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FOR BHF USELL1
2011
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2011)I.DPH License ID Number:
Facility
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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 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 online or submitted by mail following 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 important healthcare data for the state of Illinois.
What information must be reported on hfs 3745 n-4-99 il478-2471?
Hfs 3745 n-4-99 il478-2471 requires reporting information such as patient demographics, services provided, and payment information.
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