AGENCY: Department of Health. Office of Finance

SERIES: 81833
TITLE: Authorization for compensable services
DATES: 1984-
ARRANGEMENT: Numerical by authorization number

DESCRIPTION: These are authorizations given to health care providers by the divisions of Family Health Services and Community Health Services to provide specific treatment to clients. Without this authorization, the department may refuse to pay for these services. The information includes the health care provider's name, address, and vendor number; the authorization date; the low organizational, account, and activity code numbers to be charged; the specific services authorized; and the signatures of the authorizing officials and authorizing agent.

RETENTION

Retain for 5 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 06/1987

FORMAT MANAGEMENT

Paper: Retain in Office for 5 years and then destroy.

APPRAISAL

Administrative Fiscal

A copy of this authorization is filed with the related patient chart and is available there for any legal action. However, for audit purposes, this file is administratively useful as all of the authorizations are filed together. For this reason, the file should be retained for the audit period.

PRIMARY DESIGNATION

Private