Top Medical & Surgical Case Rates

SunStar Philippines

Top Medical & Surgical Case Rates  Alagang PhilHealth sa Central Visayas  June 9, 2026 | 2:00 – 3:00 p.m.

Transcript

00:00:00Thank you for joining us.

00:04:29dialect or language

00:04:31nga gamiton ni Doc, no?

00:04:33It's either mag-English or Filipino

00:04:35or Chavacano kasi si Doc is

00:04:37Chavacano, no? So,

00:04:39ang iyahang roots is in Zamboanga

00:04:41but, of course, pakasabot yun siya

00:04:43o binisaya, no? So,

00:04:45she will just explain things

00:04:47sa inyong ha

00:04:49in a way nga mas

00:04:51comfortable siya nga ma-express

00:04:53yun ang saktong information nga inyong

00:04:55hanggi kinahanglan. So, this

00:04:57time, let's start da yun

00:04:59Doc, anong discussion para ma-subtan

00:05:01sa itong mga members, un sa man

00:05:03yung kitawag nga case rates sa PhilHealth

00:05:05kaysin sa itong topic, top case rates

00:05:07man. Yes, oo.

00:05:09So, PhilHealth case rates,

00:05:11ito actually is the mode of reimbursement

00:05:13ng PhilHealth. Kung ditingnan

00:05:15natin, even way back

00:05:17before, nag-exist na si PhilHealth,

00:05:20nag-expand tayo

00:05:21at nagbabago yung ating mode of payment.

00:05:23Just a brief history, no?

00:05:25Before, we are paying what we

00:05:27call as the FFS

00:05:28or the fee for fee service.

00:05:31Anong ibig sabihin nito

00:05:32and how will it differentiate

00:05:34with the current mode of payment

00:05:36or reimbursement natin sa PhilHealth

00:05:38which as mentioned, Ms. Lina,

00:05:41is the PhilHealth case rate.

00:05:43Kung FFS kasi,

00:05:44ang mode of payment natin

00:05:46before, tinitingnan natin

00:05:48kung how much yung mga

00:05:50naku-cover natin ng mga servisyo.

00:05:53Meaning, we still compute

00:05:54for the room and board,

00:05:55kinocompute natin yung mga gamot

00:05:58na ibinigay

00:05:59for that particular condition

00:06:00as well as yung mga laboratories

00:06:02na in order for that case.

00:06:05So, kung ditingnan natin,

00:06:06mas matagal yung pag-process

00:06:08natin ng claims.

00:06:09But with the current mode

00:06:11of reimbursement ngayon,

00:06:13which is the PhilHealth case rate,

00:06:15meron na tayong fixed fee.

00:06:18Anong ibig sabihin nito?

00:06:19If, for example,

00:06:21ang isang pasyente

00:06:22na admit sa isang ospital

00:06:24with a case of

00:06:25community-acquired pneumonia,

00:06:27moderate risk,

00:06:29before siya madi-discharge,

00:06:31alam niya na

00:06:32kung magkano

00:06:33ang pwede niyang ma-avail

00:06:34sa PhilHealth.

00:06:35For example,

00:06:37a case of

00:06:37community-acquired pneumonia,

00:06:39moderate risk,

00:06:41alam ka agad niya

00:06:41na meron pala siyang

00:06:43pwede ma-avail

00:06:44in the amount of

00:06:45around 29,250.

00:06:47So, ibig sabihin,

00:06:49hindi na siya mag-worry.

00:06:51The remaining na lang,

00:06:52if meron pa,

00:06:53yun na lang yung babayaran niya.

00:06:55Kasi covered na ng PhilHealth,

00:06:56yung PhilHealth case rate

00:06:58for that particular case.

00:07:00Alright.

00:07:01So, mas dali

00:07:01ma-identify

00:07:02sa ato ang mga members,

00:07:05kung pilagyod

00:07:06ang ilang i-expect

00:07:07na i-cover sa PhilHealth.

00:07:10At the same time,

00:07:11maka-ready sila

00:07:12sa excess.

00:07:13Especially kung naa sila

00:07:14sa mga private hospital.

00:07:16So, naa sila'y

00:07:18kani nga,

00:07:19higayon nga maka

00:07:20set aside

00:07:21sa ilang

00:07:22ang gastuan

00:07:23or budget

00:07:24for the excess

00:07:25of PhilHealth

00:07:25nga coverage.

00:07:27Yes.

00:07:27Right?

00:07:28Do, do,

00:07:28und say,

00:07:29mga waste pod,

00:07:30maybe,

00:07:30ang ato ang mga viewers

00:07:31karun,

00:07:32mag-wonder sila,

00:07:33asa man ako ni makita

00:07:35ang mga case rates

00:07:36sa PhilHealth?

00:07:36Or,

00:07:37how easy is it

00:07:38to access,

00:07:39no?

00:07:39Or to,

00:07:40no,

00:07:41kung und say,

00:07:42makover yun yung PhilHealth

00:07:43kung kani akong illness

00:07:44or kani akong surgery

00:07:46nga i-undergo?

00:07:47Yes,

00:07:47very good question,

00:07:48Ms. Dina,

00:07:48no?

00:07:49Of course,

00:07:50si PhilHealth,

00:07:50kung titingin natin,

00:07:51nasa technology era

00:07:53na tayo ngayon.

00:07:54So, lahat,

00:07:55I'm sure,

00:07:56may mga Facebook,

00:07:58pwedeng mag-check

00:07:59sa internet,

00:08:01but of course,

00:08:02makikita natin,

00:08:03ano pa nga yung coverage ko?

00:08:04For example,

00:08:05community acquired pneumonia,

00:08:07meron tayong tinatawag

00:08:08na ACR Search Facility App,

00:08:10which can be checked

00:08:12sa Google Play Store.

00:08:13Also,

00:08:14sa ating PhilHealth website,

00:08:16we have also

00:08:17the ACR Search Facility,

00:08:19na kung saan

00:08:20machi-check

00:08:21ng ating mga miyembro

00:08:22how much talaga

00:08:24yung maka-cover

00:08:24ni PhilHealth.

00:08:25Paano nila machi-check?

00:08:27For example,

00:08:28if we go to our

00:08:29PhilHealth website,

00:08:30may nakalagay doon

00:08:32kung ano yung kaso

00:08:33ni pasyente.

00:08:35For example,

00:08:36pwedeng medical case,

00:08:38pwedeng ilagay niya

00:08:39pneumonia,

00:08:40moderate risk,

00:08:41or kung procedure naman yan

00:08:42because we have

00:08:43what we call as

00:08:44the procedural case rate,

00:08:46so pwede niyang ilagay din

00:08:47kung ano yung name

00:08:49ng procedure.

00:08:50Aside from that,

00:08:52if familiar naman siya

00:08:53sa tinatawag nating

00:08:54ICD-10 code,

00:08:55or simply

00:08:56International Classification

00:08:58of Diseases,

00:08:59currently,

00:09:00we are at the

00:09:0110th revision,

00:09:02pwede rin niyang ilagay

00:09:03for the medical cases,

00:09:05or may tinatawag tayong

00:09:07RVS code,

00:09:09or the relative value scale

00:09:10for procedural case rates naman.

00:09:13So pwede rin niyang

00:09:14i-search

00:09:14sa nabanggit kong

00:09:15ACR Search Facility.

00:09:18Alright,

00:09:19so handy na giyod,

00:09:20ang ato ang mga

00:09:21facilities.

00:09:22So pwede,

00:09:23kung Android users,

00:09:24they can access

00:09:25through the

00:09:26Play Store,

00:09:27download lang ang app,

00:09:29no,

00:09:29PhilHealth,

00:09:29ACR,

00:09:30or all case rate

00:09:32nga search app.

