Saint Mary’s University

Saint Mary’s University

Bayombong, Nueva Vizcaya
School of Business

A Narrative Report
On-The-Job Training undertaken at PHILHEALTH
(Solano Branch)
Located at Solano, Nueva Vizcaya

Presented to the faculty of

School of Business

In partial fulfillment of the requirements for the degree of

Bachelor of Science in Business Administration
Major in Financial Management

Submitted by:
Westley B. Abluyen

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TABLE OF CONTENTS

I. Title page 1

II. Table of Contents 2

III. Dedication 3

IV. Acknowledgment 4

V. Company Background 5

History 6-10

Vision 11

Mission 11

Core values 11

PHILHEALTH Membership 12-13

Categories
Process Flow Chart 14-15

VI. Narrative Report 16

Accomplishment Report 17-22

Insights 23

VII. Appendices
Documentation 24-28

Certificate 29

Daily Time Record 30

Recommendation Letter 31

Waiver 32

Resume 33-35

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DEDICATION

I dedicate this piece work to my beloved family and friends.

A special gratitude to my loving parents, Mr. and Mrs. Abluyen, and to

my family members who have financially supported me throughout the process.

I also dedicate this study to my instructors and supervisors, especially to

the employees and staff of PHILHEALTH Solano for the guidance,

encouragement and motivating words of wisdom.

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ACKOWLEDGEMENT

I respectfully acknowledge and give thanks to the people who

helped and cared for me for this On-The-Job Training to be made
possible.

To all our professors who shared and continuously sharing their

knowledge and keep molding me through the years and making me
a better person.

I owe special thanks to the employees of PHILHEALTH Solano for

their patience and expertise they taught me for the betterment of my
career during my stay with them.
To Sir Joe, Sir Jay Mark, Sir Kyle, Sir James, Sir Romie, Ma’am Eka,
Ma’am Jovy, Ma’am Wilma, Ma’am Liezle and to the other
employees for their whole hearted warm welcome to us as part of
the family. I am grateful for having them as part of my On-The-Job
Training.

Finally, special thanks owed to my family members, who have

supported us morally, spiritually and financially throughout this
struggle.

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Company
Background

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HISTORY

THE call to serve the

rural indigents echoed since
the early '60s when the
Philippine Medical
Association
introduced the
MARIA Project
which prioritized
aid to communities
in need of medical
assistance. The
Project would then
be considered a
valuable precursor to the Medicare program, from which a medical care
plan for the entire Philippines was created. On August 4, 1969, Republic
Act 6111 or the Philippine Medical Care Act of 1969 was signed by
President Ferdinand E. Marcos which was eventually implemented in
August 1971.

The Philippine Medical Care Commission (PMCC) was tasked to

oversee the implementation of the program which went for almost a
quarter of a century.

In the 1990s, a vision for a better, more responsive government

health care program was prompted by the passage of several bills that had
significant implications on health financing. The public's clamor for a
health insurance that is more comprehensive in terms of covered
population and benefits led to the development of House Bill 14225 and
Senate Bill 01738 which became The National Health Insurance Act of
1995 or Republic Act 7875, signed by President Fidel V. Ramos on
February 14, 1995. The law paved the way for the creation of the
Philippine Health Insurance Corporation (PhilHealth), mandated to
provide social health insurance coverage to all Filipinos in 15 years' time.
PhilHealth assumed the responsibility of administering the former
Medicare program for government and private sector employees from the
Government Service Insurance System in October 1997, from the Social

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Security System in April 1998, and from the Overseas Workers Welfare
Administration in March 2005.

The National Health Insurance Program was established to provide

health insurance coverage and ensure affordable, acceptable, available
and accessible health care services for all citizens of the Philippines. It
shall serve as the means for the healthy to help pay for the care of the sick
and for those who can afford medical care to subsidize those who cannot.
It shall initially consist of Programs I and II or Medicare and be expanded
progressively to constitute one universal health insurance program for the
entire population. The program shall include a sustainable system of
funds constitution, collection, management and disbursement for
financing the availment of a basic minimum package and other
supplementary packages of health insurance benefits by a progressively
expanding proportion of the population. The program shall be limited to
paying for the utilization of health services by covered beneficiaries. It
shall be prohibited from providing health care directly, from buying and
dispensing drugs and pharmaceuticals, from employing physicians and
other professionals for the purpose of directly rendering care, and from
owning or investing in health care facilities. (Article III, Section 5 of RA
7875 as amended)

