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Instruction Manual for SCREEN Form: DOH-695 (2/2009) A Patient Review Instrument (PRI) or Hospital and Community PRI (H/C PRI) must be completed before beginning the SCREEN form. NEW YORK STATE DEPARTMENT
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What is doh 695i?
doh 695i is a form used for reporting healthcare facility financial data.
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Healthcare facilities are required to file doh 695i.
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The purpose of doh 695i is to track and analyze financial data from healthcare facilities.
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Information such as revenue, expenses, and other financial data must be reported on doh 695i.
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