00:09:33And for those

00:09:34mga

00:09:35IOS users,

00:09:36pwede rin niyang

00:09:37sa PhilHealth website.

00:09:39Siguro,

00:09:39Dok,

00:09:39ang tip na lang

00:09:40na-mention ni mo

00:09:41na ICD-10 code,

00:09:42na IRVS code,

00:09:44sometimes,

00:09:44mag-search ta,

00:09:45kung di nasa

00:09:46medical field,

00:09:47wala gita yung idea

00:09:48sa iyang actual

00:09:49medical term.

00:09:50Lahih ang atong word,

00:09:51no,

00:09:52nga,

00:09:53kind of reglament's term

00:09:54sa sakit,

00:09:54but lahig yun ang

00:09:55actual nga medical case.

00:09:57So better good nga

00:09:58maka-ask siguro

00:10:00ang atong mga members

00:10:01or ang family member,

00:10:03no,

00:10:03sa pasyente

00:10:04dito sa doktor,

00:10:05kung unsay medical term

00:10:06sa diagnosis,

00:10:08if possible,

00:10:09ang ICD-10 code,

00:10:11no,

00:10:11or ang RBS code

00:10:13for those nga

00:10:13mag-undergo sa surgery.

00:10:15Now,

00:10:17unsa na sa kanin,

00:10:18dinigidok,

00:10:19no,

00:10:19ang ato ang ganahan

00:10:20masairan,

00:10:21unsa ang mga nag-una

00:10:22nga mga cases

00:10:23nga ma-cover

00:10:24na to

00:10:26or gibayra na to

00:10:27dito sa atong mga

00:10:27accredited nga

00:10:28health facilities

00:10:29probably for the past year,

00:10:31no,

00:10:31sa kaning mga

00:10:32medical case rates.

00:10:34Yeah.

00:10:34So kung titingnan natin,

00:10:35for last year's

00:10:37top 10 medical cases,

00:10:39halos magkakatulad siya

00:10:40for the previous years.

00:10:42But nasa number one talaga

00:10:44ang community

00:10:44acquired pneumonia.

00:10:46Familiar naman tayo,

00:10:47no,

00:10:47sa term na pneumonia.

00:10:50When you speak of pneumonia,

00:10:51there's an infection

00:10:52sa ating respiratory

00:10:54tract.

00:10:55And of course,

00:10:56yun yung nangunguna

00:10:57na medical case.

00:10:58Aside from that,

00:11:00second sa list

00:11:02is the acute

00:11:03gastroenteritis

00:11:04or in layman's term,

00:11:06tinatawag natin

00:11:07kalibanga.

00:11:08So that's the

00:11:09top two.

00:11:11And then for the third,

00:11:13also a common condition,

00:11:14we have the

00:11:15urinary tract infection

00:11:17or an infection

00:11:18na nasa

00:11:20urinary tract.

00:11:21Common din siya

00:11:22sa mga

00:11:23Pilipinos,

00:11:24UTI.

00:11:25Then of course,

00:11:26very common as well,

00:11:27especially kung

00:11:28tigulan na,

00:11:30dengue,

00:11:31common,

00:11:32masyado.

00:11:33At the same time,

00:11:35we have also

00:11:35acute gastritis.

00:11:37Ano nga itong

00:11:38acute gastritis?

00:11:39When you speak of

00:11:40gastritis kasi,

00:11:41itis,

00:11:42it means

00:11:42inflammation

00:11:44or irritation

00:11:45sa ating lining

00:11:47ng stomach.

00:11:49And usual cases nito,

00:11:50yung mga,

00:11:51for example,

00:11:52tinatake natin,

00:11:53mga caffeinated,

00:11:54mga sodas,

00:11:56at the same time,

00:11:57also may mga infection

00:11:58that can,

00:11:58of course,

00:11:59inflame

00:12:00our stomach lining.

00:12:02For example,

00:12:02very common here

00:12:03is the bacterial infection

00:12:05H. pylori.

00:12:07Also other conditions,

00:12:09we have mga ulcer

00:12:10can also cause

00:12:11gastritis.

00:12:12At the same time,

00:12:14very common as well.

00:12:15Tinitingnan natin,

00:12:17per history,

00:12:18hindi lamang siyang sakit

00:12:19sa tinatawag natin

00:12:20mga senior citizen,

00:12:21but per data,

00:12:23napapansin natin

00:12:24na pabata

00:12:25ng pabata

00:12:26itong sakit,

00:12:27no?

00:12:27An increase

00:12:28in the blood pressure

00:12:29or hypertension.

00:12:32So,

00:12:32hindi lamang pala

00:12:33siyang sakit

00:12:34ng mga tinatawag

00:12:35natin senior citizen,

00:12:36but currently,

00:12:38based on the data

00:12:39na kinulet natin,

00:12:41pabata

00:12:41ng pabata.

00:12:42So,

00:12:43dapat,

00:12:43of course,

00:12:44yung ating mga

00:12:44kabataan,

00:12:46yung ating lifestyle,

00:12:48very important,

00:12:49That's very crucial.

00:12:50At the same time,

00:12:52another common

00:12:53medical condition

00:12:54last year

00:12:55is yung tinatawag

00:12:56nating hubak

00:12:57in Bisaya.

00:12:59Or in medical term,

00:13:00we have

00:13:00bronchial asthma.

00:13:03Also,

00:13:04we have

00:13:05another medical condition

00:13:06na common din

00:13:07is dyspepsia

00:13:09or tinatawag

00:13:10nating indigestion.

00:13:12So,

00:13:13very common

00:13:14as well.

00:13:15So,

00:13:15common causes

00:13:16nito,

00:13:16of course,

00:13:17we have

00:13:17mga peptic ulcer

00:13:18disease,

00:13:19mga ganon.

00:13:20Infection also

00:13:21can cause

00:13:22nito.

00:13:23And then,

00:13:24kung hindi

00:13:25natin

00:13:25mga aagapan,

00:13:27common as well

00:13:28yung acute

00:13:29respiratory failure.

00:13:30So,

00:13:31usually kasi

00:13:32ang start

00:13:33nang yan

00:13:33is infection.

00:13:34Hindi naagapan,

00:13:35nag-worsen,

00:13:36which can lead,

00:13:38ayaw nating

00:13:38mangyari,

00:13:39to acute

00:13:40respiratory failure.

00:13:41But based

00:13:42on data

00:13:42last year,

00:13:44isa siya

00:13:44sa mga

00:13:44nangunguna

00:13:45for the

00:13:46most common

00:13:46medical cases.

00:13:48And of course,

00:13:49very common

00:13:49as well,

00:13:50yung upper

00:13:51respiratory

00:13:52tract infection.

00:13:54Especially,

00:13:55kung tigulan,

00:13:56may ubo,

00:13:57sipon.

00:13:59Also,

00:14:00hindi lang

00:14:00specific

00:14:01ang infection

00:14:01nito,

00:14:02it could be

00:14:02a viral

00:14:03in a region,

00:14:05it could be

00:14:05a bacterial

00:14:06in a region,

00:14:07or even

00:14:07fungal

00:14:08for that

00:14:08purpose.

00:14:09Especially,

00:14:10kung hindi

00:14:10mataas yung

00:14:11ating immune

00:14:11system,

00:14:13tapos

00:14:13walang

00:14:15palabas

00:14:16na hangin,

00:14:17tapos

00:14:17nag-hahawa-hawa

00:14:18tayo,

00:14:19so very

00:14:19common yung

00:14:20upper

00:14:21respiratory

00:14:21tract infection.

00:14:23Right.

