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Hospital Statement of Cost BHF Page 1 Healthcare and Family Services, Bureau of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763 General Information Preliminary Name of Hospital: Collinsville
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Include details about the medical procedure or service you received, such as the date, name of the procedure, and any accompanying codes or descriptions.
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Indicate the total cost of the procedure or service, including any itemized charges, if applicable.
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Who needs hospital statement of cost?
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Patients who have received medical services or procedures from a hospital
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What is hospital statement of cost?
The hospital statement of cost is a report that details the financial expenses incurred by a hospital during a specific period.
Who is required to file hospital statement of cost?
Hospitals are required to file the hospital statement of cost to provide transparency and accountability for their financial records.
How to fill out hospital statement of cost?
The hospital statement of cost can be filled out by compiling all financial transactions and expenses of the hospital into the designated form provided by the governing authority.
What is the purpose of hospital statement of cost?
The purpose of the hospital statement of cost is to track and analyze the financial performance of a hospital, and ensure that it is operating efficiently.
What information must be reported on hospital statement of cost?
The hospital statement of cost must include details of revenue, expenses, assets, liabilities, and other financial data pertaining to the hospital.
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