HomeMy WebLinkAbout20203799.tiffWeld County Clerk to the Board
Stev
RESOLUTION
RE: CANCELLATION OF 2020 OUTSTANDING ACCOUNTS RECEIVABLE FOR WELD
COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, a list of the 2020 Department of Public Health and Environment accounts has
been submitted to the Accounting Department of Weld County, Colorado, and
WHEREAS, said accounts have been deemed uncollectable in accordance with
guidelines adopted by the County of Weld, a copy of said list being attached hereto and
incorporated herein by reference, and
WHEREAS, the Accounting Department has recommended the cancellation of said list of
uncollectible debts due and owing the Department of Public Health and Environment, in the
amount of $15,720.49.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the aforementioned list of uncollectible accounts, in the amount of
$15,720.49, be, and hereby is, approved for cancellation.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 21st day of December, A.D., 2020.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: ddilt4A) ,f �p;(A,
Mike Freeman, Chair
Pe)--L.(2,)-z-zf
Moreno, Pro-Tem
Scott K. James
Co my Attorney
Date of signature: 12130/
C C: H L (TG), k cT(Bc/cD')
O1 /08'/21
2020-3799
HL0052
WARNING
This report can make data changes in your system. Please read these instructions carefully.
This report gives you the opportunity to write-off old patient balances in your database. When you close this window you will
be prompted by the system to update your database. If you select Yes the balance write-offs will occur. If you are not sure
you want to proceed with the write-offs then select No.
Criteria used for the write-off:
Write off the patient balance for all visits where the visit date is before:
Create these write-off transactions as conveyances for the payor:
Create these write-off transactions in the batch:
Create these write-off transactions as adjustments of type:
Company: Weld County Dept of Public Health and Environment - Last Payment Date before: 04/01/2020
Patient.Nam
Lag
Last Payment Payment Ticket Number
02/04/2020 $20.00 FPN075192
FPN075583
FPS003644
09/03/2019 $4.00 FPN073781
007399
FPN075413
07/12/2019 $10.00 FPN073185
03/13/2020 $20.00 FPN074689
06/14/2019 $20.00 FPN072928
STDN002315
07/15/2019 $100.00 IZN002324
07/22/2019 $100.00 IZN002353
07/15/2019 $100.00 IZN002323
07/22/2019 $100.00 IZN002352
12/13/2019 $49.25 FPN074731
FPN075638
11/22/2019 $7.00 FPN074304
STDN002679
STDN002705
STDN002706
11/14/2019 $5.00 FPN074500
STDN002735
03/03/2020 $17.00 FPN075442
03/05/2020 $50.00 FPN075458
01/20/2020 $83.00 FPN075046
FPN075026
FPN075109
STDN002846
STDN002838
STDN002853
03/25/2020 $6.00 FPN075537
07/31/2019 $20.00 FPN073387
FPN073706
01/17/2020 $21.00 FPN072805
01/30/2020 $50.00 FPN074962
FPN075136
FPN073972
FPN073326
FPN073683
FPN074507
FPN072196
01/27/2020 $37.50 FPN075104
FPN075055
04/01/2020
Old Balance Write -Off
tgeiserWELD_20201216
Write Off
Patient Balance
$123.25
$245.00
$165.50
$12.00
$152.31
$52.00
$56.25
$12.00
$7.00
$40.00
$185.00
$185.00
$185.00
$185.00
$22.75
$38.00
$110.00
$25.00
$7.00
$57.00
$53.00
$199.50
$27.50
$38.50
$107.50
$7.00
$3.50
$4.31
$45.66
$7.00
$23.00
$7.00
$11.00
$6.00
$24.50
$102.75
$19.50
$108.00
$44.00
$1.04
$53.00
$85.50
$40.00
2020-3799
Last Payment
01/15/2020
02/19/2020
09/10/2019
11/19/2019
08/19/2019
09/09/2019
10/14/2019
02/04/2020
12/23/2019
01/28/2020
04/08/2019
02/06/2020
02/14/2020
04/15/2019
02/21/2020
09/25/2019
10/28/2019
01/08/2020
02/06/2020
02/05/2020
02/03/2020
Last
Payment
Ticket Number
STDN002879
STDN002886
TRVN004867
$20.00 FPN075015
STDN002476
FPN074420
FPN074452
FPN073312
$17.00 FPN075309
FPN075034
FPN075392
$10.00 FPN073884
FPN075550
$18.25 FPN074541
$10.00 FPN073619
$6.00 FPN073851
FPN074667
STDN002603
FPN074072
FPN074105
FPN073977
$20.00 FPN074226
FPN075007
FPN073397
FPN073415
FPN073649
FPN074767
$17.00 FPN075187
FPN073989
