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Home My WebLink About20060473 RESOLUTION RE: APPROVE RESCINDING RESOLUTION #2005-3709, DATED DECEMBER 28, 2005, FOR CANCELLATIONOF 2005 OUTSTANDING ACCOUNTS RECEIVABLE FOR THE WELD COUNTY PARAMEDIC SERVICES AND APPROVE AMENDED CANCELLATION OF 2005 OUTSTANDING ACCOUNTS RECEIVABLE FOR THE WELD COUNTY PARAMEDIC SERVICES 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,by Resolution#2005-3709,dated December 28,2005,the Board approved the Cancellation of the 2005 Outstanding Accounts Receivable for the Weld County Paramedic Services, and WHEREAS,after review,the Board deems it advisable to rescind Resolution#2005-3709, dated December 28, 2005, and WHEREAS,an amended list of 2005 Paramedic Services outstanding accounts receivable has been submitted to the Accounting Department of Weld County, Colorado, dated January 23, 2006, 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 Weld County Paramedic Services in the amount of $2,306,651.91. NOW,THEREFORE,BE IT RESOLVED by the Board of County Commissioners of Weld County,Colorado,that Resolution#2005-3709,dated December 28,2005,for Cancellation of the 2005 Outstanding Accounts Receivable for the Weld County Paramedic Services be, and hereby is, rescinded. BE IT FURTHER RESOLVED by the Board of County Commissioners of Weld County, Colorado,that the amended list of 2005 Paramedic Services uncollectible accounts, in the amount of$2,306,651.91, be, and hereby is, approved for cancellation. 2006-0473 AM0001 CO /Si O3-02O -D� CANCELLATION OF 2005 ACCOUNTS RECEIVABLE FOR THE WELD COUNTY PARAMEDIC SERVICES PAGE 2 The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 13th day of February, A.D., 2006. I /� of OARD OF COUNTYCOLORADO COMMISSIONERS LD CO ATTEST: '(',,,t, I �/ O.4 , mile Chair Weld County Clerk to the Bo% I" \\1' ��p7+r� David E. Long, Pro-Tern BY: l 9 t°"lr"`j �`''I [hi< f ' ' D uty Cler to the Boar 1.--1-7--- A--,--, WIliat I Jpr. j A D AS Tt_ O ) �� Robert Masden / 2L ounty Attorney ,4 Date of signature: 31 PI0& Glenn Vaad 2006-0473 AM0001 MEMORANDUM TO: Barb Eurich, Accounting DATE:January 23, 2006 FROM: Kathy Baxley, Paramedic Services SUBJECT: Accounts Written Off in 2005 Attached are the lists of accounts written off in 2005. Listed below are the amounts each month for a total of $2,306, 651.91. All journal entries have been made except for the one for December, which will be after the end of the month. Let me know if you have any questions. ;oa 3 02064 aoo 5 January $264,721.58 y956,./O a(nO31o5u/8 February $221, 222 .40 i/a6}3,(oa a06,995.78 99y3.0U March $127, 883 .79 3asa.op /ages/44_4_ 177O.13_, ____. April $189, 122 . 31 May $113,755 .46 _ i �asBs�eei _ sl_17o^5 June $154, 065 .44 /.7Q 05 n July $80, 520 .27 �� ,pp � �04 August $214, 374 49 l�.da OQ 173 i 1.g4229.1.9n6051: Si _ _ - C�3_.S!Q, _ __.?Dy9% o0_I September $197, 089 . 08 542 988 . 3081.06 193438 9 October $271,282 . 10 Lao330Q._-- __Qg9L 3/ .164/sp.7 1 November $331, 443 .21 ----- 5_3O/ oo _3��ya a�December $141, 171.78 //7/..7_e_1 __ Total $2, 306, 651. 91 01/, 7S91o5 878,IN/.103 /,yct),37o.63 j i 2006-0473 Credit As Type Detail by Payor (Deposit Date) Period IS 200501; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit Tvae/Credit Code Count Dollars Writeoffs Trip Date:02/01/03 0053-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,380.01 Trip Date:02/01/03 0069-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 600.00 Trip Date:02/03/03 0064-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 50.00 Trip Date:09/07/03 0002-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,126.00 Trip Date: 10/22/03 0016-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 43.07 Trip Date: 10/22/03 0027-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 951.00 Trip Date: 10/26/03 0001-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 40.60 Trip Date: 12/06/03 0012-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 132.00 Trip Date: 12/14/03 0022-A Deposit Date:01/19/05 Write-off Bad Debt 1 $ 33.42 Trip Date:01/09/04 0012-A Deposit Date: 01/19/05 Write-off Bad Debt 2 $ 0.00 Trip Date:02/14/04 0014-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 906.00 Trip Date:02/15/04 0002-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 841.00 Trip Date:02/16/04 0001-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 311.00 Trip Date:02/28/04 0005-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 57.18 Trip Date:02/28/04 0020-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 399.20 Trip Date:03/20/04 0022-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 50.00 Trip Date:03/26/04 0007-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,025.00 Trip Date:03/26/04 0012-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 216.20 Trip Date:04/06/04 0021-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:04/22/04 0018-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 41.35 Trip Date:05/01/04 0019-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 241.20 Trip Date:05/02/04 0024-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 14.81 Trip Date:05/06/04 0036-A Deposit Date:01/19/05 Write-off Bad Debt 1 $ 1,036.00 Trip Date:05/06/04 0041-A Deposit Date:01/19/05 Write-off Bad Debt 1 $ 762.00 Trip Date:05/14/04 0006-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date:05/17/04 0010-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 975.00 Trip Date:05/19/04 0023-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 364.53 Trip Date:06/01/04 0008-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 97.61 Trip Date:06/01/04 0022-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 125.00 Trip Date:06/02/04 0030-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 25.00 Trip Date:06/06/04 0008-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 648.76 Trip Date:06/09/04 0007-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date:06/10/04 0001-A Deposit Date: 01/04/05 Write-off Bad Debt 1 . $ 304.20 Trip Date:06/10/04 0025-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 75.00 Trip Date:06/14/04 0007-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:06/16/04 0011-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 50.00 Trip Date:06/20/04 0017-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 648.76 Trip Date:06/21/04 0023-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 30.00 Trip Date:06/22/04 0022-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 37.07 Trip Date:06/24/04 0016-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 129.49 Trip Date:06/25/04 0002-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,446.00 Trip Date:06/26/04 0007-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 100.00 Trip Date:06/26/04 0037-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 264.78 Trip Date:07/01/04 0012-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date:07/02/04 0018-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date:07/02/04 0030-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,431.00 Trip Date:07/03/04 0040-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:07/03/04 0042-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 75.00 Trip Date:07/06/04 0003-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 392.00 Trip Date:07/06/04 0020-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 50.00 RescueNetw Printed On: 1/26/2006 at 11:39:50AM Page 1 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200501; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date:07/07/04 0023-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:07/08/04 0002-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date:07/08/04 0003-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 125.40 Trip Date:07/10/04 0014-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date:07/11/04 0011-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 64.89 Trip Date:07/11/04 0013-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,551.00 Trip Date:07/12/04 0003-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 30.00 Trip Date:07/13/04 0003-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date:07/13/04 0007-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,491.00 Trip Date:07/13/04 0013-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:07/13/04 0022-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:07/14/04 0005-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date:07/15/04 0010-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 5.75 Trip Date:07/15/04 0024-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:07/16/04 0006-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,745.00 Trip Date:07/17/04 0011-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 14.58 Trip Date:07/20/04 0025-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:07/21/04 0012-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date:07/21/04 0035-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date:07/22/04 0009-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:07/22/04 0018-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 648.00 Trip Date:07/23/04 0011-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 77.75 Trip Date:07/24/04 0021-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,101.00 Trip Date:07/24/04 0022-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 55.25 Trip Date:07/25/04 0003-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 370.20 Trip Date:07/25/04 0006-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,446.00 Trip Date:07/26/04 0016-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,341.00 Trip Date:07/26/04 0019-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 50.00 Trip Date:07/27/04 0011-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 211.81 Trip Date:07/27/04 0012-A Deposit Date:01/19/05 Write-off Bad Debt 1 $ 1,701.00 Trip Date:07/27/04 0013-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 75.00 Trip Date:07/27/04 0020-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 77.68 Trip Date:07/27/04 0034-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 100.00 Trip Date:07/27/04 0035-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,341.00 Trip Date:07/28/04 0021-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 202.20 Trip Date:07/30/04 0026-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,026.00 Trip Date:07/30/04 0034-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:07/31/04 0008-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,101.00 Trip Date:07/31/04 0023-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:07/31/04 0024-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:07/31/04 0029-A Deposit Date:01/19/05 Write-off Bad Debt 1 $ 1,291.00 Trip Date:07/31/04 0034-A Deposit Date:01/19/05 Write-off Bad Debt 1 $ 220.20 Trip Date:08/01/04 0008-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:08/02/04 0005-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 981.00 Trip Date:08/02/04 0006-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 981.00 Trip Date:08/02/04 0013-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,356.00 Trip Date:08/02/04 0022-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date:08/02/04 0026-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,526.00 Trip Date:08/04/04 0004-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,026.00 Trip Date:08/04/04 0010-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,416.00 Trip Date:08/04/04 0025-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,086.00 Trip Date:08/05/04 0023-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date:08/05/04 0024-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,371.00 Trip Date:08/05/04 0028-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,296.00 Trip Date:08/06/04 0002-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 86.86 RescueNet114 Printed On: 1/26/2006 at 11:39:50AM Page 2 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200501; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date:08/06/04 0005-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date:08/06/04 0026-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:08/06/04 0027-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 996.00 Trip Date:08/06/04 0029-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date:08/06/04 0035-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date:08/07/04 0016-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date:08/07/04 0019-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 996.00 Trip Date:08/07/04 0021-A Deposit Date: 01/04/05 Write-off Bad Debt 2 $ 0.00 Trip Date:08/08/04 0004-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:08/08/04 0005-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date:08/08/04 0007-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date:08/08/04 0017-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,341.00 Trip Date:08/08/04 0021-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date:08/08/04 0022-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/08/04 0025-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,356.00 Trip Date:08/08/04 0026-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:08/09/04 0001-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:08/09/04 0014-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date:08/09/04 0015-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date:08/09/04 0019-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 52.82 Trip Date:08/09/04 0024-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,356.00 Trip Date:08/10/04 0001-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,473.00 Trip Date:08/10/04 0013-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,596.00 Trip Date:08/10/04 0020-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,391.00 Trip Date:08/10/04 0021-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 996.00 Trip Date:08/10/04 0022-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:08/10/04 0031-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date:08/11/04 0010-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:08/11/04 0023-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/11/04 0029-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:08/12/04 0001-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date:08/12/04 0023-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:08/13/04 0006-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/13/04 0014-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/13/04 0015-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 55.55 Trip Date:08/13/04 0019-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date:08/13/04 0021-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 849.65 Trip Date:08/14/04 0027-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date:08/15/04 0014-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/16/04 0004-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/16/04 0005-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/16/04 0011-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 77.69 Trip Date:08/16/04 0018-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 82.28 Trip Date:08/16/04 0022-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 75.00 Trip Date:08/16/04 0033-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:08/16/04 0036-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/16/04 0038-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,886.00 Trip Date:08/17/04 0001-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,086.00 Trip Date:08/17/04 0004-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:08/17/04 0009-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,296.00 Trip Date:08/17/04 0012-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/17/04 0014-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 89.70 Trip Date:08/17/04 0015-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date:08/17/04 0025-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/18/04 0004-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,101.00 RescueNetn" Printed On: 1/26/2006 at 11:39:50AM Page 3 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200501; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date:08/18/04 0011-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:08/18/04 0013-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,026.00 Trip Date:08/19/04 0005-A Deposit Date:01/19/05 Write-off Bad Debt 1 $ 25.00 Trip Date:08/19/04 0006-A Deposit Date:01/19/05 Write-off Bad Debt 1 $ 501.00 Trip Date:08/19/04 0018-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/19/04 0019-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date:08/19/04 0021-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,761.00 Trip Date:08/20/04 0005-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,368.00 Trip Date:08/20/04 0009-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:08/20/04 0030-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:08/21/04 0007-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,281.00 Trip Date:08/21/04 0010-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date:08/21/04 0019-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,356.00 Trip Date:08/21/04 0034-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,026.00 Trip Date:08/22/04 0004-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/22/04 0005-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/22/04 0013-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 69.25 Trip Date:08/22/04 0018-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:08/23/04 0007-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date:08/23/04 0009-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 77.69 Trip Date:08/23/04 0012-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 996.00 Trip Date:08/23/04 0013-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/24/04 0008-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date:08/25/04 0003-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,356.00 Trip Date:08/25/04 0023-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,101.00 Trip Date:08/25/04 0026-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,491.00 Trip Date:08/26/04 0010-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:08/26/04 0017-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date:08/26/04 0019-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/27/04 0004-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date:08/27/04 0027-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/27/04 0028-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/27/04 0032-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/28/04 0016-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/28/04 0019-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date:08/29/04 0003-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:08/29/04 0012-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:08/29/04 0014-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,476.00 Trip Date:08/29/04 0018-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date:08/29/04 0032-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/29/04 0033-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date:08/29/04 0034-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/29/04 0038-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,371.00 Trip Date:08/30/04 0006-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,476.00 Trip Date:08/30/04 0008-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:08/30/04 0016-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:08/30/04 0025-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,476.00 Trip Date:08/30/04 0035-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,281.00 Trip Date:08/30/04 0037-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:08/30/04 0042-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:08/31/04 0015-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,476.00 Trip Date:08/31/04 0016-A Deposit Date:01/19/05 Write-off Bad Debt 1 $ 1,021.00 Trip Date:08/31/04 0028-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/31/04 0040-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,641.00 Trip Date:09/01/04 0019-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,071.00 RescueNetn" Printed On: 1/26/2006 at 11:39:50AM Page 4 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200501; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date:09/01/04 0022-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date:09/01/04 0027-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 996.00 Trip Date:09/02/04 0008-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date:09/02/04 0017-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,081.00 Trip Date:09/02/04 0026-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,446.00 Trip Date:09/03/04 0003-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date:09/03/04 0011-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/04/04 0006-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:09/04/04 0009-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date:09/04/04 0011-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 996.00 Trip Date:09/04/04 0011-B Deposit Date: 01/19/05 Write-off Bad Debt 2 $ 678.00 Trip Date:09/05/04 0003-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:09/05/04 0004-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:09/05/04 0005-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:09/05/04 0006-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:09/05/04 0007-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:09/05/04 0014-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,041.00 Trip Date:09/05/04 0023-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,401.00 Trip Date:09/06/04 0004-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,416.00 Trip Date:09/06/04 0005-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,481.00 Trip Date:09/06/04 0006-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,466.00 Trip Date:09/06/04 0014-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,356.00 Trip Date:09/06/04 0015-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:09/06/04 0016-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/06/04 0030-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date:09/06/04 0033-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:09/06/04 0036-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date:09/07/04 0011-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,281.00 Trip Date:09/07/04 0012-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/07/04 0015-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 996.00 Trip Date:09/09/04 0002-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date:09/09/04 0007-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date:09/09/04 0008-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,086.00 Trip Date:09/09/04 0009-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date:09/09/04 0014-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date:09/09/04 0016-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 49.45 Trip Date:09/09/04 0021-A Deposit Date:01/19/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:09/09/04 0035-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 996.00 Trip Date:09/09/04 0036-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:09/09/04 0039-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/10/04 0003-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:09/10/04 0019-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/11/04 0003-A Deposit Date:01/19/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date:09/11/04 0015-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/11/04 0020-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date:09/11/04 0026-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/11/04 0031-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/11/04 0036-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/12/04 0001-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,566.00 Trip Date:09/12/04 0002-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:09/12/04 0003-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/12/04 0007-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:09/12/04 0010-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,326.00 Trip Date:09/12/04 0015-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/12/04 0017-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,056.00 RescueNetTM Printed On: 1/26/2006 at 11:39:50AM Page 5 H:\REPORTS321BILLINGICREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200501; AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date:09/12/04 0024-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date:09/12/04 0026-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/12/04 0027-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:09/12/04 0028-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 996.00 Trip Date:09/12/04 0032-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 996.00 Trip Date:09/13/04 0005-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/14/04 0013-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date:09/20/04 0008-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date:09/23/04 0015-A Deposit Date:01/19/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date:09/23/04 0033-A Deposit Date: 01/19/05 Write-off Bad Debt 2 $ 0.00 Trip Date:09/24/04 0007-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:09/28/04 0035-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,026.00 Trip Date:09/29/04 0011-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 10/02/04 0022-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 10/02/04 0024-A Deposit Date:01/04/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 10/04/04 0023-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 10/04/04 0025-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 10/04/04 0029-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 10/05/04 0020-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 10/05/04 0029-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 10/08/04 0043-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,281.00 Trip Date: 10/16/04 0006-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,101.00 Trip Date: 10/17/04 0017-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 10/17/04 0023-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 10/19/04 0009-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 10/22/04 0002-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 10/25/04 0019-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date: 10/26/04 0010-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/31/04 0012-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,895.00 Trip Date: 11/01/04 