AGENCY: Department of Health. Bureau of Information Technology

SERIES: 8282
TITLE: Claim credit exception
DATES: i 1985-2002.
ARRANGEMENT: None

DESCRIPTION: This is a list of credit applied to medicaid providers' accounts that exceed the norm established for this group. This is part of COM 68015E, MMIS Claims Exception Reports. It includes run date, category of service, transaction control number, clerk's identification number, medical records number, the transaction control number to be credited, the identification number of the provider and recipient to be credited, the dates of service to be credited, the reason for the credit, and if an error is made, the error code, description of the error, and status.

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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