$5.00 FPN073602
$13.00 STDN002830
$30.00 FPN072262
$30.00 FPN075210
FPN075378
STDN002914
$68.25 007385
$30.00 FPN072187
FPN075110
FPN075342
FPN075186
FPN075419
STDN002688
FPN072613
STDN002371
FPN072627
FPS003633
$10.00 FPN075338
STDN002452
STDN002457
FPN073583
FPN073601
FPN073832
FPN073399
$30.00 FPN074017
$10.00 FPN074359
$30.00 FPN074947
FPN074268
$20.00 FPN075201
FPN073857
FPN074842
$30.00 FPN075203
$6.00 FPN075171
Patient Balance
$241.00
$19.00
$81.00
$83.00
$72.52
$4.19
$108.00
$49.43
$26.75
$62.20
$8.67
$17.00
$32.00
$21.00
$34.75
$26.00
$106.00
$50.00
$153.88
$169.00
$12.82
$7.00
$5.18
$65.25
$25.50
$20.06
$40.00
$26.75
$102.00
$92.50
$26.75
$52.25
$63.00
$72.52
$64.00
$82.50
$13.00
$4.19
$5.18
$83.00
$51.00
$32.00
$5.82
$49.00
$87.79
$118.00
$97.75
$5.54
$22.42
$34.00
$80.00
$6.50
$27.00
$48.00
$11.00
$60.04
$106.00
$9.00
$12.25
$52.50
$83.00
$23.00
as
Last Payment Payment Ticket Number
01/13/2020 $15.00 FPN073166
FPN074987
FPN073638
FPN075291
FPN074928
FPN075019
09/17/2019 $10.00 FPN073945
STDN002692
FPN073641
09/27/2019 $120.00 MDN003932
06/26/2019 $10.00 FPN073052
FPN073054
01/24/2020 $50.00 FPN072583
02/05/2020 $50.00 FPN072675
FPN072676
FPN072689
FPN074924
FPN075094
FPN075195
FPN075292
FPN075305
FPN075132
STDN002926
FPN072220
FPN074959
FPN075606
IZN002318
FPN074814
FPN074864
MDN003952
MDN003960
01/17/2020 $37.00 STDN002819
FPN075165
008758
02/20/2020 $50.00 FPN072059
01/13/2020 $68.25 FPN074989
11/21/2019 $20.00 FPN074577
FPN075648
FPN075127
05/21/2019 $24.00 FPN072680
FPN073261
FPN073440
08/28/2019 $5.00 FPN073743
FPN074155
04/09/2019 $12.75 FPN069631
FPN072282
01/15/2020 $40.00 FPN075014
FPN075075
FPN072461
11/22/2019 $307.00 MDN003939
FPN074647
08/16/2019 $40.00 FPN073596
10/21/2019 $145.00 FPN073605
FPN074280
04/10/2019 $41.80 FPN070495
STDN002697
STDN002734
STDN002795
FPN074744
FPN072188
FPN072192
FPN072273
Patient Balance
$35.00
$1.19
$66.75
$12.18
$83.00
$51.00
$17.00
$25.00
$38.00
$213.00
$27.00
$11.00
$17.50
$3.00
$37.75
$1.75
$54.00
$41.50
$26.00
$122.19
$49.43
$22.75
$138.00
$29.25
$7.00
$5.18
$364.00
$130.00
$48.00
$232.08
$383.23
$328.00
$27.00
$500.00
$28.00
$80.25
$125.00
$40.00
$29.00
$18.00
$11.00
$27.00
$37.00
$51.52
$97.25
$49.75
$26.00
$134.00
$78.37
$111.00
$42.00
$11.00
$167.50
$12.25
$11.70
$40.22
$47.91
$50.00
$40.25
$352.50
$52.00
$545.50
Last
Last Payment Payment Ticket Number Patient Balance
01/13/2020 $15.00 FPN073166 $35.00
FPN074987 $1.19
FPN073638 $66.75
FPN075291 $12.18
FPN074928 $83.00
FPN075019 $51.00
09/17/2019 $10.00 FPN073945 $17.00
STDN002692 $25.00
FPN073641 $38.00
09/27/2019 $120.00 MDN003932 $213.00
06/26/2019 $10.00 FPN073052 $27.00
FPN073054 $11.00
01/24/2020 $50.00 FPN072583 $17.50
02/05/2020 $50.00 FPN072675 $3.00
FPN072676 $37.75
FPN072689 $1.75
FPN074924 $54.00
FPN075094 $41.50
FPN075195 $26.00
FPN075292 $122.19
FPN075305 $49.43
FPN075132 $22.75
STDN002926 $138.00
FPN072220 $29.25
FPN074959 $7.00
FPN075606 $5.18
IZN002318 $364.00
FPN074814 $130.00
FPN074864 $48.00
MDN003952 $232.08
MDN003960 $383.23
01/17/2020 $37.00 STDN002819 $328.00
FPN075165 $27.00
008758 $500.00
02/20/2020 $50.00 FPN072059 $28.00
01/13/2020 $68.25 FPN074989 $80.25
11/21/2019 $20.00 FPN074577 $125.00
FPN075648 $40.00
FPN075127 $29.00
05/21/2019 $24.00 FPN072680 $18.00
FPN073261 $11.00
FPN073440 $27.00
08/28/2019 $5.00 FPN073743 $37.00
FPN074155 $51.52
04/09/2019 $12.75 FPN069631 $97.25
FPN072282 $49.75
01/15/2020 $40.00 FPN075014 $26.00
FPN075075 $134.00
FPN072461 $78.37
11/22/2019 $307.00 MDN003939 $111.00
FPN074647 $42.00
08/16/2019 $40.00 FPN073596 $11.00
10/21/2019 $145.00 FPN073605 $167.50
FPN074280 $12.25
04/10/2019 $41.80 FPN070495 $11.70
STDN002697 $40.22
STDN002734 $47.91
STDN002795 $50.00
FPN074744 $40.25
FPN072188 $352.50
FPN072192 $52.00
FPN072273 $545.50
Patient Name
Last Payment
Last
Payment
Ticket Number Patient Balance
$15,720.49
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