AGENCY: Department of Health. Bureau of Health Promotion
SERIES: 81940
TITLE: Dental prior authorization log
DATES: 1986-
ARRANGEMENT: Chronological
DESCRIPTION: This is a log of prior authorizations that have been sent to the utilization review panel for approval or denial. It is used to control the movement of the files and as an index. This log includes the batch number, the dates the files were sent to and received from the panel, the client's name, the document number, and whether the claim was processed or denied.
RETENTION
Retain for 2 year(s)
DISPOSITION
Destroy.
RETENTION AND DISPOSITION AUTHORIZATION
These records are in Archives' permanent custody.
APPROVED: 06/1987
FORMAT MANAGEMENT
Paper: Retain in Office for 2 years and then destroy.
APPRAISAL
Administrative
This record has only administrative value.
PRIMARY DESIGNATION
Public