0010-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,041.00 Trip Date: 11/02/04 0001-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 11/03/04 0004-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 78.69 Trip Date: 11/03/04 0031-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/08/04 0029-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 11/11/04 0025-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,416.00 Trip Date: 11/12/04 0032-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 11/17/04 0002-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 11/18/04 0031-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 11/20/04 0007-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/24/04 0005-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 11/25/04 0018-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/26/04 0001-A Deposit Date:01/19/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 12/03/04 0033-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 12/04/04 0030-A Deposit Date: 01/19/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date: 12/05/04 0022-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/13/04 0005-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,086.00 Trip Date: 12/18/04 0019-A Deposit Date: 01/04/05 Write-off Bad Debt 1 $ 1,281.00 Totals For Type 321 $ 264,721.58 Totals For Bill Patient 321 $ 264,721.58 RescueNet'" Printed On: 1/26/2006 at 11:39:50AM Page 6 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200501; AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt Company Totals aao3 ,3 .10 aco f a 6,4 305.0 RescueNetTM' Printed On: 1/26/2006 at 11:39:50AM Page 7 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200502; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Payor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date:02/02/03 0056-A Deposit Date:02/04/05 Write-off Bad Debt 1 $ 25.00 Trip Date:02/02/03 0065-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 474.02 Trip Date:05/15/03 0005-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 345.00 Trip Date: 10/22/03 0034-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 445.60 Trip Date: 10/27/03 0009-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 801.00 Trip Date: 10/27/03 0016-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 916.00 Trip Date: 11/22/03 0031-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 736.00 Trip Date: 11/27/03 0010-A Deposit Date: 02/24/05 Write-off Bad Debt 1 _ $ 551.00 Trip Date:01/24/04 0005-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 496.00 Trip Date:02/17/04 0017-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 583.00 Trip Date:03/21/04 0022-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,316.00 Trip Date:04/13/04 0027-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,336.00 Trip Date:05/14/04 0030-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:05/23/04 0014-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:06/01/04 0032-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 304.20 Trip Date:06/09/04 0005-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:06/19/04 0005-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 24.54 Trip Date:06/21/04 0025-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 603.00 Trip Date:06/25/04 0028-A Deposit Date:02/02/05 Write-off Bad Debt 1 $ 253.50 Trip Date:06/30/04 0003-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 212.00 Trip Date:07/06/04 0026-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 385.00 Trip Date:07/09/04 0017-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 70.00 Trip Date:07/12/04 0019-A Deposit Date:02/02/05 Write-off Bad Debt 1 $ 1,042.20 Trip Date:07/16/04 0001-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 125.10 Trip Date:07/16/04 0023-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:07/17/04 0032-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,141.00 Trip Date:07/17/04 0033-A Deposit Date:02/02/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:07/19/04 0027-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 858.00 Trip Date:07/19/04 0033-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,956.00 Trip Date:07/21/04 0021-A Deposit Date:02/24/05 Write-off Bad Debt 1 $ 271.20 Trip Date:07/23/04 0004-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,805.00 Trip Date:07/25/04 0015-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 638.40 Trip Date:07/26/04 0022-A Deposit Date: 02/02/05 Write-off Bad Debt 2 $ 0.00 Trip Date:07/26/04 0028-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 50.00 Trip Date:07/28/04 0013-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 125.00 Trip Date:07/30/04 0015-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date:07/31/04 0006-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 56.00 Trip Date:08/05/04 0020-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 354.80 Trip Date:08/07/04 0018-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:08/07/04 0028-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 15.00 Trip Date:08/09/04 0022-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:08/10/04 0005-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/13/04 0009-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:08/13/04 0009-B Deposit Date: 02/02/05 Write-off Bad Debt 2 $ 528.00 Trip Date:08/14/04 0019-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,416.89 Trip Date:08/15/04 0016-A Deposit Date:02/02/05 Write-off Bad Debt 1 $ 60.00 Trip Date:08/15/04 0017-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 711.21 Trip Date:08/16/04 0008-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/18/04 0008-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/18/04 0010-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 89.47 RescueNetTm Printed On: 1/26/2006 at 11:43:46AM Page 1 H.\REPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200502; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date:08/18/04 0014-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 71.00 Trip Date:08/19/04 0023-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 132.60 Trip Date:08/20/04 0023-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/20/04 0024-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/20/04 0035-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,296.00 Trip Date:08/21/04 0031-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 60.00 Trip Date:08/23/04 0005-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/27/04 0017-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 399.68 Trip Date:08/28/04 0026-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:08/29/04 0007-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 60.00 Trip Date:08/29/04 0031-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 209.20 Trip Date:08/30/04 0014-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date:08/31/04 0018-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 285.00 Trip Date:08/31/04 0024-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 289.20 Trip Date:08/31/04 0042-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/03/04 0026-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:09/03/04 0032-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 677.20 Trip Date:09/04/04 0001-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 31.55 Trip Date:09/04/04 0014-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 109.32 Trip Date:09/04/04 0018-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:09/06/04 0037-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 130.00 Trip Date:09/06/04 0038-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 130.00 Trip Date:09/08/04 0008-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 809.25 Trip Date:09/08/04 0011-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:09/08/04 0025-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 77.86 Trip Date:09/09/04 0011-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 130.00 Trip Date:09/11/04 0019-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,416.00 Trip Date:09/11/04 0029-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/12/04 0018-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date:09/12/04 0029-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 976.00 Trip Date:09/13/04 0007-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/13/04 0014-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:09/13/04 0018-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/13/04 0020-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/13/04 0033-A Deposit Date: 02/02/05 Write-off Bad Debt 2 $ 0.00 Trip Date:09/13/04 0038-A Deposit Date: 02/02/05 Write-off Bad Debt 3 $ 30.00 Trip Date:09/13/04 0042-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date:09/14/04 0006-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 996.00 Trip Date:09/14/04 0017-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 53.12 Trip Date:09/14/04 0027-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:09/14/04 0031-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,296.00 Trip Date:09/14/04 0037-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,296.00 Trip Date:09/15/04 0006-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,026.00 Trip Date:09/15/04 0008-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,551.00 Trip Date:09/15/04 0022-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 996.00 Trip Date:09/15/04 0024-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date:09/15/04 0025-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 211.20 Top Date:09/16/04 0001-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:09/16/04 0002-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 76.69 Trip Date:09/16/04 0020-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,446.00 Trip Date:09/16/04 0023-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 996.00 Trip Date:09/16/04 0025-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/16/04 0026-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date:09/16/04 0027-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:09/16/04 0033-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,101.00 RescueNetTM Printed On: 1/26/2006 at 11:43:46AM Page 2 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200502; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date:09/16/04 0040-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date:09/17/04 0001-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 238.20 Trip Date:09/17/04 0002-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date:09/17/04 0023-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date:09/17/04 0027-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:09/18/04 0004-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date:09/18/04 0006-A Deposit Date: 02/02/05 Write-off Bad Debt 2 $ 0.00 Trip Date:09/18/04 0009-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,281.00 Trip Date:09/18/04 0014-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,506.00 Trip Date:09/18/04 0016-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date:09/18/04 0022-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:09/18/04 0028-A Deposit Date:02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/18/04 0047-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/18/04 0049-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:09/18/04 0051-A Deposit Date:02/02/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date:09/19/04 0009-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date:09/19/04 0028-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 981.00 Trip Date:09/20/04 0001-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date:09/20/04 0024-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:09/21/04 0004-A Deposit Date:02/02/05 Write-off Bad Debt 1 $ 1,491.00 Trip Date:09/21/04 0017-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date:09/21/04 0019-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date:09/22/04 0001-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:09/22/04 0002-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 80.89 Trip Date:09/22/04 0014-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date:09/22/04 0015-A Deposit Date: 02/02/05 Write-off Bad Debt 3 $ 241.20 Trip Date:09/22/04 0017-A Deposit Date:02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/22/04 0020-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/22/04 0022-A Deposit Date:02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/22/04 0024-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 90.97 Trip Date:09/22/04 0025-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,491.00 Trip Date:09/22/04 0031-A Deposit Date:02/24/05 Write-off Bad Debt 1 $ 205.20 Trip Date:09/23/04 0001-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 336.60 Trip Date:09/23/04 0011-A Deposit Date:02/24/05 Write-off Bad Debt 1 $ 471.60 Trip Date:09/23/04 0017-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:09/23/04 0025-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 94.47 Trip Date:09/23/04 0034-A Deposit Date:02/02/05 Write-off Bad Debt 1 $ 214.86 Trip Date:09/24/04 0001-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:09/24/04 0010-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date:09/25/04 0003-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,041.00 Trip Date:09/25/04 0011-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 2,136.00 Trip Date:09/25/04 0012-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 51.88 Trip Date:09/26/04 0003-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,086.00 Trip Date:09/26/04 0008-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 981.00 Trip Date:09/26/04 0010-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 1,181.00 Trip Date:09/26/04 0016-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 996.00 Trip Date:09/26/04 0028-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/27/04 0002-A Deposit Date:02/02/05 Write-off Bad Debt 1 $ 1,308.00 Trip Date:09/27/04 0010-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 72.58 Trip Date:09/28/04 0005-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,041.00 Trip Date:09/28/04 0020-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 513.00 Trip Date:09/28/04 0022-A Deposit Date: 02/02/05 Write-off Bad Debt 2 $ 0.00 Trip Date:09/28/04 0027-A Deposit Date:02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/28/04 0029-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,446.00 Trip Date:09/30/04 0001-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,131.00 RescueNetn" Printed On: 1/26/2006 at 11:43:46AM Page 3 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200502; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date:09/30/04 0014-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 136.69 Trip Date:09/30/04 0016-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,371.00 Trip Date:09/30/04 0019-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/01/04 0001-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 10/01/04 0002-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 858.00 Trip Date: 10/01/04 0009-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 10/01/04 0011-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 10/01/04 0014-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 966.00 Trip Date: 10/01/04 0015-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 10/01/04 0016-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date: 10/01/04 0019-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 10/01/04 0032-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,941.00 Trip Date: 10/01/04 0033-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 10/02/04 0015-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,086.00 Trip Date: 10/02/04 0033-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/02/04 0035-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,026.00 Trip Date: 10/02/04 0040-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,916.00 Trip Date: 10/02/04 0042-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,371.00 Trip Date: 10/03/04 0010-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,271.00 Trip Date: 10/04/04 0010-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 10/04/04 0013-A Deposit Date:02/24/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date: 10/04/04 0014-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 10/05/04 0003-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date: 10/05/04 0005-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 10/05/04 0009-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 10/05/04 0014-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 10/05/04 0019-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,446.00 Trip Date: 10/05/04 0025-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 10/05/04 0026-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 49.88 Trip Date: 10/05/04 0027-A Deposit Date:02/04/05 Write-off Bad Debt 1 $ 1,041.00 Trip Date: 10/05/04 0034-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/06/04 0012-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date: 10/06/04 0029-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 10/06/04 0035-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/06/04 0037-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/07/04 0013-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date: 10/07/04 0015-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,086.00 Trip Date: 10/07/04 0017-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/07/04 0027-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/07/04 0034-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,326.00 Trip Date: 10/08/04 0002-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date: 10/08/04 0007-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,326.00 Trip Date: 10/08/04 0012-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/08/04 0014-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 10/08/04 0026-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,296.00 Trip Date: 10/09/04 0007-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/09/04 0020-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 10/09/04 0024-A Deposit Date: 02/24/05 Write-off Bad Debt ' 1 $ 1,581.00 Trip Date: 10/10/04 0005-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 10/10/04 0019-A Deposit Date: 02/24/05 Write-off Bad Debt 2 $ 0.00 Trip Date: 10/10/04 0023-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 10/10/04 0033-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 10/10/04 0037-A Deposit Date:02/24/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date: 10/11/04 0025-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date: 10/12/04 0011-A Deposit Date:02/24/05 Write-off Bad Debt 1 $ 150.00 RescueNetru Printed On: 1/26/2006 at 11:43:46AM Page 4 H:\REPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200502; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date: 10/13/04 0012-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,746.00 Trip Date: 10/13/04 0022-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 10/14/04 0001-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 10/14/04 0010-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,101.00 Trip Date: 10/14/04 0013-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 10/14/04 0024-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 37.70 Trip Date: 10/14/04 0031-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 10/14/04 0034-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 10/15/04 0002-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 10/15/04 0026-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date: 10/16/04 0002-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 10/16/04 0020-A Deposit Date:02/24/05 Write-off Bad Debt 1 $ 1,491.00 Trip Date: 10/16/04 0026-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 223.20 Trip Date: 10/16/04 0036-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/16/04 0038-A Deposit Date:02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/17/04 0004-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 10/17/04 0016-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/17/04 0021-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,371.00 Trip Date: 10/17/04 0030-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 10/17/04 0031-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date: 10/18/04 0003-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 10/18/04 0013-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 10/18/04 0014-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,401.00 Trip Date: 10/18/04 0022-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 10/18/04 0023-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date: 10/19/04 0002-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 10/19/04 0025-A Deposit Date:02/24/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 10/27/04 0001-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/27/04 0030-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 10/29/04 0010-A Deposit Date:02/04/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 10/31/04 0018-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date: 11/02/04 0005-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 2,165.00 Trip Date: 11/04/04 0027-A Deposit Date:02/02/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date: 11/06/04 0008-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/06/04 0009-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date: 11/10/04 0023-A Deposit Date:02/24/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date: 11/11/04 0009-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 11/19/04 0035-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date: 11/24/04 0006-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 70.25 Trip Date: 11/24/04 0028-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 275.19 Trip Date: 11/24/04 0030-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 11/25/04 0038-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/26/04 0020-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,341.00 Trip Date: 11/26/04 0023-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 11/30/04 0001-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 100.35 Trip Date: 11/30/04 0008-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 77.69 Trip Date: 12/02/04 0012-A Deposit Date:02/24/05 Write-off Bad Debt 1 $ 1,296.00 Trip Date: 12/04/04 0007-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 12/15/04 0025-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,356.00 Trip Date: 12/21/04 0001-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 1,086.00 Trip Date: 12/22/04 0046-A Deposit Date: 02/04/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date: 12/25/04 0006-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date: 12/30/04 0006-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 12/30/04 0024-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/01/05 0031-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,144.00 RescueNetr" Printed On: 1/26/2006 at 11:43:46AM Page 5 I-1:\REPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200502; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date:01/01/05 0034-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:01/08/05 0021-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,347.00 Trip Date:01/11/05 0013-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,364.00 Trip Date:01/17/05 0008-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:01/21/05 0007-A Deposit Date: 02/02/05 Write-off Bad Debt 1 $ 1,195.00 Trip Date:01/26/05 0003-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/03/05 0016-A Deposit Date: 02/24/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:02/05/05 0004-A Deposit Date:02/24/05 Write-off Bad Debt 1 $ 1,161.00 Totals For Type 288 $ 221,222.40 Totals For Bill Patient 288 $ 221,222.40 Company Totals : '4 414ra aoo3 ya93.toa ao0q ac6,93578 aoo5 99y3.OO RescueNet'"' Printed On: 1/26/2006 at 11:43:46AM Page 6 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200503; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Payor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date:04/01/03 0003-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 987.50 Trip Date:04/03/03 0020-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 942.50 Trip Date:08/08/03 0006-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 611.00 Trip Date: 12/21/03 0007-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 741.00 Trip Date:05/21/04 0030-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 50.00 Trip Date:06/29/04 0020-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,081.00 Trip Date:07/26/04 0022-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 322.60 Trip Date:07/30/04 0027-A Deposit Date:03/08/05 Write-off Bad Debt 1 $ 52.60 Trip Date:08/02/04 0023-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 70.00 Trip Date:08/04/04 0005-A Deposit Date:03/08/05 Write-off Bad Debt 1 $ 448.00 Trip Date:08/19/04 0014-A Deposit Date:03/08/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date:08/26/04 0030-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 200.00 Trip Date:08/27/04 0015-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/03/04 0035-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 253.20 Trip Date:09/15/04 0016-A Deposit Date:03/08/05 Write-off Bad Debt 1 $ 1,1 12.40 Trip Date:09/16/04 0029-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 66.30 Trip Date:09/17/04 0004-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,026.00 Trip Date:09/17/04 0005-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,026.00 Trip Date:09/18/04 0007-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/24/04 0012-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date:09/24/04 0020-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 976.00 Trip Date:09/25/04 0018-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 77.72 Trip Date:09/26/04 0023-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/28/04 0001-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/01/04 0006-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 45.00 Trip Date: 10/04/04 0017-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 10/07/04 0012-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 10/10/04 0027-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 75.00 Trip Date: 10/11/04 0006-A Deposit Date:03/08/05 Write-off Bad Debt 1 $ 95.06 Trip Date: 10/12/04 0015-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 670.39 Trip Date: 10/12/04 0026-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 223.20 Trip Date: 10/14/04 0027-A Deposit Date:03/08/05 Write-off Bad Debt 1 $ 1,356.00 Trip Date: 10/16/04 