HomeMy WebLinkAbout20174237.tiffRESOLUTION
RE: CANCELLATION OF 2017 OUTSTANDING ACCOUNTS RECEIVABLE FOR THE
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, a list of 2017 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 $9,665.69.
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
$9,665.69, be and hereby is, approved for cancellation.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 18th day of December, A.D., 2017.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLOF3QDO
ATTEST: dith,,t)k". o;ei
Weld County Clerk to the Board
BY:
Deputy CI
APPRED A
Coun y Attorney
Date of signature: O/ -/D -/?
G }-1 L C TG )
CTCJ)
U1/ to/1$
Julie A. Cozad, Chair
Steve Moreno, Pro-Tem
EXCUSED
Sean P. Conway
ike Freeman
-
arbara Kirkmeyer
2017-4237
HL0049
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: 04/01/2017
Patient Name
Last Payment
02/27/2017
12/08/2016
02/24/2017
01/06/2017
10/20/2016
11/02/2016
11/09/2016
12/22/2016
01/27/2017
02/28/2017
02/27/2017
03/16/2017
08/24/2016
11/07/2016
04/29/2016
10/24/2016
03/24/2017
04/13/2016
11/03/2016
04/11/2016
Last
payment Ticket Number
$114.75 FPN064432
$80.50 FPS003305
FPN062432
IZCN023517
$330.00 MDN003651
STDN001387
$341.00 MDN003722
IZCN023339
$61.65 1ZCN022780
IZCS003243
STDN001278
IZCN023024
FPN063056
IZCS003370
IZCN023328
$22.00 IZCN023437
$50.00 IZNA009036
STDN001375
FPS003300
$92.75 FPN063639
$291.00 MDN003731
FPN064059
$11.75 FPN064454
$78.00 STDN001452
IZAS000466
STDN001448
FPN064580
$20.00 FPN064667
MDN003702
$280.00 FPN062077
IZCN023065
$15.00 FPN062583
$5.00 FPN060622
$50.00 IZCN023358
STDN001254
FPN063766
FPN064360
FPN062295
$20.00 FPN064772
$86.50 FPN060389
$71.65 IZCN022764
$146.00 FPN060330
FPN060901
04/01/2017
Old Balance Write -Off
tgeiser_20171208
Write Off
2017-4237
Patient Balance
$24.50
$3.75
$120.69
$21.65
$52.00
$24.00
$55.00
$86.60
$92.35
$46.00
$25.00
$54.00
$106.00
$154.00
$21.65
$91.60
$36.60
$182.00
$15.25
$11.00
$105.00
$106.00
$75.50
$98.00
$15.00
$98.00
$920.96
$57.00
$130.00
$204.00
$108.00
$14.00
$24.00
$58.25
$168.00
$51.25
$378.95
$40.00
$7.00
$11.00
$36.60
$70.00
$390.00
Patient Name
Last
Last Payment Payment Ticket Number
FPN064523
FPN061617
08/11/2016 $50.00 FPN061937
03/24/2017 $20.00 FPN064765
02/13/2017 $5.00 FPN064278
FPN063042
07/19/2016 $280.00 MDN003679
06/01/2016 $3.00 FPN061015
FPN061814
FPN061994
08/24/2016 $27.50 FPS003264
FPN061442
FPN061320
FPN061321
02/13/2017 $3.50 FPN061077
FPN061070
FPN061797
FPN061252
FPN064619
03/16/2017 $5.00 FPN064674
11/09/2016 $21.00 FPN063106
FPN063289
08/09/2016 $81.25 FPN061890
FPN064004
FPN064234
FPN063772
FPN062859
10/05/2016 $37.25 FPN062585
02/08/2017 $36.65 FPN064226
FPN060395
STDN001287
FPN061876
02/10/2017 $17.00 FPN064248
FPN062700
10/07/2016 $20.00 FPN062645
03/14/2017 $17.00 FPN064253
03/24/2017 $291.00 MDN003751
FPN063953
02/08/2017 $75.75 FPN064228
08/24/2016 $39.75 FPN062110
FPN062080
01/30/2017 $15.00 FPN064084
FPN060518
STDN001241
10/20/2016 $33.00 FPN060907
FPN062791
FPN063475
05/17/2016 $280.00 MDN003649
FPN062352
IZNA009320
12/14/2016 $20.00 STDN001396
FPN064575
03/31/2017 $100.00 FPS003311
FPN063203
12/06/2016 $102.00 FPN063371
06/13/2016 $86.70 FPN060998
FPN061180
IZCN023066
FPN062982
11/02/2016 $60.00 IZNA009005
FPN064184
Patient Balance
$70.00
$14.50
$23.50
$31.00
$69.00
$16.00
$102.00
$21.00
$3.49
$8.63
$20.00
$116.00
$6.37
$26.31
$44.00
$69.75
$135.14
$120.69
$69.11
$35.00
$95.00
$8.63
$63.00
$25.00
$36.00
$141.00
$40.00
$10.25
$3.75
$23.00
$55.78
$43.50
$15.00
$57.90
$4.00
$8.00
$105.00
$74.00
$11.00
$11.00
$41.00
$64.00
$82.00
$199.00
$10.50
$29.00
$34.50
$102.00
$46.00
$193.00
$11.00
$41.00
$78.00
$116.00
$146.00
$7.55
$60.25
$81.00
$101.80
$26.60
$110.00
Patient Name
Last
Last Payment Payment Ticket Number
04/21/2016 $280.00 FPN060231
09/19/2016 $11.50 FPN062429
10/31/2016 $330.00 FPN062083
10/28/2016 $280.00 FPN062911
FPN061292
11/02/2016 $40.00 IZCN023431
TBN027731
TBN027841
11/29/2016 $40.00 IZNA009079
08/24/2016 $24,00 STDN001301
FPN063830
04/07/2016 $20.00 FPN060270
04/26/2016 $10.00 FPN060552
11/08/2016 $4.00 FPN063070
FPN064532
FPN063840
12/28/2016 $18.00 FPN063695
01/27/2017 $285.25 FPN061987
FPN062400
FPN062433
07/12/2016 $100.00 FPN061515
06/22/2016 $15.00 FPN059254
FPN063153
FPN063514
FPN064291
FPN064374
04/22/2016 $280.00 MDN003595
TBN028550
Patient Balance
$204.00
$60.00
$154.00
$204.00
$15.25
$68.25
$43.00
$137.00
$58.55
$18.00
$21.00
$20.50
$72.00
$14.00
$25.00
$27.75
$39.15
$96.75
$14.25
$78.50
$84.50
$3.00
$23.20
$31.39
$200.50
$40.00
$94.50
$15.00
$9,665.69
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