Form HFS2212 Health Agency Invoice - Illinois

Form HFS2212 Health Agency Invoice - Illinois

What Is Form HFS2212?

This is a legal form that was released by the Illinois Department of Healthcare and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the HFS2212 Health Agency Invoice?
A: The HFS2212 Health Agency Invoice is a form used in Illinois for health care agencies to bill for services provided.

Q: Who uses the HFS2212 Health Agency Invoice?
A: Health care agencies in Illinois use the HFS2212 Health Agency Invoice to bill for their services.

Q: What information is required on the HFS2212 Health Agency Invoice?
A: The HFS2212 Health Agency Invoice requires information such as the provider's name, address, and National Provider Identifier (NPI), as well as the recipient's information and details of the services provided.

Q: How should I submit the HFS2212 Health Agency Invoice?
A: The HFS2212 Health Agency Invoice can be submitted electronically or by mail, as specified by the Illinois Department of Healthcare and Family Services.

Q: What can I do if I have questions or need assistance with the HFS2212 Health Agency Invoice?
A: If you have questions or need assistance with the HFS2212 Health Agency Invoice, you can contact the Illinois Department of Healthcare and Family Services for guidance.

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Form Details:

  • Released on February 1, 2015;
  • The latest edition provided by the Illinois Department of Healthcare and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form HFS2212 by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.

Download Form HFS2212 Health Agency Invoice - Illinois

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  • Form HFS2212 Health Agency Invoice - Illinois, Page 1
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