AGENCY: Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Eligibility Policy

SERIES: 7984
TITLE: Class group totals report-providers
DATES: 1981-
ARRANGEMENT: None.

DESCRIPTION: This is computer output microfiche number 68201A generated by the Surveillance and Utilization Review Subsystem. These are class profiles used to verify the statistical data of each provider class group to provide detailed breakdown of the overall utilization patterns. These records include the report date, the category of service, and a listing of the type of service name and number, and the amount of claims per service up to five report periods covered by the report (i.e., Oct 1982 - Sept 1983, Oct 1982 - Mar 1983, etc.).

RETENTION

Retain for 3 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

Computer output microfiche master: Retain in Office for 3 years and then destroy.

APPRAISAL

Administrative Fiscal

This record is part of a series used to produce a comprehensive statistical profile on participants who deviate from pre-defined criteria for the purposes of analysis and review. This information is subject to federal audit and must be maintained for a three year period. However, the bureau receives 4 unnecessary copies which should not be kept.

PRIMARY DESIGNATION

Public

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