00:14:23So,

00:14:24very noticeable,

00:14:26doc,

00:14:26nung kanyang

00:14:27mga cases

00:14:27na hospital

00:14:28ang pasyente

00:14:29na confined

00:14:31sa kaospital,

00:14:33gitambalan,

00:14:34but many

00:14:35of these

00:14:35cases,

00:14:36preventable.

00:14:37Exactly.

00:14:38Pwede rin,

00:14:38like,

00:14:38itong essential

00:14:39hypertension,

00:14:40doc,

00:14:40nga daghan

00:14:40na day cases

00:14:41for the

00:14:41younger generation,

00:14:42no?

00:14:43Before,

00:14:43when we talk

00:14:44about hypertension,

00:14:45senior citizens,

00:14:47good na,

00:14:48tumaho naunaan,

00:14:48but this time,

00:14:49younger ones,

00:14:50nga,

00:14:51nga nag-di-ani

00:14:52condition.

00:14:54So,

00:14:54unsa'y mong

00:14:55ma-advise

00:14:55siguro,

00:14:56doc,

00:14:56for our

00:14:56listeners,

00:14:57our viewers

00:14:58today,

00:14:59nga,

00:14:59na ay

00:15:00experience

00:15:01or na

00:15:02history,

00:15:02nga nagka

00:15:03sakit sila,

00:15:04aning nga

00:15:04mga illnesses,

00:15:05nga top

00:15:06cases atong

00:15:07gibayran sa

00:15:07mi aging tuig.

00:15:08Yes.

00:15:09So,

00:15:09kung titingin natin,

00:15:10no,

00:15:11sa na-mention ko

00:15:12na top 10

00:15:13medical cases,

00:15:15actually,

00:15:15nine of which,

00:15:16pwede talaga

00:15:17siyang ma-prevent.

00:15:18But the problem

00:15:19is,

00:15:20meron tayong

00:15:20mga benepisyo,

00:15:21sana,

00:15:23for that.

00:15:23But,

00:15:24per data,

00:15:25kukunti pa lang

00:15:26ang nagpaparehistro

00:15:28sa ating mga

00:15:28yakap providers.

00:15:30Kasi,

00:15:31kung titingin natin,

00:15:31paulit-ulit

00:15:32nating sinasabi,

00:15:33sa mga social media,

00:15:36even,

00:15:36no,

00:15:36sa central office

00:15:37and other regions,

00:15:39yung yakap,

00:15:40we keep on emphasizing.

00:15:41Kasi,

00:15:42kung babacktrack lang tayo

00:15:43kung ano yung

00:15:44coverage ng yakap,

00:15:45of course,

00:15:46we have the 13

00:15:47laboratory tests.

00:15:48Also,

00:15:49we have the 21

00:15:50molecules

00:15:51na pwede sanang,

00:15:53kung pumunta lang tayo

00:15:54sa ating mga yakap providers,

00:15:56ma-prevent

00:15:57itong mga kondisyon.

00:15:58For example,

00:16:00so,

00:16:00yun ang ungunan natin,

00:16:01community-acquired pneumonia.

00:16:03Kung may ubo tayo

00:16:04at pumunta na sana tayo

00:16:06sa ating mga yakap provider,

00:16:08sana,

00:16:08pwedeng

00:16:09nag-order si doc,

00:16:11no,

00:16:12ng CBC

00:16:13or ng X-ray

00:16:15to check

00:16:16if there is

00:16:17really

00:16:17an infection.

00:16:19If meron man,

00:16:20pwedeng

00:16:21mag-prescribe si doc

00:16:23ng mga antibiotics,

00:16:25which are also available

00:16:27sa ating yakap providers.

00:16:29Aside from that,

00:16:31yung urinary tract infection.

00:16:33Part of our laboratory

00:16:35for yakap

00:16:36is urinalysis.

00:16:37At the same time,

00:16:39CBC,

00:16:40na kung saan,

00:16:41kung meron tayong nararamdaman

00:16:43sa ating pag-ihi,

00:16:44at pumunta tayo

00:16:45sa ating yakap provider,

00:16:46so,

00:16:47pwedeng

00:16:47nag-order si doc

00:16:49ng laboratory

00:16:49for urinalysis.

00:16:51And if ever

00:16:52nag-order si doc

00:16:53and nakita

00:16:55na may UTI,

00:16:56we have also

00:16:56antibiotics

00:16:57na pwede sanang

00:16:59makatulong

00:16:59at hindi na umabot

00:17:01sa ospital

00:17:02at ma-admit.

00:17:04So,

00:17:04also,

00:17:05we have

00:17:06yung kalibanga.

00:17:07So,

00:17:08very,

00:17:08ano siya eh,

00:17:09pwede siyang ma-prevent

00:17:10actually.

00:17:11But the problem is,

00:17:12yun nga,

00:17:14hindi tayo pumupunta

00:17:15sa ating mga yakap providers,

00:17:16pumupunta na lang tayo

00:17:18if malala na.

00:17:19So,

00:17:20which is sana

00:17:21na-prevent natin

00:17:22sa yakap pa lang.

00:17:23So,

00:17:24as I've mentioned,

00:17:25pwede ko pang i-mention

00:17:27a lot,

00:17:28but actually,

00:17:29nine out of those,

00:17:30pwede sana talagang

00:17:31mag-prevent

00:17:32if pumunta tayo

00:17:34sa ating mga yakap providers.

00:17:35Also,

00:17:36to add lang,

00:17:36Miss Dina,

00:17:38ang dami na kasi

00:17:39nating mga yakap providers

00:17:40in Region 7.

00:17:41So,

00:17:42currently,

00:17:43to date,

00:17:43nasa 285

00:17:46yakap providers na tayo

00:17:47just sa Region 7.

00:17:50So,

00:17:50ang dami.

00:17:51So,

00:17:51pwedeng ang dami nating

00:17:52mapupuntahan

00:17:53ng mga yakap providers

00:17:54if only

00:17:55pumunta sana tayo

00:17:57na agapan

00:17:58yung mga top 10

00:17:59medical case rates.

00:18:01Alright.

00:18:02So,

00:18:02I hope,

00:18:03no,

00:18:03ma-realize na sa ito

00:18:05ang mga members.

00:18:06Si PhilHealth,

00:18:06wala na siya nag-create

00:18:07o benefit package.

00:18:09Wala niya g-create

00:18:10ang yakap

00:18:11just for the sake

00:18:11of having

00:18:13another benefit package.

00:18:15But,

00:18:15gitanao sa dyod

00:18:16ni PhilHealth,

00:18:17in line po sa ito

00:18:18ang pag-comply

00:18:19sa universal healthcare

00:18:20lo nga,

00:18:21dapat na agit

00:18:22tayo primary care

00:18:22benefit.

00:18:23Doc,

00:18:23no?

00:18:24So,

00:18:24ang PhilHealth

00:18:25nagtinguha agit nga

00:18:26ma-prevent

00:18:27ang mas grabing

00:18:28mga balatian.

00:18:29So,

00:18:30i-explain na ni Doc

00:18:31ganina nga,

00:18:31pwede na g-prevent.

00:18:33Dilita mo,

00:18:34dagan na sa hospital,

00:18:35no?

00:18:35Kung early on,

00:18:36nakapa-check up ta.

00:18:38So,

00:18:38na-resitaan ta ni Doc,

00:18:40ugtambal,

00:18:41nagkinahanglan,

00:18:41and at the same time,

00:18:42napag-i-laboratory tests.

00:18:44And,

00:18:45free pag-iud ni siya

00:18:46dito sa atong

00:18:47mga government

00:18:47na yakap clinics.

00:18:49No?

00:18:49Although,

00:18:50sa atong private clinics

00:18:51na may few,

00:18:52no?

00:18:52Nga sila mo

00:18:53require o copayment

00:18:54ng katong 900 pesos,

00:18:55Doc,

00:18:55no?

