Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations.

Reimbursement claims filed by medical providers for services covered by medicare or medicaid, and used by the bureau to approve payments to providers for eligible patients. Includes transportation claims, corrective forms, prior approvals, preadmissions, payment adjustments, invoices, health insurance claims, pharmacy claims, outpatient claims, and long-term care turnaround documents. Information contained within this record includes but is not limited to: patient name, address, telephone number, birth date and gender; whether the client has health insurance; name, address, and medicaid provider number of the health care provider; description of services performed and charges; health care provider signature, and the healthcare financing reviewer.

Reimbursement claims filed by medical providers for services covered by medicare or medicaid, and used by the bureau to approve payments to providers for eligible patients. Includes transportation claims, corrective forms, prior approvals, preadmissions, payment adjustments, invoices, health insurance claims, pharmacy claims, outpatient claims, and long-term care turnaround documents. Information contained within this record includes but is not limited to: patient name, address, telephone number, birth date and gender; whether the client has health insurance; name, address, and medicaid provider number of the health care provider; description of services performed and charges; health care provider signature, and the health care financing reviewer.