HomeMy WebLinkAbout20154075.tiff RESOLUTION
RE: CANCELLATION OF 2015 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 2015 Department of Public Health and Environment accounts has been
submitted to the Accounting Department of Weld County, Colorado, and
WHEREAS, said accounts have been deemed uncollectible in accordance with guidelines
adopted by the 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$4,715.36.
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$4,715.36,
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 30th day of December, A.D., 2015.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, C LORADO
ATTEST: Jej ;4 /. hi-1T-
Barbara Kirkmey r, Chair
Weld County Clerk to the Board �n ` (�
/ �� 10 U �-Wt-31LQ�-
E ike Freeman, Pro-Tem
BY. _ L
Dep y Clerk to the Board / at:• E USED
e P. Conway
APP D AS T •
ie ozad
--
/ unty ttorney
Steve Moreno
Date of signature:
W al- /O11,
��,i ( 20HL0047
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: 04/01/2015
Create these write-off transactions as conveyances for the payor: Old Balance Write-Off
Create these write-off transactions in the batch: tgeiserWELD_20151221
Create these write-off transactions as adjustments of type: Write Off
Company: Weld County Dept of Public Health and Environment- Last Payment Date before: 04/01/2015
Last
Patient Name Last Payment Payment Ticket Number Patient Balance
03/02/2015 $20.00 FPS003058 $14.00
08/20/2014 $82.00 FPN047896 $37.00
03/26/2015 $236.00 FPN051575 $62.00
IZCS002574 $86.95
09/05/2014 $0.00 IZCN020370 $21.65
09/12/2014 $45,00 FPN051925 $40.50
09/19/2014 $22.00 STDN000824 $22.00
09/26/2014 $50.00 IZCN020475 $58.25
10/14/2014 $30.00 IZCN020569 $34.95
11/25/2014 $32.95 IZC N 020780 $32.00
12/11/2014 $60.00 IZCN020840 $48.25
TBN023982 $37.28
FPN054713 $30.00
IZCN20896 $43.30
TRVN003356 $63.44
11/12/2014 $87.00 MDN002906 $192.00
IZCN020832 $21.65
TBN023317 $129.00
IZCN020322 $64.60
IZCN020325 $108.25
10/29/2014 $22.00 IZCN020648 $42.95
03/20/2015 $57.75 FPN053644 $21.00
FPN054409 $41.00
FPN053886 $69.00
FPN052916 $17.00
08/19/2014 $27.25 FPN048936 $13.25
FPN053151 $20.75
FPN051570 $50.75
07/09/2014 $5.00 FPN050948 $32.00
03/31/2015 $5.00 FPN054786 $7.00
08/19/2014 $5.00 FPN051562 $7.00
FPN053041 $45.25
FPN052459 $190.50
03/09/2015 $45.00 FPN053345 $11.00
FPN051866 $45.00
09/18/2014 $5,00 FPN051995 $68.00
09/17/2014 $3.50 FPN051970 $40.50
02/24/2015 $57.25 FPN054238 $10.75
07/18/2014 $80.00 FPN051112 $10.00
12/01/2014 $15.00 FPN053051 $54.50
08/13/2014 $10.00 IZCN020337 $34.00
FPN052263 $77.00
12/16/2014 $20.00 FPN051149 $103.00
2015-4075
Last
Patient Name Last Payment Payment Ticket Number Patient Balance
FPN053307 $451.50
STDN000954 $79.39
02/23/2015 $25.00 FPN054225 $28.00
FPN053529 $40.50
01/27/2015 $19.00 FPN053459 $49.25
STDN000951 $21.62
STDN000945 $105.15
STDN000826 $209.00
FPN051489 $64.75
10/02/2014 $98.00 FPN052194 $32.00
11/14/2014 $60.00 FPN052878 $213.00
TRVN003380 $259.00
FPN054558 $6.11
10/01/2014 $44.00 FPN052156 $7.00
IZCN020469 $165.00
07/18/2014 $17.00 FPN048069 $15.75
MDN003281 $190.00
FPN052441 $43.00
IZCN020380 $21.65
FPS003030 $70.00
07/14/2014 $30.00 FPN051036 $43.50
11/12/2014 $18.00 FPN052831 $4.00
FPN053165 $14.00
12/05/2014 $6.50 FPN049350 $38.25
FPN051825 $31.00
IZNA006835 $48.51
FPN051675 $22.00
IZCN020591 $66.00
FPN053083 $14.75
FPN054617 $3.07
FP N051846 $14.00
01/23/2015 $10.00 FPN052983 $31.00
11/04/2014 $5.00 FPN052701 $22.00
FPN052962 $22.00
FPN054745 $30.68
01/16/2015 $14.00 FPN053666 $39.16
03/26/2015 $55.50 FPN054710 $41.50
$4,715.36
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