PhilHealth is a tax-exempt Government Corporation attached to

the Department of Health for policy coordination and guidance. (Article
IV, Section 15 of RA 7875 as amended). It shall have the following powers
and functions (Article IV, Section 16 of RA 7875 as amended by RA
10606):
a) To administer the National Health Insurance Program;

b) To formulate and promulgate policies for the sound

administration of the Program;

c) To supervise the provision of health benefits and to set

standards, rules and regulations necessary to ensure quality of care,
appropriate utilization of services, fund viability, member
satisfaction, and overall accomplishment of Program objectives;

d) To formulate and implement guidelines on contributions and

benefits; portability of benefits, cost containment and quality
assurance; and health care provider arrangements, payment,
methods, and referral systems;
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e) To establish branch offices as mandated in Article V of this Act;

f) To receive and manage grants, donations, and other forms of

assistance;

g) To sue and be sued in court;

h) To acquire property, real and personal, which may be necessary

or expedient for the attainment of the purposes of this Act;

i) To collect, deposit, invest, administer, and disburse the National

Health Insurance Fund in accordance with the provisions of this
Act;

j) To negotiate and enter into contracts with health care institutions,

professionals, and other persons, juridical or natural, regarding the
pricing, payment mechanisms, design and implementation of
administrative and operating systems and procedures, financing,
and delivery of health services in behalf of its members;

k) To authorize Local Health Insurance Offices to negotiate and

enter into contracts in the name and on behalf of the Corporation
with any accredited government or private sector health provider
organization, including but not limited to health maintenance
organizations, cooperatives and medical foundations, for the
provision of at least the minimum package of personal health
services prescribed by the Corporation;

l) To determine requirements and issue guidelines for the

accreditation of health care providers for the Program in
accordance with this Act;

m) To visit, enter and inspect facilities of health care providers and

employers during office hours, unless there is reason to believe that
inspection has to be done beyond office hours, and where
applicable, secure copies of their medical, financial, and other
records and data pertinent to the claims, accreditation, premium
contribution, and that of their patients or employees, who are
members of the Program;

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n) To organize its office, fix the compensation of and appoint

personnel as may be deemed necessary and upon the
recommendation of the president of the Corporation;

o) To submit to the President of the Philippines and to both Houses

of Congress its Annual Report which shall contain the status of the
National Health Insurance Fund, its total disbursements, reserves,
average costing to beneficiaries, any request for additional
appropriation, and other data pertinent to the implementation of
the Program and publish a synopsis of such report in two (2)
newspapers of general circulation;

p) To keep records of the operations of the Corporation and

investments of the National Health Insurance Fund;

q) To establish and maintain an electronic database of all its

members and ensure its security to facilitate efficient and effective
services;

r) To invest in the acceleration of the Corporation’s information

technology systems;

s) To conduct information campaign on the principles of the NHIP

to the public and to accredited health care providers. This
campaign must include the current benefit packages provided by
the Corporation, the mechanisms to avail of the current benefit
packages, the list of accredited and disaccredited health care
providers, and the list of offices/branches where members can pay
or check the status of paid health premiums;

t) To conduct post audit on the quality of services rendered by

health care providers;

u) To establish an office, or where it is not feasible, designate a focal

person in every Philippine Consular Office in all countries where
there are Filipino citizens. The office or the focal person shall,
among others, process, review and pay the claims of the overseas
Filipino workers (OFWs);

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v) Notwithstanding the provisions of any law to the contrary, to
impose interest and/or surcharges of not exceeding three percent
(3%) per month, as may be fixed by the Corporation, in case of any
delay in the remittance of contributions which are due within the
prescribed period by an employer, whether public or private.
Notwithstanding the provisions of any law to the contrary, the
Corporation may also compromise, waive or release, in whole or in
part, such interest or surcharges imposed upon employers
regardless of the amount involved under such valid terms and
conditions it may prescribe;

w) To endeavour to support the use of technology in the delivery of

health care services especially in farflung areas such as, but not
limited to, telemedicine, electronic health record, and the
establishment of a comprehensive health database;

x) To monitor compliance by the regulatory agencies with the

requirements of this Act and to carry out necessary actions to
enforce compliance;

y) To mandate the national agencies and LGUs to require proof of

PhilHealth membership before doing business with a private
individual or group;

z) To accredit independent pharmacies and retail drug outlets; and

aa) To perform such other acts as it may deem appropriate for the
attainment of the objectives of the Corporation and for the proper
enforcement of the provisions of this Act.

