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Home My WebLink About20113303 RESOLUTION RE: CANCELLATION OF 2011 OUTSTANDING ACCOUNTS RECEIVABLE FOR THE WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,a list of 2011 Department of Public Health and Environment accounts has been submitted to the Accounting Department of Weld County, Colorado, and WHEREAS, said accounts have been deemed uncollectible in accordance with guidelines adopted by the City of Greeley and County of Weld, a copy of said list being attached hereto and incorporated herein by reference, and WHEREAS, the Accounting Department has recommended the cancellation of said list of uncollectible debts due and owing the Department of Public Health and Environment, in the amount of$12,506.09. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the aforementioned list of uncollectible accounts, in the amount of $12,506.09, be, and hereby is, approved for cancellation. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 21st day of December, A.D., 2011. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO% ATTEST: ..Ga:..77 <� w b ILL c i 'Barbara Kirkme r, Chair Weld County Clerk to the Board C--- can P. Conwa�-Tem BY: ..iii. . �°°�/�°� Deputy Cl k to the Board i ' �i 1861 ( u,4 — UnL2.- F. Garcia >� 5 APPROY A5 T ORM: , 'w' ` cA_, ® , avid E. Long ounty torneY c� c-c:� (fCa g/Q\Yr- &Q AC— Oougla Rademacher Date of signature: 1 . 1 g-I a CC A c-Qk Us0 (-) 2011-3303 I - gut- l a HL0019 irk I047 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17s Avenue Greeley, CO 80631 Pub&Health Web:http://www.co.weld.co.us/departments/healthenvironment/ 11 HealthAdMr9atradon Public Nagai&Clinical Environmental Health Communication, EmwWocy"madness Ractda 5arvica Services Education L Planning l Rnpaw 0 TNa:970.304.6410 TNc 970.30LGa20 Tea:970.304.6115 Tal:970.3046470 Telt 970 304 6 420 Fax 970.361.8112 Far 970.301.0416 Far 970.304.6411 Fax 970.304.6452 Fah: 970.304.6469 Our vision.TogWha with the communcas we sons,se m waking to make Weld County the healthiest place to ha.laam,auk and play. COLORADO TO: Barbara Kirkmeyer,Chair Board of County Commissioners • FROM: Mark E.Wallace, MD,MPH, Executive Director Department of Public Health & Environment DATE: December 14,2011 SUBJECT: Cancellation of Outstanding Accounts Receivable The Department of Public Health and Environment is requesting the Board of County Commissioners' approval to write off balances of individual client accounts which have had no payment activity since before July 1, 2011. These accounts are recorded in the Centricity patient management system and have been billed monthly. The enclosed report lists the ticket number, date