0013-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 71.88 Trip Date: 10/16/04 0017-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 72.88 Trip Date: 10/17/04 0008-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 75.09 Trip Date: 10/18/04 0039-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 57.49 Trip Date: 10/18/04 0045-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 48.45 Trip Date: 10/19/04 0011-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 53.12 Trip Date: 10/20/04 0004-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,326.00 Trip Date: 10/20/04 0007-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 10/20/04 0008-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 10/20/04 0014-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 10/20/04 0020-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 10/21/04 0022-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,341.00 Trip Date: 10/21/04 0024-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,566.00 Trip Date: 10/21/04 0025-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/22/04 0014-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date: 10/22/04 0015-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,371.00 Trip Date: 10/22/04 0020-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 10/22/04 0025-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,221.00 RescueNetlm Printed On: 1/26/2006 at 11:44:11AM Page 1 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200503; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date: 10/22/04 0027-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 82.69 Trip Date: 10/23/04 0005-A Deposit Date: 03/08/05 Write-off Bad Debt 1 S 1,311.00 Trip Date: 10/23/04 0014-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 10/23/04 0024-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date: 10/24/04 0002-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 145.45 Trip Date: 10/24/04 0003-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/24/04 0004-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/25/04 0002-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,446.00 Trip Date: 10/25/04 0009-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 10/25/04 0026-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date: 10/25/04 0034-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/25/04 0035-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 10/26/04 0004-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 10/26/04 0019-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 10/26/04 0026-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,536.00 Trip Date: 10/26/04 0031-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/27/04 0009-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 10/27/04 0011-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 10/27/04 0019-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,341.00 Trip Date: 10/27/04 0023-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/27/04 0029-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 10/27/04 0032-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 10/27/04 0033-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,461.00 Trip Date: 10/28/04 0003-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,101.00 Trip Date: 10/28/04 0004-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 981.00 Trip Date: 10/28/04 0012-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,086.00 Trip Date: 10/28/04 0022-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 10/29/04 0008-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/29/04 0013-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 130.00 Trip Date: 10/30/04 0021-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date: 10/30/04 0024-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,281.00 Trip Date: 10/31/04 0006-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 10/31/04 0023-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 10/31/04 0028-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 10/31/04 0033-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 11/01/04 0001-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 11/01/04 0004-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 11/01/04 0014-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,296.00 Trip Date: 11/02/04 0002-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/02/04 0003-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,323.00 Trip Date: 11/02/04 0020-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 11/02/04 0031-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 11/03/04 0002-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,026.00 Trip Date: 11/03/04 0006-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,416.00 Trip Date: 11/03/04 0025-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 11/03/04 0030-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,281.00 Trip Date: 11/04/04 0016-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/05/04 0019-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date: 11/05/04 0021-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 11/05/04 0028-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/05/04 0034-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 11/06/04 0001-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 11/06/04 0002-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 11/06/04 0021-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/06/04 0024-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,611.00 RescueNetlm Printed On: 1/26/2006 at 11:44:11AM Page 2 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200503; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date: 11/07/04 0019-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date: 11/08/04 0004-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/08/04 0019-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 11/08/04 0027-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 11/08/04 0031-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/08/04 0034-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date:11/09/04 0001-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:11/09/04 0002-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date:11/09/04 0003-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date:11/09/04 0006-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,086.00 Trip Date:11/09/04 0011-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date: 11/09/04 0012-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date:11/09/04 0019-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/09/04 0027-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 11/10/04 0021-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 11/10/04 0024-A Deposit Date:03/08/05 Write-off Bad Debt 1 $ 1,596.00 Trip Date: 11/10/04 0028-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/10/04 0031-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 11/11/04 0003-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,326.00 Trip Date: 11/11/04 0005-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 11/11/04 0007-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,970.00 Trip Date: 11/11/04 0008-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 11/11/04 0020-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,416.00 Trip Date: 11/12/04 0019-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/12/04 0033-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 1,026.00 Trip Date: 11/12/04 0038-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 11/12/04 0040-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 11/13/04 0002-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/13/04 0022-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/13/04 0023-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date:11/14/04 0001-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date: 11/14/04 0013-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/15/04 0001-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,416.00 Trip Date: 11/15/04 0005-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 11/15/04 0016-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date: 11/15/04 0017-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/15/04 0019-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date: 11/15/04 0022-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date: 11/15/04 0032-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 11/26/04 0007-A Deposit Date:03/08/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 12/02/04 0021-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date: 12/05/04 0019-A Deposit Date:03/08/05 Write-off Bad Debt 1 $ 79.47 Trip Date: 12/08/04 0021-A Deposit Date:03/24/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 12/14/04 0012-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 12/19/04 0008-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 127.66 Trip Date: 12/25/04 0007-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 12/27/04 0015-A Deposit Date: 03/08/05 Write-off Bad Debt 1 $ 75.01 Trip Date:01/01/05 0019-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 1,630.00 Trip Date:02/05/05 0029-A Deposit Date: 03/24/05 Write-off Bad Debt 1 $ 140.13 Totals For Type 154 $ 127,883.79 Totals For Bill Patient 154 $ 127,883.79 RescueNet" Printed On: 1/26/2006 at 11:44:11AM Page 3 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit.As Type Detail by Payor (Deposit Date) Period IS 200503; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt Company Totals 1..2P ,13.4*}2?_?; 4;0053Q SD.oo aooy iga 831./0!0 coos 770, /3 RescueNet^" Printed On: 1/26/2006 at 11:44.11AM Page 4 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200504;AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date:07/24/03 0004-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 661.00 Trip Date: 11/12/03 0010-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 986.00 Trip Date:03/04/04 0008-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 986.00 Trip Date:04/11/04 0033-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 436.00 Trip Date:04/30/04 0001-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date:07/15/04 0004-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 120.60 Trip Date:07/20/04 0015-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 100.00 Trip Date:07/26/04 0011-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 746.00 Trip Date:08/03/04 0022-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date:08/14/04 0014-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,066.00 Trip Date:08/28/04 0018-A Deposit Date:04/12/05 Write-off Bad Debt 1 $ 253.20 Trip Date:08/29/04 0036-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 50.00 Trip Date:09/06/04 0040-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 436.50 Trip Date:09/07/04 0004-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 50.00 Trip Date:09/07/04 0022-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/07/04 0028-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date:09/12/04 0004-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,101.00 Trip Date:09/12/04 0031-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 233.20 Trip Date:09/14/04 0025-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date:09/14/04 0029-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date:09/16/04 0020-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 0.00 Trip Date:09/19/04 0012-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,356.00 Trip Date:09/20/04 0005-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 250.20 Trip Date:09/24/04 0013-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,156.00 Trip Date: 10/01/04 0012-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 10/04/04 0006-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 50.00 Trip Date: 10/09/04 0017-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 10/09/04 0021-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 25.00 Trip Date: 10/09/04 0022-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 75.00 Trip Date: 10/09/04 0034-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/10/04 0036-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 10/11/04 0041-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,114.26 Trip Date: 10/12/04 0013-A Deposit Date: 04/27/05 Write-off Bad Debt 2 $ 0.00 Trip Date: 10/15/04 0022-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:10/16/04 0008-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 60.00 Trip Date: 10/20/04 0010-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,401.00 Trip Date: 10/20/04 0016-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 191.10 Trip Date: 10/20/04 0018-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 873.00 Trip Date: 10/28/04 0006-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 10/30/04 0005-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/31/04 0014-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 896.00 Trip Date: 11/01/04 0030-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/01/04 0031-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 46.00 Trip Date: 11/02/04 0026-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 50.00 Trip Date:11/04/04 0018-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 11/05/04 0002-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 75.00 Trip Date: 11/05/04 0008-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,296.00 Trip Date: 11/05/04 0016-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,121.00 Trip Date: 11/06/04 0006-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 11/06/04 0007-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,191.00 RescueNetw Printed On: 1/26/2006 at 11:48:05AM Page 1 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200504; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date: 11/06/04 0016-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 105.69 Trip Date: 11/06/04 0025-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/07/04 0009-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 247.20 Trip Date: 11/08/04 0012-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 76.25 Trip Date: 11/08/04 0033-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,341.00 Trip Date: 11/10/04 0008-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 11/11/04 0014-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date: 11/14/04 0015-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 137.69 Trip Date: 11/16/04 0003-A Deposit Date: 04/12/05 Write-off Bad Debt 2 $ 0.00 Trip Date: 11/16/04 0005-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,026.00 Trip Date: 11/16/04 0010-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 11/16/04 0024-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 12.00 Trip Date: 11/17/04 0016-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 11/17/04 0031-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,101.00 Trip Date: 11/17/04 0032-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/18/04 0001-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/18/04 0003-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 11/18/04 0005-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,341.00 Trip Date: 11/18/04 0010-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date: 11/18/04 0021-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 91.96 Trip Date: 11/18/04 0024-A Deposit Date:04/12/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 11/18/04 0026-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,101.00 Trip Date: 11/18/04 0035-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/18/04 0036-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,296.00 Trip Date: 11/18/04 0038-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,476.00 Trip Date: 11/19/04 0002-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 305.00 Trip Date: 11/19/04 0010-A Deposit Date:04/12/05 Write-off Bad Debt 1 $ 2,135.00 Trip Date: 11/19/04 0013-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 11/19/04 0040-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 11/20/04 0004-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 11/20/04 0005-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 11/20/04 0011-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date: 11/20/04 0026-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,101.00 Trip Date: 11/20/04 0029-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/20/04 0038-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,496.00 Trip Date: 11/20/04 0039-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date: 11/20/04 0052-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/20/04 0055-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,416.00 Trip Date: 11/21/04 0005-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 11/21/04 0009-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/21/04 0017-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date: 11/22/04 0005-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/22/04 0008-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/22/04 0014-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,296.00 Trip Date: 11/22/04 0021-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date: 11/22/04 0028-A Deposit Date: 04/12/05 Write-off Bad Debt 2 $ 0.00 Trip Date: 11/22/04 0037-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date: 11/23/04 0001-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date: 11/23/04 0007-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/23/04 0018-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date: 11/23/04 0022-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 981.00 Trip Date: 11/24/04 0001-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 79.51 Trip Date: 11/24/04 0008-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 11/24/04 0016-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 11/24/04 0023-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,266.00 RescueNetim Printed On: 1/26/2006 at 11:48:05AM Page 2 H:IREPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200504; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date: 11/24/04 0027-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 981.00 Trip Date: 11/25/04 0005-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 11/25/04 0007-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 11/25/04 0011-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,476.00 Trip Date: 11/25/04 0023-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date: 11/25/04 0037-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date: 11/26/04 0006-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,506.00 Trip Date: 11/26/04 0018-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 981.00 Trip Date: 11/26/04 0019-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 981.00 Trip Date: 11/26/04 0025-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,021.00 Trip Date: 11/27/04 0006-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 11/27/04 0020-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,431.00 Trip Date: 11/28/04 0007-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,681.00 Trip Date: 11/28/04 0038-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,701.00 Trip Date: 11/28/04 0046-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 11/29/04 0012-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 11/29/04 0014-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 11/29/04 0021-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 11/29/04 0025-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 11/30/04 0006-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/30/04 0018-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 236.00 Trip Date: 11/30/04 0021-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 11/30/04 0026-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date: 12/01/04 0007-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/01/04 0008-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date: 12/02/04 0011-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/02/04 0025-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date: 12/02/04 0032-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 12/02/04 0033-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/02/04 0038-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 87.00 Trip Date: 12/02/04 0043-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 12/03/04 0006-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 62.00 Trip Date: 12/03/04 0014-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/04/04 0010-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,341.00 Trip Date: 12/04/04 0014-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 12/04/04 0028-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date: 12/05/04 0001-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 12/05/04 0032-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 200.00 Trip Date: 12/06/04 0010-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 12/06/04 0014-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 12/06/04 0015-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 12/06/04 0024-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 12/07/04 0006-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,356.00 Trip Date: 12/07/04 0034-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 12/08/04 0026-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,086.00 Trip Date: 12/08/04 0032-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 12/08/04 0033-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,506.00 Trip Date:12/09/04 0017-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/09/04 0028-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/09/04 0031-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 12/10/04 0015-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 12/10/04 0026-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 12/10/04 0033-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date: 12/11/04 0002-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 12/11/04 0034-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,191.00 RescueNetTm Printed On: 1/26/2006 at 11:48:05AM Page 3 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200504;AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date: 12/11/04 0040-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 12/12/04 0001-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 12/12/04 0007-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:12/12/04 0016-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 12/12/04 0019-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,086.00 Trip Date: 12/13/04 0008-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,566.00 Trip Date: 12/13/04 0029-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/14/04 0021-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/14/04 0022-A Deposit Date:04/12/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 12/15/04 0002-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date: 12/15/04 0004-A Deposit Date:04/27/05 Write-off Bad Debt 1 $ 1,506.00 Trip Date: 12/15/04 0026-A Deposit Date:04/27/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 12/16/04 0030-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date: 12/17/04 0014-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date: 12/17/04 0018-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date: 12/18/04 0003-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,146.00 Trip Date: 12/18/04 0004-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date: 12/18/04 0005-A Deposit Date:04/12/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 12/18/04 0009-A Deposit Date:04/27/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date: 12/18/04 0022-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 12/19/04 0007-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 12/19/04 0015-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 12/19/04 0023-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date: 12/19/04 0024-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date: 12/19/04 0025-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 12/19/04 0026-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/20/04 0006-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 12/20/04 0032-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,790.00 Trip Date: 12/20/04 0035-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,431.00 Trip Date: 12/22/04 0002-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/22/04 0004-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date: 12/22/04 0007-A Deposit Date:04/12/05 Write-off Bad Debt 1 $ 37.15 Trip Date: 12/22/04 0011-A Deposit Date:04/27/05 Write-off Bad Debt 1 $ 2,001.00 Trip Date: 12/22/04 0044-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/23/04 0035-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 12/23/04 0038-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,326.00 Trip Date: 12/28/04 0026-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/28/04 0029-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 12/30/04 0019-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,101.00 Trip Date:01/03/05 0015-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:01/03/05 0032-A Deposit Date:04/12/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:01/05/05 0030-A Deposit Date:04/12/05 Write-off Bad Debt 1 $ 1,566.00 Trip Date:01/21/05 0017-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 45.80 Trip Date:01/24/05 0016-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:01/24/05 0017-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:01/25/05 0014-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:01/29/05 0010-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,362.00 Trip Date:02/06/05 0003-A Deposit Date:04/27/05 Write-off Bad Debt 1 $ 396.00 Trip Date:02/06/05 0014-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,423.00 Trip Date:03/02/05 0027-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 2,080.00 Trip Date:03/08/05 0008-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:03/28/05 0032-A Deposit Date: 04/12/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:03/30/05 0006-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:04/01/05 0040-A Deposit Date: 04/27/05 Write-off Bad Debt 1 $ 1,311.00 Totals For Type 217 $ 189,122.31 RescueNetT"" Printed On: 1/26/2006 at 11:48:05AM Page 4 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200504; AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Totals For Bill Patient 217 $ 189,122.31 Company Totals J - krtt ` $ ocw3 U0I7O6 a ooy 1O9,IIL.SI a O05 18,378.86 RescueNetTm Printed On: 1/26/2006 at 11:48.05AM Page 5 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period