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Home My WebLink About20143778.tiff RESOLUTION RE: CANCELLATION OF 2014 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 2014 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$14,173.86. 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 $14,173.86, 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 8th day of December, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, RADO ATTEST: thaw- , sgL ;� C '- �A1c_2A &_I C/.6u+r1/ �.. uglas ademacher hair Weld County Clerk to the Boar/ E� � ,•' i w �--rbara Kirkmeye , Pro-Tem BY. f De 'u� Clerktoth: Boa \t`` �� , jean P. Conway APPROVED AS TO FORM: ®uNet- Mike Fri ma ' County Attorney William F. Garcia I Date of signature: X713 CZ: I4L 11151 2014-3778 HL0047 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: 07/01 /2014 Create these write-off transactions as conveyances for the payor: Old Balance Write-Off Create these write-off transactions in the batch: tgeiserWELD_20141203 Create these write-off transactions as adjustments of type: Write Off Company: Weld County Dept of Public Health and Environment - Last Payment Date before: 07/01 /2014 Last Last Payment Payment Ticket Number Patient Balance IZCS002457 $467.00 06/13/2014 $30. 75 FPN048988 $9.75 FPN050621 $54.00 IZCN019513 $14.70 11 /25/2013 $30 00 IZCN017700 $43.50 03/17/2014 $40 00 FPN047647 $33.50 FPN049350 $44. 75 STDN000596 $6.00 09/03/2013 $6.00 FPN045473 $15.00 04/02/2014 $50.00 FPS002827 $ 16.00 01 /03/2014 $100.00 IZAS000363 $41 . 00 12/19/2013 $5.00 FPN048146 $38.00 08/15/2013 $46.20 IZCS002278 $42.00 IZCS002464 $86.60 IZCN019631 $58.80 IZCN018884 $73.50 IZCS002262 $58.80 IZNA006447 $21 .65 08/19/2013 $20. 00 IZCN019046 $68.20 08/15/2013 $14.70 IZCN019028 $44. 10 09/03/2013 $21 .25 FPN046527 $59. 50 08/21 /2013 $118.00 FPN046454 $25.00 IZCN019087 $44. 10 10/16/2013 $41 . 00 MDN002979 $97.00 IZCN019233 $58.80 FPN048389 $136. 00 IZCN019255 $14.70 IZCN019272 S14.70 10/ 16/2013 $ 15.00 IZCN019310 $14.40 IZCN019300 $73. 50 10/24/2013 $60. 00 IZCN019305 $28.20 IZCN019312 $58. 80 IZNA006044 $42. 11 FPN047918 $27.00 MDN003069 $44.00 11 /13/2013 $20.00 IZCN019452 $24. 10 11 /19/2013 $14. 70 IZCS002401 $ 14. 70 FPN047788 $27.00 IZCN019580 $44. 10 IZCN019581 $88.20 01 /10/2014 $0 00 FPN048018 $43.00 01 /22/2014 $243 00 FPN048574 $42.00 IZCN019775 $98.00 2014-3778 Last Last Payment Payment Ticket Number Patient Balance 01/27/2014 $20. 00 IZCN019765 $88.25 04/22/2014 $ 10.00 IZCN019766 $99.25 04/22/2014 $ 10.00 IZCN019767 $98 25 03/10/2014 $55. 15 IZCN019787 $31 .80 IZCN019861 $21 .65 IZCN019860 $86.60 IZNA006526 $131 . 