00:18:55But,

00:18:58unsara man ang 900,

00:18:59no?

00:18:59Nga preventive ni mo

00:19:01nga gibayad,

00:19:02no?

00:19:02As copayment.

00:19:03Kumpara sa ma-hospital ka,

00:19:05mas dako ang imuhang

00:19:06expected nga out-of-pocket

00:19:08pag yun.

00:19:09So,

00:19:09ka na,

00:19:09no?

00:19:10We hope nga

00:19:11ma-try na to

00:19:12shift ang mindset

00:19:14sa atong mga

00:19:14kapwa-Pilipinos

00:19:15nga

00:19:16ato gining

00:19:17i-avail

00:19:18ang primary preventive

00:19:20nga benefits

00:19:21sa PhilHealth

00:19:22ang yakap.

00:19:22So,

00:19:22ka na,

00:19:23no?

00:19:23So,

00:19:24puspusan nga

00:19:24atong mga efforts

00:19:27anipag-inform

00:19:28sa atong mga members.

00:19:29So,

00:19:29if you can

00:19:30observe,

00:19:31Nakayakap shirt

00:19:32regularly

00:19:33ang ato ang mga

00:19:34kauban sa atong

00:19:35local health insurance

00:19:36offices.

00:19:38By the way,

00:19:38nagtanaw si Miss Tess

00:19:39sa Talibon,

00:19:40no?

00:19:40Sa atong local office

00:19:41diha sa Talibon,

00:19:42Bohol.

00:19:43Hello,

00:19:43Miss Tess.

00:19:44Miss Teresa Abelia

00:19:45and sa atong mga

00:19:46kaubanan diha sa

00:19:47Leos.

00:19:48And,

00:19:48kanino,

00:19:50regularly,

00:19:51mo-filled yun na

00:19:51atong mga kaubanan

00:19:52sa PhilHealth

00:19:53para ma-spread

00:19:54ang information,

00:19:56makapalista

00:19:56sa yakap clinic

00:19:57na preferred nila

00:19:58atong mga members.

00:19:59At the same time,

00:20:00mga-filled nila

00:20:01ang services,

00:20:02no?

00:20:02Kayo,

00:20:02nag-tie up yun na

00:20:03atong mga Leos

00:20:04with the

00:20:05mga facilities.

00:20:06Labi na sa mga

00:20:07far-flung area

00:20:08sa mga munisipio,

00:20:09no?

00:20:09Ang mga LGUs

00:20:10gipartner sa atong

00:20:11local offices

00:20:12para ma-serve na po

00:20:13right away

00:20:14dito sa mga

00:20:15accredited na itong

00:20:16rural health units

00:20:18or mga

00:20:18primary care facilities

00:20:20ang services

00:20:21nga gikinahanglan

00:20:22sa atong mga members.

00:20:23Right?

00:20:24So,

00:20:24katunod,

00:20:25nahiskutan ni Doc

00:20:26ang mga

00:20:27top medical cases.

00:20:29This time,

00:20:30ato pong sayran,

00:20:31Doc,

00:20:31kung sa'y mga top

00:20:32po na itong

00:20:33procedure,

00:20:34procedural,

00:20:35or mga

00:20:35kaning

00:20:36sa tawag ani

00:20:37ang uban surgery

00:20:38manino,

00:20:38pero dilinitan

00:20:39ng surgical procedures

00:20:40kung sa pod

00:20:41ang mga top

00:20:42nag-una nga

00:20:43itong nabayaran

00:20:43sa miaging tuig.

00:20:44Yeah.

00:20:45Actually,

00:20:46sad to say din,

00:20:47same pa rin siya

00:20:48sa mga previous natin

00:20:49ng mga cases

00:20:50for surgical

00:20:51na tawag natin

00:20:52procedure case rates.

00:20:54Nangunguna pa rin

00:20:55yung

00:20:56dialysis,

00:20:57dialysis,

00:20:58na sana

00:20:59pwede nating

00:21:00ma-prevent.

00:21:01Kasi kung titingin natin,

00:21:03meron tayong

00:21:04laboratory for yakap,

00:21:06babalik tayo ulit,

00:21:07yakap na

00:21:08naman,

00:21:08we have what we

00:21:09have the laboratory

00:21:10as creatinine.

00:21:12Ang creatinine kasi

00:21:13check niya

00:21:14kumusta yung kidney

00:21:15natin.

00:21:16Na sana,

00:21:17early on,

00:21:18if na-check natin

00:21:20and na-assess

00:21:20ni Doc,

00:21:21sana hindi

00:21:22umabot sa point

00:21:23na yung ating

00:21:24kidney magiging

00:21:25chronic kidney

00:21:26disease.

00:21:27Which is,

00:21:28ito na yung

00:21:28ginagawa natin

00:21:29ngayon,

00:21:30yung dialysis.

00:21:31At the same time,

00:21:32another pinaka

00:21:34topmost din

00:21:35for the procedural

00:21:36or tinatawag natin

00:21:38mga RVS codes

00:21:40is the expanded

00:21:41newborn care package.

00:21:43Ibig sabihin,

00:21:44ang daming

00:21:44nanganganak.

00:21:45Productive.

00:21:47productive pa rin

00:21:48tayo sa Pilipinas.

00:21:49Kasi mga pangalawa siya

00:21:51sa pinakamarami

00:21:52na nag-avail

00:21:53for procedure case rates.

00:21:54At the same time,

00:21:56nababahala ako

00:21:57because of this

00:21:58third

00:21:58na procedure.

00:22:00We have

00:22:01the chemotherapy

00:22:02administration

00:22:03and fourth,

00:22:05isusunod ko lang ulit,

00:22:07the radiation therapy.

00:22:08Kasi itong mga kaso,

00:22:10ibig sabihin,

00:22:11these are usually

00:22:12for mga cancer patients.

00:22:15Nababahala ako

00:22:16kasi dumadami

00:22:17yung kaso

00:22:18ng cancer

00:22:18sa Pilipinas.

00:22:20And alam naman natin

00:22:21kung cancer na yan,

00:22:23mahal talagang

00:22:24magkasakit

00:22:24pag cancer na.

00:22:26At the same time,

00:22:28of course,

00:22:29andyan yung

00:22:29expanded newborn care package.

00:22:31So,

00:22:32of course,

00:22:32part pa rin

00:22:33ang listahan natin

00:22:34for the top 10

00:22:35procedure case rate

00:22:36is the

00:22:37spontaneous delivery package.

00:22:39Yung mga nanganganak

00:22:40ng mga mommies.

00:22:42Yung maternity care package

00:22:43natin.

00:22:44Then of course,

00:22:45ito bago.

00:22:47Although not

00:22:48that bago,

00:22:49we have

00:22:49the facility-based

00:22:50emergency benefit

00:22:52or yung tinatawag

00:22:52natin OECB

00:22:54na kapag pumunta

00:22:56ka sa isang

00:22:57hospital,

00:22:57sa ER,

00:22:59and tingin ng doktor,

00:23:00kailangan mga

00:23:01laboratories

00:23:01na ibigay

00:23:02at hindi naman

00:23:03kailangang i-admit.

00:23:05Tapos yung kaso na ito

00:23:06is sinasabi natin

00:23:07urgent or

00:23:08emergent na case.

00:23:09So,

00:23:10pwede tayong

00:23:10mag-avail

00:23:11sa ER

00:23:11ng mga hospital.

00:23:13At the same time,

00:23:14meron tayong

00:23:15animal bite treatment.

00:23:17So,

00:23:18ang dami pa rin

00:23:18na paakan

00:23:19o mga

00:23:20ero.

00:23:22So,

00:23:22ina-advise namin

00:23:23sa mga pet owners

00:23:24natin.