iS 200505;AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Payor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date:06/06/04 0004-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,201.00 Trip Date:07/02/04 0008-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 169.20 Trip Date:08/21/04 0008-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,071.00 Trip Date:09/05/04 0003-A Deposit Date: 05/09/05 Write-off Bad Debt 2 $ 0.00 Trip Date:09/14/04 0026-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 966.00 Trip Date: 10/07/04 0029-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 76.69 Trip Date: 10/09/04 0016-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 307.20 Trip Date: 10/09/04 0018-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 324.00 Trip Date: 10/14/04 0002-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 10/15/04 0013-A Deposit Date:05/18/05 Write-off Bad Debt 1 $ 12.00 Trip Date: 10/17/04 0033-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 75.00 Trip Date: 10/17/04 0034-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 75.00 Trip Date: 10/21/04 0007-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 220.20 Trip Date: 10/21/04 0009-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 877.20 Trip Date: 10/21/04 0029-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 365.88 Trip Date: 10/31/04 0025-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 12.00 Trip Date: 11/03/04 0036-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 211.20 Trip Date: 11/08/04 0020-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 11/10/04 0026-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date: 11/13/04 0032-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,151.00 Trip Date: 11/14/04 0004-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,466.00 Trip Date: 11/14/04 0021-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 50.00 Trip Date: 11/15/04 0003-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 2,330.00 Trip Date: 11/15/04 0013-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 11/21/04 0028-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 11/22/04 0027-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 75.00 Trip Date: 11/23/04 0026-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,026.20 Trip Date: 11/24/04 0020-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 75.00 Trip Date: 11/27/04 0022-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 78.25 Trip Date: 11/27/04 0028-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 50.00 Trip Date: 11/27/04 0029-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 11/27/04 0030-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date: 11/28/04 0001-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 50.00 Trip Date: 11/30/04 0003-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 81.76 Trip Date: 12/02/04 0018-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 86.59 Trip Date: 12/02/04 0031-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 12/04/04 0017-A Deposit Date:05/18/05 Write-off Bad Debt 1 $ 50.88 Trip Date: 12/04/04 0023-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 48.45 Trip Date: 12/05/04 0010-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 18.00 Trip Date: 12/05/04 0021-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 75.00 Trip Date: 12/07/04 0020-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 61.92 Trip Date: 12/07/04 0040-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 50.45 Trip Date: 12/08/04 0006-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 251.45 Trip Date: 12/09/04 0025-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,041.00 Trip Date: 12/12/04 0014-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 12/14/04 0008-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 12/16/04 0021-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 59.92 Trip Date: 12/17/04 0002-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 179.70 Trip Date: 12/17/04 0008-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 12/20/04 0017-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 79.69 RescueNet"' Printed On: 1/26/2006 at 11:48:46AM Page 1 H:\REPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200505; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date: 12/20/04 0039-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 12/21/04 0003-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 77.25 Trip Date: 12/21/04 0005-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 76.25 Trip Date: 12/21/04 0009-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 63.55 Trip Date: 12/21/04 0016-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 12/21/04 0026-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 75.00 Trip Date: 12/21/04 0030-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/22/04 0003-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/22/04 0015-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 981.00 Trip Date: 12/22/04 0041-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,191.00 Trip Date: 12/22/04 0042-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,401.00 Trip Date: 12/23/04 0003-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 12/23/04 0039-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date: 12/24/04 0011-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/24/04 0030-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,371.00 Trip Date: 12/25/04 0003-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,491.00 Trip Date: 12/25/04 0008-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,476.00 Trip Date: 12/25/04 0020-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 12/25/04 0024-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date: 12/26/04 0006-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 12/27/04 0003-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 12/27/04 0011-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,461.00 Trip Date: 12/27/04 0034-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 981.00 Trip Date: 12/27/04 0035-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,101.00 Trip Date: 12/28/04 0004-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,925.00 Trip Date: 12/28/04 0022-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 12/29/04 0001-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/29/04 0012-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,086.00 Trip Date: 12/29/04 0026-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 12/29/04 0029-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 12/30/04 0022-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date: 12/30/04 0033-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,221.00 Trip Date: 12/30/04 0037-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,436.00 Trip Date: 12/30/04 0040-A Deposit Date:05/18/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 12/31/04 0003-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 12/31/04 0010-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,206.00 Trip Date: 12/31/04 0013-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 996.00 Trip Date: 12/31/04 0016-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/01/05 0003-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ '1,14470-6 Trip Date:01/01/05 0010-A Deposit Date:05/18/05 Write-off Bad Debt 1 $ 1,457.00 Trip Date:01/01/05 0014-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,127.00 Trip Date:01/01/05 0016-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:01/01/05 0022-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/01/05 0023-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,438.00 Trip Date:01/01/05 0024-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/01/05 0025-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,404.00 Trip Date:01/01/05 0035-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,427.00 Trip Date:01/01/05 0042-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,543.00 Trip Date:01/01/05 0046-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:01/02/05 0003-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:01/02/05 0006-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,218.00 Trip Date:01/02/05 0013-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/02/05 0021-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,363.00 Trip Date:01/02/05 0024-A Deposit Date: 05/18/05 Write-off Bad Debt 2 $ 0.00 Trip Date:01/02/05 0027-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,490.00 RescueNet"4 Printed On: 1/26/2006 at 11:48:46AM Page 2 H:IREPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200505; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date:01/03/05 0026-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/04/05 0007-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,362.00 Trip Date:01/04/05 0016-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:01/04/05 0020-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/04/05 0039-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,457.00 Trip Date:01/04/05 0040-A Deposit Date:05/18/05 Write-off Bad Debt 1 $ 1,532.00 Trip Date:01/04/05 0041-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,321.00 Trip Date:01/04/05 0042-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,246.00 Trip Date:01/04/05 0059-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:01/05/05 0023-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:01/05/05 0028-A Deposit Date:05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/06/05 0015-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/06/05 0017-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:01/06/05 0018-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/06/05 0026-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/07/05 0001-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,178.00 Trip Date:01/07/05 0015-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,427.00 Trip Date:01/07/05 0023-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:01/08/05 0001-A Deposit Date:05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/08/05 0013-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,515.00 Trip Date:01/08/05 0020-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,573.00 Trip Date:01/09/05 0008-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,255.00 Trip Date:01/10/05 0001-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,127.00 Trip Date:01/10/05 0014-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/10/05 0020-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,397.00 Trip Date:01/10/05 0026-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,345.00 Trip Date:01/12/05 0023-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:01/12/05 0042-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:01/12/05 0052-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/13/05 0007-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 963.00 Trip Date:01/13/05 0014-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/13/05 0016-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/13/05 0020-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/13/05 0022-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/22/05 0024-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 82.45 Trip Date:01/29/05 0009-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,362.00 Trip Date:01/31/05 0020-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/31/05 0023-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 79.13 Trip Date:04/10/05 0021-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,178.00 Trip Date:04/19/05 0006-A Deposit Date: 05/18/05 Write-off Bad Debt 1 $ 1,144.00 Totals For Type 147 $ 113,755.46 Totals For Bill Patient 147 g $ 113,755.46 e Y...Company Totals g[[['�gE'rOM ,.: 4�-� RescueNeV" Printed On: 1/26/2006 at 11:48:46AM Page 3 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200505; AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt Totals . aoo`� epa,sas8 ass 5l, J70.53 RescueNer" Printed On: 1/26/2006 at 11:48:46AM Page 4 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200506;AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Payor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date:02/04/03 0030-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 195.91 Trip Date:02/04/03 0045-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 90.00 Trip Date:02/25/03 0026-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 886.14 Trip Date:04/03/03 0009-A Deposit Date: 06/10/05 Write-off Bad Debt 2 $ 0.00 Trip Date:03/03/04 0019-A Deposit Date: 06/10/05 Write-off Bad Debt 2 $ 0.00 Trip Date:04/02/04 0024-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 22.56 Trip Date:05/13/04 0022-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 951.00 Trip Date:06/08/04 0016-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 118.60 Trip Date:08/12/04 0028-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 90.02 Trip Date:09/18/04 0017-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 289.60 Trip Date:09/18/04 0052-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 388.00 Trip Date:09/22/04 0016-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,131.00 Trip Date:09/24/04 0013-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 706.00 Trip Date:09/30/04 0003-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 196.20 Trip Date;10/04/04 0004-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 385.00 Trip Date: 10/10/04 0011-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:10/21/04 0011-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/25/04 0040-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 10/28/04 0015-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 125.00 Trip Date: 10/31/04 0002-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date:10/31/04 0009-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,031.00 Trip Date: 11/02/04 0024-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 547.12 Trip Date: 11/03/04 0017-A Deposit Date:06/28/05 Write-off Bad Debt 1 $ 322.00 Trip Date: 11/08/04 0008-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,281.00 Trip Date:11/09/04 0025-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 160.76 Trip Date: 11/10/04 0007-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,116.00 Trip Date: 11/12/04 0007-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,446.00 Trip Date: 11/18/04 0022-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 843.00 Trip Date: 11/18/04 0034-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 484.12 Trip Date:11/19/04 0006-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:11/19/04 0021-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 75.00 Trip Date: 11/20/04 0021-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,293.00 Trip Date: 11/21/04 0022-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,516.00 Trip Date:11/21/04 0027-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 539.70 Trip Date: 11/22/04 0029-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 11/23/04 0027-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 50.00 Trip Date: 11/24/04 0002-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,266.00 Trip Date:11/27/04 0002-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 481.20 Trip Date: 11/28/04 0002-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 348.51 Trip Date: 11/29/04 0027-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 75.00 Trip Date: 12/01/04 0015-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/02/04 0041-A Deposit Date:06/28/05 Write-off Bad Debt 1 $ 91.70 Trip Date: 12/02/04 0042-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 253.20 Trip Date: 12/03/04 0016-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 15.00 Trip Date: 12/04/04 0004-A Deposit Date:06/28/05 Write-off Bad Debt 1 $ 75.00 Trip Date: 12/04/04 0011-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 66.79 Trip Date: 12/06/04 0011-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 84.30 Trip Date: 12/08/04 0011-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 498.10 Trip Date:12/11/04 0026-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 90.90 Trip Date: 12/13/04 0007-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 892.54 RescueNetn" Printed On: 1/26/2006 at 11:49:28AM Page 1 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200506; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date: 12/13/04 0026-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 30.00 Trip Date: 12/17/04 0022-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,251.00 Trip Date: 12/18/04 0021-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,011.00 Trip Date: 12/21/04 0021-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 117.60 Trip Date: 12/22/04 0016-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 196.20 Trip Date: 12/23/04 0011-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 119.95 Trip Date: 12/23/04 0033-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 205.20 Trip Date: 12/24/04 0024-A Deposit Date: 06/15/05 Write-off Bad Debt 2 $ 0.00 Trip Date: 12/25/04 0030-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/26/04 0022-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/30/04 0014-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 75.46 Trip Date: 12/30/04 0045-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 61.46 Trip Date:01/02/05 0007-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 74.28 Trip Date:01/02/05 0010-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 72.00 Trip Date:01/02/05 0025-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 15.00 Trip Date:01/02/05 0026-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 45.80 Trip Date:01/04/05 0001-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 80.33 Trip Date:01/05/05 0009-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:01/06/05 0009-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/06/05 0023-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:01/07/05 0007-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,295.00 Trip Date:01/07/05 0022-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 378.20 Trip Date:01/09/05 0004-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 20.00 Trip Date:01/09/05 0021-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 75.53 Trip Date:01/11/05 0010-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 151.50 Trip Date:01/11/05 0021-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:01/11/05 0026-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/11/05 0027-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 82.45 Trip Date:01/12/05 0013-A Deposit Date:06/28/05 Write-off Bad Debt 1 $ 133.80 Trip Date:01/12/05 0039-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:01/13/05 0001-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:01/14/05 0005-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,321.00 Trip Date:01/14/05 0014-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,566.00 Trip Date:01/14/05 0026-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:01/14/05 0029-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:01/14/05 0033-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:01/15/05 0011-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:01/15/05 0024-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 79.13 Trip Date:01/15/05 0029-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,404.00 Trip Date:01/16/05 0024-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,260.00 Trip Date:01/17/05 0018-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:01/18/05 0001-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date: 01/18/05 0012-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,270.00 Trip Date: 01/18/05 0017-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 78.02 Trip Date:01/18/05 0027-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,330.00 Trip Date:01/19/05 0010-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,220.00 Trip Date:01/19/05 0017-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/19/05 0023-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,288.00 Trip Date:01/19/05 0029-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,607.00 Trip Date:01/19/05 0032-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,611.00 Trip Date:01/19/05 0034-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,237.00 Trip Date:01/20/05 0002-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/20/05 0005-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/20/05 0006-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:01/20/05 0013-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,236.00 RescueNetim Printed On: 1/26/2006 at 11:49:28AM Page 2 H:\REPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200506;AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date:01/20/05 0020-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/20/05 0025-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:01/20/05 0032-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 53.38 Trip Date:01/20/05 0042-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,583.00 Trip Date:01/21/05 0028-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/21/05 0029-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:01/21/05 0031-A Deposit Date:06/28/05 Write-off Bad Debt 1 $ 133.80 Trip Date:01/22/05 0009-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,312.00 Trip Date:01/22/05 0023-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:01/22/05 0028-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/23/05 0001-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,439.00 Trip Date:01/23/05 0008-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 53.38 Trip Date:01/23/05 0027-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:01/24/05 0002-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/24/05 0010-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,541.00 Trip Date:01/24/05 0031-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 1,253.00 Trip Date:01/24/05 0032-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,481.00 Trip Date:01/25/05 0018-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/27/05 0004-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:01/27/05 0006-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 1,355.00 Trip Date:01/27/05 0008-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:01/27/05 0010-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,617.00 Trip Date:01/27/05 0027-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,352.00 Trip Date:01/27/05 0032-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,387.00 Trip Date:01/27/05 0037-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/27/05 0041-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,612.00 Trip Date:01/28/05 0017-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:01/28/05 0023-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/28/05 0027-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:01/28/05 0037-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,845.00 Trip Date:01/28/05 0038-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,260.00 Trip Date:01/29/05 0002-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,413.00 Trip Date:01/29/05 0017-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:01/29/05 0019-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 589.00 Trip Date:01/29/05 0026-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,591.00 Trip Date:01/29/05 0035-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 1,379.00 Trip Date:01/30/05 0005-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,879.00 Trip Date:01/30/05 0007-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,481.00 Trip Date:01/30/05 0011-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,698.00 Trip Date:01/30/05 0012-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:01/30/05 0022-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:01/31/05 0007-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/31/05 0008-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/31/05 0018-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:01/31/05 0025-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,355.00 Trip Date:01/31/05 0030-A Deposit Date:06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/31/05 0033-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,603.00 Trip Date:02/01/05 0002-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,591.00 Trip Date:02/01/05 0024-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/02/05 0002-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,270.00 Trip Date:02/02/05 0014-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:02/02/05 0015-A Deposit Date; 06/15/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:02/02/05 0023-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,551.00 Trip Date:02/03/05 0003-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,403.00 Trip Date:02/03/05 0012-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,386.00 RescueNetT" Printed On: 1/26/2006 at 11:49:28AM Page 3 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200506;AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits 1S Write-off Bad Debt WELD COUNTY PARAMEDIC SERVICES Trip Date:02/03/05 0022-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:02/04/05 0003-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,795.00 Trip Date:02/04/05 0035-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,076.00 Trip Date:02/04/05 0037-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,464.00 Trip Date:02/04/05 0038-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,539.00 Trip Date:02/04/05 0040-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,421.00 Trip Date:02/06/05 0004-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:02/06/05 0005-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/06/05 0006-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/06/05 0023-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:02/08/05 0005-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:02/09/05 0026-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:02/09/05 0030-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,127.00 Trip Date:02/12/05 0032-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,202.00 Trip Date:02/13/05 0021-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,529.00 Trip Date:02/13/05 0032-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:02/14/05 0001-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,178.00 Trip Date:02/15/05 0011-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,614.00 Trip Date:02/15/05 0047-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/17/05 0008-A Deposit