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

SERIES: 4109
TITLE: Eligibility case files
DATES: 2014.
ARRANGEMENT: Alphabetical by patient name.

DESCRIPTION: Medical and billing records from the Salt Lake office for individuals needing subsidized medical care, and do not qualify for medicaid or medicare. They are are complete record of medical services received by indigent individuals. Includes: patient financial status, payments, certification of eligibility, medical need, and notice of denial, client name, social security number, county code, description of patient's condition or symptom's, diagnosis, medical history, laboratory results, provider name and address, medication, 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: 04/1995

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

This disposition is based on the administrative needs expressed by the agency.

PRIMARY DESIGNATION

Private

SECONDARY DESIGNATION

Controlled. Psychiatric information

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