00:23:25Ako din,

00:23:26isa sa mga

00:23:27mahilig

00:23:27na mga pets.

00:23:29So,

00:23:29especially yung

00:23:30ating mga

00:23:30aso.

00:23:31So,

00:23:32as pet owners,

00:23:33dapat tingnan din natin

00:23:34na hindi sila

00:23:35makakalabas

00:23:36sa ating mga

00:23:36kabahayan.

00:23:37Then of course,

00:23:39also,

00:23:39nababahala din ako

00:23:40na sa number

00:23:42nine siya,

00:23:43yung ating

00:23:44HIV-AIDS

00:23:45outpatient package.

00:23:47So,

00:23:47ina-advise namin,

00:23:48kung may

00:23:49napapansin kayo

00:23:50ng mga sintomas,

00:23:52marami na po tayo

00:23:53mga OHAT package

00:23:54providers.

00:23:55Magpachack po tayo

00:23:56para maagapan.

00:23:57Then of course,

00:23:59the last,

00:24:00in relation pa rin

00:24:01sa cancer,

00:24:02we have

00:24:02radiation therapy.

00:24:04Which,

00:24:05happy kami

00:24:06with Philly Health

00:24:07kasi nga,

00:24:09naglabas tayo

00:24:10ng cancer screening.

00:24:12So,

00:24:13although

00:24:13na-mention naman siya

00:24:14sa ating mga

00:24:15media coverage natin

00:24:17for cancer screening,

00:24:18of course,

00:24:19we cover,

00:24:19of course,

00:24:20the breast

00:24:21na cancer.

00:24:22We have the

00:24:23breast ultrasound,

00:24:24mammogram,

00:24:25and then we have

00:24:26the colorectal cancer.

00:24:28So,

00:24:28we have

00:24:29colonoscopy

00:24:30for that

00:24:31to,

00:24:31of course,

00:24:32check kung

00:24:33prone ba tayo

00:24:34for colorectal cancer.

00:24:35And then of course,

00:24:36we have the

00:24:37alpha-phetoprotein

00:24:38for the liver cancer.

00:24:40And then of course,

00:24:41we have the

00:24:41low-dose chest

00:24:42CT scan

00:24:43for lung cancer naman.

00:24:45So,

00:24:45at least,

00:24:46hopefully,

00:24:46mag-agapan.

00:24:47But of course,

00:24:48the cancer screening,

00:24:49dapat pa rin tayong

00:24:50pumunta sa ating

00:24:51YACA provider.

00:24:53Kasi,

00:24:53the YACA provider

00:24:55kasi is the navigator

00:24:56with UHC,

00:24:57very crucial role,

00:24:59very critical

00:25:00ang role

00:25:01ni YACA provider.

00:25:02Kasi siya yung

00:25:03nag-a-assess

00:25:04whether

00:25:04itong pasyente na ba ito,

00:25:06kailangan ba namin

00:25:07i-refer

00:25:08to a cancer screening

00:25:09provider?

00:25:10Kasi nga,

00:25:11tine-check nila

00:25:12ang history

00:25:12ng pasyente.

00:25:13So,

00:25:13kung may history

00:25:14yan ng cancer,

00:25:15mga kailangan

00:25:16ma-check

00:25:16kung prone ba siya

00:25:18to develop

00:25:19those cancers.

00:25:21So,

00:25:21as I've mentioned,

00:25:22again,

00:25:22marami na po tayo

00:25:23ang cancer screening

00:25:24package providers

00:25:26si Region 7.

00:25:27Currently,

00:25:28we have 25

00:25:29na mga cancer screening

00:25:31providers

00:25:32in the entire Region 7.

00:25:33Then,

00:25:34of course,

00:25:35happy income

00:25:36with the gamot

00:25:37naman

00:25:38ng mga providers.

00:25:39Kasi kung hindi

00:25:40kakayanin

00:25:40sa yakap

00:25:41yung 21

00:25:42na molecules,

00:25:43meron pa rin tayong

00:25:4454

00:25:45na mga medications

00:25:47na pwedeng ma-avail

00:25:48sa ating mga gamot

00:25:49providers.

00:25:50Currently,

00:25:51ang dami rin yung

00:25:52ating mga gamot

00:25:52providers na,

00:25:53ang dami,

00:25:54around 160 plus

00:25:56yung ating mga

00:25:57gamot providers

00:25:58and nag-i-increase

00:25:59pa po tayo

00:26:00ng mga providers

00:26:01for gamot.

00:26:02Okay.

00:26:03So,

00:26:03non-stop

00:26:04ang effort

00:26:05sa Healthcare

00:26:06Delivery Management

00:26:07Division sa PhilHealth

00:26:08through our

00:26:08Accreditation and Quality

00:26:10Assurance Section

00:26:11in engaging

00:26:12with our health

00:26:13facilities

00:26:13na mag-partner

00:26:14sila sa PhilHealth

00:26:16in boosting

00:26:17our yakap

00:26:19benefits.

00:26:19aside sa natin

00:26:20mga yakap clinics,

00:26:22gimension ni Doc,

00:26:22important ka ayo,

00:26:23dilita pwede mo

00:26:24dagan lang

00:26:25sa cancer screening

00:26:25facility

00:26:26without going

00:26:27through our yakap

00:26:28clinics.

00:26:29si yakap

00:26:30Dr.

00:26:31did ang mo

00:26:31assess Doc

00:26:32and mo

00:26:33advise ni

00:26:34member

00:26:35or ni patient

00:26:36na kinahanglan siya

00:26:37o cancer screening

00:26:38test.

00:26:39And there,

00:26:39i-refer na ta

00:26:41doon siguro

00:26:42or doon na

00:26:43din na

00:26:43sa area

00:26:43ninyong

00:26:44cancer screening

00:26:45facility.

00:26:46So,

00:26:46yung ana

00:26:47ito ang

00:26:48gihimong

00:26:49proseso

00:26:50para

00:26:50mag-guide

00:26:51na,

00:26:52mag-iyahan

00:26:53ta ng mga

00:26:54members

00:26:54sa pag-maximize

00:26:56na ito

00:26:56sa ito

00:26:56ang primary

00:26:57care benefits

00:26:58of health

00:26:58and to

00:26:59emphasize

00:27:00preventive.

00:27:01So,

00:27:01dili pa,

00:27:02wala pa din ha

00:27:03ang mga

00:27:03sintoma

00:27:04siguro Doc,

00:27:05Ba't na itong

00:27:05gimension ni Doc

00:27:06na anay

00:27:06family history

00:27:07of cancer?

00:27:08So,

00:27:10nindot

00:27:10giyod nga

00:27:11makapacheck

00:27:11na tadaan

00:27:12araw

00:27:13maka-advise

00:27:13po

00:27:14ng itong

00:27:14yakap

00:27:14physician

00:27:15sa itong

00:27:16gikinahanglan

00:27:16ng mga

00:27:17tests.

00:27:18And,

00:27:18mali ka yan,

00:27:19no?

00:27:19Kaya,

00:27:20although

00:27:20cliche

00:27:21and gasgas

00:27:22na kaayo

00:27:51ang prevention

00:27:52as basing na

00:27:53mo yung mga

00:27:53pangutana

00:27:54ni Doc

00:27:54about

00:27:55sa inyong

00:27:55mga

00:27:55benefits,

00:27:56no?

00:27:57Or,

00:27:57you want

00:27:58to clarify

00:27:59further

00:28:00unsapay

00:28:00inyuhang

00:28:01wala

00:28:02masabtan

00:28:03sa yakap

00:28:03na benefit.

00:28:04Okay,

00:28:05very ready

00:28:06si Doc

00:28:06to respond

00:28:07to those

00:28:08questions,

00:28:08no?

