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Home My WebLink About20072188.tiff RESOLUTION RE: CANCELLATION OF 2007 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 2007 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$16,180.75. 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 $16,180.75, 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 1st day of August, A.D., 2007. BOARD OF COUNTY COMMISSIONERS Aa WE COUNTY, COLORADO ATTEST: 414114472 / .a1 id E. Long, Chairman Weld County Clerk to the Bo 1 _„!J''i1/40 eV,ZAAi am • . e -, �ro em BY: Via' �l i:�.�SS�� Deputy Clerk to the Board Willi ar a M� � APP AS T Robert D. Masden r� unty ttomey ba[+tw+diJ tA Douglas R demacher` 9-(fa 7 Date of signature: 2007-2188 L0034 (e ; /tef- OS I51D7 Memorandum KitTO: David E. Long, Chair Board of County Commissioners IFROM: Mark E. Wallace, MD, MPH, Director O Department of Public Health and Environment , • btK COLORADO DATE: July 24, 2007 c/"I 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 January 1, 2007. 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 $16,180.75. Enclosure cc: Barb Connolly, Controller ai o n Zr r— JCD Cn n zcz C 49 --s -o 2007-2188 WARNING This report can make data changes in your system. Please read these instructions carefully. This report gives you the opportunity to writeoff 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 writeoffs then select No. Criteria used for the write-off: 01/01/2007 Write off the patient balance for all visits where the visit date is before Create these write-off transactions as conveyances for the payor. Old Balance Write-Off Create these write-off transactions in the batch: jnero_20070724 Create these write-off transactions as adjustments of type Write Off Company: Weld County Dept of Public Health and Environment- Last Payment Date before: 01/01/2007 Last Patient Name Last Payment Payment Ticket Number Patient Balance FPN009063 $60.90 09/26/2006 $10.00 FPN009118 $9.00 08/03/2006 $30.00 FPN008445 $40.00 08/25/2006 $10.00 FPN008751 $92.30 FPN009806 $27.60 07/17/2006 $1.00 FPN008220 $28.00 FPN008331 $10.00 FPN008730 $38.60 FPN008148 $86.10 07/24/2006 $30.00 FPN008320 $75.00 FPN008259 $79.40 FPN008491 $85.50 FPN008386 $75.90 09/11/2006 $10.00 FPN008921 $17.60 FPN008643 $7.00 FPN008952 $55.50 08/28/2006 $25.00 FPN008765 $2.60 11/17/2006 $10.00 FPN 009835 $17.60 FPN008188 $56.70 FPN009056 $40.00 FPN010134 $30.00 09(13/2006 $10.00 $50.90 TBN004583 N O4 83 $10.00 11/28/2006 $20.00 FPN009950 $52.30 07/05/2006 $5.00 FPN008077 $14.00 09/11/2006 $10.00 FPN008937 $25.40 FPN008778 $21.00 FPN008913 $101.40 11/16/2006 $25.00 FPN009817 $71.30 11/20/2006 $15.00 FPN009880 $45.90 10/03/2006 $27.00 FPN008619 $2.00 FPN009226 $15.00 FPN009923 $16.50 FPS000521 $29.00 10/27/2006 $20.00 FPN008324 $18.70 FPN008724 $9.00 FPN009327 $30.00 FPN009711 $19.00 07/11/2006 $20.00 FPN008166 $7.60 07/27/2006 $30.00 FPN008359 $10.20 07/19/2006 $10.00 FPN008250 $30.00 FPN008542 $19.00 