Question
Scenario: Maria Smith recently lost her job and is raising two children as a single parent. It is September 1 (current year). A discussion with
Scenario:Maria Smith recently lost her job and is raising two children as a single parent. It is September 1 (current year). A discussion with Dr. Gerald Practon leads to a decision to write off the balance of the current charges on the account but not the balance forward.
Statement
Financial Account
College Clinic
4567 Broad Avenue
Woodland Hills, XY 12345-0001
Tel. 555-486-9002
Fax No. 555-487-8976
Ms. Maria Smith
3737 Unser Road
Woodland Hills, XY 12345
Phone: (555) 430-8877 (W) (555) 908-1322 Birthdate: 06-11-80
Primary Insurance Co.: Metropolitan Insurance Company Policy/Group No. 4320870
Financial Account
Entry #DateReferenceDescriptionChargePaymentAdj.Current Balance
Balance Forward $20.00
105-19-xx99214OV DX 582 $61.51 $81.51
205-20-xxMetropolitan Billed (5-19-xx) $81.51
306-20-xxRec'd Insurance ck#6778 $25.00 $56.51
407-01-xxBilled pt $56.51
508-01-xxBilled pt $56.51
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