Form HFS2249 Adjustment (Hospital) - Illinois

What Is Form HFS2249?

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 HFS2249?
A: Form HFS2249 is an adjustment form for hospitals in Illinois.

Q: Why would a hospital need to use Form HFS2249?
A: A hospital would need to use Form HFS2249 to report adjustments to previously submitted claims.

Q: What information is required on Form HFS2249?
A: Form HFS2249 requires information such as the hospital provider number, patient information, and details about the adjustment being made.

Q: Are there any fees associated with submitting Form HFS2249?
A: No, there are no fees associated with submitting Form HFS2249.

Q: Is there a deadline for submitting Form HFS2249?
A: Yes, Form HFS2249 should be submitted within 180 days from the date of the original billing statement.

Q: Can Form HFS2249 be submitted electronically?
A: Yes, Form HFS2249 can be submitted electronically through the HFS Web Portal.

Q: What should a hospital do if there are multiple adjustments to be reported?
A: If there are multiple adjustments to be reported, a hospital should attach a separate form for each adjustment.