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

SERIES: 8004
TITLE: Control file audit report
DATES: 1981-
ARRANGEMENT: None.

DESCRIPTION: This is computer output microfiche number 68215U, generated by the Surveillance and Utilization Review Subsystem. This establishes the criteria for grouping information into classes. It includes groupings for area codes, drug codes, diagnosis codes, provider category of service, recipients, and treatment analysis. Gives the group of county codes that make up an area, the diagnosis or drug codes that combine to make a group code, the provider category of service and the associated code number to be used in filing claims, and the upper and lower limits in each category.

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 1 year and then transfer to State Records Center. Retain in State Records Center for 2 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 three years. However, the four duplicate copies are unnecessary and may be disposed.

PRIMARY DESIGNATION

Public