HomeMy WebLinkAbout20163849.tiffRESOLUTION
RE: CANCELLATION OF 2016 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 2016 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 $9,024.82.
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
$9,024.82, 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 28th day of December, A.D., 2016.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: ddrAvti
•�
Weld County Clerk to the Board
eputy Clerk to the Board
Mike Freeman, Chair
Sean P. Conway, Pro -Tern
�h Cozad
APPXCUSED
arbara Kirkmeyer
ounty A'"orney
Steve Moreno
Date of signature: O(/ t'ai n
GG : HL (51-/-rcpitY1W)
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OI/a3/I'1
2016-3849
HL0048
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: 04/01/2016
Patient Name
Last Payment
04/29/2015
01/28/2016
04/30/2015
04/20/2015
05/28/2015
05/01/2015
10/01/2015
01/19/2016
11/09/2015
07/15/2015
06/30/2015
02/01/2016
03/30/2016
06/10/2015
02/18/2016
07/29/2015
11/13/2015
03/29/2016
04/09/2015
11/19/2015
07/15/2015
09/16/2015
Last
Payment
04/01/2016
Old Balance Write -Off
tgeiser 20161216
Write Off
Ticket Number Patient Balance
IZCN021887
$10.00 FPN055235
$118.50 FPN058931
IZCN021222
$8.40 STDS000048
$25.05 STDS000047
$52.47 IZCN021260
$20.00 IZCN021270
$7.00 FPN057479
$72.00 MDN003588
$20.00 FPN055528
$0.00 IZCN021443
$23.00 FPN056109
STDN001047
FPN058298
IZCN022404
$0.00 IZCN022412
IZNA008363
IZNA008393
IZNA008490
FPN057320
IZNA008139
$58.00 FPN060132
$30.00 FPN051480
$10.00 FPN059547
IZCN022076
IZCN022369
FPN060017
$40.00 IZCN020405
FPN057268
$36.00 IZCN022130
$20.00 FPN060118
FPN060035
FPN058451
FPN059175
FPN058995
$45.00 FPN054914
$25.00 FPN055969
FPN056407
$140.00 FPN053460
FPN059960
$70.50 FPN051610
FPN055662
$21.65
$240.25
$48.00
$504.00
$43.73
$61.30
$12.48
$88.25
$21.00
$116.00
$18.75
$86.60
$47.00
$63.22
$28.00
$64.95
$64.95
$129.90
$249.00
$162.60
$94.75
$176.00
$64.25
$38.00
$62.00
$43.30
$142.00
$37.00
$25.30
$140.00
$28.95
$73.75
$24.00
$30.00
$58.00
$50.00
$38.50
$11.75
$23.00
$34.50
$120.00
$34.00
S176.01
2016-3849
Latent Nam=_
Last Payment
11/09/2015
02/10/2016
07/29/2015
11/18/2015
10/20/2015
10/26/2015
10/26/2015
06/15/2015
06/24/2015
12/09/2015
10/29/2015
07/29/2015
04/21/2015
09/30/2015
03/29/2016
12/17/2015
09/21/2015
10/06/2015
02/12/2016
03/25/2016
07/31/2015
03/24/2016
02/09/2016
07/02/2015
03/08/2016
01/15/2016
05/27/2015
01/11/2016
08/31/2015
03/15/2016
12/17/2015
12/08/2015
04/07/2015
09/30/2015
02/25/2016
01/25/2016
10/08/2015
11/17/2015
09/24/2015
09/24/2015
04/01/2016
02/04/2016
Last
Payment
Ticket Number Patient Balance
$5.00 FPN058108
$40.00 FPN057473
$52.75 FPN055918
$35.00 STDN001091
$10.00 FPN057752
$70.00 FPN057880
$32.00 FPN051002
$6.00 FPN055900
FPN055895
$20.00 FPN056015
FPN055095
FPN060137
$25.00 STDN001110
FPN056434
FPN057780
$5.00 FPN057923
FPN056373
$2.00 STDN001021
FPN055437
$22.75 FPN055102
$25.00 FPS003155
$15.00 FPN060108
$5.00 FPN058674
$3.00 FPN057291
$40.00 FPN057415
$10.00 FPN059457
$20.00 FPN060072
$56.50 FPN042874
IZCN021772
FPN058587
$13.00 FPN059826
$36.00 FPN059403
$25.00 FPN056168
FPN059950
$140.00 MDN003612
FPN059807
$20.00 FPN059083
$20.00 STDN000987
FPN057127
FPN059214
$39.00 FPN059006
FPN055440
$0.00 IZCN021680
$36.00 FPN059935
$6.00 FPN054977
$45.00 FPN053464
$45.00 FPN052279
$36.50 FPN055366
FPN058408
FPN057454
$61.50 FPN059654
FPN060071
$20.00 FPN059210
$6.00 MDN003425
$233.00 MDN003539
$137.00 FPN050006
$23.00 FPN057366
FPN055310
$35.00 FPN058727
FPN060166
$23.50 FPN059352
FPN058156
$8.03
$ 7.00
$27.00
$171.00
$ 72.25
$43.00
$58.00
$43.00
$78.75
$50.00
$28.25
$99.25
$93.00
$30.50
$33.50
$18.00
$7.00
$7.00
$47.79
$80.75
$70.00
$24.00
$134.00
$28.00
$16.50
$11.25
$36.00
$62.00
$137.00
$45.71
$11.00
$36.00
$89.50
$3.57
$266.00
$58.00
$4.00
$32.00
$164.10
$24.00
$72.00
$50.00
$21.65
$36.00
$64.00
$6.00
$135.50
$13.00
$35.00
$76.50
$12.00
$16.00
$19.00
$118.00
$231.00
$44.00
$65.75
$28.50
$35.00
$11.50
$11.00
$25.00
Patient Name
Last Payment
10/09/2015
12/07/2015
01/13/2016
12/30/2015
12/21/2015
03/09/2016
01/14/2016
02/01/2016
01/28/2016
11/05/2015
10/23/2015
03/10/2016
03/07/2016
03/07/2016
10/15/2015
10/15/2015
Last
Payment Ticket Number Patient Balance
FPN057610 $65.00
$20.00 FPN054870 $75.25
FPN056476 $14.00
STDN001199 $53.00
STDN001195 $175.00
IZCN021935 $300.30
IZCN022615 $46.00
$15.00 FPN058519 $33.50
$25.00 FPN059021 $31.00
$20.00 FPN058803 $70.00
$76.25 FPN052053 $44.50
$25.00 FPN059846 $82.50
$59.25 FPN059058 $21.25
FPN059721 $156.00
FPN059446 $15.00
$24.00 FPN059312 $34.75
$50.50 FPN059270 $98.00
$10.00 FPN057977 $28.00
$7.00 STDN001067 $170.00
$42.00 FPN059879 $11.00
$56.00 FPN055814 $30.00
$20.00 FPN059817 $52.00
STDN001144 $210.00
$5.00 IZCN021954 $126.13
$5.00 IZCN021955 $103.25
$9,024.82
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