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Vision
"Bawat Pilipino, Miyembro,
Bawat Miyembro, Protektado,
Kalusugan Natin, Segurado"

Mission
"Sulit na Benepisyo sa Bawat Miyembro,
Dekalidad na Serbisyo para sa Lahat"

Core Values

Inobasyon
Serbisyong Dekalidad
Lubos na Integridad
Angkop na Benepisyo
Panlipunang Pagkakabuklod at
Ganap na Pagkalinga

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PHILHEALTH MEMBERSHIP
CATEGORIES

Members in the Formal Economy

This member category includes those with formal

contracts and fixed terms of employment including workers in
the government and private sector, whose premium
contribution payments are equally shared by the employee and
the employer.

Sponsored Members

This category includes members whose contributions are

being paid for by another individual, government agencies, or
private entities.

Members in the Informal Economy

This member category includes a wide range of

individuals and sectors ranging from the self-earning to
migrant workers.

Lifetime Members

This category is for members who have reached the age

of retirement under the law and have paid at least 120 monthly
premium contributions.

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Indigent Members

To this category belong persons who have no visible

means of income, or whose income is insufficient for family
subsistence, as identified by the Department of Social Welfare
and Development (DSWD), based on specific criteria.

Senior Citizens

This category is for those who are 60 years old and above
and are not currently covered by any of the existing
membership categories of PhilHealth.

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Process Flow Chart

Inquiring from the public assistance table is the first step to be done
after the security checking. Acquiring Philhealth forms for certain
purposes should be the next thing to do when in the public
assistance desk to be assisted by the public assistance officer. After
filling the forms the client should be waiting for the queue for them
to be called by the frontline officer to process such documents and
requests purposes. An amount is paid upon enrolment of Philhealth
by the client to the cashier officer in charge following again the
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queuing line method of Philhealth. The client should receive a piece
of proof or document that he/she paid an amount to his/her
Philhealth distributions. For request purposes, the client should
follow the same process for the frontline service. And for payment
purposes, the client should be doing the same process as to the
cashier’s queue method.

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PHILHEALTH

NARRATIVE
REPORT
-WESTLEY B. ABLUYEN

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ACCOMPLISHMENT REPORT
Week 1
April 20, 2015 (Monday)

We had an orientation until lunch from the manager of

PHILHEALTH Solano branch (Sir Joseph Guerrero).
Sir Joseph Guerrero gave me an assignment in the office which was
to sort the paper works, and he assigned us to our respective tasks.
For me I was assigned at the frontline especially for the senior
citizens category.

April 21, 2015 (Tuesday)

This morning I continued the unfinished paper works given to me

until lunch break.
In the afternoon I was observing every work that my co-ojt’s were
assigned to. Sir Jay Mark Tomas, a frontline employee, taught me
how to use the system of PHILHEALTH.

April 22, 2015 (Wednesday)

On the frontline with sir Jay Mark Tomas teaching me again how to
use another program or system. This time I manage to do the work
myself with a little help from Sir Jay for those that are very
complicated to do.

April 23, 2015 (Thursday)

Today I am getting more educated on the ways that the agency is

doing. I am on the frontline doing the things just like Sir Jay is doing
but with a little help of my supervisor who is Jay Mark Tomas.
I am getting better and better in the frontline as I meet different
clients in the frontline using the system of the agency.

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April 24, 2015 (Friday)

Oh thank God it’s Fly day I mean Friday. But it’s not yet the time to
fly home to Banaue because there are many clients coming to the
office.

Week 2

April 27, 2015 (Monday)

Nothing new this day, I’ve been in the frontline until 5:00 pm. I
finished the day with a smile by helping many clients by making
their Philhealth membership and explaining some things to them.