FPN009166 $7.00 Last Patient Name Last Payment Payment Ticket Number Patient Balance 08/17/2006 $5.00 FPN008644 $14.00 FPN008925 $40.20 07/07/2006 $20.00 FPN008110 $52.60 08/21/2006 $10.00 FPN008683 $65.30 11/17/2006 $10.00 FPN009853 $17.60 09/19/2006 $20.00 FPN009053 $86.50 FPN004282 $24.00 FPN004540 $111.90 09/29/2006 $2.00 FPN009188 $30.00 09/18/2006 $25.00 FPN008800 $10.00 FPN008910 $15.00 09/29/2006 $20.00 FPN007561 $40.90 10/09/2006 $185.65 FPN007724 $9.60 10/02/2006 $10.80 FPN009195 $3.60 FPN012471 $5.00 09/07/2006 $15.00 PNPN000069 $25.80 12/04/2006 $10.00 FPN010028 $27.60 12/14/2006 $15.00 FPN010174 $72.80 08/21/2006 $40.00 FPN008173 $44.30 09/15/2006 $20.00 .90 FPN008440 0$45.00 12/05/2006 $80.00 FPNO 10055 $70.00 08/15/2006 $150.00 MDN000295 $185.00 12/28/2006 $9.00 FPN010300 $0.90 10/16/2006 $5.00 FPN009405 $41.80 FPN009671 $15.00 FPN010024 $15.30 12/06/2006 $10.00 FPN0089615 $15.00 FPN009383 $88.00 FPN008419 $31.20 FPN009361 $26.70 08/24/2006 $2.00 FPS000576 $33.00 08/10/2006 $5.00 FPN008562 $30.00 FPN008806 $19.00 FPN009974 $33.00 FPN008924 $39.00 FPN009258 $126.20 FPN009907 $5.00 08/17/2006 $30.00 FPN008654 $53.00 12/06/2006 $30.00 $104.00 FPN008607 $98.10 FPN008314 $46.20 10/24/2006 $10.00 FPN009516 $10.10 10/09/2006 $35.00 FPN009322 $27.10 11/17/2006 $11.00 FPN009554 $19.00 FPN009488 $9.90 FPN008978 $60.90 10/11/2006 $5.00 FPN009344 $24.00 FPN0110161 $5.00 FPN009785 $53.00 FPN009545 $46.50 09/01/2006 $20.00 FPN008825 $0.10 08/17/2006 $80.70 FPN008641 $80.70 08/04/2006 $20.00 FPN008480 $7.60 12/14/2006 $10.00 TBN00491 $27.80 4 $2.00 08/25/2006 $10.00 FPN008723 $3.00 07/10/2006 $10.00 FPN008139 $17.60 12/05/2006 $10.00 FPN010046 $40.00 08/10/2006 $10.00 FPN009013 $21.00 Last Patient Balance Payment Ticket Number Patient Name Last Payment $20.00 FPN010219 $7.60 12/15/2006 TBN005355 $106.00 MDN000291 $50.00 $19.00 PNPN00006O $32.00 07/31/2006 FPN008614 $27.60 0 $30.00 FPN009081 $61.20 12/19/2006 2/19/2006 $28.70 1 2/1 912 0 0 6 $60.00 FPN009893 $16.50 FPN008368 8368 $17.60 11/22/2006 $10.00 FPN009918 $4.00 07/20/2006 $20.00 FPN007258 $64.30 09/11/2006 $11.00 FPN008949 64.30 07/31/2006 $10.00 PNPN000059 $$5.00 08/14/2006 $20.00 FPN008599 $42.10 09/08/2006 $10.00 PNPN000076 $28.00 10/20/2006 $16.40 FPN006163 11.20 07/28/2006 $20.00 FPN008383 $1$7.60 $21.00 $20.10 FPN009083 1 FPN007970 FPN008999 $22.90 11/20/2006 $50.00 FPN009867 $45.00 IZCN005985 $0.80 08/08/2006 $43.00 FPN006178 $24.00 FPN009019 TBN003957 $33.00$3 .00 FPN009440 $48.00 IZCN005566 $19.00 FPN009350 $17.40 FPN009011 17.40 FPN008124 $10 07/25/2006 $10.00 FPN008330 $10.00 $9.00 TBN005150 $16.10 11/03/2006 $10.00 FPN009656 $17.40 FPN010036 $31.00 FPN008521 $19.00 FPN009159 $9.00 07/13/2006 $20.00 FPN008190 $102.00 MDN000321 $57.70 07/12/2006 $10.10 FPN007483 $57.80 09/05/2006 $10.00 FPN008854 $9.60 10/04/2006 $60.00 FPN008962 $$9.60 $ 5.00 4 IZCN006647 IZCN006555 $ 07/14/2006 $30.00 FPN008208 $143.00 43.00 12/08/2006 $30.00 FPN010118 $9.00 08/07/2006 $10.00 