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[ ] Great River Health System [x] Southeast Iowa Regional Medical Center [x] FM/WB [ ] FM campus [ ] WB campus [ ] Henry County Health Center[[[[] Family Planning] Rural Health] Non Clinic] Department
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Gather all necessary personal information such as name, date of birth, address, and insurance information.
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Individuals seeking medical care or services from Great River Health System.
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Patients looking for a comprehensive healthcare provider in the area.
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Great River Health System is a regional integrated health-care system serving southeast Iowa.
Healthcare providers and facilities within the Great River Health System network are required to file.
Great River Health System can be filled out electronically or manually depending on the preferred method of submission.
The purpose of Great River Health System is to collect and report important healthcare data for analysis and improvement purposes.
Information such as patient demographics, medical procedures, outcomes, and costs must be reported on Great River Health System.
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