A record of all requests for payment submitted to Medicaid, DSHS, or insurance companies. May include copies of applicable patient chart notes, procedure coding sheets, patient bill, etc.

Official Copy: Clinical Services: Accounting and Patient Accounts Office - Explanation of Benefits
Retention: 6 years after end of month
Disposition Method: Shred

Official Copy: Any Clinic receiving insurance payments
Retention: 6 years after end of fiscal year
Disposition Method: Shred