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Health Financial Systems
ST. VINCENT CARMEL HOSPITAL
In Lieu of Form CMS255210
This report is required by law (42 USC 1395g; 42 CFR 413.20(b)). Failure to report can result in all interim FORM APPROVED
payments
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Obtain the necessary documents such as identification card, health insurance information, and any relevant medical records.
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Visit the registration desk at Vincent Carmel Hospital and inform the staff that you need to fill out the necessary forms for admission.
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Vincent Carmel Hospital aims to provide comprehensive healthcare services to meet the needs of diverse patient populations.
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