Thursday, April 03, 2008

Misys Tiger Financial Analysis Report Parsing using Excel

This report is run regularly to check for duplicate patient DOS visits. If you have Tiger, you can use the parameters at the bottom of the sample report to see how ours is built.

As usual, the PHI (Patient Health Information) has been changed, but not the format. Download the spreadsheet and sample file to view the results.

The VBA is commented fairly well, so it should be pretty easy to follow and modify to your needs.

Read this doc on Scribd: Duplicate Report Parser
This Excel Spreadsheet will parse the Duplicate Patient Report data from Tiger companies: #3 - #12 - #14 DO NOT EXPECT THIS TO WORK ON ANY OTHERS.. Although you could try it, it might just work… ;) 1. Run duplicate report and View it in Tiger. 2. Save it to a location like your desktop. 3. Click the "Open File" button and select your saved report! 4. Watch and say "Oooooooohhhh!" Open File

This is sample data.

Read this doc on Scribd: Sample for Duplicate Report
[RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 1 ================================================================================== ================================================== ****** FINANCIAL ANALYSIS REPORT ****** by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITEOFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== SERV DATE - 1/08/2008 7038155-SMITTY TERESA A VISIT # 8229 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 213.97 .00 213.97 .00 .00 .00 .00 .00 213.97 .00 .00 .00 213.97 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 213.97 .00 .00 .00 213.97 ********************************************************************************** ************************************************** 7038744-BIGGY KITTY R VISIT # 8240 .00 === VISIT .00 .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 .00 137.92 .00 .00 137.92 .00 137.92 137.92 .00 .00 .00 .00 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 137.92 .00 .00 .00 137.92 ********************************************************************************** ************************************************** 7038833-PEYTON JERRY R VISIT # 8233 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 383.56 .00 383.56 .00 .00 .00 .00 .00 383.56 .00 .00 .00 383.56 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 383.56 .00 .00 .00 383.56 ********************************************************************************** ************************************************** 7038922-JONES PETE VISIT # 8235 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 208.45 .00 .00 208.45 .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ********************************************************************************** ************************************************** 7038933-NIGHT GLADYS H VISIT # 8234 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 132.60 .00 132.60 .00 .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7039277-THEBAPTIST JOHN J VISIT # 8237 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 105.74 .00 .00 105.74 .00 .00 .00 .00 105.74 .00 .00 .00 105.74 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 105.74 .00 .00 .00 105.74 ********************************************************************************** ************************************************** 7039277-CRUMBSNATCHER GRETCHEN E VISIT # 8228 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 1087.86 .00 .00 1087.86 .00 .00 .00 .00 1,087.86 .00 .00 .00 1,087.86 [RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 2 ================================================================================== ================================================== ****** ****** FINANCIAL ANALYSIS REPORT by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITE- OFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 1,087.86 .00 .00 .00 1,087.86 ********************************************************************************** ************************************************** 7039899-WATERS ROGER A VISIT # 8239 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 157.79 .00 .00 157.79 .00 .00 .00 .00 157.79 .00 .00 .00 157.79 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 157.79 .00 .00 .00 157.79 ********************************************************************************** ************************************************** 7040033-SMITH EVERETT K VISIT # 8231 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 208.45 .00 208.45 .00 .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ********************************************************************************** ************************************************** 7040222-MCDONALD RONALD VISIT # 8238 .00 4 -SMIT MD RUSSEL W .00 .00 314.19 .00 .00 314.19 .00 .00 === VISIT .00 314.19 .00 .00 .00 314.19 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 314.19 .00 .00 .00 314.19 ********************************************************************************** ************************************************** 7040433-KEVIN KEVIN J VISIT # 8227 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 346.49 .00 346.49 .00 .00 .00 SUBTOTAL .00 .