AGENCY: Box Elder County (Utah). Pioneer Care Center

SERIES: 6549
TITLE: Charge slips
DATES: 1994.
ARRANGEMENT: Chronological, thereunder alphabetical by charge type

DESCRIPTION: These slips are created by the financial clerk from monthly medical charges (series 6548). They are used to create Medicare, Medicaid, and private billings. The slips include patient name, date, quantity, description, amount, total, and signature of financial clerk. Attached to these slips are the original statements from the pharmacy for prescriptions (name, address, date, payments, charges).

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 03/1991

FORMAT MANAGEMENT

Paper: Retain in Office for 3 years and then destroy.

APPRAISAL

Fiscal

This disposition is based on the fiscal needs expressed by the care center's office manager. These slips have no value after they have been audited.