Claims Online with e-Card XP Debit Card

Claims Online with e-Card XP Debit Card

What is the Claims Online with e-Card XP Debit card? Solution subscribed by Generali Pilipinas from MediLink to be able to offer electronic hospitalization program to its corporate clients First membership and payment system in the healthcare industry Offers “real-time” processing and settlement of claims Members are treated as private patients (own choice of doctors) Utilizes the Multi-purpose application of Equitable Card Network’s e-Card XP VISA Debit card

e-Card XP VISA Debit Card GENERALI PILIPINAS Front

Equitable Card Hotline: to report lost / damaged cards Jane De La Cruz Back

Existing Availment vs Claims Online with e-Card XP NESTLE Manual Issuance of Letter of Guarantee (LOG) Claims settlement after confinement. Hospital sends bill to NESTLE Excess determination largely up to accredited hospital. Accepted in 76 Service Providers nationwide Claims Online with e-Card XP Swipe technology Electronic Eligibility verification prior to Admission Plus claims settlement during confinement Electronic claims settlement Excess to be identified and paid prior to discharge. Accepted in 94 key Designated Hospitals nationwide (to become 160++ by mid year)

BENEFITS TO NESTLE EMPLOYEES Cash-less hospitalization plan in more hospitals Members are treated in hospitals as “private” patients. Member can choose his own doctor/s Automatic reconciliation of hospital bills. Members informed of updated benefits on the day of Admission at e-Card XP designated hospitals. Electronic loading of benefits on the day of discharge. No need to secure Letter of Guarantee prior to admission Employee and Dependents will be given individual Medilink e-Card XP Debit Cards (except those below 13 years old)

IN-PATIENT (IP) AVAILMENT

SAN JUAN DE DIOS HOSPITAL ROXAS BLVD., PASAY CITY 61000295 80000000009238 MEDILINK 4559689100003333* CARD VER 000001 MAY 25, 05 09:45 499222750145 782808 TRANSPOS47 TOTAL PHP0.00 GENERALI PILIPINAS –INPATIENT 29P NOA# 782808 25DEC2006 HUMILDE, MARILYN N11111-2-00 NESTLE PHILS. CARD# 4559689100003333 RNB: Php550/DAY PHILHEALTH REQUIRED SLIP MEANS CARD HAS BEEN ACTIVATED. PLEASE SWIPE DURING DISCHARGE FOR LOADING OF BENEFIT. MEMBER AUTHORIZE HOSPITAL TO PROVIDE ALL RECORDS TO GENERALI PILIPINAS. Marilyn Humilde Sample Notice of Activation (NOA) Slip Line 1: Generali Pilipinas ; Coverage; Age Line 2: Activation Number ; Date of Transaction Line 3: Name of Member Line 4: Policy Number Line 5: Corporation Name Line 6: Card Number Line 7: Room and Board Line 8: With PHILHEALTH/NONE Line 9: Disclaimer • Note: Pls. Ask your HR for a copy of the signed PHILHEALTH FORM

Sample Notice of Load Processing (NLP) Slip SAN JUAN DE DIOS HOSPITAL ROXAS BLVD., PASAY CITY 61000295 880000000009238 MEDILINK 4559689100003333* AUTHORIZE 000001 MAY 30, 05 09:45 499222750145145 782145 TRANSPOS47 TOTAL PHP0.01 GENERALI PILIPINAS –INPATIENT 29P NLP# 782145 30DEC2006 HUMILDE, MARILYN KINDLY FAX SOA: 8865238 BENEFITS WILL BE LOADED TO CARD:4559689100003333 I WILL USE AMOUNT LOADED TO SETTLE HOSPITAL BILL. I AUTHORIZE HOSPITAL TO PROVIDE GENERALI ALL DOCS OF MY CONFINEMENT. Line 1: Generali Pilipinas ; Coverage; Age Line 2: Load Processing Number ; Date of Transaction Line 3: Instructions Authorization Disclaimer Marilyn Humilde

Sample Member’s Text Notification (PHP12,000.00), DR.INOCENTE PEREZ (PHP 6,000.00). Pls proceed to cashier to settle bill.Thank you. Options Back Total Hospital Bill P30,300.00.GENERALI has loaded P30,300.00 inclusive of PF of DR. ABELARDO MENDEZ Options Back

Sample Credit Card Receipt SAN JUAN DE DIOS HOSPITAL ROXAS BLVD.PASAY CITY TERM# 60000005 MER#720500007 CARD TYPE VISA 4559689100003333 MARILYN HUMILDE AUTHORIZE EXPY DATE 05/06 BATCH NO.000001 TRACE NO. 597201 DATE/TIME MAY 30, 05 13:25 REF.NO.000040597143 APPR.CODE015424 TOTAL PHP 30,300.00 Marilyn Humilde

REMINDERS Present your e-Card XP Debit Card on the day of your admission (Card Activation) and on the day of discharge (Load Processing and Payment). Qualified Dependent is defined as a NESTLE Principal Member’s Dependent who is 13 years old and above and qualified to be given an e-Card XP VISA Debit card For Dependents of Principal Member less than 13 years of age, it will be the Principal’s e-Card XP which be loaded on the day of discharge. Only the Principal Member is allowed to sign on behalf of the Dependent Be familiar and read your customized e-Card XP Member Guide. In cases where the Professional Fee of your Attending Doctor is not part of the Hospital Final Statement of Account (SOA), the Employee/Patient will have to advance the payment. However, as an alternative, you can ask for Generali’s help by calling the 24/7 hotline. Generali will try to convince your doctor to include his PF in the hospital Statement of Account. But of course, final decision rests on the doctor and you should still be ready to advance payment if ever they don’t agree to include it in the Hospital bill

REMINDERS Special Arrangement hospitals These are hospitals that accept VISA payments, but has no Medillink POS facility for card activation upon admission For these hospitals, please contact Generali to notify them of your admission and discharge via these numbers: (02) 894-1135 (Mon-Friday: 7 am to 10 pm; Sat-Sun: 8 am – 5 pm) 0917 – 8941135 up to 36 (24 by 7 hotline) Or send a Text Message given the format below NOA <Card number> <Hospital Code*> IP then send to 0917 8942901 NLP <Card number><Hospital Code*> IP then send to 0917 8942901 * Refer to Member Guide

REMINDERS Take care of your E-Card XP: Report any damage / loss immediately (see back of card or call Generali) and advise Nestle HR Replacement cards will have the ff charges: Lost Cards: Php150.00 Damaged Cards: Php100.00 Notify HR of personal changes immediately: Especially NEW dependents or change in Marital Status Nestle HR should report these changes to Generali within 30 days from the effectivity date.

Thank You!

Claims Online with e-Card XP Debit Card