00:28:09So,

00:28:10ibutang

00:28:10sa comment

00:28:11section

00:28:11na inyong

00:28:11mga

00:28:11pangutana

00:28:12while

00:28:12nagprogram

00:28:13ta,

00:28:13no?

00:28:13Aro na

00:28:13tubag

00:28:14unya?

00:28:14Daghan

00:28:15pod

00:28:15ang

00:28:16makadungog

00:28:17o

00:28:17makahibalo,

00:28:18no?

00:28:18Ani nga

00:28:18mga

00:28:19information.

00:28:23Ito sa

00:28:23ito

00:28:24ang

00:28:24last

00:28:25question

00:28:26sa ito

00:28:26ang

00:28:26talking

00:28:27points,

00:28:28Doc,

00:28:28no?

00:28:29Ito

00:28:30lang

00:28:30pod

00:28:30encourage

00:28:31itong

00:28:31mga

00:28:32members

00:28:32na

00:28:33ifollow

00:28:33ang

00:28:33FieldHealth

00:28:34Region 7

00:28:34page

00:28:35aroon

00:28:35regularly

00:28:36makakuha

00:28:36mong

00:28:37updates

00:28:37about

00:28:37sa yakap

00:28:38and

00:28:38other

00:28:39field

00:28:39health

00:28:39benefits,

00:28:40no?

00:28:40Sa itong

00:28:41mga

00:28:41kaigsuunan

00:28:41diha

00:28:42sa Mindanao,

00:28:43especially

00:28:43sa mga

00:28:44extremely

00:28:45affected

00:28:46sa

00:28:46earthquake,

00:28:47no?

00:28:47Nang

00:28:47hinaot

00:28:48min

00:28:49naamu

00:28:50sa

00:28:50maayong

00:28:50hintang

00:28:50na

00:28:51karoon,

00:28:51Despite

00:28:51naapa

00:28:52siguro

00:28:52yung

00:28:52mga

00:28:52shaking,

00:28:53Doc,

00:28:54Naatay

00:28:55outpatient

00:28:56emergency

00:28:56care

00:28:57benefit

00:28:57package

00:28:58for you.

00:28:59So,

00:29:00dool sa

00:29:00inyong

00:29:01mga

00:29:01accredited

00:29:02facilities

00:29:02or

00:29:03hospitals

00:29:03din ha

00:29:04sa inyong

00:29:04area.

00:29:05So,

00:29:05sa mga

00:29:05taga

00:29:05Region 12,

00:29:06Region 11,

00:29:08and

00:29:08neighboring

00:29:09mga

00:29:09provinces

00:29:10din ha

00:29:11sa

00:29:11Mindanao,

00:29:12sa

00:29:13Sarangani

00:29:13province,

00:29:14atong

00:29:14mga

00:29:14colleagues

00:29:15din ha

00:29:15sa

00:29:15Region 12

00:29:16or

00:29:16Region 11.

00:29:18We are

00:29:19praying

00:29:19for

00:29:19your

00:29:20safety

00:29:20and

00:29:20nang

00:29:21hina-output

00:29:21na

00:29:22matagam-taman

00:29:23sa

00:29:23atong

00:29:24mga

00:29:24members

00:29:24ang

00:29:24benefit

00:29:25packages.

