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FOR BHF USE LL1 2013 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2013) 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 specific information to the Illinois Department of Human Services.
Who is required to file hfs 3745 n-4-99 il478-2471?
Certain healthcare facilities and providers 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 can be filled out electronically or manually following the instructions provided by the Illinois Department of Human 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 for the Department of Human Services.
What information must be reported on hfs 3745 n-4-99 il478-2471?
hfs 3745 n-4-99 il478-2471 requires information such as patient demographics, services provided, and billing information.
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