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Member Data Record: Bea, Melissa Besa

The document is a Member Data Record for Melissa Besa Bea, an indirect contributor to the Philippine Health Insurance Corporation with a validity period from January 1, 2023, to December 31, 2023. It includes her personal information, employment details with the Department of Health, and dependent information for her son, Aiden Figueroa. The document emphasizes the importance of reviewing the information for accuracy and retaining the original copy.

Uploaded by

Romualdo Figueroa
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© © All Rights Reserved
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16 views1 page

Member Data Record: Bea, Melissa Besa

The document is a Member Data Record for Melissa Besa Bea, an indirect contributor to the Philippine Health Insurance Corporation with a validity period from January 1, 2023, to December 31, 2023. It includes her personal information, employment details with the Department of Health, and dependent information for her son, Aiden Figueroa. The document emphasizes the importance of reviewing the information for accuracy and retaining the original copy.

Uploaded by

Romualdo Figueroa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION


Corporate Action Center Hotline - (02) 441-7442
www.philhealth.gov.ph

MEMBER DATA RECORD


MEMBER BASIC INFORMATION
PhilHealth Identification Number (PIN) : 13-202044476-6 PhilSys Number :
Member Category : INDIRECT CONTRIBUTOR -
Sub-Category LISTAHANAN NHTS Coverage : EXISTING
Validity Period : 01/01/2023 - 12/31/2023

BEA, MELISSA BESA


DIST I POB. (QUEZON), TABONTABON LEYTE

Foreign Address : N/A Sex : FEMALE


Date of Birth : 09/12/1992
Place of Birth : TABONTABON, LEYTE
Contact No. (Foreign) : N/A Civil Status : SINGLE
(Local) : N/A Tax Identification Number :

ENTITY INFORMATION
PhilHealth Number (PEN/POGN) : 400060003707
Name of Employer/Organized Group : DEPARTMENT OF HEALTH
hidden text
Business Address : SAN LAZARO COMPOUND RIZAL AVENUE, BGY 331, SANTA CRUZ NCR, CITY OF
hidden text MANILA, FIRST DISTRICT

Telephone Number : 632 6517800 Employment Status :


Tax Identification Number : N/A Date : N/A

DEPENDENT INFORMATION
PIN Surname Given Name Middle Name Sex Relation Date of Birth
132529545065 FIGUEROA AIDEN BEA MALE SON 08/12/2017

*** NOTHING FOLLOWS ***

RONALD S. JABAY
REGIONAL VICE PRESIDENT
PRO - VIII Tacloban City

Paalala: Basahin ang nilalaman ng MDR. Kung may kulang o mali, ibalik agad upang maiwasto. Ingatan ang orihinal na kopya at huwag ibigay kahit kanino. Kung
sakaling gagamit at makikinabang ng benepisyo, magbigay ng kopya sa ospital. (Reminder: Read the contents of the MDR. Should there be any data discrepancies,
return it back to amend or rectify the error. Take good care of MDR and do not hand it over to anybody. Provide photocopy to hospital in case of confinement and
availment of benefits.)
This is a Member Portal System generated report. Signature is not required.
Jan 28, 2023 08:49 PM

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