Beacon – PhilHealth Integration Platform

Beacon is a secure web-based solution that enables hospitals to transmit patient claims and medical records in real time to the Philippine Health Insurance Corporation (PhilHealth). Designed to streamline compliance and accelerate reimbursement cycles, Beacon bridges healthcare providers with government systems through robust interoperability standards.

Core Capabilities:

Real-Time Claims Transmission
Automates submission of patient claims directly to PhilHealth, reducing manual errors and processing delays.

Electronic Medical Record (EMR) Integration
Syncs patient data from hospital systems for accurate and compliant reporting.

Government Compliance
Built to align with PhilHealth eClaims 3.0 and DOH EMR standards, ensuring regulatory adherence.

Secure Data Exchange
Implements encryption, authentication, and audit trails for sensitive patient information.

Technical Highlights:

Backend: .NET Core microservices with RESTful APIs for PhilHealth integration.

Frontend: ReactJS interface for hospital staff to manage claims, monitor statuses, and generate reports.

Database: MSSQL for structured storage of patient records, claims metadata, and transaction logs.

Interoperability: HL7/FHIR standards for healthcare data exchange.

Scalability: Cloud-ready deployment with containerization (Docker/Kubernetes).

Security: Role-based access control, compliance with DPA, ISO, and HIPAA standards.

Business Impact:

Accelerates hospital reimbursement cycles by enabling instant claim submission.

Reduces administrative overhead through automation and integration.

Strengthens trust with government agencies by ensuring compliance and transparency.