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7040699-HILLS BEVERLY A VISIT # 8232 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 213.97 .00 .00 213.97 .00 .00 .00 .00 213.97 .00 .00 .00 213.97 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 213.97 .00 .00 .00 213.97 ********************************************************************************** ************************************************** 7040722-ANDTOM JERRY J VISIT # 8236 .00 === VISIT 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL 313.04 .00 313.04 .00 .00 .00 .00 .00 .00 .00 313.04 .00 .00 .00 313.04 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 313.04 .00 .00 .00 313.04 ********************************************************************************** ************************************************** 7040822-FORAPPLES BOBB D VISIT # 8230 4 -SMIT MD RUSSEL W 680.50 .00 .00 .00 .00 .00 .00 .00 680.50 [RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 3 ================================================================================== ================================================== ****** FINANCIAL ANALYSIS REPORT ****** by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITEOFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== === VISIT .00 680.50 .00 .00 .00 680.50 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 680.50 .00 .00 .00 680.50 ********************************************************************************** ************************************************** ### DATE OF SERV SUBTOTAL .00 .00 .00 .00 SUBTOTAL .00 .00 .00 4,504.53 .00 .00 .00 4,504.53 ################################################################################## ################################################## SERV DATE - 1/09/2008 4003744-ONMYMIND GEORGIA K VISIT # 8251 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 618.70 .00 618.70 .00 .00 .00 .00 .00 618.70 .00 .00 .00 618.70 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 618.70 .00 .00 .00 618.70 ********************************************************************************** ************************************************** 7031533-CHARLES RAY M VISIT # 8262 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 289.75 .00 .00 289.75 .00 .00 .00 .00 289.75 .00 .00 .00 289.75 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 289.75 .00 .00 .00 289.75 ********************************************************************************** ************************************************** 7033133-HORN LENA M VISIT # 8252 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 129.28 .00 129.28 .00 .00 .00 .00 .00 129.28 .00 .00 .00 129.28 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 129.28 .00 .00 .00 129.28 ********************************************************************************** ************************************************** 7035322-CARRIE CARRIE R VISIT # 8248 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 346.49 .00 .00 346.49 .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7036322-FUR ELSIE M VISIT # 8257 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 208.45 .00 208.45 .00 .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ********************************************************************************** ************************************************** 7037812-HERP ALBERT J VISIT # 8261 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 132.60 .00 .00 132.60 .00 132.60 132.60 .00 Financial Analysis .00 .00 .00 .00 .00 [RP00067] Financial - Analyses DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 4 ================================================================================== ================================================== ****** FINANCIAL ANALYSIS REPORT ****** by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITEOFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7038044-THEBAPTIST JOHN M VISIT # 8271 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 325.48 .00 325.48 .00 .00 .00 .00 .00 325.48 .00 .00 .00 325.48 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 325.48 .00 .00 .00 325.48 ********************************************************************************** ************************************************** 7039023-TELL WILLIAM VISIT # 8258 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 187.04 .00 .00 187.04 .00 .00 .00 .00 187.04 .00 .00 .00 187.04 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 187.04 .00 .00 .00 187.04 ********************************************************************************** ************************************************** 7038166-LAKE RICKY D VISIT # 8272 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 208.45 .00 208.45 .00 .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ********************************************************************************** ************************************************** 7038222-MCDONALD RONALD D VISIT # 8244 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 346.49 .00 .00 346.49 .