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

SERIES: 6853
TITLE: Adult indigent medical eligibility case files
DATES: 1981-2014.
ARRANGEMENT: Alphabetical by patient name

DESCRIPTION: Medical and billing records for individuals needing subsidized medical care, who do not qualify for medicaid or medicare. The information is a complete record of medical services received by indigent individuals and documents financial information concerning patient financial status, payments, certification of eligibility, medical need, and notice of denial.

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, medication, notice of denial and patients's hearing requests, hearing outcome, third party investigation, and employment status. The Ogden facility has its own clinic, and most patient medical procedures are conducted at the clinic. However, some special cases may be sent to other authorized providers.

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: 11/1996

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

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

PRIMARY DESIGNATION

Private

SECONDARY DESIGNATION

Controlled. Psychiatric information

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