USE CASE NAME: SCENARIO: TRIGERRING EVENT: BRIEF DESCRIPTION: ACTORS: RELATED USE CASES: STAKEHOLDERS: PRECONDITIONS:

Inquires about PhilHealth Member inquires about PhilHealth Inquiry When PhilHealth ng Masa Member inquires about PhilHealth, the Brgy. PhilHealth ng Masa Personnel responses to them. PhilHealth ng Masa Member. Brgy. PhilHealth ng Masa Personnel. N/A Brgy. PhilHealth ng Masa Personnel: to responses to the PhilHealth ng Masa member inquires Inquiries must concerns with PhilHealth. If successful, PhilHealth ng Masa Member must receive information regarding to PhilHealth Actor System

POSTCONDITIONS:

FLOW OF ACTIVITIES:

1. PhilHealth ng Masa Member inquires about PhilHealth. 2. Brgy. PhilHealth ng Masa Personnel addresses PhilHealth ng Masa Member inquires.

EXCEPT CONDITIONS:

PhilHealth ng Masa is for indigent people who are register voters of Makati. Being indigent means that your income is below the minimum wage and insufficient to afford medical necessity.

USE CASE NAME: SCENARIO: TRIGERRING EVENT:

Changes member information Member changes his member information Member information change request When a member wants to change his/her member information, the Brgy. PhilHealth ng Masa Personnel verifies first if the members information exists in the member records, then, checks and sends the members update form and requirements to the PhilHealth Office for processing. Any information regarding the changes in the members information will be disseminated by the Brgy. PhilHealth ng Masa Personnel afterwards. PhilHealth ng Masa Member. Brgy. PhilHealth ng Masa Personnel. PhilHealth Office. Includes: Finds member information Checks the update or renewal form and requirements Sends the update or renewal form and requirements for processing Informs members about their update or renewal application Updates member records Brgy. PhilHealth ng Masa Personnel: to verify PhilHealth ng Masa member information, checks and sends the PhilHealth ng Masa Members update form and requirements, informs the member regarding the changes in his member information PhilHealth Office: to process PhilHealth ng Masa Members information update, notify Brgy. PhilHealth ng Masa regarding the changes in the members information. Brgy. PhilHealth ng Masa Personnel must periodically update the member records in the system PhilHealth ng Masa Member information must be existing in the member records PhilHealth Office must inform the Brgy. PhilHealth ng Masa Personnel regarding the changes on PhilHealth ng Masa members information

BRIEF DESCRIPTION:

ACTORS:

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STAKEHOLDERS:

PRECONDITIONS:

POSTCONDITIONS:

Brgy. PhilHealth ng Masa Personnel must notify the member regarding the changes in his/her members information. PhilHealth ng Masa Member must sign the event list form for confirmation that he/she received the notification.

Actor 1. PhilHealth ng Masa Member wants to change his/her member information 2. Brgy. PhilHealth ng Masa Personnel verifies PhilHealth ng Masa members information

System

2.1 Search for PhilHealth ng Masa member information 2.2 Display PhilHealth ng Masa member information

FLOW OF ACTIVITIES:

EXCEPT CONDITIONS:

3. PhilHealth ng Masa Member fills out update form and submits necessary requirements 4. Brgy. PhilHealth ng Masa 4.1 Update Member Personnel checks if Status to Applied for PhilHealth ng Masa update information Members update form is correctly filled out and requirements are complete. 5. Brgy. PhilHealth ng Masa Personnel sends PhilHealth ng Masa Members update form and requirements. 6. PhilHealth Office processes PhilHealth ng Masa Members information update 7. Brgy. PhilHealth ng Masa 7.1 Update Member Personnel receives Records confirmation for PhilHealth 7.2 Update Member ng Masa Members update Status to application. Information changed 8. Brgy. PhilHealth ng Masa 8.1 Generate and print Personnel informs the event list form from member regarding the Event List changes in his/her members information Members can change his/her member information between current membership date and renewal date.

