AGENCY: Department of Health. Division of Medicaid and Health Financing. Bureau of Coverage and Reimbursement Policy

SERIES: 8092
TITLE: Third-party payment analysis
DATES: undated
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

Retain until administrative need ends

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

Computer output microfiche master: Retain in Office until no longer needed and then destroy.

APPRAISAL

Administrative

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