Agency Schedule Detail

Authorization Number : 855-1047

Agency Series No. : PAFF-04

Status : Active

Agency Web Link :

Agency : BWC

Confidential Description : The medical providers’ tax identification numbers.

Division : BWCMSAD

Vital Description :

Section : BWCMSADPAFF

Record Title : Medical Bill Payment Recovery Packets

Revision : 0

Record Description : The Medical Bill Payment Recovery Packets include the notice and documentation regarding outstanding monies for medical bills owed by the medical providers to BWC, correspondence to providers from BWC, and the A31B deposit slip when resolved.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain paper copies of the Medical Bill Payment Recovery Packets in the Medical Billing and Adjustments Unit for 2 years after resolution, and then destroy.		Paper	Shred

Approvals

Status	Name	Title	Date
Approved	Kevin Gartrell	Records Coordinator	6/19/2008 10:34:00 AM
Approved	Melissa Roach	Records Officer	7/3/2008 9:21:00 AM
Approved	Michael Hardenbrook	Record Administrator	7/18/2008 2:07:00 PM
Approved	Martin Meeks	State Auditor	7/23/2008 8:01:00 AM
Approved	Fred Previts	State Archivist	7/26/2008 12:03:00 PM

Notes

Date	Reason	User