Date:06/28/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/17/05 0016-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,439.00 Trip Date:02/18/05 0002-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,539.00 Trip Date:02/18/05 0013-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:02/28/05 0013-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:03/28/05 0006-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:05/11/05 0028-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:05/23/05 0024-A Deposit Date: 06/15/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:06/11/05 0034-A Deposit Date: 06/28/05 Write-off Bad Debt 2 $ 0.00 Trip Date:06/16/05 0011-A Deposit Date: 06/28/05 Write-off Bad Debt 1 $ 1,144.00 Totals For Type 193 $ 154,065.44 Totals For Bill Patient 193 $ 154,065.44 Company Totals rinIZAV ,~ RescueNetT"" Printed On: 1/26/2006 at 11:49:28AM Page 4 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200506; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt iaz + tPP Totals ._ a0o3 )17a06 aO6 aao1 acp,wii.79 0005 )aO,aQI,61;1 RescueNet"" Printed On: 1/26/2006 at 11:49.28AM Page 5 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period 1S 200: 07; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Payor/Credit TVAelCredit Code Count Dollars Writeoffs Trip Date:01/11/04 0010-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 901.00 Trip Date:02/20/04 0019-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 456.00 Trip Date:03/17/04 0027-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 894.00 Trip Date:04/15/04 0001-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 816.00 Trip Date:07/16/04 0004-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,326.00 Trip Date:08/04/04 0007-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,021.00 Trip Date:08/27/04 0018-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 200.00 Trip Date: 10/25/04 0021-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 136.69 Trip Date: 11/02/04 0019-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 55.99 Trip Date: 11/03/04 0019-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 130.32 Trip Date: 11/07/04 0021-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 30.00 Trip Date: 11/09/04 0022-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 678.43 Trip Date: 11/10/04 0012-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,081.00 Trip Date: 11/11/04 0013-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,226.00 Trip Date: 11/26/04 0009-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 180.00 Trip Date: 12/03/04 0019-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 211.20 Trip Date: 12/17/04 0030-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 101.70 Trip Date: 12/22/04 0019-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 348.00 Trip Date: 12/24/04 0035-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 274.20 Trip Date: 12/26/04 0019-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/26/04 0020-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date: 12/27/04 0008-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 861.00 Trip Date: 12/27/04 0036-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 286.20 Trip Date: 12/31/04 0014-A Deposit Date: 07/19/05 Write-off Bad Debt 2 $ 0.00 Trip Date:01/01/05 0013-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 337.20 Trip Date:01/02/05 0023-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 353.11 Trip Date:01/04/05 0011-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 203.00 Trip Date:01/06/05 0005-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 46.75 Trip Date:01/07/05 0020-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 79.25 Trip Date:01/10/05 0024-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 119.52 Trip Date:01/14/05 0017-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:01/15/05 0010-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:01/16/05 0001-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 35.00 Trip Date:01/16/05 0012-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,920.00 Trip Date:01/17/05 0003-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/17/05 0009-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 69.14 Trip Date:01/18/05 0016-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 698.20 Trip Date:01/20/05 0043-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 406.40 Trip Date:01/21/05 0022-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 310.00 Trip Date:01/22/05 0011-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 696.50 Trip Date:01/24/05 0021-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 25.00 Trip Date:01/26/05 0001-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 130.73 Trip Date:01/27/05 0035-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,618.00 Trip Date:01/28/05 0031-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 79.56 Trip Date:01/28/05 0032-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,270.00 Trip Date:01/28/05 0040-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 30.00 Trip Date:02/02/05 0001-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 2,144.00 Trip Date:02/02/05 0003-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 325.48 Trip Date:02/02/05 0010-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 474.60 RescueNetT"' Printed On: 1/26/2006 at 11:50:38AM Page 1 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 20O07; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:02/03/05 0002-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/03/05 0008-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 113.19 Trip Date:02/03/05 0019-A Deposit Date:07/19/05 Write-off Bad Debt 1 $ 1,556.00 Trip Date:02/04/05 0005-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,899.00 Trip Date:02/04/05 0029-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 72.50 Trip Date:02/05/05 0015-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,556.00 Trip Date:02/05/05 0021-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:02/06/05 0001-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,253.00 Trip Date:02/06/05 0022-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,515.00 Trip Date:02/07/05 0003-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:02/07/05 0008-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 158.03 Trip Date: 02/07/05 0010-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/07/05 0015-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:02/07/05 0023-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:02/08/05 0002-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/08/05 0029-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:02/08/05 0037-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/08/05 0051-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/08/05 0054-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:02/09/05 0001-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:02/09/05 0005-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date: 02/09/05 0006-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,498.00 Trip Date:02/09/05 0014-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,422.00 Trip Date:02/09/05 0017-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:02/09/05 0020-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/12/05 0033-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,712.00 Trip Date:02/15/05 0004-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,456.00 Trip Date:02/15/05 0012-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 230.89 Trip Date:02/15/05 0033-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 132.65 Trip Date:02/16/05 0010-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:02/16/05 0028-A Deposit Date: 07/19/05 Write-off Bad Debt 2 $ 0.00 Trip Date:02/18/05 0029-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,814.00 Trip Date:02/20/05 0006-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,488.00 Trip Date:02/20/05 0029-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/22/05 0007-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,413.00 Trip Date:02/22/05 0031-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,851.00 Trip Date:02/23/05 0020-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/24/05 0023-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 265.60 Trip Date:02/24/05 0025-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:02/24/05 0040-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 80.24 Trip Date:02/25/05 0040-A Deposit Date:07/19/05 Write-off Bad Debt 1 $ 1,624.00 Trip Date:02/27/05 0013-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:02/28/05 0016-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,346.00 Trip Date:03/01/05 0006-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,497.00 Trip Date:03/04/05 0037-A Deposit Date: 07/12/05 Write-off Bad Debt 1 $ 1,532.00 Trip Date:03/09/05 0024-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:03/10/05 0007-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:03/11/05 0024-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,556.00 Trip Date:03/12/05 0015-A Deposit Date:07/19/05 Write-off Bad Debt 1 $ 1,430.00 Trip Date:03/12/05 0024-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,490.00 Trip Date:03/16/05 0017-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:04/20/05 0009-A Deposit Date: 07/19/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:06/26/05 0027-A Deposit Date:07/19/05 Write-off Bad Debt 1 $ 1,294.00 Totals For Type 104 $ 80,520.27 RescueNet'h" Printed On: 1/26/2006 at 11:50:38AM Page 2 H:\REPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200307;AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Totals For Bill Patient 104 $ 80,520.27 Payor First Party Receivable Systems Pavor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date:02/26/05 0038-A Deposit Date: 07/07/05 Write-Off First Party Rec 2 $ 0.00 Trip Date:03/07/05 0029-A Deposit Date: 07/07/05 Write-Off First Party Rec 2 $ 0.00 Trip Date:04/17/05 0038-A Deposit Date: 07/07/05 Write-Off First Party Rec 2 $ 0.00 Trip Date:05/13/05 0025-A Deposit Date: 07/07/05 Write-Off First Party Rec 4 $ 0.00 Totals For Type 10 $ 0.00 Totals For First Party Receivable Systems 10 $ 0.00 Company Totals y4,7 'u RescueNet^" Printed On: 1/26/2006 at 11:50:38AM Page 3 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200507; AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec � r ' Totals ��_._r i ( C°3 )1, 511.73 aoo4 ,9005 69,60551/ RescueNet" Printed On: 1/26/2006 at 11:50:38AM Page 4 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200508; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Payor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date:03/07/03 0026-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 535.00 Trip Date:03/11/03 0003-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 440.00 Trip Date: 11/07/03 0023-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 861.0O Trip Date:05/10/04 0069-A Deposit Date: 08/09/05 Write-off Bad Debt '1 $ 761.00 Trip Date:06/21/04 0030-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 981.00 Trip Date:07/05/04 0007-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,176.00 Trip Date:08/13/04 0020-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,216.00 Trip Date: 10/18/04 0028-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 650.00 Trip Date: 10/22/04 0022-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,041.00 Trip Date: 10/27/04 0013-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 10.00 Trip Date: 11/12/04 0025-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 111.60 Trip Date: 11/29/04 0007-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 78.69 Trip Date: 12/27/04 0027-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,166.00 Trip Date: 12/30/04 0010-A Deposit Date:08/09/05 Write-off Bad Debt 1 $ 301.20 Trip Date: 12/31/04 0004-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 140.00 Trip Date:01/03/05 0011-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 401.20 Trip Date:01/11/05 0006-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,002.00 Trip Date:01/14/05 0035-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,516.00 Trip Date:01/18/05 0031-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 105.00 Trip Date:01/21/05 0001-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/22/05 0004-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 150.00 Trip Date:01/22/05 0019-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 340.80 Trip Date:01/22/05 0022-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 100.00 Trip Date:01/25/05 0005-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 78.90 Trip Date:01/25/05 0015-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,196.00 Trip Date:01/25/05 0017-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 38.69 Trip Date:01/25/05 0019-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 853.00 Trip Date:01/26/05 0006-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 82.43 Trip Date:02/01/05 0025-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 25.00 Trip Date:02/03/05 0021-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 248.00 Trip Date:02/05/05 0002-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/05/05 0005-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:02/05/05 0022-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:02/05/05 0025-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,372.00 Trip Date:02/07/05 0009-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:02/07/05 0011-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:02/08/05 0020-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/08/05 0052-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,127.00 Trip Date:02/09/05 0011-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:02/10/05 0010-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,566.00 Trip Date:02/11/05 0001-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,438.00 Trip Date:02/11/05 0019-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 599.60 Trip Date:02/11/05 0020-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:02/11/05 0021-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 980.00 Trip Date:02/12/05 0008-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,246.00 Trip Date:02/12/05 0012-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,277.00 Trip Date:02/12/05 0013-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,437.00 Trip Date:02/12/05 0031-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,277.00 Trip Date:02/12/05 0035-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,617.00 RescueNetT"' Printed On: 1/26/2006 at 11:51:07AM Page 1 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200508; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits 1S Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:02/13/05 0002-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:02/13/05 0003-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:02/13/05 0004-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,403.00 Trip Date:02/13/05 0007-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 81.02 Trip Date:02/13/05 0010-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 20.00 Trip Date:02/13/05 0026-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,486.21 Trip Date:02/13/05 0031-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/13/05 0034-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,828.00 Trip Date:02/13/05 0037-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:02/14/05 0003-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:02/14/05 0012-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,329.00 Trip Date:02/14/05 0018-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:02/14/05 0031-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,261.00 Trip Date:02/14/05 0039-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:02/15/05 0013-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:02/15/05 0024-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,574.00 Trip Date:02/15/05 0043-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:02/15/05 0045-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,212.00 Trip Date:02/15/05 0051-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:02/16/05 0037-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/17/05 0004-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:02/17/05 0013-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,387.00 Trip Date:02/18/05 0003-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:02/18/05 0015-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,258.00 Trip Date:02/19/05 0006-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,473.00 Trip Date:02/19/05 0007-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/19/05 0011-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/19/05 0012-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/19/05 0017-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,498.00 Trip Date:02/19/05 0032-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,515.00 Trip Date:02/19/05 0035-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:02/20/05 0001-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 252.00 Trip Date:02/20/05 0002-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 275.80 Trip Date:02/20/05 0003-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,304.00 Trip Date:02/20/05 0009-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,263.00 Trip Date:02/20/05 0012-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,576.00 Trip Date:02/20/05 0017-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,438.00 Trip Date:02/20/05 0026-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 75.00 Trip Date:02/20/05 0032-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/21/05 0003-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,430.00 Trip Date:02/21/05 0012-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,457.00 Trip Date:02/21/05 0014-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 116.00 Trip Date:02/21/05 0025-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:02/22/05 0001-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,280.00 Trip Date:02/22/05 0002-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,365.00 Trip Date:02/22/05 0014-A Deposit Date:08/09/05 Write-off Bad Debt 1 $ 1,456.00 Trip Date:02/22/05 0020-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,379.00 Trip Date:02/23/05 0001-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:02/23/05 0006-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,220.00 Trip Date:02/23/05 0012-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:02/23/05 0022-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,363.00 Trip Date:02/23/05 0023-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,178.00 Trip Date:02/24/05 0001-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:02/24/05 0007-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,439.00 RescueNetr" Printed On: 1/26/2006 at 11:51:07AM Page 2 H:\REPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200508; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:02/24/05 0008-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,481.00 Trip Date:02/24/05 0015-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:02/24/05 0019-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:02/24/05 0021-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:02/24/05 0022-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,456.00 Trip Date:02/24/05 0028-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:02/24/05 0034-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 201.00 Trip Date:02/24/05 0037-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 90.18 Trip Date:02/25/05 0004-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 45.00 Trip Date:02/25/05 0007-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 325.60 Trip Date:02/25/05 0013-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,420.00 Trip Date:02/25/05 0015-A Deposit Date:08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/25/05 0018-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:02/25/05 0019-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 2,219.00 Trip Date:02/25/05 0024-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 784.94 Trip Date:02/25/05 0028-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 64.94 Trip Date:02/25/05 0030-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 111.32 Trip Date: 02/25/05 0036-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:02/25/05 0037-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 162.28 Trip Date:02/26/05 0002-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/26/05 0005-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/26/05 0010-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,481.00 Trip Date:02/26/05 0015-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,729.00 Trip Date:02/26/05 0025-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 54.49 Trip Date:02/26/05 0028-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,202.00 Trip Date:02/26/05 0029-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,472.00 Trip Date:02/26/05 0036-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,127.00 Trip Date:02/26/05 0037-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:02/26/05 0039-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/26/05 0040-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,988.00 Trip Date:02/26/05 0041-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:02/27/05 0001-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,127.00 Trip Date:02/27/05 0025-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,389.00 Trip Date:02/27/05 0026-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,479.53 Trip Date:02/28/05 0004-A Deposit Date:08/09/05 Write-off Bad Debt 1 $ 1,127.00 Trip Date:02/28/05 0009-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 802.57 Trip Date:02/28/05 0024-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,178.00 Trip Date:02/28/05 0027-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,420.00 Trip Date:03/01/05 0001-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:03/01/05 0018-A Deposit Date:08/09/05 Write-off Bad Debt 1 $ 1,253.00 Trip Date:03/01/05 0022-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,481.00 Trip Date:03/01/05 0027-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,515.00 Trip Date:03/01/05 0030-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:03/02/05 0001-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 980.00 Trip Date:03/02/05 0003-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,322.00 Trip Date:03/02/05 0019-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:03/02/05 0036-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,473.00 Trip Date:03/02/05 0038-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:03/03/05 0002-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:03/03/05 0007-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:03/03/05 0016-A Deposit Date:08/09/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:03/03/05 0021-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,583.00 Trip Date:03/03/05 0027-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:03/03/05 0028-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,930.00 RescueNet'"' Printed On: 1/26/2006 at 11:51:07AM Page 3 H:\REPORTS32\BILLING\CREDITSICREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200508; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:03/03/05 0030-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,352.00 Trip Date:03/03/05 0040-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,403.00 Trip Date:03/04/05 0006-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:03/04/05 0015-A Deposit Date: 08/09/05 Write-off Bad Debt 2 $ 0.00 Trip Date:03/04/05 0019-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,507.00 Trip Date:03/04/05 0033-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,174.47 Trip Date:03/05/05 0008-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:03/06/05 0033-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:03/08/05 0004-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,403.00 Trip Date:03/08/05 0006-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 116.90 Trip Date:03/08/05 0010-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 58.09 Trip Date:03/08/05 0019-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 77.98 Trip Date:03/08/05 0033-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 49.27 Trip Date:03/10/05 0006-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 150.00 Trip Date:03/11/05 0002-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 116.81 Trip Date:03/12/05 0008-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,178.00 Trip Date:03/12/05 0040-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 252.00 Trip Date:03/14/05 0026-A Deposit Date:08/09/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:03/14/05 0032-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:03/15/05 0023-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,544.00 Trip Date:03/17/05 0019-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 82.51 Trip Date:03/18/05 0010-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,220.00 Trip Date:03/19/05 0001-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,363.00 Trip Date:03/19/05 0011-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:03/19/05 0014-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 2,226.00 Trip Date:03/19/05 0016-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,682.00 Trip Date:03/20/05 0010-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:03/21/05 0008-A Deposit Date:08/09/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:03/21/05 0024-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,363.00 Trip Date:03/22/05 0028-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:03/22/05 0033-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 2,144.00 Trip Date:03/23/05 0027-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:03/24/05 0021-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:03/26/05 0003-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:03/28/05 0011-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,430.00 Trip Date:03/28/05 0020-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 57.93 Trip Date:03/30/05 0026-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 150.00 Trip Date:03/31/05 0029-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:04/01/05 0003-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:04/01/05 0030-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 377.00 Trip Date:04/01/05 0035-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 40.00 Trip Date:04/02/05 