AGENCY: Department of Health. Medical Assistance Program

SERIES: 7840
TITLE: Third-party payment analysis
DATES: 1981-2014.
ARRANGEMENT: None

DESCRIPTION: This is an analysis of the number and amount of third-party payments received on Medicaid claims. This is part of COM number 68115A MARS Reports. It includes the report date, the effective date of the report, the category of service, the provider identification number, the number of claims, the number of claims with third-party payments, the percentage of claims with third-party payments, the total claim dollars, the third-party dollars, and the third-party dollars as a percentage of the total claim.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

Computer output microfiche master: Retain in Office for 1 year and then destroy.

APPRAISAL

Administrative

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