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FOR BHF USELL1 2014 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2014)I.DPH License ID Number: Facility
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Provide any necessary supporting documents, such as proof of identity or income, if specified.
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Heritage Health-Springfield is a managed care program in Illinois that provides health insurance coverage to Medicaid recipients.
Healthcare providers participating in the Heritage Health-Springfield program are required to file.
Providers can fill out Heritage Health-Springfield forms online or submit them through the mail.
The purpose of Heritage Health-Springfield is to improve healthcare access and outcomes for Medicaid recipients.
Providers must report patient demographics, services provided, and billing information on Heritage Health-Springfield forms.
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