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7038422-THEMENACE DENNIS L VISIT # 8267 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 238.30 238.30 .00 238.30 .00 .00 .00 .00 .00 .00 .00 .00 238.30 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 238.30 .00 .00 .00 238.30 ********************************************************************************** ************************************************** 7038622-STONE SHARON S VISIT # 8273 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 69.08 .00 69.08 .00 .00 .00 .00 .00 69.08 .00 .00 .00 69.08 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 69.08 .00 .00 .00 69.08 ********************************************************************************** ************************************************** 7038822-MCDONALD RONALD E VISIT # 8274 2 -SIMPSON DO MARG 319.71 .00 .00 .00 .00 .00 .00 .00 319.71 [RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 5 ================================================================================== ================================================== ****** ****** FINANCIAL ANALYSIS REPORT by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITEOFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== === VISIT .00 SUBTOTAL .00 .00 .00 319.71 .00 .00 .00 319.71 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 319.71 .00 .00 .00 319.71 ********************************************************************************** ************************************************** 7038822-CROW CAROL A VISIT # 8275 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 479.09 .00 .00 479.09 .00 .00 .00 .00 479.09 .00 .00 .00 479.09 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 479.09 .00 .00 .00 479.09 ********************************************************************************** ************************************************** 7038933-WILLIAMS WENDY L VISIT # 8260 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 .00 69.08 69.08 .00 .00 .00 .00 .00 69.08 .00 .00 .00 69.08 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 69.08 .00 .00 .00 69.08 ********************************************************************************** ************************************************** 7038989-SMITH DARLENE V VISIT # 8265 .00 4 -SMIT MD RUSSEL W .00 .00 132.60 .00 .00 132.60 .00 .00 === VISIT .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7039055-INCHARGE CHARLES R VISIT # 8253 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 451.21 .00 451.21 .00 .00 .00 SUBTOTAL .00 .00 .00 .00 .00 451.21 .00 .00 .00 451.21 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 451.21 .00 .00 .00 451.21 ********************************************************************************** ************************************************** 7039199-ULMAN TRACY M VISIT # 8255 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 132.60 .00 .00 132.60 .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7039355-MOORE MICHAEL VISIT # 8276 .00 2 -SIMPSON DO MARG .00 .00 .00 .00 .00 .00 .00 .00 === VISIT .00 SUBTOTAL .00 .00 .00 .00 .00 .00 .00 .00 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 .00 .00 .00 .00 .00 ********************************************************************************** ************************************************** [RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 6 ================================================================================== ================================================== ****** ****** FINANCIAL ANALYSIS REPORT by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITEOFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== 7039433-BALL LUCILLE A VISIT # 8278 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 125.40 .00 .00 125.40 .00 .00 .00 .00 125.40 .00 .00 .00 125.40 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 125.40 .00 .00 .00 125.40 ********************************************************************************** ************************************************** 7039589-ANDCHARLIES CARLOS M VISIT # 8279 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 132.60 .00 132.60 .00 .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7039644-SMITH JANICE VISIT # 8249 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 346.49 .00 .00 346.49 .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7039633-BALL LUCILLE P VISIT # 8245 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 346.49 .00 346.49 .00 .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7039833-SCOTT FRANCES P VISIT # .00 === VISIT .00 8243 346.49 .00 .00 346.49 .00 .00 .00 .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7040033-FUR ELSIE M VISIT # 8254 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 .00 .00 .00 .00 .00 ********************************************************************************** ************************************************** 7040023-REDDOG CLIFFORD F VISIT # 8266 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 81.37 .00 81.37 .00 .00 .00 .00 .00 81.37 .00 .00 .00 81.37 ================================================================================== ================================================== [RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 7 ================================================================================== ================================================== ****** FINANCIAL ANALYSIS REPORT ****** by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITEOFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== *** PATIENT .00 SUBTOTAL .00 .00 .00 81.37 .00 .00 .00 81.37 ********************************************************************************** ************************************************** 7040233-DEGENEROUS ELLEN M VISIT # 8263 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 132.60 .00 132.60 .00 .