Beneficiary Support · Journey escalation · CS-0004418
Journey stalled at Empanelment — 21 days
EscalatedCriticalRegion XI
SLA
Breached by 8%
01New
02In progress
03Waiting
04Resolved
05Closed
Case summary
Beneficiary reports that a recent outpatient consultation at the accredited provider was rejected under their current PhilHealth coverage. The claim was submitted on 2026-07-14 and returned with error code 402. Investigation is in progress with the empanelment and claims-support teams.
Timeline
- 2026-07-22 09:12Note added — awaiting provider responseAna Faye Reyes
- 2026-07-20 14:32SLA milestone: 60% consumedSystem
- 2026-07-20 08:14Case assigned to Region III Claims SupportAna Faye Reyes
- 2026-07-19 17:22Inbound call — requested statusR. Mercado
- 2026-07-18 11:00Case created from portal submissionSystem