AGENCY: Department of Health and Human Services. Division of Family Health. Office of Maternal and Child Health

SERIES: 80769
TITLE: Billing sheets
DATES: 1975-
ARRANGEMENT: Chronological

DESCRIPTION: These are copies of billings sent to patients' insurance company for payment of services rendered. This record is not part of the patient chart. The information includes the patient's name, sex, date of birth, and address; the insurance company name and address; the type of treatment given and the charge; the invoice number; and the health provider's name.

RETENTION

Retain for 3 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 06/1987

FORMAT MANAGEMENT

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

APPRAISAL

Administrative Fiscal

This record is subject to audit and should be kept for the audit period.

PRIMARY DESIGNATION

Private