AGENCY: Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Eligibility Policy

SERIES: 8016
TITLE: Cost settlement analysis
DATES: 1981-
ARRANGEMENT: None

DESCRIPTION: This is an analysis of reimbursement received for payments for medicaid services from third party sources, comparing the current year with the past year. This is part of COM number 68115A, MARS reports. It includes report date, effective date of the report, the category of service, the provider's identification number, last year's net reimbursement, last year's charges, last year's reimbursement as a percent of charges, this year's payments, this year's charges, this year's payment as a percent of charges, and over or under payment based on the difference between last year's reimbursement percentage and this year's payment percentage.

RETENTION

Retain until administrative need ends

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

FORMAT MANAGEMENT

Computer output microfiche master: Retain in Office until no longer administratively valuable and then transfer to State Archives with authority to weed.

APPRAISAL

Administrative

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