00:29:26Although,

00:29:26as much

00:29:26as

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00:37:13and

00:37:14of

00:37:14course

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00:37:16think

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00:37:16discussed

00:37:16na

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00:37:17sa

00:37:17sandstar

00:37:18yung

00:37:19expanded

00:37:19maternity

00:37:20care

00:37:20benefit

00:37:20package

00:37:21so

00:37:22aside

00:37:22from

00:37:22that

00:37:22expect

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00:37:25pang

00:37:26mga

00:37:26benefits

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00:37:27lalabas

00:37:28within

00:37:28the

00:37:28year

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00:37:29the

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00:37:31kasi

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00:37:31for

00:37:32yakap

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00:37:33sinasabi

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00:37:39tinatawag

00:37:40namin

00:37:41comprehensive

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00:37:46na po

00:37:46tayo

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00:37:48yakap

00:37:49and

00:37:50then

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00:37:51now

00:37:51the

00:37:51cancer

00:37:51screening

00:37:52and

00:37:53then

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00:37:53have

00:37:53the

00:37:53gamot

00:37:54and

00:37:54later

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00:37:55expect

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00:37:57pa

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00:38:01ni

00:38:01Phil

00:38:02Health

00:38:02and

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00:38:04dito

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00:38:04tinatawag

00:38:05nating

00:38:05DRG

00:38:07kasi

00:38:08nga

00:38:08diba

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00:38:09started

00:38:10with

00:38:10Phil

00:38:10Health

00:38:11actually

00:38:12nung

00:38:12nag-umbis

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00:38:13Phil

00:38:13Health

00:38:13isudyante

00:38:14pa lang

00:38:14ako

00:38:15sa

00:38:15I think

00:38:16high

00:38:20FFS

00:38:21tapos

00:38:22yeah

00:38:22fee for

00:38:23service

00:38:24wherein

00:38:24si

00:38:24sabi ko

00:38:25nga

00:38:25kanina

00:38:25depende

00:38:26yan

00:38:26kinocompute

00:38:27pa natin

00:38:28sa room

00:38:28and board

00:38:29sa mga

00:38:30laboratories

00:38:30na in order

00:38:31sa mga

00:38:32gamot

00:38:33na ibinigay

00:38:33and then

00:38:34later

00:38:35nag-evolve

00:38:36po si

00:38:36Phil

00:38:36Health

00:38:36when it

00:38:37comes to

00:38:37reimbursement

00:38:38na method

00:38:39we have

00:38:40the Phil

00:38:40Health

00:38:40case

00:38:41rates

00:38:41so

00:38:42nag-umpisa

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00:38:432011

00:38:44then

00:38:45nag-start

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00:38:472013

00:38:47yung

00:38:48all Phil

00:38:49Health

00:38:49case

00:38:49rates

00:38:50and then

00:38:51of course

00:38:51papunta

00:38:52tayo

00:38:53to a

00:38:54greater

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00:38:55of

00:38:55payment

00:38:56yung

00:38:56tinatawag

00:38:56nating

00:38:57DRG

00:38:57but

00:38:58very

00:38:59important

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00:39:00na

00:39:00kung may

00:39:01bago

00:39:02dapat

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00:39:03parang

00:39:03pilot

00:39:04meron tayong

00:39:05proseso

00:39:05kasi

00:39:06hindi

00:39:06naman

00:39:06pwedeng

00:39:07kaagad

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00:39:08of

00:39:09click

00:39:10lang

00:39:10bago

00:39:11na

00:39:11ulit

00:39:11yung

00:39:12payment

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00:39:13natin

00:39:13that's

00:39:14why

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00:39:17mga

00:39:17Phil

00:39:18Health

00:39:18accredited

00:39:19partners

00:39:20ng mga

00:39:20hospital

00:39:21at

00:39:22of course

00:39:22mga

00:39:22infirmaries

00:39:23na

00:39:24sumali po

00:39:25sa tinatawag

00:39:25naming

00:39:26shadow

00:39:26billing

00:39:27so

00:39:27ano nga

00:39:28itong

00:39:28shadow

00:39:28billing

00:39:29shadow

00:39:30billing

00:39:30actually

00:39:30is a

00:39:31process

00:39:31na kung

00:39:32saan

00:39:33nangongolekta

00:39:33po si

00:39:34Phil

00:39:34Health

00:39:34ng mga

00:39:35data

00:39:36data

00:39:37for the

00:39:38actual

00:39:38cost

00:39:39ng mga

00:39:40benefits

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00:39:41laging

00:39:42sinasabi

00:39:42nakakarinig

00:39:43kami

00:39:44ng

00:39:44mga

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00:39:46telephone

00:39:47queries

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00:39:48our

00:39:48clients

00:39:49eh

00:39:50na admit

00:39:51ako

00:39:51for

00:39:52community

00:39:52acquired

00:39:53pneumonia

00:39:53but at

00:39:54the

00:39:54same

00:39:54time

00:39:55mataas

00:39:55yung BP

00:39:56ko

00:39:56may hypertension

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00:39:58at the

00:39:59same

00:39:59time

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00:40:00problema

00:40:01sa kidney

00:40:02CKD

00:40:03and etc

00:40:04etc

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00:40:07yung sakit

00:40:07and at the

00:40:08same

00:40:08time

00:40:09senior

00:40:10citizen

00:40:10so

00:40:12pwede

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00:40:12lagi

00:40:13naming

00:40:13naririnig

00:40:14yan

00:40:14na query

00:40:15pwede

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00:40:16maglabas

00:40:16si

00:40:16Phil

00:40:17Health

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00:40:18expanded

00:40:19ika

00:40:19nga

00:40:20the benefit

00:40:20naman

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00:40:22tayo

00:40:23sa isang

00:40:23fixed

00:40:24fee

00:40:24na

00:40:25case

00:40:25rate

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00:40:26ba

00:40:26na

00:40:27ma-include

00:40:27yung

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00:40:29so

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00:40:30na

00:40:30yung

00:40:31hinihingi

00:40:31natin

00:40:32ng

00:40:32ating

00:40:33mga

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00:40:35nating

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00:40:37then

00:40:37again

00:40:37very

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00:40:38as

00:40:39well

00:40:39na

00:40:40dapat

00:40:40rin

00:40:41makalikom

00:40:41kami

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00:40:42tamang

00:40:43data

00:40:43para

00:40:44maglalabas

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00:40:45Phil

00:40:45Health

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00:40:46kaukulang

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00:40:48benetisyo

00:40:49para sa

00:40:49ating

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00:40:49miyembro

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00:40:51inaanyayahan

00:40:52po

00:40:52namin

00:40:52lahat

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00:40:54mga

00:40:54Phil

00:40:54Health

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00:40:56facilities

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00:40:597

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00:41:00region

00:41:007

00:41:01because

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00:41:01be

00:41:02requiring

00:41:02at least

00:41:035

00:41:03million

00:41:04data

00:41:04nationwide

00:41:05para

00:41:06makalabas

00:41:06tayo

00:41:07ng akma

00:41:07naman

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00:41:11para

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00:41:13maglabas

00:41:14yung Phil

00:41:14Health

00:41:15po

00:41:15ng

00:41:15tamang

00:41:16kaukulang

00:41:16beneficyo

00:41:17kasi

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00:41:18DRG

00:41:18unlike

00:41:19the

00:41:19Phil

00:41:19Health

00:41:19case

00:41:20rate

00:41:20na

00:41:21kung

00:41:21saan

00:41:21fixed

00:41:21fisha

00:41:22for

00:41:23example

00:41:23kahit

00:41:23ang

00:41:23dami

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00:41:24sakit

00:41:24but

00:41:25ang

00:41:26pinaka

00:41:26main

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00:41:27is

00:41:27just

00:41:27pneumonia

00:41:28yun

00:41:28na

00:41:29maka

00:41:29cover

00:41:29but

00:41:30with

00:41:30DRG

00:41:31kasi

00:41:31ang daming

00:41:32factors

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00:41:33naka

00:41:33involved

00:41:34aside

00:41:34from

00:41:35for

00:41:35example

00:41:35pneumonia

00:41:36kung

00:41:36may

00:41:37CKD

00:41:37ka

00:41:37and

00:41:38other

00:41:38complications

00:41:39may

00:41:40include

00:41:41siya

00:41:41as

00:41:42factor

00:41:42to

00:41:42check

00:41:43kung

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00:41:43talaga

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00:41:44kaukulang

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00:41:47that

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00:41:50isang

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00:41:51kasi

00:41:52parang

00:41:53titignan

00:41:53natin

00:41:53yung

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00:41:54with

00:41:55DRG

00:41:55kung

00:41:56ang

00:41:56isang

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00:41:58sabi

00:41:59na

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00:41:5920

00:42:00years

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00:42:02pneumonia

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00:42:04the

00:42:04current

00:42:04fixed

00:42:05fee

00:42:05ngayon

00:42:06tapos

00:42:07moderate

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00:42:09just

00:42:0929,000

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00:42:10with

00:42:11the

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00:42:14pneumonia

00:42:15but

00:42:15meron

00:42:16siyang

00:42:16other

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00:42:17for

00:42:17example

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00:42:18citizen

00:42:18pa

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00:42:19at

00:42:19that

00:42:19time

00:42:20meron

00:42:21siyang

00:42:21CKD

00:42:22meron

00:42:22siyang

00:42:22hypertension

00:42:23sabihin

00:42:23mo

00:42:24na

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00:42:26other

00:42:26complications

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00:42:30Phil

00:42:30Hill

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00:42:34but

00:42:34then

00:42:35again

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00:42:36do

00:42:37this

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00:42:38of

00:42:38course

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00:42:39your

00:42:39help

00:42:39kailangan

00:42:40namin

00:42:40ng

00:42:40tulong

00:42:41nyo

00:42:41your

00:42:41support

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00:42:43the

00:42:44specific

00:42:44actual

00:42:45costs

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00:42:47Alright

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00:42:48I hope

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00:42:50idea

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00:42:52members

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00:42:53common

00:42:53do

00:42:53complain

00:42:54sa

00:42:55mga

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00:42:55nga

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00:42:57aykog

00:42:57nabayran

00:42:57sa

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00:42:59yung

00:42:59more

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00:42:59ang

00:42:59cover

00:43:00sa

00:43:00Phil

00:43:00Health

00:43:01kaya

00:43:01ang

00:43:01main

00:43:01reason

00:43:02ang

00:43:02diagnosis

00:43:02sa

00:43:03iyang

00:43:04klaim

00:43:04kaya

00:43:05mo

00:43:05ni

00:43:05sakit

00:43:06but

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00:43:06siya

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00:43:07illnesses

00:43:08nga

00:43:08kitambalan

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00:43:11una

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00:43:11doc

00:43:11kinahang

00:43:12lan

00:43:13sa

00:43:13PhilHealth

00:43:13ang

00:43:14additional

00:43:14data

00:43:15kaya

00:43:15dili

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00:43:16magic

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00:43:17sa

00:43:18PhilHealth

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00:43:19create

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00:43:20packages

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00:43:21na siya

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00:43:21for

00:43:22costing

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00:43:23mga

00:43:25collaborations

00:43:26with

00:43:27medical

00:43:27societies

00:43:28and

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00:43:29itong

00:43:29mga

00:43:30accredited

00:43:30health

00:43:31facilities

00:43:31mga

00:43:32hospitals

00:43:32nationwide

00:43:33na

00:43:34mga

00:43:36concrete

00:43:36data

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00:43:37ibasihan

00:43:38ni

00:43:38PhilHealth

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00:43:38pag

00:43:39expand

00:43:39pa

00:43:39further

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00:43:41packages

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00:43:42naatay

00:43:43puhon

00:43:44gagitawag

00:43:45na

00:43:45diagnosis

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00:43:47or

00:43:47mga

00:43:47DRGs

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00:43:49case

00:43:49rates

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00:43:50fee

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00:43:55PhilHealth

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00:44:07tingung

00:44:08hapod

00:44:08sa

00:44:08PhilHealth

00:44:09through

00:44:10sa

00:44:10itong

00:44:11head

00:44:11office

00:44:12sa

00:44:12with

00:44:13the

00:44:13leadership

00:44:13of

00:44:14our

00:44:14current

00:44:15president

00:44:16and

00:44:16CEO

00:44:17Dr.