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7040234-MOORE MICHAEL E VISIT # 8256 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 289.75 .00 .00 289.75 .00 .00 .00 .00 289.75 .00 .00 .00 289.75 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 289.75 .00 .00 .00 289.75 ********************************************************************************** ************************************************** 7040233-MCINTOSH RYAN VISIT # 8268 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 132.60 .00 132.60 .00 .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7040333-BOOP BETTY C VISIT # 8281 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 560.46 .00 .00 560.46 .00 .00 .00 .00 560.46 .00 .00 .00 560.46 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 560.46 .00 .00 .00 560.46 ********************************************************************************** ************************************************** 7040322-SINGLY IRMA G VISIT # 8283 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 479.09 .00 479.09 .00 .00 .00 .00 .00 479.09 .00 .00 .00 479.09 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 479.09 .00 .00 .00 479.09 ********************************************************************************** ************************************************** 7040443-MAID MARIANN VISIT # 8284 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 346.49 .00 .00 346.49 .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7040453-DAVID DAVID B VISIT # 8285 .00 2 -SIMPSON DO MARG .00 .00 346.49 .00 346.49 .00 .00 .00 [RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 8 ================================================================================== ================================================== ****** ****** FINANCIAL ANALYSIS REPORT by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITEOFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== === VISIT .00 SUBTOTAL .00 346.49 .00 .00 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7040433-KEVIN KEVIN J VISIT # 8242 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 346.49 .00 .00 346.49 .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7040433-WAREX ALVARO VISIT # 8264 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 .00 81.37 81.37 .00 .00 .00 .00 .00 81.37 .00 .00 .00 81.37 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 81.37 .00 .00 .00 81.37 ********************************************************************************** ************************************************** 7040433-SMITS JIMMY H VISIT # 8286 .00 === VISIT .00 .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 .00 452.23 .00 .00 452.23 .00 452.23 452.23 .00 .00 .00 .00 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 452.23 .00 .00 .00 452.23 ********************************************************************************** ************************************************** 7040533-DARYL DARYL VISIT # 8287 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 346.49 .00 346.49 .00 .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7040533-INCHARGE CHARLES E VISIT # 8311 .00 === VISIT .00 500 -SMITH NP MARLENE .00 .00 SUBTOTAL .00 200.87 .00 .00 200.87 .00 .00 .00 .00 200.87 .00 .00 .00 200.87 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 200.87 .00 .00 .00 200.87 ********************************************************************************** ************************************************** 7040532-QUITECONTRARY MARY J VISIT # 8288 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 618.80 .00 618.80 .00 .00 .00 .00 .00 618.80 .00 .00 .00 618.80 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 618.80 .00 .00 .00 618.80 ********************************************************************************** ************************************************** 7040573-RODRIQUEZ JESSIE R [RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 9 ================================================================================== ================================================== ****** ****** FINANCIAL ANALYSIS REPORT by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITEOFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== VISIT # .00 === VISIT .00 8289 132.60 .00 132.60 .00 .00 .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 .00 .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7040533-FLINTSTONE FRED L VISIT # 8290 .00 2 -SIMPSON DO MARG .00 .00 132.60 .00 132.60 .00 .00 .00 === VISIT .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7040633-WHATANAME LESTER R VISIT # 8247 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 346.49 .00 346.49 .00 .00 .00 SUBTOTAL .00 .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7040644-STONE SHARON L VISIT # 8241 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 346.49 .00 .00 346.49 .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7040633-COTTONTAIL PETER H VISIT # 8291 .00 2 -SIMPSON DO MARG .00 .00 346.49 .00 346.49 .00 .00 .00 === VISIT .00 SUBTOTAL .00 .00 .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7040633-VALETAE SERGIO VISIT # 8293 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 314.19 .00 314.19 .00 .00 .00 .00 .00 314.19 .00 .00 .00 314.19 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 314.19 .00 .00 .00 314.19 ********************************************************************************** ************************************************** 7040733-STARR BRENDA VISIT # 8250 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 346.49 .00 346.49 .00 .