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FOR BHF USE LL1 2012 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2012) I. DPH License ID Number:

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What is hfs 3745 n-4-99 il478-2471?

HFS 3745 n-4-99 il478-2471 is a form used for reporting certain information to the Illinois Department of Healthcare and Family Services.

Who is required to file hfs 3745 n-4-99 il478-2471?

Healthcare providers and facilities in Illinois are required to file HFS 3745 n-4-99 il478-2471.

How to fill out hfs 3745 n-4-99 il478-2471?

HFS 3745 n-4-99 il478-2471 must be filled out accurately with the required information and submitted according to the instructions provided by the Illinois Department of Healthcare and Family Services.

What is the purpose of hfs 3745 n-4-99 il478-2471?

The purpose of HFS 3745 n-4-99 il478-2471 is to collect specific data from healthcare providers and facilities in Illinois for regulatory and reporting purposes.

What information must be reported on hfs 3745 n-4-99 il478-2471?

HFS 3745 n-4-99 il478-2471 requires reporting of various healthcare-related information such as patient demographics, services provided, and payment details.

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