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.
Q: What is Form HFS2211?
A: Form HFS2211 is an invoice used for laboratory and portable X-ray services in Illinois.
Q: What is the purpose of Form HFS2211?
A: The purpose of Form HFS2211 is to provide an itemized invoice for laboratory and portable X-ray services in Illinois.
Q: Who needs to fill out Form HFS2211?
A: This form needs to be filled out by providers of laboratory and portable X-ray services in Illinois.
Q: What information is required on Form HFS2211?
A: The form requires information such as patient details, service date, description of services provided, and billing information.
Q: Is Form HFS2211 specific to Illinois?
A: Yes, Form HFS2211 is specific to the state of Illinois and is used for invoicing laboratory and portable X-ray services in the state.
Q: Are there any fees associated with Form HFS2211?
A: There may be fees associated with laboratory and portable X-ray services, but the form itself does not specify any fees.
Form Details:
Download a printable version of Form HFS2211 (IL478-1020) by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.