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 [RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 10 ================================================================================== ================================================== ****** ****** FINANCIAL ANALYSIS REPORT by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITEOFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7040735-BATES NORMAN M VISIT # 8259 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 132.60 .00 .00 132.60 .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 70407444-SHAKESPEAR WILLIAM L VISIT # 8294 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 132.60 .00 132.60 .00 .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7040789-SKYWALKER LUKE VISIT # .00 === VISIT .00 8295 808.56 .00 .00 808.56 .00 .00 .00 .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 808.56 .00 .00 .00 808.56 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 808.56 .00 .00 .00 808.56 ********************************************************************************** ************************************************** 7040745-SISSORHANDS EDWARD F VISIT # 8298 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 .00 .00 .00 .00 .00 ********************************************************************************** ************************************************** 7040756-DONTBEAHERO BILLY G VISIT # 8299 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 208.45 .00 .00 208.45 .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ********************************************************************************** ************************************************** 7040767-WELLS H G VISIT # 8270 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 807.39 .00 807.39 .00 .00 .00 .00 .00 807.39 .00 .00 .00 807.39 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 807.39 .00 .00 .00 807.39 ********************************************************************************** ************************************************** 7040756-LAVERN SHIRLEY VISIT # 8269 .00 4 -SMIT MD RUSSEL W .00 .00 726.13 .00 .00 726.13 .00 .00 === VISIT SUBTOTAL .00 .00 .00 .00 [RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 11 ================================================================================== ================================================== ****** FINANCIAL ANALYSIS REPORT ****** by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITEOFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== 726.13 .00 .00 .00 726.13 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 726.13 .00 .00 .00 726.13 ********************************************************************************** ************************************************** 7040867-NIESEN LIAM R VISIT # 8301 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 132.60 .00 132.60 .00 .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7040867-FORAPPLES BOBB D VISIT # 8246 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 346.49 .00 .00 346.49 .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 346.49 .00 .00 .00 346.49 ********************************************************************************** ************************************************** 7040855-THERONE CHARLESE B VISIT # 8302 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 479.09 .00 479.09 .00 .00 .00 .00 .00 479.09 .00 .00 .00 479.09 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 479.09 .00 .00 .00 479.09 ********************************************************************************** ************************************************** 7040855-BUNKER EDITH C VISIT # 8303 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 424.02 .00 .00 424.02 .00 .00 .00 .00 424.02 .00 .00 .00 424.02 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 424.02 .00 .00 .00 424.02 ********************************************************************************** ************************************************** 7040845-ULLMAN TRACY D VISIT # 8310 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 448.39 .00 448.39 .00 .00 .00 .00 .00 448.39 .00 .00 .00 448.39 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 448.39 .00 .00 .00 448.39 ********************************************************************************** ************************************************** 7040555-SMITH DARNELLENE T VISIT # 8305 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 861.39 .00 .00 861.39 .00 .00 .00 .00 861.39 .00 .00 .00 861.39 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 861.39 .00 .00 .00 861.39 ********************************************************************************** ************************************************** 7040856-SMITH ANDREW J VISIT # 8308 [RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 12 ================================================================================== ================================================== ****** ****** FINANCIAL ANALYSIS REPORT by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITEOFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 207.39 .00 .00 .00 .00 .00 === VISIT .00 207.39 .00 .00 207.39 .00 .00 .00 207.39 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 207.39 .00 .00 .00 207.39 ********************************************************************************** ************************************************** ### DATE OF SERV SUBTOTAL .00 .00 .00 .00 18,077.42 .00 .00 .00 18,077.42 ################################################################################## ################################################## SERV DATE - 1/10/2008 7032956-DAWSON RICHARD D VISIT # 8306 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 132.60 .00 .00 132.60 .