April 28, 2015 (Tuesday)

This day Sir Jay Mark was not around because they have a seminar
in Tuguegarao and I had to replace him in his counter in the
frontline. In the afternoon there were many clients specially those
who are indigent and requesting for their updated MDR.
I have learned that it’s not easy to be in a hospital because some of
the clients are indigent, those who cannot afford to finance their
billings, and by looking at their faces I can feel how they feel and I
know their situation.

April 29, 2015 (Wednesday)

Again on the frontline but now with Jay Mark doing the job on the
frontline until afternoon. This time there were only few clients so I
talked with Sir Jay about some things regarding Philhealth
registration and payments.
Chatting with a supervisor is an opportunity to be hired someday in
this kind of situation specially you made him/her laugh.

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April 30, 2015 (Thursday)

This morning we started the day with a smile while getting inside
the office. The aura of a beautiful day seems like to be in the office,
everybody was wearing a smile while doing their work, and I was
doing my work of course with a smile.
In the afternoon I continued to update the Philhealth membership
forms of some senior citizens and put their names in the log book
while I register the others until 5:00 pm.

Week 3

May 4, 2015 (Monday)

This day was a mourning day, although we had the flag ceremony.
This is because one of the Philhealth members just passed away last
May 1 due to an accident. But the operations must go on because
there are still clients to attend to.
In this event I have noticed that every employee was mourning. I
have gained a knowledge about employees that connectedness to
each other is very important.

May 5, 2015 (Tuesday)

This morning was same as yesterday because of the mourning for

the dead but still the show must go on. I was still on the frontline
helping other employees.
Just as I have learned yesterday about employees personal values
about each other, it’s getting me more to realize about how an
organization works with/without a person who is an important
employee of that organization.

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May 6, 2015 (Wednesday)

This morning the faces of the employees has changed. There were
the smiles again although they were mourning. For me I was just
doing my job on the frontline although I felt them.
The show must go on. So yesterday’s hard memories have been
soften this day and I noticed that the employees are still doing their
jobs. I have learned that in this organization, employees need to
work for the service to the public as said in its nature.

May 7, 2015 (Thursday)

This morning, there were only a few the clients to attend to so it was
easy for me to give the service they deserve.
At the afternoon, I met so many aggressive clients. This maybe the
most challenging time of my Ojt. This is because I was left on the
frontline and they were throwing many questions and requests at
the same time. But still I ended the day with a smile.
As time passes by, I enjoy attending to clients, talking and
explaining things to them. Some clients are not friendly but as was
said to we must end the conversation with a smile so I did what I
was told to.

May 8, 2015 (Friday)

Nothing new today, still on the frontline making some services to

the clients although there are few of the employees clients.

Week 4
May 11, 2015 (Monday)

Some of the employees were preparing for the burial of one of the
Philhealth members who died for the next day that’s why we were
forced to do their work.
Care is one of this organization’s service to the public and also for
the people running it.

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May 12, 2015 (Tuesday)

Today I was left in charge on the frontline so I acted like a

supervisor to my co ojt’s, which supposedly is not, but at least I
helped and served the clients who are attending to us for their
needs.
To be one of the front liners is some kind of challenge to me because
to explain things which would help other people gives me better
feeling every day I enter the office. I have learned that teamwork in
the organization can save the day.

May 13, 2015 (Wednesday)

This day was like another day on the frontline attending to the
needs of the clients until 5:00 pm.

May 14, 2015 (Thursday)

This day I went to the information table to try entertaining clients

who are coming in until 5:00 pm.
In the afternoon, Ma’am Jovy made a schedule for us for next week
for the no lunch policy for us not to be confused. Ma’am Eka taught
me how to process those who are indigent clients who have
certification of Indigency.
Talking to people who are in need of the organization’s services is
one of my skill because I enjoy socializing to other people.

May 15, 2015 (Friday)

Ahhh its Friday. Still a work day for all of us even if it is brownout.
I went to the information table to wait for clients and attend to their
needs until 5:00pm.
To finish the job in service to other people is a like an objective to
this organization so even if it is Friday we still need to work for
others.

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Week 5

May 18, 2015 (Monday)

This morning I was still on the frontline and I was excited on the
schedule that Ma’am Jovy has made for us.
I assisted some of the clients as was said through the schedule.
I have learned that making schedules is very important to do
especially when the employees are on field.