and amount of last payment, and the outstanding balance of each ticket. The total amount requested to be written off is $12,506.09. Enclosure cc: Barb Connolly, Controller• • 2011-3303 WARNING This report can make data changes in your system. Please read these instructions carefully. • This report gives you the opportunity to write-off old patient balances in your database. When you close this window you will be prompted by the system to update your database. If you select Yes the balance write-offs will occur. If you are not sure you want to proceed with the write-offs then select No. Criteria used for the write-off: Write off the patient balance for all visits where the visit date is before: 07/01/2011 Create these write-off transactions as conveyances for the payor: Old Balance Write-Off Create these write-off transactions in the batch: tgeiser_20111214 Create these write-off transactions as adjustments of type: Write Off Company:Weld County Dept of Public Health and Environment- Last Payment Date before: 07/01/2011 Last Patient Name Last Payment Payment Ticket Number Patient Balance 12/09/2010 $10.00 FPN031843 $12.50 IZCN016003 $73.50 IZCN015223 $14.70 IZCN015368 $14.70 05/02/2011 $15.00 IZCN015977 $58.50 IZCN015278 $44.10 MIZC003023 $73.50 11/12/2010 $15.00 MIZC003035 $29.10 11/29/2010 $20.00 IZCN015310 $38.80 12/03/2010 $40.00 MIZC003047 $48.20 12/03/2010 $30.00 IZCN015357 $14.10 12/14/2010 $20.00 IZCN015405 $38.80 IZCN015391 $29.40 IZCN015400 $29.40 IZCN015772 $14.70 IZCN015747 $14.70 IZNA002966 $14.70 IZCS001338 $29.40 01/05/2011 $14.70 IZCN015536 $14.70 FPN032288 $20.00 01/13/2011 $20.00 IZCN015603 $24.10 IZCN015622 $29.40 05104/2011 $14.70 MIZA001010 $14.00 IZCN015691 $44.10 IZCN015926 $44.10 IZCN015651 $14.70 02/10/2011 $20.00 FPN032844 $22.50 IZCN015796 $29.40 03/21/2011 $2.00 FPN033518 $18.00 03/03/2011 $2.00 FPN033204 $28.00 FPN033554 $23.00 FPN035004 $36.00 IZCN015821 $29.40 IZCN015833 $88.20 04/20/2011 $10.00 FPS002134 $4.00 04/11/2011 $30.00 IZCN015901 $43.50 $24.14 05/02/2011 $0.86 FPN034219 04/25/2011 $10.00 IZCN015946 $78,20 $8.00 05/02/2011 $20.00 FPN034221 7 00 MIZC003086 IZCN016053 $58.80 IZCN016055 $58.80 FPN035139 $25.00 Last Patient Name Last Payment Payment Ticket Number Patient Balance 06/27/2011 $5.30 IZCN016110 $53.50 NNHVH006560 $12.00 NNHVH006554 $12.00 NNHVH006244 $12.00 N N H V H 006292 $12.00 NNHVH006301 $12.00 NNHVH006317 $12.00 N N HVH 006402 $12.00 N N HVH006465 $12.00 NNHVH006509 $12.00 N N HVH006660 $12.00 N N HVH006281 $12.00 N N H VH006300 $12.00 NNHVH006404 $12.00 NNHVH006553 $12.00 N N H V H 006349 $24.00 04/28/2011 $40.00 FPN033507 $16.50 05/31/2011 $20.00 MDN001627 $25.25 05/16/2011 $20.00 FPN034485 $21.25 