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Get Il Hfs Appendix U-1 2005-2024

Es in the preparation of claims for imaging processing to assure the most efficient processing by the Department: • Use original Department issued claim form. • Claims that are illegible will be returned to the provider. • Claims with extreme print qualities, either light or dark, will not image. • Use only one font style on a claim. Do not use bold print, italics, script, or any font that has connecting characters. • Do not use punctuation marks, slashes, dashes or any specia.

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