AGENCY: Department of Health and Human Services. Community Health and Well-Being. Division of Population Health. Office of Health Promotion and Prevention

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

Retention and disposition for this series were specifically approved by the State Records Committee.

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

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