From Admission to
PhilHealth Reimbursement.
PhilHealth Forms Auto-Generated
End-to-End Claims Workflow
Dual Payer Billing Engine
Complete Clinical Coverage
One system. Every role.
Role-based access for every member of your team — from bedside nursing to billing — with a dedicated portal for your patients.
Patient Portal
Give patients instant access to their health records, upcoming appointments, prescriptions, and billing — no login hassle, no long queues.
- View admissions history & discharge summaries
- Track upcoming appointments
- Access prescriptions & billing invoices
Clinical & Admin Staff
From SOAP notes and medication orders to PhilHealth claims and HMO billing — everything your doctors, nurses, and billing team need in one dashboard.
- Full inpatient EMR with MAR & nursing notes
- ICD-10 & RVS-coded consultations
- Real-time billing ledger auto-posted from orders
Everything running a hospital actually needs.
Not a generic EMR. A system designed around the real workflows of Philippine hospitals — claims, compliance, and care in one place.
Complete Inpatient EMR
Full admission-to-discharge workflow: History & Physical, progress notes, nursing assessments, Medication Administration Record, I&O charting, and discharge summaries — all in one encounter.
- SOAP & structured clinical notes
- Surgical team & OR scheduling
- Missed medication & abnormal value alerts
Automated Billing Engine
Charges auto-post to the billing ledger the moment an order is placed, medication dispensed, or a procedure completed. Accurate bills — no manual encoding, no missed charges.
- Senior Citizen & PWD discounts auto-applied
- PhilHealth case rate deduction (HCI & PF split)
- HMO co-pay & LOA coverage calculation
HMO Claims Management
Manage the full Letter of Authorization lifecycle — from eligibility check and pre-authorization to claim submission and payment recording. Every status change is audited.
- 10-status LOA workflow per patient encounter
- HMO provider registry & accreditation tracking
- Aging reports & claim status history
Scheduling & OPD Workflow
Book appointments, capture SOAP notes, prescribe medications with drug lookup, request labs, and generate OPD invoices — all linked in a single consultation record.
- ICD-10 coded diagnoses on every consult
- Structured vital signs & physical exam
- Doctor-filtered appointment views
Pharmacy & Inventory
Track stock levels, manage dispensing workflows, and automatically post charges to the billing ledger when medications are dispensed. Every movement is logged.
- Real-time stock levels with low-stock alerts
- Dispensing status: pending to returned
- Full inventory transaction audit trail
Analytics & Reports
Live dashboards for clinical and financial performance. Census reports, length-of-stay analysis, HMO payment tracking, and revenue breakdowns — built for hospital administrators.
- Inpatient census & volume reports
- Length of stay & bed utilization
- Revenue, payments & pending HMO claims
Stop chasing claims. Start collecting reimbursements.
SyntraMed handles the entire PhilHealth claims lifecycle — from real-time member eligibility verification at admission to electronic claim transmission via PECWS. Forms CF2, CF3, and CF4 are generated automatically from the patient record.
- Real-time PhilHealth member eligibility check (PBEF)
- CF2, CF3, CF4 PDF auto-generation with e-signature tracking
- Electronic claim submission via PECWS (SOAP/XML)
- 9-stage claim status workflow with document completeness tracker
- PhilHealth case rate calculation (1st & 2nd case rate, HCI vs PF)
- SOA generation for submission
- Field-level claim audit log for compliance
Claim Status
INP-2026-00148 · Maria Santos
Role-Based Security
Granular access control for every role — doctors, nurses, front desk, pharmacists, and billing. Every action is logged in an immutable audit trail.
Multi-Facility Ready
Full multi-tenant architecture with complete data isolation between facilities. Manage hospitals and clinics under one provider account.
Real-Time by Design
Built on Convex — a reactive database. Clinical updates, billing charges, and claim statuses propagate instantly across all connected devices.
Ready to end the billing chaos?
Filipino hospitals deserve a system that understands PhilHealth, HMO billing, and the realities of local healthcare. That system is SyntraMed.
Book a 30-minute demo and see your entire claims workflow in action.