00 IZAS000366 $252 00 04/18/2014 $28.35 IZCN020005 $58.60 IZNA006540 $131 .00 MIZC003563 $21 .65 05/16/2014 $43. 30 IZCS002525 $44.70 IZCS002526 $64.95 06/27/2014 $21 .65 IZC N020168 $65.30 06/27/2014 $21 .65 IZCN020167 $66. 30 03/06/2014 $42.50 FPN049197 $40.00 11 /25/2013 $14.70 IZCN019516 $44. 10 04/21/2014 $1 .00 STDN000731 $19.00 TBN022354 $129.00 NNHVH015069 $15.00 SNHVH004201 $30.00 SNHVH004202 $30.00 SNHVH004203 $45.00 04/07/2014 $45.00 1ZC N019964 $41 .95 11 /13/2013 $ 10.00 FPS002740 $40.00 01 /30/2014 $40.00 FPN048693 $25.00 10/16/2013 $20.00 IZCN019308 $9.40 FPN048911 $11 .00 FPN048848 $97. 50 06/20/2014 $110.00 FPN050741 $68.00 FPN048913 $47.50 IZCN019108 $14.70 IZCN019963 $108.25 MDN003105 $2.00 IZCN019208 $14. 70 IZCN019691 $416.00 IZCN019304 $29.40 10/14/2013 $ 10.00 IZCN019303 $ 19.40 IZCN019724 $91 .00 1ZCN019713 543.30 IZCN019209 $73.50 IZCN019277 $44. 10 IZCN020058 $ 108.25 IZCN019916 $ 108.25 IZCN019913 $108.25 IZCN019914 $108.25 IZCN019915 $64.95 IZCN020052 $21 .65 FPN050677 $38.00 FPN047033 $54.00 FPN047629 $83. 75 MDN003014 $2.00 1ZNA006449 $219.00 05/21 /2014 $10.00 MDN002972 $73.25 03/28/2014 $10.00 FPN049500 $36.00 FPN048318 $94.00 10/30/2013 $94.00 MDN003008 $ 185.00 10/22/2013 $5.00 MDN002995 $ 16.00 04/10/2014 $33.00 FPN049642 $16.75 05/21 /2014 $30.00 FPN043425 $ 10.00 05/09/2014 $48.00 FPN036007 $ 10.75 Last Last Payment Payment Ticket Number Patient Balance 07/23/2013 $19600 MDN002898 $82.00 FPN050445 $ 14. 75 FPN048664 $177.25 02/18/2014 $153. 75 FPN048952 $490. 50 02/05/2014 $ 13.00 FPN048780 $1 .00 MDN002939 $2.00 02/12/2014 $42.00 FPN048867 $130.00 05/02/2014 $3.50 FPN043735 $ 16.00 FPN048317 $66.00 04/07/2014 $22.00 FPN047715 $6.75 09/09/2013 $51 .80 FPN044342 $ 15.95 FPN050247 $29.50 FPN050137 $84.50 FPN049173 $22.00 FPN045844 $13.50 IZCN019518 $119.70 IZCN019314 $14.70 FPN048472 $10.00 10/23/2013 $5.00 FPN047318 $26.00 06/30/2014 $50.00 FPN046833 $19. 75 04/14/2014 $100.00 FPN049707 $33.00 08/15/2013 $21 .00 FPN046364 $49.50 10/14/2013 $25.00 FPN047208 $10.00 02/12/2014 $32. 00 FPN048615 $8.00 FPN049079 $13.75 02/27/2014 $14.00 FPN048458 $37.25 09/24/2013 $9.50 FPN044015 $76.50 FPN046915 $86.25 FPN048085 $31 .25 FPN049609 $68.00 07/15/2013 $340. 00 MDN002764 $267.00 07/12/2013 $50.00 FPN040465 $14.00 08/20/2013 $30.75 FPN045550 $13.75 FPN046438 $34.25 09/24/2013 $45.50 MDN002963 $95.25 07/09/2013 $ 196. 00 MDN002878 $82.00 IZCN019388 $29.40 IZCN020143 $21 .65 FPN048853 $26.25 10/09/2013 $20.00 FPN045177 $115.75 04/15/2014 $43. 