MDN001446 $9.00 01/20/2011 $14.70 IZCN015637 $29.40 09/14/2010 $23.75 FPN030378 $9.00 06/15/2011 $10.00 FPN034963 $59.00 MDN001543 N 001543 $9.00 FPN033545 $20.00 04/21/2011 $25.00 FPN034042 $121.25 11/22/2010 $25.00 FPN031557 $95.00 04/01/2011 $9.00 FPS002113 $33.00 FPN034262 $47.00 10/06/2010 $10.00 FPN030740 $5.00 07/29/2010 $58.50 FPN029699 $9.00 02/04/2011 $20.00 FPN032790 $60.00 09/28/2010 $29.40 IZCN014907 $14.70 09/22/2010 $25.00 IZCN014864 $19.10 10/26/2010 $50.00 MIZ0002983 $23.50 IZCN014724 $14.70 09/13/2010 $0.00 MIZC002854 $29.40 IZCN015406 $14.70 09/16/2010 $10.00 IZCN014829 $34.10 10/21/2010 $45.00 IZCS001241 $43.20 06/02/2011 $20.00 FPN034778 $18.75 06/13/2011 $32.25 FPN034941 $9.00 09/16/2010 $10.00 IZCN014830 $34.10 02/16/2011 $40.00 IZCN015736 $18.80 11/16/2010 $30.00 IZCN015224 $14.10 IZCN015735 $44.10 11/02/2010 $14.70 IZCNO15151 $14.70 IZC N015407 $14.70 01/17/2011 $5.00 FPN032445 $7.00 TBN017037 $35.00 FPN031293 $23.50 IZCN015288 $58.80 09/24/2010 $20.00 IZCN014881 $38.80 05/02/2011 $1.00 FPN034216 $28.00 11/12/2010 $10.00 IZCN015193 $48.80 09/15/2010 $20.00 IZCN014827 $38.80 IZCN015733 $58.80 IZCN016047 $29.40 IZCN015724 $44.10 IZCN014966 $29.40 IZCN014903 $44.10 IZCN015683 $58.80 Last Patient:Name Last Payment Payment Ticket Number Patient Balance IZCN015358 $58.80 IZCN014916 $58.80 IZCN016104 $29.40 IZCN015076 $14.70 11/12/2010 $10.00 MIZC003032 $48.80 11/12/2010 $10.00 MIZC003033 $48.80 IZCN015902 $58.80 FPN030685 $88.25 02/10/2011 $5.00 FPN032842 $75.00 FPN034373 $62.00 FPN029771 $17.50 04/21/2011 $20.00 FPN034060 $8.00 06/24/2011 $20.00 FPN035142 $15.00 05/03/2011 $186.00 MDN001571 $78.00 07/02/2010 $5.00 FPN029103 $9.00 12/29/2010 $14.70 IZCN015499 $29.40 IZCN015532 $44.10 FPN033538 $28.00 07/13/2010 $20.00 MDN001183 $18.75 MDN001567 $20.00 FPN031421 $53.00 FPN032427 $27.25 FPN033074 $17.25 01/07/2011 $14.70 IZCN015564 $29.40 FPN030400 $12.50 11/23/2010 $20.00 FPN031607 $26.25 09/16/2010 $10.00 FPN030423 $35.00 11/10/2010 $20.00 FPN031318 $58.00 FPN030490 $9.00 04/29/2011 $10.00 FPN034180 $2.50 FPN030256 $12.50 FPN030189 $23.00 FPN034586 $12.50 FPN030447 $12.50 06/23/2011 $19.25 FPN035135 $900 12/29/2010 $36.00 FPN032130 $32.25 05/13/2011 $20.00 FPN034449 $16.00 03/16/2011 $20.25 FPN033433 $9.00 FPN034038 $62.00 04/15/2011 $40.00 FPN033951 $29.50 05/02/2011 $25.00 FPN034228 $28.00 05/18/2011 $20.00 FPS002158 $4.00 03/04/2011 $20.00 FPS002086 $8.00 10/25/2010 $20.00 IZCN015095 $24.10 08/26/2010 $14.70 IZCN014722 $14.70 $44.10 IZCN015987 FPN034139 $14.00 FPN034297 $7.00 IZCN014693 $29.40 I ZCN014834 $14.70 IZCN014838 $58.80 IZCN014837 $58.80 MIZC002813 $58.80 MIZC002806 $44.10 MIZC002852 $58.80 IZCN014754 $29.40 09/03/2010 $29.40 IZCN014775 $29.40 MIZC002933 $29.40 MIZC002934 $29.40 IZCN014771 $44.10 IZCN014887 $29.40 09/24/2010 $29.40 IZCN014888 $14.70 Last Patient Name Last Payment Payment Ticket Number Patient Balance 10/22/2010 $20.00 IZCN015084 $38.80 10/22/2010 $14.70 MIZC002977 $29.40 MIZC002987 $14.70 MIZC002986 $14.70 MIZC002997 $102.90 05/04/2011 $12.50 FPN034275 $36.00 04/01/2011 $5.00 FPN033717 $18.50 FPN030586 $19.00 FPN029863 $20.00 FPN029702 $17.25 FPN032369 $15.50 01/21/2011 $20.25 FPN032524 $9.00 MDN001330 $44.00 08/05/2010 $20.00 FPN029809 $21.00 10/14/2010 $20.00 FPN030897 $41.00 IZNA002776 $14.70 FPN032763 $15.50 05/26/2011 $20.00 FPN034689 $33.25 FPN033615 $86.00 FPN035647 $62.00 05/11/2011 $10.00 FPN034422 $33.25 FPN032297 $23.00 12/17/2010 $20.00 FPN031998 $36.25 FPN032929 $27.25 FPN031730 $39.25 05/18/2011 $5.00 FPN034517 $15.00 08/16/2010 $36.00 FPN029958 $36.00 FPN034946 $56.00 04/05/2011 $18.00 FPN033762 $10.00 $20.00 FPN034536 FPN034765 $9.00 04/05/2011 $50.00 MDN001485 $36.25 06/27/2011 $186.00 MDN001724 $78.00 05/03/2011 $55.00 FPN034251 $176.00 $87.00 FPN034996 FPN033783 $88.00 MDN001608 $88.00 FPN033782 $62.00 04/28/2011 $6.00 FPN034154 $6.50 FPN035646 $62.00 01/10/2011 $20.00 FPN032311 $8.00 04/07/2011 $4.00 FPN033817 $16.00 FPN030181 $7.00 FPN034475 $21.25 FPN033874 $62.00 07/28/2010 $5.00 D1N001194 $12.004.00 FPN029865 $28.00 07/15/2010 $24.00 FPN029467 $14.50 FPN036874 $62.00 10/14/2010 $20.00 MDN001279 $65.00 04/20/2011 $15.00 FPN034000 $17.00 MDN001315 $38.75 FPN034733 $112.00 05/03/2011 $25.00 FPN033610 $35.75 FPN034249 $31.50 MDN001190 $5.00 04/05/2011 $20.00 FPN033779 $26.25 FPN030962 $5.00 09/23/2010 $7.00 FPN030530 $39.00 12/29/2010 $10.00 FPN032113 $32.25 FPN032508 $62.00 Last Patient Name Last Payment Payment Ticket Number Patient Balance 11/12/2010 $25.00 IZNA002846 $19.10 02/16/2011 $16.50 MDN001197 $27.50 12/22/2010 $1.00 FPN031787 $6.00 FPN029798 $7.00 FPN034383 $28.00 09/29/2010 $41.00 FPN030632 $30.25 09/27/2010 $3.00 FPN030556 $11.00 06/27/2011 $196.00 MDN001721 $156.00 01/12/2011 $20.00 FPN032356 $7.00 FPN031908 $60.00 FPN030355 $7.00 12/17/2010 $10.00 FPN031985 $10.00 04/12/2011 $200.00 MDN001180 $85.00 FPN031234 $52.00 FPN031816 $60.00 FPN030540 $16.00 FPN030037 $42.00 FPN031360 $9.25 08/04/2010 $5.00 FPN029775 $7.50 MDN001349 $41.25 01/04/2011 $3.00 FPN032191 $20.00 FPN030903 $73.50 FPN030760 $36.00 01/13/2011 $52.00 FPN032385 $5.75 MIZC002996 $58.80 FPN034077 $24.00 07/23/2010 $5.00 FPN029603 $8.25 IZCN014521 $58.80 04/29/2011 $10.00 FPN034207 $52.50 IZNA002641 $14.70 IZNA002799 $29.40 MIZC002911 $58.80 MIZC002954 $88.20 01/05/2011 $10.00 FPN032203 $17.00 02/10/2011 $60.00 IZCN014783 $13.50 IZCN015317 $29.40 