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

SERIES: 7990
TITLE: Class group total report-recipient
DATES: 1981-
ARRANGEMENT: None

DESCRIPTION: This is computer output microfiche number 68210E, part of the Surveillance and Utilization Review Subsystem. It consists of class profiles used to verify the statistical data of each recipient class group to provide a detailed breakdown of the overall utilization patterns. It includes the report date, the category of service, and a listing of the type of service name and number, and the amount of claims per service up to five report periods covered by the report (i.e., Oct 1982 - Sept 1983, Oct 1982 - Mar 1983, etc.).

RETENTION

Retain for 3 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

Computer output microfiche master: Retain in Office for 3 years and then destroy.

APPRAISAL

Administrative Fiscal

This record is part of a series used to produce a comprehensive statistical profile on participants who deviate from pre-defined criteria for the purposes of analysis and review. This information is subject to federal audit and must be maintained for a three year period. However, four unnecessary copies are sent to the bureau which may be disposed of.