30 IZCN019993 $21 .65 MDN002989 $48.75 10/15/2013 $2.25 FPN047218 $62.00 FPN046253 $27.00 06/03/2014 $64.50 FPS002798 $86.00 FPS002697 $ 10.00 11/26/2013 $14.70 IZCS002418 $42.00 IZCN019238 $58.80 05/02/2014 $20. 00 FPN049995 $39.00 NNHVH014793 $15.00 NNHVH014794 $15.00 NNHVH014795 $15.00 NNHVH014796 $15.00 NNHVH014936 $15.00 SNHVH004122 $15.00 12/11 /2013 $29.00 FPN048023 $41 .25 09/04/2013 $46. 00 FPN040209 $40.25 FPN046637 $52.25 11 /18/2013 $20.00 FPN047719 $84.00 FPN047655 $66.00 10/07/2013 $41 .00 FPN047095 $ 139.75 Last Last Payment Payment Ticket Number Patient Balance FPN047850 $46. 00 IZNA006085 $2.00 12/13/2013 $ 14.70 IZNA006161 $81 .70 03/24/2014 $10.00 FPN049451 $22. 00 FPN049636 $22.00 09/25/2013 $20.25 FPN046927 $30.00 11 /13/2013 $10.00 FPN047636 $94.00 02/20/2014 $35. 00 FPN048989 $ 16.00 05/22/2014 $152.00 MDN003181 $188.00 FPN047632 $104. 00 07/02/2013 $32. 00 FPN045811 $32.50 06/09/2014 $59.00 FPN047839 $ 12.25 04/10/2014 $20.00 FPN049637 $ 117.25 01/16/2014 $21 .00 FPN048498 $40.00 05/23/2014 $4.00 FPN050271 $6.00 FPN046887 S35.00 07/02/2013 $67.00 STDN000315 $6.00 FPN049955 $141 . 00 07/19/2013 $29.25 FPN046054 $3.00 11 /14/2013 $47.25 MDN002874 $99.00 06/16/2014 $20.00 STDN000765 $46.00 01 /30/2014 $12.00 FPN048696 $20.50 10/21 /2013 $5.75 FPN047296 $ 15.00 06/10/2014 $5.60 IZNA005995 $9. 10 06/04/2014 $22.00 FPN050465 $10.00 FPN048570 $22.00 FPN050803 $10.00 06/05/2014 $25.00 FPN050484 $51 .00 FPN050480 $14.00 03/19/2014 $65.00 FPN039054 $ 19.00 FPN046278 $19.50 FPN049377 $25.75 05/28/2014 $3 00 FPN048178 $13.50 FPN050368 $14.75 04/25/2014 $57.00 FPN049872 $57.25 FPN047428 $23.00 10/30/2013 $22. 00 FPN044873 $41 .00 FPN045818 $65. 50 09/05/2013 $5.00 FPN046668 $ 14.00 FPN048340 $38.50 FPN049036 $13. 50 FPN049885 $20.25 09/23/2013 $20. 00 IZCN019192 $24. 10 FPN048298 $14.75 07/15/2013 $ 15.00 FPN045934 $24. 75 03/12/2014 $10.00 FPN049299 $10.00 IZNA006019 $340.80 06/10/2014 $206.00 MDN003208 $107 00 03/19/2014 $68.00 FPN049382 $146.00 IZNA006111 $174.70 09/04/2013 $15. 75 FPN046649 $17. 00 03/07/2014 $40.00 FPN049251 $35.25 FPN046178 $ 13.50 FPN047320 $49. 75 IZCN018923 $14. 70 05/19/2014 $15. 00 FPN050235 $44.00 FPN047283 $139.25 FPN046515 $15.00 FPN046185 $40. 50 FPN046063 $39.00 06/11 /2014 $50.00 IZNA006332 $332.00 Last Last Payment Payment Ticket Number Patient Balance FPN049486 $ 13.50 TRVN003167 $21 65 FPN048273 $193.50 IZCN019821 $64.95 07/22/2013 $25. 00 FPN046058 $261 . 00 FPN048423 $77.25 02/21 /2014 $70.00 FPN049031 $200.00 04/18/2014 $20.00 IZCN019999 $66.60 FPN050353 $14.75 NNHVH014857 $30.00 NNHVH014858 $30.00 NNHVH014859 $30.00 FPN046752 $40.50 $14, 173.86 Hello