RURAL HEALTH UNIT – LAKE SEBU

MUNICIPALITY OF LAKE SEBU

PROVINCE OF SOUTH COTABATO
( Poblacion, Lake Sebu rhu.lakesebu@gmail.com P12033806

ANNEX F

NOTICE OF CHANGE OF AUTO-CREDIT PAYMENT SCHEME (ACPS) BANK ACCOUNT FOR GOVERNMENT
HCIs

October 24, 2022

HECTOR ZENON LEONARDO P. MALATE, MD

Regional Vice President

PHILIPPINE HEALTH INSURANCE OFFICE

CSA 1 Building, Cor. Gensan Drive & ZULUETA Street
City of Koronadal

Sir/Madam:

May we respectfully request for updating of our bank account information for Philhealth Auto Credit
Payment Scheme (ACPS):
1 Bank Name
2 Branch
3 Bank Account Details
HCI Charges
Bank Account Name
Bank Account Number
Professional Fee Designated for Pooling
Bank Account Name
Bank Account Number
4 Official HCI Email Address
5. Landline Number
6 Mobile Number

Further, we certify that the foregoing information are true and correct.

Very truly yours,

JOCELYN P. BAYQUIN MD
Municipal Health Officer
Lake Sebu