Agency Schedule Detail

Authorization Number : 855-0991

Agency Series No. : OFFI-10

Status : Obsolete

Agency Web Link :

Agency : BWC

Confidential Description : The microfiche contains the medical provider numbers, injured workers’ names and claim numbers. The microfiche has payment information (compensation, medical fees).

Division : BWCOFFI

Vital Description :

Section : BWCOFFIMICR

Record Title : Medical Invoice Information System (M.I.I.S.) Remittance Advice Microfiche

Revision : 1

Record Description : The Medical Invoice Information System (M.I.I.S.) Remittance Advice Microfiche lists the medical providers’ fees for the claimants. The microfiche is used to verify the fees in case of a dispute between the Bureau of Workers’ Compensation, medical providers, and the claimants. The microfiche covers the years 1998 to 2006.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain the microfiche in the Microfilm unit for 10 years, and then destroy.	May be used as evidence to prove workers’ compensation fraud.	Microform	Burn

Approvals

Status	Name	Title	Date
Blank	Kevin Gartrell	Records Coordinator	6/14/2010 1:19:00 PM
Blank	Melissa Roach	Records Officer	7/6/2010 2:49:00 PM
Blank	Michael Hardenbrook	Record Administrator	7/14/2010 1:55:00 PM
Blank	Martin Meeks	State Auditor	7/19/2010 1:31:00 PM
Blank	Fred Previts	State Archivist	7/28/2010 3:58:00 PM
Pending	JEFF Hitch	Records Coordinator	10/12/2023 10:40:24 AM
Blank	Colleen Cottrell Erdman	Records Officer	10/12/2023 11:03:58 AM

Notes

Date	Reason	User
10/12/2023 10:40:24 AM	The BWC no longer has these records and hasn't created them since 2006, therefore we move to Obsolete this schedule.	JEFF Hitch
10/12/2023 11:03:58 AM	This retention schedule should be obsoleted because these records ares no longer maintained or created.	Colleen Cottrell Erdman