00:44:17Edwin

00:44:17M.

00:44:18Mercado

00:44:18na

00:44:19follow up

00:44:21si

00:44:21Mameng

00:44:21Montoruelan

00:44:23doc

00:44:23sa

00:44:24Sunstar

00:44:25page

00:44:26nag-message

00:44:26ganina

00:44:27regarding

00:44:27OECB

00:44:28wala

00:44:28do'y

00:44:28laboratory

00:44:29itong

00:44:29patient

00:44:30niya

00:44:30ni

00:44:31expire

00:44:31sa

00:44:32ER

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00:52:41in relation

00:52:41to

00:52:42PhilHealth

00:52:42Circular

00:52:4335

00:52:44series

00:52:45of

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00:52:45so

00:52:46ang

00:52:46tagal

00:52:47na

00:52:472013

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00:52:51po tayong

00:52:51nilabas

00:52:52na

00:52:52mga

00:52:53reiteration

00:52:54din

00:52:54on

00:52:55this

00:52:55so

00:52:56specifically

00:52:56we have

00:52:57advisory

00:52:57numbers

00:52:582017

00:52:5949

00:53:00and

00:53:00then

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00:53:01din tayong

00:53:012025

00:53:020021

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00:53:04then

00:53:04ngayon

00:53:05po

00:53:05for

00:53:06this

00:53:06year

00:53:062026

00:53:0731

00:53:08kasi

00:53:09nga

00:53:09ang

00:53:09dami

00:53:10natin

00:53:10mga

00:53:10natatanggap

00:53:11na mga

00:53:12complaints

00:53:12reports

00:53:13from our

00:53:14healthcare

00:53:14professionals

00:53:15na matagal

00:53:17daw

00:53:17ibigay

00:53:17sa kanila

00:53:18yung

00:53:18kanilang

00:53:19mga

00:53:19PF

00:53:20e

00:53:20nabigay

00:53:21na

00:53:21ni

00:53:21PhilHealth

00:53:22actually

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00:53:23kami

00:53:23na

00:53:23ibanggit

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00:53:24currently

00:53:25although

00:53:2660 days

00:53:27po

00:53:27yung

00:53:27processing

00:53:27natin

00:53:28ng

00:53:28claims

00:53:28but

00:53:29sa

00:53:29Region 7

00:53:30po

00:53:30nasa

00:53:30less

00:53:31than

00:53:3110

00:53:31days

00:53:31po

00:53:31tayo

00:53:32so

00:53:32mabilis

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00:53:34bilis

00:53:34po

00:53:34yung

00:53:34pagbayad

00:53:35natin

00:53:35also

00:53:36we are

00:53:37asking

00:53:38our

00:53:38healthcare

00:53:39providers

00:53:40yung mga

00:53:41hospital

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00:53:42mga

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00:53:47natin yung

00:53:47reimbursement

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00:53:50natin

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00:53:53mga

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00:53:58payment

00:53:58ni PhilHealth

00:53:59at dapat

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00:54:0130 days

00:54:02once

00:54:03received

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00:54:04yung ating

00:54:05reimbursement

00:54:05dapat

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00:54:08kay

00:54:09doctors

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00:54:10to avoid

00:54:11mga

00:54:11reports

00:54:12complaints

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00:54:13mga

00:54:14healthcare

00:54:14professionals

00:54:15so

00:54:16yun

00:54:16paulit

00:54:17ulit

00:54:17natin

00:54:17nari-eriterate

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00:54:19we are

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00:54:20a lot

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00:54:21complaints

00:54:21and also

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00:54:23to remind

00:54:23our

00:54:24healthcare

00:54:25providers

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00:54:26isinumiti

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00:54:28performance

00:54:30commitment

00:54:30nung nag-apply

00:54:31po tayo

00:54:32as a

00:54:32PhilHealth

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00:54:34healthcare

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00:54:37at nakastipulate

00:54:38sa performance

00:54:40commitment

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00:54:43accredited

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00:54:49follow

00:54:49all

00:54:50the

00:54:50policies

00:54:51advisories

00:54:52and

00:54:53circulars

00:54:54of not

00:54:54just

00:54:55PhilHealth

00:54:55but

00:54:56all other

00:54:57government

00:54:57agencies

00:54:58para naman

00:54:59hindi tayo

00:55:00magkakaroon

00:55:00ng problema

00:55:01comes

00:55:02of course

00:55:03renewal

00:55:04time

00:55:04na

00:55:04ng ating

00:55:05mga

00:55:06facilities

00:55:06alright

00:55:08so

00:55:08mismong

00:55:09ang head

00:55:09sa atong

00:55:10healthcare

00:55:11delivery

00:55:11management

00:55:12division

00:55:12and I

00:55:13remind

00:55:13sa atong

00:55:13mga

00:55:14health

00:55:14facilities

00:55:15text

00:55:16lang

00:55:16sa atong

00:55:17mga

00:55:17members

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00:55:18ang

00:55:19PhilHealth

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00:55:20cantidad

00:55:20sa katong

00:55:21case

00:55:21rate

00:55:22amount

00:55:22dito

00:55:22mismo

00:55:23sa

00:55:23mga

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00:55:24ang

00:55:25hospital

00:55:25ang

00:55:26release

00:55:27put

00:55:27sa

00:55:27portion

00:55:28sa

00:55:28professional

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00:55:29to

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00:55:29iyang

00:55:30mga

00:55:30doctors

00:55:30nga

00:55:31mo

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00:55:32sa

00:55:33mga

00:55:33pasyente

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00:55:35and

00:55:36o

00:55:36claim

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00:55:37obligation

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00:55:46si PhilHealth

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00:56:05sa

00:56:05mando

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00:56:07ito

00:56:07ang

00:56:07president

00:56:08and CEO

00:56:09Dr.

00:56:09Edwin

00:56:09Mercado

00:56:10so

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00:56:12no

00:56:12less than

00:56:1310 days

00:56:13na lang

00:56:14gani

00:56:14ang

00:56:14turnaround

00:56:15time

00:56:16sa

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00:56:17mga

00:56:17good

00:56:17claims

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00:56:29health

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00:56:35dito

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00:56:35mga

00:56:36documents

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00:58:29yun na siya

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00:58:37information

00:58:38personal information

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00:58:42ta mabiktima

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00:58:51dok

00:58:51na mag

00:58:53I mean

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00:58:55offer

00:58:56services

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00:59:01Facebook pages

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00:59:39o g-avail

00:59:40o g-mga

00:59:40offer

00:59:41sa Facebook

00:59:42or sa social

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00:59:57we hope

00:59:58nga makatang

00:59:59mo sa itong

01:00:00next program

01:00:00by June

01:00:0123

01:00:02naanapod

01:00:03dahil

01:00:03mahinang

01:00:04danong

01:00:04niya

01:00:04topic

01:00:04nga

01:00:05pag-ahisgutan

01:00:05so thank you

01:00:06so much

01:00:06Doc Elise

01:00:07anytime

01:00:08Miss Dina

01:00:08and para sa ating

01:00:09mga kababayan

01:00:10alright

01:00:10dagang salamat

01:00:12sa ato

01:00:12ang mga kaubanan

01:00:13sa Sunstar

01:00:14and labi na

01:00:15sa social media

01:00:16nga team

01:00:17sa Sunstar

01:00:17sa pag-guide

01:00:18sa PhilHealth

01:00:19Region 7

01:00:20na inyatong

01:00:20programa

01:00:21until next time

01:00:22mag-amping

01:00:23takanunay

01:00:40sa inyatong

01:00:42a

01:00:43mga kababayan

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