AGENCY: Department of Health. Bureau of Information Technology

SERIES: 8260
TITLE: Services to be clerically denied
DATES: 1985-2002.
ARRANGEMENT: None

DESCRIPTION: This is a list of claims which must be manually denied. This is part of COM 68015E, MMIS Claims Exception Reports. It includes report and run dates, the transaction control number, the recipient's and provider's identification number, the category of service, the dates of first and last service, the net claim charge, the payment amount, and the denied error codes.

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 Legal

PRIMARY DESIGNATION

Private

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