USE CASE NAME: SCENARIO: TRIGERRING EVENT:

Adds a PhilHealth dependent Member adds a PhilHealth dependent Adding of PhilHealth dependent When a PhilHealth ng Masa Member wants to add PhilHealth dependent, the Brgy. PhilHealth ng Masa Personnel verifies first if the members information exists in the member records, then, checks and sends the members update form and requirements to the PhilHealth Office for processing. Any information regarding the changes in the members information will be disseminated by the Brgy. PhilHealth ng Masa Personnel afterwards. PhilHealth ng Masa Member. Brgy. PhilHealth ng Masa Personnel. PhilHealth Office. Includes: Finds member information Checks the update or renewal form and requirements Sends the update or renewal form and requirements for processing Informs members about their update or renewal application Updates member records Brgy. PhilHealth ng Masa Personnel: to verify PhilHealth ng Masa member information, checks and sends the PhilHealth ng Masa Members update form and requirements, informs the member regarding the changes in his member information PhilHealth Office: to process PhilHealth ng Masa Members information update, notify Brgy. PhilHealth ng Masa regarding the changes in the members information. Brgy. PhilHealth ng Masa Personnel must periodically update the member records in the system

BRIEF DESCRIPTION:

ACTORS:

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STAKEHOLDERS:

PRECONDITIONS: PhilHealth ng Masa Member information must be existing in the member records PhilHealth Office must inform the Brgy. PhilHealth ng Masa Personnel regarding the changes on PhilHealth ng Masa members information POSTCONDITIONS: Brgy. PhilHealth ng Masa Personnel must notify the member regarding the changes in his/her members information. PhilHealth ng Masa Member must sign the event list form for confirmation that he/she received the notification.

Actor 1. PhilHealth ng Masa Member wants to add a PhilHealth dependent 2. Brgy. PhilHealth ng Masa Personnel verifies PhilHealth ng Masa members information

System

2.1 Search for PhilHealth ng Masa member information 2.2 Display PhilHealth ng Masa member information

FLOW OF ACTIVITIES:

3. PhilHealth ng Masa Member fills out update form and submits necessary requirements 4. Brgy. PhilHealth ng Masa Personnel checks if PhilHealth ng Masa Members update form is correctly filled out and requirements are complete. 5. Brgy. PhilHealth ng Masa Personnel sends PhilHealth ng Masa Members update form and requirements. 6. PhilHealth Office processes PhilHealth ng Masa Members information update. 7. Brgy. PhilHealth ng Masa Personnel receives confirmation for PhilHealth ng Masa Members update application. 8. Brgy. PhilHealth ng Masa Personnel informs the member regarding the changes in his/her members information

4.1 Update Member Status to Applied for update information

7.1 Update Member Records 7.2 Update Member Status to Information changed 8.1 Generate and print event list form from Event List

EXCEPT CONDITIONS:

Members can add dependent between current membership date and renewal date.

USE CASE NAME: SCENARIO: TRIGERRING EVENT:

Applies for renewal of PhilHealth ng Masa membership Member applies for renewal of PhilHealth ng Masa membership Membership renewal When PhilHealth ng Masa Member applies for renewal of his PhilHealth ng Masa membership, the Brgy. PhilHealth ng Masa Personnel verifies first if the members information exists in the member records, then, checks and sends the members renewal form and requirements to the PhilHealth Office for processing. Any information regarding the renewal application of the members will be disseminated by the Brgy. PhilHealth ng Masa Personnel afterwards. The Brgy. PhilHealth ng Masa Personnel is also the responsible for fetching and distribution of the PhilHealth ng Masa Cards. PhilHealth ng Masa Member. Brgy. PhilHealth ng Masa Personnel. PhilHealth Office. Includes: Finds member information Checks the update or renewal form and requirements Sends the update or renewal form and requirements for processing Informs members about their update or renewal application Updates member records Fetches the PhilHealth ng Masa Members card Distributes the PhilHealth ng Masa Cards Brgy. PhilHealth ng Masa Personnel: to verify PhilHealth ng Masa member information, checks and sends the PhilHealth ng Masa Members membership renewal form, fetches the PhilHealth ng Masa Members card PhilHealth Office: to process PhilHealth ng Masa Members membership renewal application, notify Brgy. PhilHealth ng Masa regarding the members renewal application. Brgy. PhilHealth ng Masa Personnel must periodically update the member records in the system PhilHealth ng Masa Member previous membership information must be existing in the member records PhilHealth Office must inform the Brgy. PhilHealth ng Masa Personnel regarding the members application for membership renewal. Brgy. PhilHealth ng Masa Personnel must notify the member regarding his application for membership renewal.

