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

SERIES: 8005
TITLE: Control file class-group criteria
DATES: 1981-
ARRANGEMENT: None

DESCRIPTION: This is computer output microfiche number 68215V, generated by the Surveillance and Utilization Review Subsystem. This report provides a summarization of the class grouping criteria that have been established on the control file. It includes the date of the last control file computer run creating the class grouping criteria, the area codes, and the codes for the provider speciality, the provider type, the medical control facility, the type of practice, the number of beds in hospitals or the size of the group practice, the aid category of recipient, the level of care for the recipient, the recipient age at last selected date of service, the recipient's sex, the service date ranges requested for reporting the number of major reporting subdivisions within the class group, and the number of lines carrying summarized claim information.

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 duplicate copy is not needed.