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{class="scroll_to"} 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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