Form HFS2211 (IL478-1020) Laboratory / Portable X-Ray Invoice - Illinois

Form HFS2211 (IL478-1020) Laboratory / Portable X-Ray Invoice - Illinois

What Is Form HFS2211 (IL478-1020)?

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 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.

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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 HFS2211 (IL478-1020) by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.

Download Form HFS2211 (IL478-1020) Laboratory / Portable X-Ray Invoice - Illinois

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