0003-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:04/02/05 0004-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 166.90 Trip Date:04/03/05 0004-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:04/03/05 0022-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 55.64 Trip Date:04/03/05 0026-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 185.00 Trip Date:04/06/05 0002-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,127.00 Trip Date:04/06/05 0011-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,236.00 Trip Date:04/12/05 0005-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:04/13/05 0015-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,569.00 Trip Date:04/14/05 0005-A Deposit Date:08/26/05 Write-off Bad Debt 1 $ 1,709.00 Trip Date:04/15/05 0013-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,491.00 Trip Date:04/19/05 0004-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,127.00 Trip Date:04/19/05 0018-A Deposit Date: 08/26/05 Write-off Bad Debt 2 $ 0.00 RescueNet"" Printed On: 1/26/2006 at 11:51:07AM Page 4 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200508; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:04/19/05 0021-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,454.00 Trip Date:04/19/05 0022-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,405.00 Trip Date:04/20/05 0015-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,507.00 Trip Date:06/02/05 0016-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,312.00 Trip Date: 07/02/05 0006-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,403.00 Trip Date:07/04/05 0027-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:07/07/05 0044-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,438.00 Trip Date:07/09/05 0014-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 150.00 Trip Date:07/12/05 0020-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:07/22/05 0024-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:07/23/05 0023-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,403.00 Trip Date:07/26/05 0009-A Deposit Date: 08/09/05 Write-off Bad Debt 1 $ 1,471.00 Trip Date:08/04/05 0001-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:08/08/05 0034-A Deposit Date: 08/26/05 Write-off Bad Debt 1 $ 1,144.00 Totals For Type 227 $ 214,374.49 Totals For Bill Patient 227 $ 214,374.49 Company Totals 0 f' it 2 ,` ; 44 "0.I RescueNet"" Printed On: 1/26/2006 at 11:51:07AM Page 5 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200508;AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec Totals a003 )83[..Qa wo3a.L/9 acx5 aoI,90(,0.co • RescueNeti" Printed On: 1/26/2006 at 11:51:07AM Page 6 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200509; AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Payor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date:02/07/03 0012-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 569.88 Trip Date:05/15/04 0012-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,106.00 Trip Date: 11/07/04 0003-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,775.00 Trip Date: 11/26/04 0009-A Deposit Date: 09/12/05 Write-off Bad Debt 2 $ 0.00 Trip Date: 11/26/04 0016-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 200.00 Trip Date:01/23/05 0009-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 427.20 Trip Date:01/24/05 0011-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 114.40 Trip Date:01/24/05 0036-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 101.40 Trip Date:01/26/05 0007-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 278.70 Trip Date:02/09/05 0003-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 295.23 Trip Date:02/16/05 0036-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 232.20 Trip Date:02/20/05 0014-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:02/23/05 0017-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 56.98 Trip Date:02/23/05 0035-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,499.00 Trip Date:02/27/05 0018-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:02/28/05 0034-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,406.00 Trip Date:03/03/05 0009-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,461.00 Trip Date:03/03/05 0042-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/05/05 0002-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:03/05/05 0017-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,569.00 Trip Date:03/05/05 0022-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,481.00 Trip Date:03/05/05 0024-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:03/05/05 0028-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:03/05/05 0029-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,471.00 Trip Date:03/05/05 0032-A Deposit Date: 09/01/05 Write-Off First Party Rec 2 $ 0.00 Trip Date:03/06/05 0004-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,127.00 Trip Date:03/06/05 0022-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,260.00 Trip Date:03/06/05 0023-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,464.00 Trip Date:03/07/05 0004-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/07/05 0005-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,331.00 Trip Date:03/07/05 0022-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,471.00 Trip Date:03/07/05 0026-A Deposit Date: 09/01/05 Write-Off First Party Rec 2 $ 0.00 Trip Date:03/07/05 0030-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/08/05 0013-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/08/05 0014-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/08/05 0016-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:03/08/05 0022-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 723.50 Trip Date:03/08/05 0027-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,569.00 Trip Date:03/08/05 0030-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:03/09/05 0010-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:03/09/05 0011-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,575.00 Trip Date:03/09/05 0012-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/10/05 0002-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:03/10/05 0034-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/11/05 0016-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 337.91 Trip Date:03/11/05 0021-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:03/11/05 0028-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,413.00 Trip Date:03/11/05 0029-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/11/05 0030-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 RescueNetN Printed On: 1/26/2006 at 11:51:53AM Page 1 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200509; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:03/11/05 0031-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,338.00 Trip Date:03/12/05 0011-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 265.37 Trip Date:03/12/05 0013-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,472.00 Trip Date:03/13/05 0001-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:03/13/05 0003-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,709.00 Trip Date:03/13/05 0005-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 272.40 Trip Date:03/13/05 0014-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,804.00 Trip Date:03/14/05 0008-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,464.00 Trip Date:03/14/05 0010-A Deposit Date: 09/01/05 Write-Off First Party Rec 2 $ 0.00 Trip Date:03/14/05 0015-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:03/14/05 0020-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:03/15/05 0004-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,556.00 Trip Date:03/15/05 0010-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,161.00 Trip Date:03/15/05 0021-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/16/05 0001-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:03/16/05 0011-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/16/05 0013-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:03/17/05 0001-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/17/05 0004-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,295.00 Trip Date:03/17/05 0008-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,539.00 Trip Date:03/17/05 0010-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 91.31 Trip Date:03/17/05 0021-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/17/05 0027-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:03/17/05 0029-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:03/17/05 0031-A Deposit Date: 09/01/05 Write-Off First Party Rec 2 $ 0.00 Trip Date:03/17/05 0035-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,277.00 Trip Date:03/17/05 0040-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:03/18/05 0002-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 664.00 Trip Date:03/18/05 0009-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:03/18/05 0019-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,719.00 Trip Date:03/18/05 0023-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:03/18/05 0025-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:03/19/05 0007-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:03/19/05 0017-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/19/05 0019-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,178.00 Trip Date:03/20/05 0009-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,145.00 Trip Date:03/20/05 0024-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/21/05 0005-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 1,471.00 Trip Date:03/21/05 0033-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:03/22/05 0005-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,185.00 Trip Date:03/22/05 0021-A Deposit Date: 09/01/05 Write-Off First Party Rec 2 $ 0.00 Trip Date:03/22/05 0027-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,505.00 Trip Date:03/22/05 0029-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/22/05 0030-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,794.00 Trip Date:03/23/05 0001-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 980.00 Trip Date:03/23/05 0031-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 1,515.00 Trip Date:03/23/05 0035-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,644.00 Trip Date:03/23/05 0039-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:03/23/05 0041-A Deposit Date: 09/01/05 Write-Off First Party Rec I $ 1,236.00 Trip Date:03/23/05 0042-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/24/05 0004-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 130.00 Trip Date:03/24/05 0020-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,398.00 Trip Date:03/24/05 0028-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/25/05 0011-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,403.00 RescueNet"" Printed On: 1/26/2006 at 11:51:53AM Page 2 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200509;AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:03/25/05 0013-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:03/25/05 0015-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,202.00 Trip Date:03/25/05 0021-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,329.00 Trip Date:03/25/05 0025-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/25/05 0026-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,295.00 Trip Date:03/25/05 0029-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:03/25/05 0033-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,591.00 Trip Date:03/26/05 0005-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/26/05 0014-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,379.00 Trip Date:03/26/05 0027-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,345.00 Trip Date:03/26/05 0028-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,149.24 Trip Date:03/27/05 0001-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:03/27/05 0003-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/27/05 0020-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,590.00 Trip Date:03/27/05 0023-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,549.00 Trip Date:03/28/05 0004-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/28/05 0005-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 1,352.00 Trip Date:03/28/05 0013-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:03/28/05 0014-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:03/28/05 0030-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/28/05 0036-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,552.00 Trip Date:03/28/05 0038-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 35.00 Trip Date:03/29/05 0003-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/29/05 0008-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 1,396.00 Trip Date:03/29/05 0015-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/30/05 0010-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,404.00 Trip Date:03/30/05 0012-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,624.00 Trip Date:03/30/05 0014-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,881.00 Trip Date:03/30/05 0018-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:03/30/05 0021-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:03/30/05 0023-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 353.00 Trip Date:03/30/05 0025-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,422.00 Trip Date:03/30/05 0028-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:03/30/05 0035-A Deposit Date:09/22/05 Write-off Bad Debt 1 $ 206.10 Trip Date:03/31/05 0002-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 650.60 Trip Date:03/31/05 0011-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:03/31/05 0031-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:04/01/05 0001-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,195.00 Trip Date:04/01/05 0004-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:04/01/05 0005-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/01/05 0012-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 82.19 Trip Date:04/01/05 0037-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,505.00 Trip Date:04/01/05 0038-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/01/05 0039-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 100.00 Trip Date:04/02/05 0008-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 71.37 Trip Date:04/02/05 0010-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:04/02/05 0014-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 1,396.00 Trip Date:04/02/05 0016-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,439.00 Trip Date:04/02/05 0017-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/02/05 0020-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/02/05 0025-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,321.00 Trip Date:04/03/05 0003-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,726.00 Trip Date:04/03/05 0007-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:04/03/05 0013-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,270.00 RescueNetTM1 Printed On: 1/26/2006 at 11:51:53AM Page 3 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200509; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:04/03/05 0027-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:04/03/05 0029-A Deposit Date:09/01/05 Write-Off First Party Rec 1 $ 1,421.00 Trip Date:04/04/05 0001-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,362.00 Trip Date:04/04/05 0005-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,457.00 Trip Date:04/04/05 0025-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,178.00 Trip Date:04/05/05 0004-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/05/05 0011-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/05/05 0023-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/06/05 0001-A Deposit Date: 09/01/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:04/06/05 0025-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 41.40 Trip Date:04/06/05 0032-A Deposit Date:09/22/05 Write-off Bad Debt 1 $ 78.50 Trip Date:04/07/05 0014-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 150.00 Trip Date:04/08/05 0023-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:04/08/05 0030-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 25.00 Trip Date:04/09/05 0009-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 244.00 Trip Date:04/09/05 0017-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,546.00 Trip Date:04/09/05 0036-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 76.54 Trip Date:04/10/05 0025-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 25.00 Trip Date:04/11/05 0009-A Deposit Date:09/22/05 Write-off Bad Debt 1 $ 75.00 Trip Date:04/11/05 0027-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 77.79 Trip Date:04/14/05 0004-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 194.00 Trip Date:04/14/05 0016-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 2,611.00 Trip Date:04/15/05 0010-A Deposit Date:09/22/05 Write-off Bad Debt 1 $ 767.40 Trip Date:04/15/05 0023-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,464.00 Trip Date:04/16/05 0002-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:04/16/05 0025-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,253.00 Trip Date:04/17/05 0016-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 188.10 Trip Date:04/18/05 0005-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,566.00 Trip Date:04/18/05 0015-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 75.00 Trip Date:04/21/05 0019-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,505.00 Trip Date:04/22/05 0006-A Deposit Date:09/22/05 Write-off Bad Debt 1 $ 1,352.00 Trip Date:04/23/05 0003-A Deposit Date:09/22/05 Write-off Bad Debt 1 $ 58.09 Trip Date:04/23/05 0023-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:04/25/05 0001-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,326.00 Trip Date:04/25/05 0003-A Deposit Date:09/22/05 Write-off Bad Debt 1 $ 1,600.00 Trip Date:04/25/05 0005-A Deposit Date:09/22/05 Write-off Bad Debt 1 $ 78.58 Trip Date:04/25/05 0009-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 284.40 Trip Date:04/25/05 0026-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,523.00 Trip Date:05/02/05 0029-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 2,096.00 Trip Date:05/04/05 0028-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 352.20 Trip Date:05/05/05 0001-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 150.00 Trip Date:05/05/05 0034-A Deposit Date:09/22/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:05/07/05 0037-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 2,273.00 Trip Date:05/08/05 0034-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 228.80 Trip Date:05/10/05 0017-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,505.00 Trip Date:05/11/05 0031-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,481.00 Trip Date:05/12/05 0010-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:05/20/05 0030-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 92.49 Trip Date:05/31/05 0016-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,507.00 Trip Date:06/13/05 0019-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 63.69 Trip Date:06/27/05 0002-A Deposit Date:09/22/05 Write-off Bad Debt 1 $ 1,252.00 Trip Date:07/08/05 0027-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,709.00 Trip Date:08/14/05 0023-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 49.12 Trip Date:08/18/05 0008-A Deposit Date:09/22/05 Write-off Bad Debt 1 $ 1,294.00 RescueNetV'" Printed On: 1/26/2006 at 11:51:53AM Page 4 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200509; AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:08/29/05 0010-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:09/02/05 0035-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:09/02/05 0036-A Deposit Date: 09/22/05 Write-off Bad Debt 1 $ 1,886.00 Totals For Type 220 $ 197,089.08 Totals For Bill Patient 220 $ 197,089.08 Company Totals ;co3 s&A.88 c:O`{ 3O81.00 acb5 /93,438.)0 RescueNeP" Printed On: 1/26/2006 at 11:51:53AM Page 5 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200510; AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date:02/03/03 0050-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 630.00 Trip Date:03/24/03 0012-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 765.00 Trip Date:08/20/03 0029-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,056.00 Trip Date: 10/14/03 0008-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,150.00 Trip Date: 11/09/03 0020-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,032.00 , Trip Date:01/14/04 0001-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 49.33 Trip Date:01/17/04 0004-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,125.98 Trip Date:03/19/04 0013-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 440.00 Trip Date:07/07/04 0007-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 450.00 Trip Date: 11/19/04 0004-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 431.00 Trip Date:01/17/05 0016-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 53.23 Trip Date:01/22/05 0015-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 372.00 Trip Date:01/28/05 0025-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 2,161.00 Trip Date:01/30/05 0008-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 647.20 Trip Date:02/04/05 0013-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 584.20 Trip Date:02/04/05 0025-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 725.50 Trip Date:02/18/05 0026-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 61.62 Trip Date:03/05/05 0013-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 500.00 Trip Date:03/07/05 0032-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:03/07/05 0033-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 142.00 Trip Date:03/09/05 0029-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 262.20 Trip Date:03/10/05 0024-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 1,154.58 Trip Date:03/10/05 0029-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,100.48 Trip Date:03/10/05 0039-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 1,244.00 Trip Date:03/11/05 0032-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:03/12/05 0006-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,288.00 Trip Date:03/14/05 0002-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 108.29 Trip Date:03/19/05 0012-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 309.80 Trip Date:03/21/05 0007-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,607.00 Trip Date:03/22/05 0026-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,335.83 Trip Date:03/23/05 0013-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 426.00 Trip Date:03/29/05 0019-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 38.46 Trip Date:03/31/05 0026-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 228.80 Trip Date:04/01/05 0032-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 75.00 Trip Date:04/03/05 0005-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 318.20 Trip Date:04/03/05 0019-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,641.00 Trip Date:04/06/05 0004-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 841.31 Trip Date:04/07/05 0012-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,439.00 Trip Date:04/07/05 0017-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,364.00 Trip Date:04/07/05 0018-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,569.00 Trip Date:04/07/05 0020-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,277.00 Trip Date:04/07/05 0025-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,719.00 Trip Date:04/07/05 0028-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/08/05 0001-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/08/05 0002-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,563.00 Trip Date:04/08/05 0024-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,345.00 Trip Date:04/08/05 0032-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 58.51 Trip Date:04/09/05 0001-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 350.00 Trip Date:04/09/05 0002-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 125.00 RescueNet"" Printed On: 1/26/2006 at 11:52:10AM Page 1 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200510;AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:04/09/05 0004-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,161.00 Trip Date:04/09/05 0005-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,161.00 Trip Date:04/09/05 0013-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,271.00 Trip Date:04/09/05 0015-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:04/09/05 0022-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,328.00 Trip Date:04/09/05 0028-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 1,464.00 Trip Date:04/09/05 0035-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 967.05 Trip Date:04/09/05 0041-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,413.00 Trip Date:04/09/05 0042-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,404.00 Trip Date:04/10/05 0007-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,610.00 Trip Date:04/10/05 0008-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,481.00 Trip Date:04/10/05 0012-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:04/10/05 0034-A Qeposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:04/11/05 0007-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,277.00 Trip Date:04/11/05 0020-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,543.00 Trip Date:04/11/05 0033-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 2,161.00 Trip Date:04/12/05 0003-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,352.00 Trip Date:04/12/05 0004-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 2,253.00 Trip Date:04/12/05 0023-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:04/12/05 0024-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/13/05 0002-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/13/05 0008-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 70.00 Trip Date:04/14/05 0006-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,464.00 Trip Date:04/14/05 0014-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,338.00 Trip Date:04/14/05 0022-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,491.00 Trip Date:04/15/05 0017-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:04/15/05 0020-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 199.00 Trip Date:04/15/05 0034-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 239.00 Trip Date:04/16/05 0003-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,352.00 