AGENCY: Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Eligibility Policy

SERIES: 3130
TITLE: Indigent medical eligibility case files
DATES: 2014.
ARRANGEMENT: Alphabetical by patient last name.

DESCRIPTION: Medical eligibility case files contain medical and billing records for individuals needing subsidized medical care, who do not qualify for medicaid or medicare. The series serves as a complete record of medical services received by indigent individuals. Also documented is financial information concerning patient financial status, payments, certification of eligibility, medical need, and denial of services. These case files are kept by the Provo office and include those created at their clinic as well as others created by authorized providers in the community.

Information includes client name, social security number, county code, description of patient's condition or symptom's, diagnosis, medical history, laboratory results, provider name and address, medications, notice of denial and patients's hearing requests, hearing outcome, third party investigation, and employment status.

RETENTION

Retain for 7 year(s) after case is closed

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 06/1996

FORMAT MANAGEMENT

Paper: Retain in Office for 2 years after case is closed and then transfer to State Records Center. Retain in State Records Center for 5 years and then destroy.

APPRAISAL

Administrative



PRIMARY DESIGNATION

Private

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