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STATE OF ILLINOISHEALTH FACILITIES AND SERVICES REVIEW BOARD
525 WEST JEFFERSON ST.SPRINGFIELD, ILLINOIS 62761(217)7823516 FAX: (217) 7854111DOCKET NO:
H11BOARD MEETING:
January 9, 2018PROJECT NO:
17059PROJECT
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Anyone who requires orthopedic treatment or services can potentially need the 17-059 deerpath ortho form. This form may be used by patients, healthcare professionals, or administrative staff involved in managing orthopedic cases. It helps document and share relevant information related to orthopedic conditions, facilitating proper diagnosis, treatment, or support.
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What is 17-059 deerpath ortho?
17-059 Deerpath Ortho is a form used for reporting specific orthodontic procedures performed on patients.
Who is required to file 17-059 deerpath ortho?
Orthodontists and orthodontic practices are required to file 17-059 Deerpath Ortho.
How to fill out 17-059 deerpath ortho?
To fill out 17-059 Deerpath Ortho, include the patient's information, details of the orthodontic procedures performed, and any other required information.
What is the purpose of 17-059 deerpath ortho?
The purpose of 17-059 Deerpath Ortho is to track and report orthodontic procedures for regulatory and compliance purposes.
What information must be reported on 17-059 deerpath ortho?
Information such as patient details, procedure codes, dates of service, and provider information must be reported on 17-059 Deerpath Ortho.
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