Authorization Number : 78550002
Agency Series No. : SERA-13
Status : Active
Agency Web Link :
Agency : BWC
Confidential Description : File contains medical documentation and social security numbers. 149.43 (A)(3)
Division : BWCSERA
Vital Description :
Section : BWCSERAALLS
Record Title : Evaluation Worksheets for Claims not Settled
Revision : 0
Record Description : This series contains information that tells why a claim was denied or dismissed. This worksheet contains medical information, social security numbers and the claimants financial information. These worksheet are not retained in the claim file.