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STATE OF ILLINOISHEALTH FACILITIES AND SERVICES REVIEW BOARD 5 2 5 W E S T J E F F E RS O N S T.DOCKET NO: H01S P RI N G F I E L D, I L L I N O I S 6 2 7 6 1BOARD MEETING: January 15, 2019(217)7 8

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What is hfsrb 77 illinois administrative?

hfsrb 77 illinois administrative is a form used for reporting certain administrative information related to healthcare services in Illinois.

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Healthcare providers and facilities in Illinois are required to file hfsrb 77 illinois administrative.

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To fill out hfsrb 77 illinois administrative, one must provide the required administrative information as outlined in the form.

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The purpose of hfsrb 77 illinois administrative is to gather administrative data related to healthcare services in Illinois.

What information must be reported on hfsrb 77 illinois administrative?

Information such as patient demographics, services provided, and billing information must be reported on hfsrb 77 illinois administrative.

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