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Agency Schedule Detail

Authorization Number :  11001573
Agency Series No. :  BEN - 9
Status :  Active
Agency Web Link : 
Agency :  DAS
Confidential Description : 
Division :  DAS0400
Vital Description : 
Section :  DAS04000403
Record Title :  Medicare Secondary Payer Claims
Revision :  1
Record Description :  Series of correspondence covering situations where Medicare has paid for an employee’s insurance claim as the primary pay instead of the secondary pay. Documents include correspondence between Human Resources Benefit office, the insurance carrier, Medicare and collection agencies.
Retention Period Retention Justification Media Code Method of Disposal
Maintain claims in office until the case is closed plus 5 years, then destroy. Paper Shred
Maintain claims in operating system until the case is closed plus 5 years, then destroy. Electronic Erase

Approvals

Status Name Title Date
Approved Jane Kuzma Records Officer 10/30/2023 7:01:34 PM
Approved Terri Dittmar Record Administrator 10/31/2023 9:18:28 AM
Approved Fred Previts State Archivist 10/31/2023 10:21:39 AM
Approved Martin Meeks State Auditor 11/1/2023 12:06:05 PM

Notes

Date Reason User

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© 2025 - RIMS, State of Ohio