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7036678-QUITECONTRARY MARY E VISIT # 8304 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 105.70 .00 105.70 .00 .00 .00 .00 .00 105.70 .00 .00 .00 105.70 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 105.70 .00 .00 .00 105.70 ********************************************************************************** ************************************************** 7037567-MAJORS LEE A VISIT # 8280 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 105.70 .00 .00 105.70 .00 .00 .00 .00 105.70 .00 .00 .00 105.70 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 105.70 .00 .00 .00 105.70 ********************************************************************************** ************************************************** 7038145-QUITECONTRARY MARY E VISIT # 8313 4 -SMIT MD RUSSEL W 101.05 .00 .00 .00 .00 === VISIT .00 .00 .00 SUBTOTAL .00 .00 101.05 .00 .00 101.05 .00 .00 .00 101.05 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 101.05 .00 .00 .00 101.05 ********************************************************************************** ************************************************** 7038466-LOUIS JERRY E VISIT # 8296 .00 === VISIT .00 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 105.70 .00 .00 105.70 .00 .00 .00 .00 105.70 .00 .00 .00 105.70 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 105.70 .00 .00 .00 105.70 ********************************************************************************** ************************************************** 7038433-THETEAPOT THOMAS M VISIT # 8277 .00 4 -SMIT MD RUSSEL W .00 .00 132.60 .00 132.60 .00 .00 .00 === VISIT SUBTOTAL .00 .00 .00 .00 [RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 13 ================================================================================== ================================================== ****** ****** FINANCIAL ANALYSIS REPORT by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITEOFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7038777-SMITH ANDREW VISIT # 8316 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 208.45 .00 .00 208.45 .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ********************************************************************************** ************************************************** 7039044-MELON CARL L VISIT # 8312 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 208.45 .00 208.45 .00 .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ********************************************************************************** ************************************************** 7039244-BILLY PRESTON J VISIT # 8292 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 314.15 .00 .00 314.15 .00 .00 .00 .00 314.15 .00 .00 .00 314.15 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 314.15 .00 .00 .00 314.15 ********************************************************************************** ************************************************** 7039445-SHAKESPEAR WILLIAM L VISIT # 8317 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 272.31 .00 272.31 .00 .00 .00 .00 .00 272.31 .00 .00 .00 272.31 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 272.31 .00 .00 .00 272.31 ********************************************************************************** ************************************************** 7039634-BALL LUCILLE P VISIT # 8297 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 132.60 .00 .00 132.60 .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7039744-SMITH ROBERT T VISIT # 8307 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 132.60 .00 132.60 .00 .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7039844-FLIESS HEIDI N VISIT # 8282 [RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 14 ================================================================================== ================================================== ****** FINANCIAL ANALYSIS REPORT ****** by DATE OF SERV by PATIENT by VISIT by DOCTOR ================================================================================== ================================================== PERSONAL INSURANCE CHARGE INSURANCE RECEIPT BALANCE MISC CHANGE CHARGES RECEIPTS RECEIPTS ADJUST WRITEOFF ADJUST TRANSFERS CHARGES IN A/R ================================================================================== ================================================== 2 -SIMPSON DO MARG .00 .00 SUBTOTAL .00 132.60 .00 .00 132.60 .00 .00 .00 .00 .00 === VISIT .00 132.60 .00 .00 .00 132.60 ================================================================================== ================================================== *** PATIENT .00 132.60 .00 .00 .00 132.60 ********************************************************************************** ************************************************** 7040133-SMITH M ANNE VISIT # 8300 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 .00 69.08 69.08 .00 .00 .00 SUBTOTAL .00 .00 .00 .00 .00 69.08 .00 .00 .00 69.08 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 69.08 .00 .00 .00 69.08 ********************************************************************************** ************************************************** 7040355-RUGS VERLA VISIT # 8315 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 81.37 .00 81.37 .00 .00 .00 .00 .00 81.37 .00 .00 .00 81.37 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 81.37 .00 .00 .00 81.37 ********************************************************************************** ************************************************** 7040456-SMITH ELVA G VISIT # 8318 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 208.45 .00 208.45 .00 .