PDF
Word
Form HFS2360 Health Insurance Claim Form - Illinois
What Is Form HFS2360?
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 HFS2360 Health Insurance Claim Form?
A: The HFS2360 Health Insurance Claim Form is a form used in Illinois to submit health insurance claims.
Q: Who uses the HFS2360 Health Insurance Claim Form?
A: Healthcare providers in Illinois use the HFS2360 Health Insurance Claim Form to submit claims for reimbursement.
Q: What information is required on the HFS2360 Health Insurance Claim Form?
A: The HFS2360 Health Insurance Claim Form requires information such as patient demographics, healthcare provider information, diagnosis and treatment codes, and billing details.
Q: Are there any specific instructions for filling out the HFS2360 Health Insurance Claim Form?
A: Yes, there are specific instructions provided with the HFS2360 Health Insurance Claim Form. Please follow them carefully to ensure accurate and complete submission.
Form Details:
- Released on July 1, 2005;
- 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 HFS2360 by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.
Download Form HFS2360 Health Insurance Claim Form - Illinois
1
2