Trip Date:04/16/05 0004-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,328.00 Trip Date:04/16/05 0005-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:04/16/05 0006-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:04/16/05 0010-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:04/16/05 0013-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/17/05 0019-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/17/05 0021-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/17/05 0023-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:04/17/05 0041-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/17/05 0043-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:04/18/05 0006-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,522.00 Trip Date:04/18/05 0007-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,447.00 Trip Date:04/18/05 0008-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,372.00 Trip Date:04/18/05 0013-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,176.10 Trip Date:04/18/05 0016-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 73.84 Trip Date:04/18/05 0018-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,236.00 Trip Date:04/18/05 0022-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/18/05 0023-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:04/18/05 0025-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,610.00 Trip Date:04/19/05 0001-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,404.00 Trip Date:04/19/05 0003-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,253.00 Trip Date:04/19/05 0005-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/19/05 0023-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,304.00 Trip Date:04/20/05 0003-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,127.00 Trip Date:04/20/05 0003-B Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 589.00 RescueNetT"' Printed On: 1/26/2006 at 11:52:10AM Page 2 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200510;AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:04/20/05 0005-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,956.00 Trip Date:04/20/05 0028-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,634.00 Trip Date:04/21/05 0006-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,253.00 Trip Date:04/21/05 0010-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:04/21/05 0024-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:04/21/05 0028-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:04/22/05 0004-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:04/22/05 0008-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,314.00 Trip Date:04/22/05 0016-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,600.00 Trip Date:04/22/05 0020-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,439.00 Trip Date:04/22/05 0024-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:04/23/05 0016-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:04/23/05 0029-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,498.00 Trip Date:04/23/05 0034-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,161.00 Trip Date:04/23/05 0035-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,421.00 Trip Date:04/24/05 0007-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 1,338.00 Trip Date:04/24/05 0008-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,338.00 Trip Date:04/24/05 0012-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:04/24/05 0013-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,289.00 Trip Date:04/25/05 0004-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,255.00 Trip Date:04/25/05 0010-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,328.00 Trip Date:04/25/05 0013-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,246.00 Trip Date:04/25/05 0027-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/25/05 0035-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 78.06 Trip Date:04/26/05 0020-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,438.00 Trip Date:04/26/05 0024-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 110.39 Trip Date:04/27/05 0002-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,522.00 Trip Date:04/27/05 0007-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 70.00 Trip Date:04/27/05 0008-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/27/05 0013-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,329.00 Trip Date:04/28/05 0009-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/28/05 0012-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 75.00 Trip Date:04/28/05 0019-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,682.00 Trip Date:04/28/05 0028-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,668.00 Trip Date:04/28/05 0034-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:04/29/05 0002-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 50.00 Trip Date:04/29/05 0024-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,202.00 Trip Date:04/29/05 0025-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,127.00 Trip Date:04/29/05 0026-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:04/30/05 0002-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:04/30/05 0020-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:04/30/05 0024-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,363.00 Trip Date:04/30/05 0025-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:05/01/05 0003-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,685.00 Trip Date:05/01/05 0008-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,321.00 Trip Date:05/01/05 0010-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:05/01/05 0013-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 80.28 Trip Date:05/01/05 0019-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:05/01/05 0022-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,778.00 Trip Date:05/02/05 0002-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,178.00 Trip Date:05/02/05 0003-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,416.00 Trip Date:05/02/05 0006-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,971.00 Trip Date:05/02/05 0012-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,726.00 Trip Date:05/02/05 0016-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 RescueNettm Printed On: 1/26/2006 at 11:52:10AM Page 3 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200510;AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:05/02/05 0019-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:05/02/05 0023-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 80.01 Trip Date:05/02/05 0025-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/02/05 0030-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/03/05 0001-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/03/05 0004-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 79.13 Trip Date:05/03/05 0006-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,403.00 Trip Date:05/03/05 0013-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 95.99 Trip Date:05/03/05 0018-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:05/03/05 0021-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,328.00 Trip Date:05/04/05 0003-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/04/05 0019-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:05/04/05 0024-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,440.00 Trip Date:05/04/05 0025-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:05/06/05 0034-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 76.92 Trip Date:05/10/05 0019-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 75.00 Trip Date:05/14/05 0013-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,277.00 Trip Date:05/14/05 0025-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,600.00 Trip Date:05/16/05 0025-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 144.32 Trip Date:05/18/05 0028-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,444.00 Trip Date:05/19/05 0003-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,607.00 Trip Date:05/20/05 0013-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 57.86 Trip Date:05/20/05 0023-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/21/05 0029-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,410.00 Trip Date:05/21/05 0036-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 81.11 Trip Date:05/23/05 0012-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 128.38 Trip Date:05/23/05 0018-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 621.25 Trip Date:05/24/05 0022-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,270.00 Trip Date:05/25/05 0003-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,439.00 Trip Date:05/25/05 0018-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:05/26/05 0038-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 95.73 Trip Date:05/27/05 0005-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 76.92 Trip Date:05/28/05 0006-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:05/28/05 0008-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,651.00 Trip Date:05/28/05 0010-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,540.00 Trip Date:05/28/05 0028-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:05/29/05 0008-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:05/29/05 0017-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:05/29/05 0023-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,770.00 Trip Date:05/29/05 0037-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 206.00 Trip Date:05/30/05 0019-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,404.00 Trip Date:05/30/05 0020-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,658.00 Trip Date:05/30/05 0023-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,465.00 Trip Date:05/31/05 0003-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,236.00 Trip Date:05/31/05 0014-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,590.00 Trip Date:05/31/05 0030-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,546.00 Trip Date:05/31/05 0033-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:06/01/05 0001-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,590.00 Trip Date:06/01/05 0008-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,277.00 Trip Date:06/01/05 0009-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,277.00 Trip Date:06/01/05 0017-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,379.00 Trip Date:06/02/05 0014-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,328.00 Trip Date:06/02/05 0015-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,515.00 Trip Date:06/02/05 0019-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,369.00 RescueNetTm Printed On: 1/26/2006 at 11:52:10AM Page 4 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200510;AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:06/02/05 0024-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/03/05 0010-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/03/05 0011-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/03/05 0012-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/03/05 0015-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/03/05 0022-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:06/03/05 0025-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:06/03/05 0034-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,439.00 Trip Date:06/04/05 0001-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:06/04/05 0002-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,161.00 Trip Date:06/04/05 0005-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,564.00 Trip Date:06/04/05 0013-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:06/04/05 0020-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,404.00 Trip Date:06/05/05 0006-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:06/05/05 0015-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:06/05/05 0032-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,509.00 Trip Date:06/06/05 0002-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,202.00 Trip Date:06/06/05 0003-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,202.00 Trip Date:06/06/05 0006-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,676.00 Trip Date:06/06/05 0011-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 75.00 Trip Date:06/06/05 0025-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:06/07/05 0008-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 970.00 Trip Date:06/07/05 0010-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/07/05 0017-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:06/07/05 0024-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,213.00 Trip Date:06/07/05 0026-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/08/05 0005-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:06/08/05 0006-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 1,575.00 Trip Date:06/08/05 0029-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:06/09/05 0002-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 1,760.00 Trip Date:06/09/05 0005-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:06/09/05 0013-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,747.00 Trip Date:06/09/05 0021-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,464.00 Trip Date:06/09/05 0022-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,389.00 Trip Date:06/09/05 0023-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,760.00 Trip Date:06/09/05 0025-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 115.19 Trip Date:06/09/05 0040-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 228.80 Trip Date:06/11/05 0015-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 89.09 Trip Date:06/11/05 0020-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 62.28 Trip Date:06/11/05 0038-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 1,439.00 Trip Date:06/12/05 0003-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 1,624.00 Trip Date:06/12/05 0024-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 243.80 Trip Date:06/13/05 0028-A Deposit Date: 10/04/05 Write-Off First Party Rec 1 $ 1,569.00 Trip Date:06/14/05 0004-A Deposit Date: 10/26/05 Write-off Bad Debt 2 $ 0.00 Trip Date:06/17/05 0038-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:06/18/05 0021-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 1,202.00 Trip Date:08/21/05 0019-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 79.08 Trip Date:09/08/05 0010-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,369.00 Trip Date:09/11/05 0002-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:09/12/05 0004-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:09/13/05 0002-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,403.00 Trip Date:09/15/05 0014-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,161.00 Trip Date:09/15/05 0035-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,178.00 Trip Date:09/16/05 0039-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,178.00 RescueNet" Printed On: 1/26/2006 at 11:52:10AM Page 5 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200510; AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:09/17/05 0024-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,438.00 Trip Date: 09/18/05 0025-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,288.00 Trip Date:09/27/05 0014-A Deposit Date: 10/12/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date: 10/06/05 0022-A Deposit Date: 10/26/05 Write-off Bad Debt 1 $ 1,369.00 Totals For Type 270 $ 271,282.10 Totals For Bill Patient 270 $ 271,282.10 Company Totals y s ,003 Lg,33,06 aWL/ 31 RescueNetTM' Printed On: 1/26/2006 at 11:52:10AM Page 6 H:\REPORTS321BILLING\CREDITSICREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200511; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Payor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date:01/02/04 0003-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 786.00 Trip Date:07/07/04 0008-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 350.00 Trip Date:07/11/04 0019-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 996.00 Trip Date:09/18/04 0046-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 891.00 Trip Date: 11/03/04 0037-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,001.00 Trip Date: 12/07/04 0037-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 576.00 Trip Date: 12/15/04 0019-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 701.00 Trip Date:01/04/05 0032-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 937.00 Trip Date:01/04/05 0060-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 1,428.00 Trip Date:01/05/05 0027-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 1,275.00 Trip Date:01/15/05 0015-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 209.40 Trip Date:02/16/05 0015-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 81.34 Trip Date:02/24/05 0009-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 183.02 Trip Date:03/02/05 0033-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 863.00 Trip Date:03/12/05 0021-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 70.00 Trip Date:03/14/05 0019-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 262.20 Trip Date:03/14/05 0036-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,456.00 Trip Date:03/18/05 0034-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 375.61 Trip Date:03/22/05 0034-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 38.02 Trip Date:04/03/05 0020-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 48.02 Trip Date:04/13/05 0009-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,508.00 Trip Date:04/14/05 0020-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 875.50 Trip Date:04/15/05 0008-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 144.00 Trip Date:04/17/05 0020-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,685.00 Trip Date:04/20/05 0010-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,376.00 Trip Date:04/21/05 0025-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:04/23/05 0028-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,479.25 Trip Date:04/24/05 0003-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 167.13 Trip Date:04/24/05 0029-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,794.00 Trip Date:04/28/05 0031-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 39.94 Trip Date:05/03/05 0041-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/03/05 0043-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,335.00 Trip Date:05/05/05 0002-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:05/05/05 0009-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 130.00 Trip Date:05/05/05 0030-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,161.00 Trip Date:05/05/05 0031-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/05/05 0033-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/06/05 0004-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,541.00 Trip Date:05/06/05 0016-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 262.20 Trip Date:05/07/05 0002-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:05/07/05 0003-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 2,218.00 Trip Date:05/07/05 0007-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:05/07/05 0019-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:05/07/05 0024-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,236.00 Trip Date:05/08/05 0003-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:05/08/05 0004-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:05/08/05 0008-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:05/08/05 0010-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,270.00 Trip Date:05/08/05 0014-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1379.00 RescueNetm Printed On: 1/26/2006 at 11:52:41AM Page 1 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200511;AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:05/08/05 0015-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,382.00 Trip Date:05/08/05 0033-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/09/05 0010-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,600.00 Trip Date:05/09/05 0015-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,634.00 Trip Date:05/09/05 0018-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,439.00 Trip Date:05/09/05 0027-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:05/09/05 0028-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,161.00 Trip Date:05/10/05 0003-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/10/05 0005-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,804.11 Trip Date:05/10/05 0008-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/10/05 0009-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,454.00 Trip Date:05/10/05 0011-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/10/05 0020-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,539.00 Trip Date:05/10/05 0024-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,202.00 Trip Date:05/11/05 0002-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,311.00 Trip Date:05/11/05 0004-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/11/05 0015-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/11/05 0016-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/11/05 0023-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:05/11/05 0025-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,488.00 Trip Date:05/11/05 0029-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,790.00 Trip Date:05/11/05 0033-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/12/05 0001-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:05/12/05 0002-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,253.00 Trip Date:05/12/05 0005-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,439.00 Trip Date:05/12/05 0011-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 1,471.00 Trip Date:05/12/05 0012-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,643.00 Trip Date:05/12/05 0015-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,263.00 Trip Date:05/12/05 0020-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/12/05 0023-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,178.00 Trip Date:05/13/05 0008-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,611.00 Trip Date:05/13/05 0009-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,643.00 Trip Date:05/13/05 0015-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,438.00 Trip Date:05/13/05 0017-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,438.00 Trip Date:05/14/05 0004-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,202.00 Trip Date:05/14/05 0007-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,389.00 Trip Date:05/14/05 0008-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,389.00 Trip Date:05/14/05 0012-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:05/14/05 0018-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,321.00 Trip Date:05/15/05 0001-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,082.00 Trip Date:05/15/05 0004-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,362.00 Trip Date:05/15/05 0008-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:05/15/05 0009-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,505.00 Trip Date:05/15/05 0012-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:05/15/05 0025-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,329.00 Trip Date:05/15/05 0026-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,220.00 Trip Date:05/16/05 0030-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,277.00 Trip Date:05/16/05 0031-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,202.00 Trip Date:05/16/05 0032-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,403.00 Trip Date:05/16/05 0033-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/17/05 0001-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,362.00 Trip Date:05/17/05 0008-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,652.00 Trip Date:05/18/05 0005-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,365.00 Trip Date:05/18/05 0022-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 50.00 RescueNet'1" Printed On: 1/26/2006 at 11:52:41AM Page 2 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200511;AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:05/18/05 0025-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 105.00 Trip Date:05/19/05 0001-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,508.00 Trip Date:05/19/05 0010-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/19/05 0018-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/19/05 0021-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,454.00 Trip Date:05/19/05 0025-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,437.00 Trip Date:05/19/05 0027-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,549.00 Trip Date:05/20/05 0006-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,529.00 Trip Date:05/20/05 0007-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 58.52 Trip Date:05/20/05 0020-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,127.00 Trip Date:05/20/05 0028-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,347.00 Trip Date:05/20/05 0032-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:05/21/05 0002-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/21/05 0014-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,195.00 Trip Date:05/21/05 0017-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:05/21/05 0022-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:05/21/05 0027-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,178.00 Trip Date:05/21/05 0042-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:05/22/05 0002-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,438.00 Trip Date:05/22/05 0003-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/22/05 0008-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,626.00 Trip Date:05/22/05 0013-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,678.00 Trip Date:05/22/05 0014-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:05/22/05 0024-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/22/05 0030-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:05/23/05 0006-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,607.00 Trip Date:05/23/05 0007-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,583.00 Trip Date:05/23/05 0021-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:05/23/05 0025-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 24.25 Trip Date:05/23/05 0026-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,585.00 Trip Date:05/23/05 0028-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,415.00 Trip Date:05/23/05 0031-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/24/05 