AGENCY: Department of Health. Bureau of Information Technology

SERIES: 8211
TITLE: MMIS preliminary payment summary
DATES: 1985-2002.
ARRANGEMENT: None

DESCRIPTION: This is computer output microfiche number 68015F, produced weekly that lists the payments made to health care providers under the medicaid system. This is used as an audit tool. It includes the run and report dates, the provider's identification number, the payee's name and address, the amount of the warrant, the warrant number, the low organizational and account numbers, the activity code, and the amount charged.

RETENTION

DISPOSITION

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 9 years and then destroy.

APPRAISAL

Administrative Fiscal Legal

This is the master copy of the microfiche. The maximum amount of time for which to take action against a health care provider for filing a false claim is 9 years. This information could be of value in pursuing such an action. Discussion with the staff indicates that this record has no administrative value other than as a backup in case the diazo copies are destroyed.

PRIMARY DESIGNATION

Private

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