BRIEF DESCRIPTION:

ACTORS:

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STAKEHOLDERS:

PRECONDITIONS:

POSTCONDITIONS:

PhilHealth ng Masa member must sign in the event list form for confirmation that he/she received notification. If successful, PhilHealth ng Masa Member must receive their new PhilHealth ng Masa cards. Actor 1. PhilHealth ng Masa Member wants to apply for renewal of PhilHealth ng Masa membership. 2. Brgy. PhilHealth ng Masa Personnel verifies PhilHealth ng Masa members information System

2.1 Search for PhilHealth ng Masa member information 2.2 Display PhilHealth ng Masa member information

FLOW OF ACTIVITIES:

3. PhilHealth ng Masa Member fills out renewal form and submits necessary requirements. 4. Brgy. PhilHealth ng Masa Personnel checks if the PhilHealth ng Masa Members renewal form is correctly filled out and his /her requirements are complete. 5. Brgy. PhilHealth ng Masa Personnel sends PhilHealth ng Masa Members renewal form and requirements. 6. PhilHealth Office processes PhilHealth ng Masa Members membership renewal application. 7. Brgy. PhilHealth ng Masa Personnel receives confirmation for PhilHealth ng Masa Members renewal. 8. Brgy. PhilHealth ng Masa

4.1 Update Member Status to Applied for renewal 4.2 Extract member information for Member Records to generate the Renewal list 5.1 Print the Renewal List

7.1 Update Member Records 7.2 Update Member Status to Renewed 8.1 Generate and print

EXCEPT CONDITIONS:

Personnel informs the member event list form from regarding his/her membership Event List renewal application. 9. Brgy. PhilHealth ng Masa Personnel fetches and distributes the PhilHealth ng Masa Members cards. 10.1 Update Member 10. PhilHealth ng Masa Member Status to Card retrieved his/her new retrieved PhilHealth ng Masa card. If the member failed to retrieve his /her card in the designated card distribution date, he/she can still get his/her card in the Brgy. Bangkal PhilHealth ng Masa Center until the day before the next renewal date.

USE CASE NAME: SCENARIO: TRIGERRING EVENT:

Avails Benefit Member avails PhilHealth benefits Benefit availment of a PhilHealth ng Masa Member. When a member wants to avail benefit, PhilHealth Accredited Hospital should provide the PhilHealth benefits to the member if that member met the requirements for availing PhilHealth benefits PhilHealth ng Masa Member. PhilHealth accredited Hospital. PhilHealth Office.

BRIEF DESCRIPTION:

ACTORS:

RELATED USE CASES: N/A PhilHealth Accredited Hospital: to provide PhilHealth benefits entitled to a PhilHealth ng Masa member PhilHealth Office: to confirm benefit availment given by the PhilHealth accredited Hospitals PhilHealth ng Masa Members information must be existing in the member record. The Hospital must be PhilHealth accredited. If the PhilHealth ng Masa Member met the requirements for availing PhilHealth benefits, PhilHealth accredited Hospital should give discount and provide PhilHealth benefits to that member. Actor 1. PhilHealth ng Masa member wants to avail benefits to a PhilHealth accredited Hospital. 2. PhilHealth Accredited Hospital provides PhilHealth benefits entitled to a PhilHealth ng Masa member 3. PhilHealth Office confirms benefit availment given by the PhilHealth accredited Hospitals N/A System

STAKEHOLDERS:

PRECONDITIONS:

POSTCONDITIONS:

FLOW OF ACTIVITIES:

EXCEPT CONDITIONS: