AGENCY: Department of Health. Bureau of Chronic Disease Control

SERIES: 7550
TITLE: Authorization for compensable services
DATES: c. 1977-2009.
ARRANGEMENT: Numerical by authorization number

DESCRIPTION: This is authorization from the state to perform chest X-rays for patients under the Refugee Health/Pulmonary Program. It includes the name of the patient, the county of residence of the patient, the provider's name and address, the name and policy number of the patient's insurance, the service the provider is authorized to give, the date of service, a description of the service provided, the amount of fees charged for the service, and the signature of the official authorizing payment.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 10/1986

FORMAT MANAGEMENT

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

APPRAISAL

Administrative Fiscal

According to Federal Register Vol. 51, No. 87, page 16724-16726, the record keeping requirements for grants for refugee health programs is set by 45 CFR 74. That section sets a three year retention for fiscal records.

PRIMARY DESIGNATION

Private