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Instructions for Completing the Central Billing Office Application - wiu

Instructions for Completing the Central Billing Office Application - wiu 2025

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The document provides detailed instructions for completing the Central Billing Office (CBO) application for providers seeking enrollment in the Illinois Medical Assistance Program. It outlines necessary forms, including the Payee Agreement, EI Service Matrix, Provider Enrollment Application (HFS 2243), Agreement for Participation (HFS 1413), Enrollment Disclosure Statement (HFS 1513), and W-9 Form. Key points include requirements for accurate information, specific documentation needed based on provider type, and compliance with HIPAA regulations. The document emphasizes the importance of original signatures and using the most current forms to avoid application rejection.

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What GPA do you need to get into Western Illinois University?

Candidates with a minimum 2.75 cumulative high school grade point average or higher (on a 4.00 scale) will be admitted. Candidates with a 2.002.74 cumulative high school grade point average are eligible for a holistic review of credentials to be considered for admission.

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How do I send my transcripts to WIU?

You must also have transcripts sent from all previous schools attended to Undergraduate Admissions, Western Illinois University 1 University Circle Macomb, IL 61455 (Processing of applications occurs in Macomb so we ask documents be sent there). Electronic Documents can be sent to: admissions@wiu.edu.

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Where do I send transcripts to WIU?

There are a few basic steps for application to WIU. You must also have transcripts sent from all previous schools attended to Undergraduate Admissions, Western Illinois University 1 University Circle Macomb, IL 61455 (Processing of applications occurs in Macomb so we ask documents be sent there).

Instructions for Completing the Central Billing Office Application - wiu 2025

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