AGENCY: Department of Health. Bureau of Information Technology

SERIES: 8287
TITLE: Medicare crossover payment records disposition
DATES: 1985-2002.
ARRANGEMENT: None

DESCRIPTION: This is a record of medicaid payments submitted for medicare recipients and the final disposition of those claims. This is part of COM 68015E, MMIS Claims Exception Reports. It includes run and report dates, the transaction control number, the recipient's identification number and name, the provider's identification number, the category of service, the dates of service, the status (accept, reject), the amount of the medicare and the amount of the medicaid payments.

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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