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

SERIES: 7901
TITLE: Denied prior authorization services
DATES: 1977-
ARRANGEMENT: None

DESCRIPTION: This is a list of rejected prior authorization for service. This is part of COM number 68015E, MMIS Claims Exception Reports. It includes run and report date, the prior authorization number, the transaction code number, the recipient and provider identification numbers, and the authorized services, giving the category, beginning and ending dates, the procedure/supply/ diagnosis/drug code, the units used and the dollar amount used.

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

PRIMARY DESIGNATION

Private

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