0001-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:05/24/05 0003-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,413.00 Trip Date:05/24/05 0005-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,335.00 Trip Date:05/24/05 0024-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,852.00 Trip Date:05/25/05 0002-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,277.00 Trip Date:05/25/05 0007-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/25/05 0014-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,316.87 Trip Date:05/25/05 0021-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,404.00 Trip Date:05/25/05 0024-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,591.00 Trip Date:05/25/05 0031-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 75.00 Trip Date:05/26/05 0001-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,329.00 Trip Date:05/26/05 0005-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,263.00 Trip Date:05/26/05 0011-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/26/05 0015-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:05/26/05 0033-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,806.00 Trip Date:05/26/05 0035-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,161.00 Trip Date:05/26/05 0039-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/27/05 0006-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,270.00 Trip Date:05/27/05 0007-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,220.00 Trip Date:05/27/05 0009-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 1,515.00 Trip Date:05/27/05 0025-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,403.00 Trip Date:05/27/05 0029-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,525.00 RescueNetni Printed On: 1/26/2006 at 11:52:41AM Page 3 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200511; AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:05/28/05 0037-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 546.30 Trip Date:05/29/05 0007-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 192.00 Trip Date:05/29/05 0030-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 218.02 Trip Date:05/30/05 0011-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 140.00 Trip Date:05/31/05 0009-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 75.00 Trip Date:06/01/05 0014-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:06/01/05 0016-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,702.00 Trip Date:06/02/05 0003-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 114.21 Trip Date:06/02/05 0009-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 1,590.00 Trip Date:06/02/05 0011-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 688.80 Trip Date:06/03/05 0014-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 94.75 Trip Date:06/06/05 0019-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 54.91 Trip Date:06/06/05 0024-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:06/06/05 0028-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,328.00 Trip Date:06/08/05 0009-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 69.41 Trip Date:06/08/05 0010-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 685.23 Trip Date:06/08/05 0027-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 78.02 Trip Date:06/09/05 0018-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,702.00 Trip Date:06/09/05 0019-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:06/09/05 0021-A Deposit Date: 11/10/05 Write-Off First Party Rec 1 $ 1,464.00 Trip Date:06/09/05 0022-A Deposit Date: 11/10/05 Write-Off First Party Rec 1 $ 1,389.00 Trip Date:06/09/05 0026-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 647.00 Trip Date:06/09/05 0033-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 1,406.00 Trip Date:06/10/05 0012-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 82.35 Trip Date:06/10/05 0024-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 155.12 Trip Date:06/10/05 0027-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,447.00 Trip Date:06/10/05 0031-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/10/05 0033-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/10/05 0035-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,444.00 Trip Date:06/10/05 0037-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 116.11 Trip Date:06/11/05 0002-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,178.00 Trip Date:06/11/05 0003-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,127.00 Trip Date:06/11/05 0024-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/11/05 0028-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,403.00 Trip Date:06/11/05 0030-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/12/05 0002-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,329.00 Trip Date:06/12/05 0006-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 2,009.00 Trip Date:06/12/05 0008-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 167.13 Trip Date:06/12/05 0009-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:06/12/05 0011-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 325.00 Trip Date:06/12/05 0013-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,455.00 Trip Date:06/12/05 0015-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:06/12/05 0016-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:06/12/05 0017-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,161.00 Trip Date:06/12/05 0022-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,219.00 Trip Date:06/13/05 0005-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:06/13/05 0010-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:06/13/05 0017-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/13/05 0021-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 108.58 Trip Date:06/13/05 0029-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,270.00 Trip Date:06/14/05 0004-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,451.00 Trip Date:06/14/05 0020-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,420.00 Trip Date:06/15/05 0004-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 296.00 Trip Date:06/15/05 0005-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,219.00 RescueNet" Printed On: 1/26/2006 at 11:52:41AM Page 4 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200511;AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:06/15/05 0015-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:06/15/05 0016-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,352.00 Trip Date:06/15/05 0027-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:06/15/05 0029-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,760.00 Trip Date:06/15/05 0030-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 244.00 Trip Date:06/16/05 0001-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:06/16/05 0015-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:06/16/05 0026-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 78.98 Trip Date:06/17/05 0010-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,202.00 Trip Date:06/17/05 0013-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/17/05 0020-A Deposit Date: 11/15/05 Write-off Bad Debt 2 $ 0.00 Trip Date:06/17/05 0035-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,161.00 Trip Date:06/18/05 0003-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,260.00 Trip Date:06/18/05 0006-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:06/18/05 0024-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,195.00 Trip Date:06/18/05 0031-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,127.00 Trip Date:06/18/05 0032-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,127.00 Trip Date:06/19/05 0003-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,444.00 Trip Date:06/19/05 0018-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/19/05 0024-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 301.00 Trip Date:06/20/05 0001-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:06/20/05 0008-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,617.00 Trip Date:06/20/05 0009-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 740.80 Trip Date:06/20/05 0012-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,161.00 Trip Date:06/20/05 0018-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:06/20/05 0024-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/20/05 0025-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/20/05 0026-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/20/05 0029-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:06/21/05 0003-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 224.20 Trip Date:06/21/05 0012-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 298.69 Trip Date:06/21/05 0019-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,472.00 Trip Date:06/21/05 0025-A Deposit Date: 11/04/05 Write-Off First Party Rec • 1 $ 1,272.00 Trip Date:06/22/05 0003-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,498.00 Trip Date:06/22/05 0006-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 779.55 Trip Date:06/22/05 0012-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,422.00 Trip Date:06/22/05 0013-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:06/22/05 0022-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,204.00 Trip Date:06/22/05 0029-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 477.13 Trip Date:06/23/05 0001-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,430.00 Trip Date:06/23/05 0002-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:06/23/05 0013-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date:06/23/05 0023-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,328.00 Trip Date:06/23/05 0024-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/23/05 0025-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,549.00 Trip Date:06/24/05 0001-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:06/24/05 0017-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:06/24/05 0030-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/24/05 0032-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,777.00 Trip Date:06/25/05 0003-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,455.00 Trip Date:06/25/05 0010-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:06/25/05 0020-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:06/25/05 0023-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/25/05 0024-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,812.00 RescueNet"' Printed On: 1/26/2006 at 11:52:41AM Page 5 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200511;AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:06/25/05 0028-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:06/25/05 0035-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,637.00 Trip Date:06/25/05 0040-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:06/26/05 0002-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/26/05 0004-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,345.00 Trip Date:06/26/05 0026-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,277.00 Trip Date:06/27/05 0008-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,481.00 Trip Date:06/27/05 0019-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:06/27/05 0031-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,600.00 Trip Date:06/27/05 0041-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 160.48 Trip Date:06/28/05 0002-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,563.00 Trip Date:06/28/05 0010-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,426.94 Trip Date:06/28/05 0014-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,127.00 Trip Date:06/28/05 0020-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,787.00 Trip Date:06/28/05 0022-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 151.07 Trip Date:06/28/05 0032-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,694.00 Trip Date:06/28/05 0033-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 980.00 Trip Date:06/29/05 0001-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 133.93 Trip Date:06/29/05 0002-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,403.00 Trip Date:06/29/05 0009-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,471.00 Trip Date:06/29/05 0015-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,254.00 Trip Date:06/29/05 0019-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/29/05 0020-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:06/29/05 0032-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:06/29/05 0034-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/29/05 0036-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/30/05 0009-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,178.00 Trip Date:06/30/05 0011-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date:06/30/05 0014-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:06/30/05 0020-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,396.00 Trip Date:06/30/05 0021-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,396.00 Trip Date:06/30/05 0028-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,403.00 Trip Date:06/30/05 0034-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,404.00 Trip Date:06/30/05 0040-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,403.00 Trip Date:07/01/05 0008-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/01/05 0031-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:07/02/05 0007-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 1,403.00 Trip Date:07/02/05 0017-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/03/05 0020-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,676.00 Trip Date:07/07/05 0032-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 1,413.00 Trip Date:07/07/05 0035-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,489.00 Trip Date:07/09/05 0003-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 81.10 Trip Date:07/09/05 0010-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,328.00 Trip Date:07/11/05 0021-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 150.00 Trip Date:07/14/05 0021-A Deposit Date: 11/04/05 Write-Off First Party Rec 1 $ 1,508.00 Trip Date:07/15/05 0006-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 150.00 Trip Date:07/15/05 0011-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,512.00 Trip Date:07/16/05 0034-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,539.00 Trip Date:07/18/05 0001-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,556.00 Trip Date:07/19/05 0013-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,294.00 Trip Date:07/19/05 0028-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,447.00 Trip Date:07/23/05 0049-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,556.00 Trip Date:07/27/05 0016-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,515.00 Trip Date:07/30/05 0012-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 78.02 RescueNet'1" Printed On: 1/26/2006 at 11:52:41AM Page 6 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200511;AND Company IS WELD COUNTY PARAMEDIC SERVICES;AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:09/19/05 0029-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date: 10/16/05 0027-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 1,484.00 Trip Date: 10/18/05 0009-A Deposit Date: 11/15/05 Write-off Bad Debt 1 $ 1,144.00 Trip Date: 11/02/05 0012-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,386.00 Trip Date: 11/04/05 0003-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,510.00 Trip Date: 11/07/05 0007-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,271.00 Trip Date:11/09/05 0036-A Deposit Date: 11/29/05 Write-off Bad Debt 1 $ 1,236.00 Totals For Type 327 $ 331,443.21 • Totals For Bill Patient 327 $ 331,443.21 Company Totals ": ' - =i boa acoy 5301.00 aav5 3a, iyaa / RescueNetim Printed On: 1/26/2006 at 11:52:41AM Page 7 H:\REPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200512;AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Payor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date:03/19/05 0018-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 932.64 Trip Date:04/19/05 0019-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,648.93 Trip Date:05/06/05 0033-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,575.00 Trip Date:05/09/05 0022-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,321.00 Trip Date:05/14/05 0005-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/21/05 0013-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,365.25 Trip Date:05/22/05 0015-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,308.85 Trip Date:05/26/05 0007-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:05/26/05 0017-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,413.00 Trip Date:06/07/05 0019-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,473.00 Trip Date:06/10/05 0036-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:06/14/05 0021-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 2,166.00 Trip Date:06/23/05 0006-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,236.00 Trip Date:06/28/05 0021-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,375.00 Trip Date:06/28/05 0027-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,567.00 Trip Date:07/01/05 0010-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:07/01/05 0013-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,178.00 Trip Date:07/01/05 0019-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/01/05 0032-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,549.00 Trip Date:07/02/05 0003-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,439.00 Trip Date:07/02/05 0011-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/02/05 0023-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:07/03/05 0002-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,195.00 Trip Date:07/03/05 0012-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,413.00 Trip Date:07/03/05 0013-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,413.00 Trip Date:07/03/05 0019-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,236.00 Trip Date:07/03/05 0023-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 264.90 Trip Date:07/03/05 0024-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/03/05 0025-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,236.00 Trip Date:07/03/05 0039-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/04/05 0006-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/04/05 0024-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,328.00 Trip Date:07/04/05 0030-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,411.00 Trip Date:07/05/05 0015-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,590.00 Trip Date:07/05/05 0031-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,328.00 Trip Date:07/05/05 0032-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,852.00 Trip Date:07/05/05 0037-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,847.00 Trip Date:07/06/05 0002-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,619.00 Trip Date:07/06/05 0018-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,277.00 Trip Date:07/06/05 0024-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,421.00 Trip Date:07/07/05 0001-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 260.00 Trip Date:07/07/05 0002-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,573.00 Trip Date:07/07/05 0004-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:07/07/05 0033-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,195.00 Trip Date:07/07/05 0034-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,590.00 Trip Date:07/07/05 0036-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/07/05 0043-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,396.00 Trip Date:07/08/05 0012-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,714.00 Trip Date:07/08/05 0013-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,403.00 RescueNetTm Printed On: 1/26/2006 at 11:53:07AM Page 1 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200512; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:07/08/05 0016-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/08/05 0036-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 43.00 Trip Date:07/09/05 0001-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:07/09/05 0006-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,685.00 Trip Date:07/09/05 0017-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:07/09/05 0042-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/10/05 0007-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/10/05 0016-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,403.00 Trip Date:07/11/05 0001-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,438.00 Trip Date:07/11/05 0006-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,413.00 Trip Date:07/11/05 0011-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,549.00 Trip Date:07/11/05 0016-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,295.00 Trip Date:07/12/05 0002-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,420.00 Trip Date:07/12/05 0004-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/12/05 0006-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,161.00 Trip Date:07/13/05 0006-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/13/05 0012-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,811.00 Trip Date:07/13/05 0035-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,624.00 Trip Date:07/13/05 0038-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/14/05 0018-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,743.00 Trip Date:07/14/05 0033-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,505.00 Trip Date:07/14/05 0040-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,358.72 Trip Date:07/15/05 0001-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/15/05 0008-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,144.00 Trip Date:07/15/05 0015-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,270.00 Trip Date:07/16/05 0002-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/16/05 0021-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:07/16/05 0028-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,546.00 Trip Date:07/16/05 0030-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/16/05 0031-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/16/05 0032-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/16/05 0037-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,421.00 Trip Date:07/17/05 0004-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:07/18/05 0008-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,335.00 Trip Date:07/18/05 0027-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,421.00 Trip Date:07/19/05 0002-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,940.00 Trip Date:07/19/05 0006-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,532.00 Trip Date:07/19/05 0031-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,364.00 Trip Date:07/20/05 0003-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:07/20/05 0011-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/21/05 0029-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/21/05 0038-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,202.00 Trip Date:07/22/05 0005-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/22/05 0017-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/22/05 0018-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,634.00 Trip Date:07/22/05 0020-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/23/05 0016-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 752.49 Trip Date:07/23/05 0040-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,456.00 Trip Date:07/24/05 0001-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/24/05 0003-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:07/24/05 0009-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,311.00 Trip Date:07/24/05 0013-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,591.00 Trip Date:07/25/05 0026-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,277.00 Trip Date:07/26/05 0002-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,144.00 RescueNetnA Printed On: 1/26/2006 at 11:53:07AM Page 2 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Period IS 200512;AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write-Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date:07/26/05 0003-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:07/26/05 0035-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,481.00 Trip Date:07/26/05 0040-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,549.00 Trip Date:07/28/05 0019-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 30.00 Trip Date:07/28/05 0021-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/28/05 0025-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:07/29/05 0029-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,369.00 Trip Date:07/30/05 0005-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,127.00 Trip Date:07/30/05 0016-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:07/30/05 0018-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,236.00 Trip Date:07/30/05 0021-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,583.00 Trip Date:07/30/05 0022-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,634.00 Trip Date:07/30/05 0030-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,789.00 Trip Date:07/31/05 0005-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,294.00 Trip Date:07/31/05 0025-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,386.00 Trip Date:08/01/05 0024-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,489.00 Trip Date:08/01/05 0025-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:08/01/05 0026-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,549.00 Trip Date:08/01/05 0032-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,345.00 Trip Date:08/01/05 0037-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,437.00 Trip Date:08/01/05 0038-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:08/01/05 0045-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 150.00 Trip Date:08/02/05 0012-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 2,536.00 Trip Date:08/03/05 0013-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,219.00 Trip Date:08/04/05 0018-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,641.00 Trip Date:08/05/05 0020-A Deposit Date: 12/06/05 Write-Off First Party Rec 1 $ 1,541.00 Totals For Type 129 $ 141,171.78 Totals For Bill Patient 129 $ 141,171.78 Company Totals n'1 r , x063 -- -- ;COY acri5 /1///7/, 78 RescueNeP Printed On: 1/26/2006 at 11:53:07AM Page 3 H:\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Hello