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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: Health South
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Healthsouth Deaconess Reha5109 is a form used for reporting healthcare services provided by organizations such as hospitals and rehabilitation centers.
Healthcare organizations such as hospitals and rehabilitation centers are required to file the Healthsouth Deaconess Reha5109 form.
Healthsouth Deaconess Reha5109 can be filled out by providing detailed information about healthcare services provided, including patient demographics, treatments, and costs.
The purpose of Healthsouth Deaconess Reha5109 is to report and track healthcare services provided by organizations for billing and regulatory purposes.
Information such as patient demographics, treatments provided, costs, and dates of service must be reported on Healthsouth Deaconess Reha5109.
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