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Hospital Statement of Cost BHF Page 1Healthcare and Family Services, Bureau of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763General InformationPRELIMINARYName of Hospital: Presence Covenant
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Presence covenant medical c21001 is a form used to report information about medical services provided by Presence Covenant Medical Center.
Healthcare providers and facilities that provide medical services at Presence Covenant Medical Center are required to file presence covenant medical c21001.
Presence covenant medical c21001 must be filled out by entering all required information about the medical services provided, including patient details, treatment provided, and charges incurred.
The purpose of presence covenant medical c21001 is to accurately report and document the medical services provided at Presence Covenant Medical Center.
Information such as patient details, treatment provided, charges incurred, and other relevant medical service information must be reported on presence covenant medical c21001.
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