AGENCY: Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations.

SERIES: 84685
TITLE: Yearly adjudicate report
DATES: 1989-1993.
ARRANGEMENT: Chronological

DESCRIPTION: This series contains changes made to medicaid claims submitted by the provider. The series is used to verify the original claim with the revised claim form. Contains the name of provider, date, client identification number and changes made.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 05/2003

FORMAT MANAGEMENT

Computer output microfiche duplicate: Retain in Office for 1 year and then transfer to State Records Center. Retain in State Records Center for 8 years and then destroy.

CD-ROM: Retain in Office for 9 years and then destroy.

Computer data files: Retain in Office for 9 years and then delete provided erased records are those stored on COLD/LAN.

APPRAISAL

Administrative

PRIMARY DESIGNATION

Private

---