through Excel or CSV, or integrated according to the agreed implementation.

Best suited for

Healthcare institutions that already use another hospital, clinic, EMR, or billing system and need a dedicated PhilHealth eClaims solution.

Pricing
Volume-based pricing₱10–₱20per good claim
Tier 11–1,500 approved/GPPD claims per month
₱20per good claim
Tier 21,501–2,999 approved/GPPD claims per month
₱15per good claim
Tier 33,000 or more approved/GPPD claims per month
₱10per good claim

The rate automatically follows the facility’s total approved/GPPD claim volume for each month. Higher monthly claim volume receives a lower per-good-claim rate.

Pricing information

EnsureClaims rates shown are based on the facility’s monthly approved/GPPD claim volume. EHMSPE pricing and any additional implementation, integration, migration, training, deployment, or support requirements are prepared through a separate quotation.

01 EHMSPE features

One connected platform for clinical, administrative, financial, ancillary, and PhilHealth workflows.

Request EHMSPE pricing

Patient Care

5 features

Patient Registration & Master Patient Index

Centralizes patient demographics, identifiers, member details, contact information, and visit history.

Admission, Bed & Discharge Management

Supports admission, room and bed assignment, transfers, discharge processing, and patient census workflows.

Outpatient, Emergency & Consultation

Organizes outpatient registration, consultation documentation, diagnosis, orders, prescriptions, and follow-up care.

Doctor and Clinical Documentation

Provides physician worklists, SOAP documentation, medical history, orders, diagnoses, prescriptions, and clinical forms.

Nursing Care

Supports nursing worklists, patient monitoring, medication and treatment activities, notes, and coordinated bedside care.

Ancillary Services

2 features

Laboratory & LIS Integration

Manages requests, specimens, accessions, results, printing, analyzer integration, and laboratory reports.

Radiology and Imaging

Coordinates imaging requests, scheduling, results, reports, and billing of radiology services.

Operations

2 features

Pharmacy Management

Handles prescriptions, dispensing, medicine inventory, stock movements, charging, and pharmacy reports.

Inventory, Central Supplies & Procurement

Tracks stock, department requests, purchase requests, purchase orders, receiving, issuance, and audit activity.

Finance

2 features

Billing & Cashier

Combines hospital charges, packages, discounts, insurance, PhilHealth deductions, payments, statements, and receipts.

Finance, Accounting & Receivables

Supports revenue visibility, accounts receivable, expenses, professional fees, collections, and financial reporting.

Administration

2 features

Human Resources & Payroll

Supports employee records, attendance-related information, payroll processing, deductions, and reports.

Medical Records and Certificates

Organizes patient charts, abstracts, birth and death certificates, forms, registries, and record release workflows.

PhilHealth

1 feature

EnsureClaims PhilHealth eClaims

Uses connected patient, clinical, billing, and member information for eligibility, claim preparation, forms, submission, and monitoring.

Management

1 feature

Reports, Dashboards & Audit Trail

Provides operational, clinical, financial, inventory, claims, user activity, and management reports.

Security

1 feature

Role-Based Security & User Access

Controls access by role, department, responsibility, and approved system privileges.

Digital Services

1 feature

Patient Portal and Digital Services

Can support patient-facing access, online services, results, schedules, and website integration according to implementation scope.

02 EnsureClaims features

A dedicated eClaims platform designed to work with an existing hospital, clinic, billing, or patient information system.

Request EnsureClaims pricing

Claims Preparation

2 features

Patient and PhilHealth Member Information

Maintains the patient, member, dependent, contact, address, and claim-related information required for processing.

PBEF and Eligibility Checking

Supports PhilHealth benefit eligibility verification and the recording of eligibility results for claim preparation.

Data Import

2 features

Excel and CSV Bulk Import

Imports patient records, billing information, and claim data to reduce repetitive manual encoding.

Billing Data Extraction and Integration

Accepts claim billing information from agreed data sources or integrations while allowing the existing operational system to remain in use.

Forms

1 feature

CF2, CF4, CF5 and CSF Generation

Generates and manages supported PhilHealth claim forms using the information captured or imported into the system.

Validation

1 feature

Claim Validation and Completeness Checks

Helps users review required data, documents, diagnoses, procedures, dates, amounts, and claim information before submission.

Documents

1 feature

Attachments and Electronic Signatures

Supports organized claim attachments and e-signature workflows according to the facility’s approved process.

Submission

1 feature

Electronic Claims Submission

Prepares and transmits supported eClaims transactions using the facility’s approved PhilHealth credentials and configuration.

Monitoring

2 features

Real-Time Claim Status Monitoring

Tracks submitted claims and presents status updates for easier follow-up and work queue management.

Return, Correction and Re-upload Workflow

Organizes returned claims, issues requiring correction, document replacement, and re-submission activities.

Reporting

1 feature

Claims Reports and Dashboards

Provides claim counts, status summaries, processing activity, and PhilHealth-related operational reports.

Security

1 feature

Secure Claims Storage

Stores claim records and supporting information in a controlled environment with role-based access and audit support.

Integration

1 feature

EnsureClaims Integration API

Provides a secure REST API for authorized partner systems to create and update patient, admission, billing, clinical, and claim data, retrieve claim bundles, and synchronize claims using facility-specific API credentials and agreed access controls.

Need a detailed quotation?

Tell us about your facility and the solution you need.

Our team will review your workflow, required modules, users, branches, integrations, and implementation requirements before preparing the appropriate proposal.