AGENCY: Department of Health. Bureau of Health Promotion

SERIES: 81940
TITLE: Dental prior authorization log
DATES: 1986-
ARRANGEMENT: Chronological

DESCRIPTION: This is a log of prior authorizations that have been sent to the utilization review panel for approval or denial. It is used to control the movement of the files and as an index. This log includes the batch number, the dates the files were sent to and received from the panel, the client's name, the document number, and whether the claim was processed or denied.

RETENTION

Retain for 2 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 2 years and then destroy.

APPRAISAL

Administrative

This record has only administrative value.

PRIMARY DESIGNATION

Public

---