AGENCY: Department of Health. Division of Community and Family Health Services

SERIES: 5485
TITLE: Children special health services ledger cards
DATES: 2009.
ARRANGEMENT: Alphabetical by surname.

DESCRIPTION: These records document financial information used by the division to collect monies from insurance companies and or medicaid for medical services received by individuals in the program. Information includes name of insurance company, medicaid office, patient/guardian name, service dates, payments previously paid, payment amount requested of company or medicaid office, and medical codes.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

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

APPROVED: 04/1996

FORMAT MANAGEMENT

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

APPRAISAL

Fiscal

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

PRIMARY DESIGNATION

Private