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Revenue Cycle Management

Tired of Denied PhilHealth Claims? Achieve a 99.8% Acceptance Rate.

The Cash Flow Crisis

Cash flow is the lifeblood of any private or public hospital in the Philippines. Yet, billions of pesos remain trapped in the PhilHealth pipeline due to "denied" or "RTH" claims. It doesn't have to be this way.

Focus Area

Administration Financial

Location

Philippines

Real-Time Validation Engine

Catching PhilHealth errors before the patient is discharged.

Claim Ref: #PH-2026-8891
Validation Pending

Member Eligibility (PIN)

Verified active status with PhilHealth portal.

CF3 Maternity Claim

Missing Obstetric Risk Factors.

CF4 Clinical Abstract

All mandatory fields and signatures completed.

If you are correcting ICD-10 codes after discharge, you have a systemic failure.

The industry standard RTH (Return-to-Hospital) rate in the Philippines is far too high. Hospital administrators have accepted delayed reimbursements as a cost of doing business, but the reality is much harsher.

If your billing department is constantly chasing doctors for missing signatures or scrambling to correct ICD-10 codes after the patient has walked out the door, you have a systemic failure in your workflow.

Enter Agimat Health: The Pre-Validation Powerhouse

We didn't just build an EHR; we built a Revenue Cycle Management (RCM) engine specifically tuned for the Philippine regulatory environment. Here is how we guarantee your claims are "Clean at First Sight."

Real-Time Validation

Our system checks every entry against PhilHealth’s latest circulars as the data is being entered. If a diagnosis doesn't match the procedure, the system flags it immediately. Agimat Health tells you what you're missing, what is incorrect, and even gives hints as to ways to improve your claim submission.


The 15-Minute Rule

We have optimized the workflow so that from patient creation to claim submission, the entire process takes less than 15 minutes of active administrative work. No double-entry. No digging through physical files to verify a date of admission.


Automatic ICD-10 Mapping

No more manual searching through massive coding books. Our smart-search allows encoders and physicians to find the correct, compensable codes in seconds, reducing human error by 90% and ensuring maximum legitimate reimbursement.


The Result?

Hospitals switching to Agimat Health see an immediate spike in liquidity. By ensuring your claims are "Clean at First Sight," you drastically reduce the administrative overhead of re-processing claims and get your reimbursement in weeks, not months.

"Stop guessing. Start getting paid."

Is your RTH/Denial rate above 1%?

It is time to fix the root cause. See exactly how our system catches errors before PhilHealth does.

Get a Demo of our Pre-Validation Engine →