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

SERIES: 7900
TITLE: Claims to be paid due to force
DATES: 1977-
ARRANGEMENT: None

DESCRIPTION: This is a list of claims that were erroneously rejected by the MMIS. This is part of COM number 68015E, MMIS Claims Exception Reports. It includes run and effective dates, the transaction control number, the recipient and provider identification numbers,the category of service, the dates of the first and last service, the net claim charge, the payment amount and the forced error code.

RETENTION

Retain for 9 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

Computer output microfiche master: For records beginning in 1977 through 2002. Retain in Office for 2 years and then transfer to State Records Center. Retain in State Records Center for 7 years and then destroy.

CD-ROM: For records beginning in 2002 and continuing to the present. Retain in Office for 9 years and then destroy.

Computer data files: Retain in Office for 9 years and then delete.

APPRAISAL

Administrative Fiscal

PRIMARY DESIGNATION

Private

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