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LD2401JA1Financial Assistance Program Table (updated for 2016 RPG) Discounts for Categories 1 4 Uninsured and Insured** Employee Guide to Well Star Charitable Discounts For all uninsured patients,

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What is ld-24-01-ja1?

ld-24-01-ja1 is a specific form used for reporting certain financial information.

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ld-24-01-ja1 requires reporting of specific financial information as outlined in the form.

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