AGENCY: Department of Health. Family Health Services Division. Office of Management Services

SERIES: 82032
TITLE: Billing invoices
DATES: 1986-1989.
ARRANGEMENT: Chronological

DESCRIPTION: This is a record of billings made to the federal government and to private insurance companies for patient services provided by the division's programs. The file is used to ensure that all potential other sources of payment have been exhausted before the state pays for the treatments. This record series includes the patient's name, address, sex, date of birth, chart number, employer, insurance company, telephone number, and medicaid number; the health care provider's name, address, social security number, employer identification number, and telephone number; the services being billed for; and the amount of the charges.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 06/1988

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year and then transfer to State Records Center. Retain in State Records Center for 2 years and then destroy.

APPRAISAL

Administrative Fiscal

This record has potential audit value and should be retained for the audit period. See also General Schedule 6 Item 6.

PRIMARY DESIGNATION

Private

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