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

SERIES: 8000
TITLE: Exception log-treatment and analysis
DATES: 1977-
ARRANGEMENT: None

DESCRIPTION: This is computer output microfiche number 68210Q, generated by the Surveillance and Utilization Review Subsystem. This report serves as an index to the exception profile report. It includes the report date, the class of service code, the provider's name and identification number, the page in the exception profile where this treatment and diagnosis profile begins, the forced exception indicator, and the county and area where the provider is located.

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.

Microfilm master: Retain in Archives 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, two duplicate copies are not needed and should be disposed of.

PRIMARY DESIGNATION

Private

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