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 208.45 .00 .00 .00 208.45 ********************************************************************************** ************************************************** 7040489-SMAGATTI FLORENCI VISIT # 8314 .00 === VISIT .00 4 -SMIT MD RUSSEL W .00 .00 SUBTOTAL .00 70.04 .00 70.04 .00 .00 .00 .00 .00 70.04 .00 .00 .00 70.04 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 70.04 .00 .00 .00 70.04 ********************************************************************************** ************************************************** 7040844-INCHARGE CHARLES H VISIT # 8309 .00 === VISIT .00 1 -JACKS MD CARL .00 .00 SUBTOTAL .00 438.75 .00 438.75 .00 .00 .00 .00 .00 438.75 .00 .00 .00 438.75 ================================================================================== ================================================== *** PATIENT SUBTOTAL .00 .00 .00 .00 438.75 .00 .00 .00 438.75 ********************************************************************************** ************************************************** ### DATE OF SERV SUBTOTAL .00 .00 .00 .00 2,952.20 .00 .00 .00 2,952.20 ################################################################################## ################################################## ***** GRAND TOTALS ***** .00 .00 .00 .00 25,534.15 25,534.15 .00 .00 .00 [RP00067] Financial - Analyses Financial Analysis DATE 2/05/2008 CENTER FOR WOUND TIME 14:08 USER - vd001 PAGE 15 ================================================================================== ================================================== First: Day/Month/Year Second: Both DOS Third: Posting Date Fourth: Fifth: DATE OF SERV PATIENT VISIT DOCTOR (none) Date Format: Date of Service: Sort Date: Secondary/Tertiary: Separate Patient Detail = N Include Non-Insurance w/Primary = Y Charge Detail = N ================================================================================== ================================================== Zero Balance = N Updated = N Credit Balance = N Positive Balance = N Deletions = N Established Debits = N Deletions = N Unallocated = N All Open Item Statuses = Y Visit/Receipt Statuses = Y Attached Receipts Only = N Totals: No Use Charge Date for Debits = N Format: Years Page Break on First Level Change = N Not Updated = N Updated Not Updated All Include Summary Patient Age ================================================================================== ================================================== Start Stop Charge Posting Date: Dates Date of Service: Dates Receipt Posting Date: Receipt Allocation Date: 02/05/2008 01/08/2008 01/01/1979 01/01/1979 02/05/2008 01/10/2008 12/31/2078 12/31/2078 Custom Custom Include All Include All File Date: 01/01/1979 12/31/2078 Include All =Y Refile Date: 01/01/1979 12/31/2078 Include All =Y ================================================================================== ================================================== Patient #: ~~~~~~~~~~ Include All =Y Race Code: 0 99999 Include All =Y Marital Status Code: 0 99999 Include All =Y Age: 0 99999 Include All =Y Sex: Z Include All =Y ================================================================================== ================================================== Current Patient Type: 0 99999 Include All =Y Bill Cycle: 0 99999 Include All =Y Zip Code - Resp Party: ZZZZZZZ Include All =Y Credit Status: 0 99999 Include All =Y Collection Agency: 0 99999 Include All =Y Collection Level: 1 20 Include All =Y Level Date: 12/31/2078 ================================================================================== ================================================== Debit #: 0 9999999999 Include All =Y Patient Type: 0 99999 Include All =Y Doctor: 0 99999 Include All =Y Referring Dr: 0 9999999 Include All =Y Location: 0 99999 Include All =Y Ins Co: 0 9999999 Include All =Y Ins Plan: 0 99999 Include All =Y Department: 0 99999 Include All =Y Procedure: ~~~~~~~ Include All =Y Modifier: 0 99999 Include All =Y Diagnosis: ~~~~~~~ Include All =Y ================================================================================== ================================================== DISPOSITIO: -9999999 9999999 Include All =Y PA: -9999999 9999999 Include All =Y CPT CHANGE: -9999999 9999999 Include All =Y ================================================================================== ================================================== Receipt: 0 999999999 Include All =Y Transaction Type: 0 0 Include All =N ================================================================================== ==================================================

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