IZCN015858 $29.40 IZCN015196 $14.70 IZCN015195 $14.70 08/23/2010 $58.80 IZCN014697 $14.70 07/30/2010 $30.00 IZCN014594 $43.50 01/17/2011 $14.70 IZCN015625 $29.40 IZCN014981 $29.40 IZCN016023 $88.20 MIZC002826 $58.80 MIZC002825 $29.40 08/11/2010 $14.70 IZCN014631 $29.40 08/26/2010 $15.10 IZCN014721 $29.00 08/31/2010 $30.00 IZCN014746 $43.50 09/01/2010 $14.70 IZCN014747 $14.70 09/08/2010 $10.00 IZCN014790 $48.80 09/03/2010 $14.70 IZCN014774 $14.70 09/16/2010 $23.00 IZCN014832 $21.10 09/13/2010 $14.70 IZCN014809 $58.80 IZCN014826 $58.80 11/03/2010 $20.00 IZCN015155 $38.80 IZCN015208 $29.40 IZCN015140 $14.70 IZCN015167 $14.70 11/05/2010 $36.00 FPN031014 $7.75 01/13/2011 $14.70 IZCN015601 $14.70 FPS001958 $23.00 • Last Patient Name Last Payment Payment Ticket Number Patient Balance FPN031278 $32.25 FPS002216 $35.00 FPS002204 $7.00 M DN001306 $42.25 04/12/2011 $10.00 MDN001492 $65.00 IZCS001313 $73.50 12/09/2010 $60.00 IZCS001312 $13.50 09/13/2010 $0.00 IZCS001118 $29.40 08/19/2010 $37.00 IZCS001124 $36.50 08/19/2010 $29.40 IZCS001172 $44.10 IZCS001175 $88.20 IZCS001173 $88.20 IZCS001174 $88.20 IZCS001183 $73.50 IZCS001253 $58.80 IZCS001238 $73.50 MIZC003004 $88.20 08/10/2010 $20.00 IZCN014648 • $9.40 IZCN014659 $44.10 10/22/2010 $25.00 MIZC002978 $48.50 MIZC002928 $29.40 IZCN015390 $58.80 IZCN014753 $58.80 10/19/2010. $5.00 IZCN015042 $9.70 03/02/2011 $20.00 FPN033115 $15.00 06/27/2011 $5.75 FPN033028 $22.25 FPN031723 $23.00 11/03/2010 $22.75 FPN029054 $23.25 FPN030902 $11.75 FPN034040 $62.00 03/07/2011 $20.25 FPN033253 $9.00 FPN034037 $62.00 MDN001691 $176.00 IZNA002856 $14.70 FPN034563 $20.00 IZCN014703 $58.80 IZCN015246 $29.40 05/24/2011 $10.00 IZCN016030 $4.70 FPN033118 $62.00 FPN031631 $12.50 FPN032064 $17.50 12/29/2010 $10.00 FPN032107 $20.00 12/01/2010 $14.70 IZCN015328 $14.70 IZCN015732 $44.10 FPN033111 $7.00 FPN034036 $62.00 IZCN016036 $14.70 07/12/2010 $19.75 FPN029418 $9.00 05/13/2011 $2.00 FPN034459 $7.00 09/17/2010 $15.00 FPN030454 $9.00 IZCN015505 $88.20 05/19/2011 $11.00 FPN031082 $5.00 07/19/2010 $14.70 IZCN014537 $14.70 FPN033942 $7.00 FPN034607 $62.00 ' 11/19/2010 $10.00 FPN031537 $10.00 FPN030768 $15.00 FPN029858 $35.00 FPN032105 $64.00 FPN033117 $62.00 IZCN015832 $44.10 • Last Patient Name Last Payment Payment Ticket Number Patient Balance 07/13/2010 $20.00 FPN029440 $33.00 FPN035251 $32.75 11/01/2010 $14.70 IZCN015145 $14.70 IZCN014859 $29.40 01/03/2011 $5.00 IZNA002847 $9.70 IZCN014905 $73.50 IZCN015549 $73.50 04/29/2011 $60.00 FPN034185 $64.00 11/19/2010 $10.00 IZCN015252 $63.50 04/07/2011 $10.00 FPN033816 $10.00 IZCN016077 $14.70 IZCN016062 $29.40 IZCN016061 $44.10 IZCN016078 $44.10 05/20/2011 $20.00 FPN034564 $16.25 $12,506.09 Hello