Utah Department of Administrative Services

Division of Archives & Records Service

Department of Health. Division of Health Care Financing. Bureau of Medicaid Operations

Available Series:PDF Report

7896 - Aged prior authorization
8252 - Alphabetic diagnosis code report
7939 - Alphabetical check register
7936 - Batch balance reports
9775 - Batch control tickets
7938 - Batch summary
9679 - Billing work papers
25216 - Children's Health Insurance Program (CHIP) premium remittance forms
7917 - Claim adjustment exception
7916 - Claim credit exception
7944 - Claims in process
7898 - Claims to be adjusted
7900 - Claims to be paid due to force
16909 - Correspondence file
7940 - Cumulative year to date update proof
27259 - Daily paper claim logs
7901 - Denied prior authorization services
7909 - Dental claims exception
7889 - Dentist invoice
7934 - Diagnosis code report
17425 - Electronic data transmission logs and reports
7907 - Emergency transportation claim exception
7918 - Exception summary by claim type
7897 - Expired preadmissions
7910 - General medical claim exception
7888 - Health insurance claim form
7913 - In-patient hospital claim exception
16908 - Incoming correspondence file
7905 - Independent lab and x-ray claim exception
7922 - Indigent eligibility/need exception
7890 - Long-term care turnaround document
83640 - Medicaid Management Information Systems direct billing report
17917 - Medicaid buyout program case files
6765 - Medical claims
7941 - Medical identification card register
7929 - Medical payments bureau remittance statement
7921 - Medicare crossover payment records disposition
7919 - Medicare crossover rejections
7920 - Medicare crossover rejections for state review and follow up
19003 - Medicare crossover transaction report
7924 - Migrant expenditure analysis
7911 - Non-emergency transportation claim exception
7914 - Nursing home claim exception
7903 - Outpatient hospital claim exception
7912 - Pharmacy claim exception
7906 - Practitioner claim exception
7902 - Pre-admission continued stay
27263 - Prehearing records
7945 - Preliminary payment summary
7923 - Prior authorization request exception
12240 - Project and suspense correspondence
8017 - Provider ranking list
83637 - Provider year to date claims
7946 - Recipient year to date report
8305 - Redeemed warrants
7937 - Rejected batches
7908 - Rural health claim exception
7899 - Services to be clerically denied
16911 - Supervisor's personnel files
7904 - Transaction register
18159 - Utah Health Information Network transmission summary
84683 - Weekly suspense adjudicate report
84685 - Yearly adjudicate report
84686 - Yearly deleted claims

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