FPN008485 9.00 12/05/2006 $20.00 FPN010052 $$$5.20 $ IZCN005669 MDN000360 $ 92.00 0 $192.00 FPN009680 TBN006705 $21.60$19.00 FPN009891 12/06/2006 $5.00 FPN010060 $15.00$ 510 62.10 FPN009564 $ 10/09/2006 $30.00 FPN009308 $65.00 07/07/2006 $17.00 FPS000518 $43.00 07/26/2006 $30.00 001006 $50.40 FPN009062 $45.00 IZCN006642 FPN008096 $ 50 $16.50 MDN000292 $$52.80 07/06/2006 $25.00 FPN008103 $04.95 11/29/2006 $20.00 FPN009976 Last Patient Name Last Payment Payment Ticket Number Patient Balance 08/31/2006 $25.00 FPN007247 $30.50 FPN008810 $27.60 FPN005641 $58.00 11/08/2006 $2.00 FPN009724 $17.00 FPN009532 N 009532 $15.30 IZCN006238 $15.00 11/27/2006 $10.00 FPN009933 $25.00 10/11/2006 $5.00 FPN009343 $14.00 08/15/2006 $20.00 FPN008618 $1.60 09/07/2006 $50.00 FPN008112 $56.50 11/30/2006 $30.00 IZCN006557 $60.00 09/25/2006 $75.40 FPS000451 $0.50 FPN008784 $29.00 11/09/2006 $25.00 FPN009749 $46.40 11/17/2006 $10.00 FPN009861 $17.60 08/02/2006 $5.00 FPN008426 $21.00 08/07/2006 $5.00 FPN008482 $8.50 FPN009606 $173.00 11/13/2006 $10.00 FPN009750 $10.00 08/07/2006 $23.00 FPN008490 $95.00 08/29/2006 $5.00 FPN008777 $24.00 08/16/2006 $10.00 FPN008637 $31.00 07/19/2006 $10.00 FPN008251 $52.40 10/02/2006 $4.00 FPN009197 $31.00 09/01/2006 $5.00 FPN008843 $11.50 FPN009042 $40.20 09/28/2006 $5.00 FPN009170 $20.20 12/04/2006 $10.00 FPN010031 $5.90 FPN009023 $27.60 FPN010154 $76.90 FPN008745 $15.00 FPN008844 $91.85 FPN008636 $16.50 10/23/2006 $5.00 FPN009492 $11.50 11/13/2006 $10.00 FPN009776 $20.00 09/29/2006 $50.00 FPN009181 $19.00 FPN005659 $27.90 FPN009008 $27.60 FPN005634 $10.00 07/12/2006 $10.00 FPN008186 $20.00 FPN009114 $19.00 IZCN005442 $45.00 FPN007935 $31.20 FPN010183 $34.20 FPN009074 $15.00 FPN009140 $65.70 FPN009334 $107.20 FPN009514 $19.90 IZCN006622 $30.00 FP N009788 009788 $19.00 12/26/2006 $20.00 IZCN006700 $25.00 TBN003949 $10.00 FPN009439 $9.35 FPN009729 $800.00 PNPN000058 $10.00 FPN008815 N008815 $16.50 11/14/2006 $20.00 FPN009784 $20.50 10/20/2006 $20.00 FPN007625 $25.00 09/22/2006 $20.00 FPN009082 $36.00 08/10/2006 $15.00 FPN008549 $8.10 08/16/2006 $10.00 FPN008638 $51.70 FP N006048 006048 $10.00 Last Patient Balance Payment Ticket Number Patient Name Last Pavment FPN009173 $55.50 FPN010061 $29.00 11/30/2006 $13.00 FPN010000 $17.00 IZCN005497 $45.00 IZCN005848 $75.00 11/08/2006 $5.00 FPN009714 $25.00 06/21/2006 $50.00 FPN007919 $5.00 IZCN005385 $30.00 11/08/2006 $43.50 FPN008024 $2.40 08/02/2006 $10.00 FPN008438 $17.60 FPN009607 $13.50 12/08/2006 $10.00 FPN010106 $9.00 $10.70 08/25/2006 • $40.00 FPN008748 FPS000603 $50.60 FPS000717 $61.60 FPS000725 $73.70 08/14/2006 $100.00 FPN007703 $25.40 10/24/2006 $20.00 FPN008311 $4.00 FPN008406 $19.00 IZCN005502 $15.00 IZNA001307 $14.80 NHVN004058 $192.00 FPS000571 $30.00 IZCN005255 $45.00 IZNA001410 $60.00 08/11/2006 $50.00 FPN008579 $21.00 FPS000933 $156.00 11/20/2006 $60.90 FPN006186 $3.00 08/21/2006 $7.40 FPN006519 $20.20 FPN009834 $27.60 11/13/2006 $10.00 FPN009751 $25.00 IZCS000063 $45.00 10/23/2006 $10.00 IZCN005951 $20.00 07/07/2006 $20.00 FPN008118 $24.00 11/22/2006 $45.00 FPN006919 $12.30 IZCN005632 $14.80 FPN008630 $53.00 08/14/2006 $15.00 IZCN005443 $30.00 11/17/2006 $10.00 FPN009833 $101.00 FPN008175 $60.90 IZCN006800 $27.00 IZCN006513 $30.00 MIZA000787 $41.00 FPN008710 $19.00 IZCN005432 $45.00 FPN009369 $67.20 FPN008575 $20.00 07/06/2006 $10.00 FPN008094 $91.80 08/21/2006 $10.00 FPN008677 $56.00 IZNA001316 $10.00 IZCN005256 $45.00 FPN010215 $29.00 FPN008245 $190.30 $37.30 09/05/2006 $20.00 FPN008FPN00881778 $6.50 08 07/12/2006 1 /2006 $10.00 $76.80 07/211/2006 $20.00 FPN008293 ZCN005542 $15.00 FPN008161 $17.40 07/13/2006 $5.00 FPN008192 $37.00 07/19/2006 $10.00 FPN008246 $30.20 IZCN005228 $15.00 IZCN006200 $75.00 Last Patient Name Last Payment Payment Ticket Number Patient Balance FPS000527 $29.00 FPN008333 N 008333 $17.40 FPN010252 $19.00 FPS000544 $16.00 07/31/2006 $20.00 FPN008392 $11.90 ZCN005346 $45.00 M I ZC000839 $45.00 08/02/2006 $20.00 FPS000538 $76.60 IZCN005487 $45.00 IZCN005488 $60.00 IZCN005408 $30.00 IZCN005430 $15.00 NHVN003964 $192.00 IZCN005464 $45.00 08/18/2006 $15.00 IZCN005468 $45.00 08/18/2006 $30.00 IZCN005481 $30.00 I ZCN005474 $15.00 08/23/2006 $40.00 IZCN005489 $20.00 IZCN005410 $30.00 FPN008861 $80.00 001013 $29.00 IZCN005458 $10.00 FPN010158 $63.90 IZCN005762 $45.00 IZCN005592 $45.00 08/24/2006 $40.00 FPN008729 $90.75 08/23/2006 $14.00 FPN008713 $3.40 FPN009124 $9.90 MDN000310 $116.00 IZCS000081 $45.00 IZCS000087 $60.00 08/28/2006 $108.00 FPN008755 $220.00 FPS000585 $19.00 12/14/2006 $30.00 IZCNO06645 $30.00 IZCN005704 $60.00 09/14/2006 $20.00 FPN008985 $28.60 IZ S000066 $30.00 IZCS000067 $45.00 IZCN006714 $30.00 IZCN006649 $15.00 IZCN005744 $60.00 IZCN005732 $30.00 10/31/2006 $3.00 IZNA001373 $74.00 IZCN005820 $90.00 IZCN005761 $36.00 IZCN005687 $45.00 FPN009164 $10.00 FPN009388 $19.00 TBN004641 $10.00 FPN009205 $17.40 10/11/2006 $15.00 IZCN005873 $45.00 10/10/2006 $35.00 IZCN005859 $40.00 IZCN006505 $30.00 IZCN005932 $45.00 10/04/2006 $20.00 FPN009236 $118.05 FPN009263 $63.90 IZCN006614 $45.00 10/11/2006 $45.00 IZCN005870 $30.00 10/09/2006 $30.00 FPN009331 $45.90 IZCN006646 $60.00 10/09/2006 $50.00 IZCN005852 $40.00 12/08/2006 $10.00 FPN010101 $19.00 Last Patient Name Last Payment Payment Ticket Number Patient Balance IZCN006025 $45.00 IZCN005934 $80.00 10/26/2006 $20.00 MIZC000841 $55.00 10/26/2006 $15.00 MIZC000858 $60.00 10/19/2006 $15.00 FPS000638 $67.80 10/27/2006 $36.00 FPN009574 $11.40 IZCN005979 $75.00 11/01/2006 $20.00 IZCN006047 $25.00 12/11/2006 $5.00 IZCN006616 $10.00 FPN009659 N009659 $10.80 11/07/2006 $20.00 FPN009701 $38.20 11/06/2006 $30.00 IZCN006127 $30.00 IZC N 006205 $15.00 IZCN006286 $30.00 IZCS000100 $60.00 FPN009842 $99.50 11/20/2006 $50.00 FPS000679 $19.00 IZCN006554 $15.00 11/28/2006 $5.00 FPN009962 $24.40 FPS000693 $30.00 IZCN006615 $15.00 IZCN006662 $45.00 FPN010185 $17.40 IZCN006720 $60.00 FPN010269 $147.80 FPN010305 $17.40 $16,180.75 Hello