The CF1 form is the primary document that PhilHealth members submit when filing a health insurance claim for hospital confinement. Officially titled Claim Form 1, it collects personal and medical details needed for processing reimbursement or benefit coverage. The form was last revised in February 2010 and remains the standard version used by hospitals and PhilHealth regional offices across the Philippines.
Filing deadlines are strict. Members must submit the completed CF1 form within 60 calendar days from the date of discharge for confinement within the Philippines. For medical treatment received abroad, the deadline extends to 180 calendar days. Missing these windows means the claim will be denied, so tracking discharge dates is essential.
The form has three main parts. Part I captures member and patient information, including the PhilHealth Identification Number (PIN), date of birth, and relationship of the patient to the principal member. Part II is the employer certification section, which employed members must have their employer sign and stamp. Part III is reserved for PhilHealth internal processing.
All entries must be written in capital letters using black or blue ink. The form must be an original copy, not a photocopy, and it cannot be sold. PhilHealth distributes the CF1 form for free through accredited hospitals, local health insurance offices, and the CF1 PhilHealth form page on FormsPal.
Members who provide false or incomplete information on the CF1 form face criminal, civil, or administrative penalties under Philippine law. Both the member and their employer must certify the accuracy of all data before submission. For companion claim documents, see the CF2 PhilHealth form, which the attending physician completes separately.
| Question | Answer |
|---|---|
| Form Name | Cf1 Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | philhealth form cf1, cf1, cf1 form, cf1 form 2020 pdf |