AGENCY: Department of Health. Division of Medicaid and Health Financing. Bureau of Financial Services

SERIES: 611
TITLE: Statistical information, strata information, data sheet, and claims processing review schedule report fiche
DATES: 1989-2014.
ARRANGEMENT: Numerical by claim number.

DESCRIPTION: This is a record used to verify programs and claim audits by the federal government. Includes sample lists, data sheets, claims processing review schedule reports, audit programs, and samples of computer screens. These lists and data sheets contain medical payment codes, sex, age, date of birth, social security number, signature, telephone number, and name. This fiche is produced monthly.

RETENTION

Retain for 9 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 03/1990

FORMAT MANAGEMENT

Computer output microfiche master: Retain in Office for 9 years and then destroy.

Computer output microfiche duplicate: Retain in Office for 9 years and then destroy.

APPRAISAL

Administrative Fiscal

This record is governed by CFR 42-434-6 which states that this record is to be kept for a period of 6 years for auditing purposes. The agency has requisted to keep this record for a period of 9 years.

PRIMARY DESIGNATION

Private

SECONDARY DESIGNATION

Protected

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