AGENCY: Department of Health. Bureau of Information Technology

SERIES: 8263
TITLE: Denied prior authorization services
DATES: 1985-2002.
ARRANGEMENT: None

DESCRIPTION: This is a list of rejected prior authorizations for service. This is part of COM 68015E, MMIS Claims Exception Reports. It includes run and report dates, the prior authorization number, the transaction code number, the recipient and provider identification numbers, and the authorized services, giving the category, beginning and ending dates, the procedure/supply/ diagnosis/drug code, the units used and the dollar amount used.

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

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