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Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Medical claims

Reimbursement claims filed by medical providers for services covered by medicare or medicaid, and used by the bureau to approve payments to providers for eligible patients. Includes transportation claims, corrective forms, prior approvals, preadmissions, payment ...
Topics:
Medicaid--Utah.
Medicaid fraud--Utah.
Medicare--Claims administration--Utah.

Series: 6765
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 10 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Provider year to date claims

This report shows the recipient number, recipient name, transaction control number, and provider number.

Series: 83637
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Medicaid Management Information Systems direct billing report

This report is titled Direct Billed Accepted Batches and shows Tape Number, Provider, Batch Date and Number, Keyed by, Batch Control and sheet total.

Series: 83640
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Yearly deleted claims

This record series tracks Medicaid claims on individual medical services which are received by the Bureau and transferred to backup systems. Claims entered into the Medicaid Management Information System and later manually deleted by a Medicaid worker are recorded on ...

Series: 84686
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Project and suspense correspondence

Correspondence received and created by the bureau relating to bureau projects. Does not include executive correspondence, which might document office procedures or policies.

Series: 12240
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 7 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Independent lab and x-ray claim exception

These are claims from laboratories and x-ray facilities that exceed the norm for these types of facilities. This is part of COM number 68015E, MMIS Claims Exception Reports. It includes run and report dates; the location code; the category of service; the clerk's ...

Series: 7905
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Indigent eligibility/need exception

This is a list of claims submitted for indigents which exceed the norm established for that group. This is part of COM 68015E, MMIS Claims Exception Reports. It includes run and report dates, the location code, the clerk's identification number, the name of the employee ...

Series: 7922
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Pharmacy claim exception

This is a list of claims from pharmacists that exceed the norm established for this group. This is part of COM number 68015E, MMIS Claims Exception Reports. It includes run and report dates, the category of service, the location code, the clerk identification number, ...

Series: 7912
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Dental claims exception

This is a list of claims from dentists that exceed the norm for this group of providers. This is part of COM number 68015E, MMIS Claims Exception Reports. It includes run and report dates, the category of service, the location code, the clerk's identification number, ...

Series: 7909
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Preliminary payment summary

This is a 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 ...

Series: 7945
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Medicare crossover rejections for state review and follow up

This is a list of claims rejected because the recipient is also receiving medicare benefits. These are identified so that they can be further investigated by the department. This is part of COM 68015E, MMIS Claims Exceptions Reports. It includes run date, location code, ...

Series: 7920
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Cumulative year to date update proof

This is a computer output microfiche number 21115F summarizing the divisions's claim processing activities for the year. It includes the report date, the document control number, the type of claim (pharmacy invoice, prior authorization record, etc.), the claim status ...

Series: 7940
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Claims in process

This is a computer output microfiche number 68015B listing of claims for payments from health care providers that have been submitted but not yet paid. It includes the report date, the provider identification number, the provider's name, the amount of the warrant, the ...

Series: 7944
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Claims to be paid due to force

This is a list of claims that were erroneously rejected by the MMIS. This is part of COM number 68015E, MMIS Claims Exception Reports. It includes run and effective dates, the transaction control number, the recipient and provider identification numbers,the category of ...

Series: 7900
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Long-term care turnaround document

These are to reimburse long term care providers for services rendered under the medicaid and medicare programs. This document includes document number, a list of clients and the charges for service to those clients giving the client identification number, client name, ...

Series: 7890
Creator Information
Other Records Produced by This Entity
Total Retention: Retain until administrative need ends

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Pre-admission continued stay

This is a list of pre-admission/continued stay approval forms input into MMIS. This is part of COM number 68015E, MMIS Claims Exception Reports. It includes run and report dates, the location code, the identification number of the clerk inputting the data, the name of ...

Series: 7902
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Aged prior authorization

This is a list of expired prior authorizations. This is part of COM number 68015E, MMIS Claims Exceptions Reports. It includes the run and report dates, the prior authorization number, the transaction control number, the recipient's name and identification number, the ...

Series: 7896
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Batch summary

This is a part of COM 68015C, Batch Balance Reports. Includes batch date, batch number, the batch type (HCFA form 1500, Drugs, Indigent, etc.), the individual who input the data into the system, the batch control sheet total, and the disposition of the batch (accepted ...

Series: 7938
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Services to be clerically denied

This is a list of claims which must be manually denied. This is part of COM number 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 ...

Series: 7899
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Emergency transportation claim exception

This is a list of claims from emergency transportation services that exceed the norm for this group of medicaid providers. This is part of COM 68015E, MMIS Claims Exception Reports. It includes run and report dates, the location code, the category of service, the ...

Series: 7907
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Claim credit exception

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 ...

Series: 7916
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Denied prior authorization services

This is a list of rejected prior authorization for service. This is part of COM number 68015E, MMIS Claims Exception Reports. It includes run and report date, the prior authorization number, the transaction code number, the recipient and provider identification numbers, ...

Series: 7901
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Diagnosis code report

This is a computer output microfiche number 21103E listing the code number for medical diagnosis for use by health care providers in submitting claims and in filling out the claim form. It includes report date, the name and code number of the diagnosis, the minimum and ...

Series: 7934
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Non-emergency transportation claim exception

This is a list of claims from non-emergency transportation companies that exceed the norm established for this group. This is part of COM 68015E, MMIS Claims Exception Reports. It includes run and report dates, the category of service, the location code, the clerk's ...

Series: 7911
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations Rejected batches

This is a part of COM number 68015C, Batch Balance Reports. It includes run date, the report date, the batch date, the batch type, the individual who input the data into the system, the batch sheet number, and the number of input images.

Series: 7937
Creator Information
Other Records Produced by This Entity
Total Retention: Retain for 9 year(s)

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Series Title

Aged prior authorization (1)

Alphabetic diagnosis code report (1)

Alphabetical check register (1)

Batch balance reports (1)

Batch control tickets (1)

Topics

medicaid fraud--utah. (1)

medicaid--utah. (1)

medicaid. (1)

medical care--utah. (1)

medical claims processing industry--utah. (1)

Primary GRAMA Class

Private (50)

Public (4)

Secondary GRAMA Class

Controlled (2)

Private (1)

Public (1)

Holdings In Archives

No (59)

Yes (2)