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(Eff. 2/1/2010, Register 193; am 10/1/2011, Register 199; am 3/1/2024, Register 249) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 105.230. Requirements for provider records. (a) A provider

(1) shall maintain accurate financial, clinical, and other records necessary to support the services for which the provider requests payment;

(2) shall ensure that the provider’s staff, billing agent, or other entity responsible for the maintenance of the provider’s financial, clinical, and other records meets the requirements of this section; and

(3) may not submit a claim to the department for payment for services unless the provider’s records are kept and maintained in accordance with this section. (b) A provider’s record must identify recipient information for each recipient including the

(1) name of the recipient receiving treatment;

(2) specific services provided;

(3) extent of each service provided;

(4) date on which each service was provided; and

(5) individual who provided each service. (c) A provider’s record must identify financial information for each recipient including

(1) the charge for each service provided;

(2) each payment source pursued;

(3) the date and amount of all debit and credit billing actions for each date of service provided; and

(4) the amounts billed and paid. (d) A provider shall maintain a clinical or therapeutic record in accordance with professional