PhilHealth Annex C.2: Discharge Checklist for the Z Benefits (Tranche 2)
Fill PhilHealth Annex C.2: Discharge Checklist for the Z Benefits (Tranche 2) online and download the official form as a PDF, ready to print. Every input is mapped to its printed box, so IDs, dates and amounts land digit by digit in the right cells, and a value the form cannot hold is refused with the reason instead of being printed wrong.
What you will need: Last Name, First Name, Middle Name, Suffix, PhilHealth ID Number, Total hip prosthesis, cemented, Total hip prosthesis, cementless, Partial hip prosthesis, bipolar, Total hip prosthesis, hybrid, Partial hip prosthesis, unipolar modular, Multiple screw fixation, 6.5 mm cannulated, Compression hip screw set, Proximal femoral locked plate, Proximal femoral nail, Intramedullary nail with interlocking screws-Femur.
Free to try: 5 forms a day without an account; a free account gets 14 days of clean PDFs, then 25 a month. Not affiliated with BIR, SSS, PhilHealth, Pag-IBIG or any government agency.