May 19, 2015 (Tuesday)

Today only 3 employees were left in the office so we were asked to

stick to the schedule. But Thank God there are only a few clients to
attend to today so it was not hard for us to cope with some of the
clients.
As time passes by, I am realizing that being in the office is
somewhat better than being in the classroom because in the office
we gain knowledge through experience and not only on theories.

May 20, 2015 (Wednesday)

Today, still there are 3 employees left and thank to us we gave them
help.
Sometimes, help is a need to an organization because an
organization cannot work alone.

May 21, 2015 (Thursday)

This day I went to the information table to try entertaining clients

who are coming in because my eyes were not feeling well due to the
radiation of the computers when I was processing forms this last
few days. In the afternoon I stayed on the log section to log the
senior citizens because of the issue of my eyes. Being a person who
knows all around work is an effective employability to an
organization.

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Insights
My training in Philhealth is very important to me as
young man because it is here where I gained a lot of lessons,
other people, and gained more experiences in a short period of
time. I have been working on my communication skills to be
better than the past because of the task given to me as a front-
liner. I have learned some basic office procedures and steps to
good communication with the help of my experiences as front-
liner.

I will never forget this part in the first step of my career

because it has taught, opened, and gave me the courage to face
other people without getting nervy in dealing with their cause.

It was during this stage where I realized how hard to be

caring, merciful, and giving to other people.

I have gained many lessons in these times with our

supervisors teaching us on how the system works and to use it
properly.

I have concluded my times in the offices as “Service to

others gives the person the reason to pursue in his career, and
someday the words THANK YOU is enough to hear more than
other material things”.

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D OCUMENTATION

At the front line

processing some
membership data
records with Ma’am
Eka and Ma’am Jovy
at my right.

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Me and my Co-Ojt (picture below) at the front line processing

requests like Membership Data Records (MDR), Philhealth ID’s
and summary of contributions.

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Assisting my 2
Co-Ojt’s sorting
the indigents’
MDR papers
outside the
office during
the scheduled
brownout in
Solano.

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Me and Jovy
making
Senior citizens’
Philhealth
memberships.

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Tardiness can sometimes leads

adults to minority.

Groufie and wacky

time…=)

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WESTLEY BATTON ABLUYEN

117 Purok 4, San Nicolas, Bayombong, Nueva Vizcaya
Cellphone #; 09056736039
Email;[email protected]

OBJECTIVE
To obtain a position where I could effectively apply my knowledge
and skills I’ve learned in business, financial management,
communication, and training experiences.

EDUCATIONAL ATTAINMENT
College
 Manuel Luiz Quezon University, Quiapo, Manila
School Year 2011-2012

 Saint Mary’s University, Bayombong, NuevaVizcaya

Bachelor of Science in Business Administration
Major in financial management
School Year 2012-2015

Secondary
 Immaculate Conception School, Banaue, Ifugao
School Year 2007-2011

Elementary
 Banaue Central School, Banaue, Ifugao
School Year 2001-2007

WORK HISTORY
Job order of and assistant secretary
Office of the Board Member to the Sangguniang Bayan
Municipal Government of Banaue, Ifugao
March-July 2010 and 2012

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SKILLS AND ABILITIES

 Good communication skills
 Financial analyst
 Computer skills

PERSONAL INFORMATION

Date of birth: December 27,1994

Place of Birth: Banaue ,Ifugao
Age: 20 years old
Nationality: Filipino
Gender: Male
Civil Status: Single
Religion: Roman Catholic
Height: 5’9”
Weight: 75kgs.

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CHARACTER REFERENCE:

Mrs. RodoraTipay
Faculty Member
Business Department
Saint Mary’s University, Bayombong, NuevaVizcaya
0936-4782-943

Mrs. Evangeline M. Velasco

Faculty Member
Business Department
Saint Mary’s University, Bayombong, NuevaVizcaya
0906-8609-979

Mrs. Loreta Garlitos

Faculty Member
Business Department
Saint Mary’s University, Bayombong, NuevaVizcaya
0917-5747-472

I hereby declare that the above information is true and correct to the best of
my knowledge and belief.

Westley B. Abluyen

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