Daily Financial Activity (Detailed) Filtered by Bill Date/Payment Date ADMINISTRATOR
From 4/24/2004 to 9/24/2004 Page -1 of 1
9/24/2004
All Locations
Total
Prepayments
Prepayments Applied Patient Balance
Patient Name Charges Cash Check Credit Refunds
Net Cash
Received
Adjustments
Net Change in
Patient Balance
 
 
Arnold, Ashley P $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10,650.00 ($10,650.00) $13,330.00
Deckard, June D $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7,600.00 $0.00 $7,600.00 $0.00
Doe, Jane Q $0.00 $150.00 $0.00 $0.00 $0.00 $150.00 $0.00 $0.00 $0.00 $0.00 $2,536.00
GC Sold: $150.00 GC Redeemed: $0.00
Givens, Mary M $0.00 $3,100.00 $0.00 $0.00 $0.00 $3,100.00 $0.00 $3,100.00 $0.00 $0.00 $3,100.00
Hornback, Joseph L $0.00 $7,800.00 $0.00 $0.00 $0.00 $7,800.00 $0.00 $7,800.00 $0.00 $0.00 $7,800.00
Kaukas, Amy M $0.00 $7,800.00 $0.00 $0.00 $0.00 $7,800.00 $0.00 $7,800.00 $0.00 $0.00 $31,850.00
Owen, Tamara E $0.00 $7,800.00 $0.00 $0.00 $0.00 $7,800.00 $0.00 $7,800.00 $0.00 $0.00 $13,350.00
Palmer, Ean J $0.00 $1,100.00 $0.00 $0.00 $0.00 $1,100.00 $0.00 $1,100.00 $0.00 $0.00 $5,550.00
Price, Beth $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $150.00 $0.00
GC Sold: $150.00 GC Redeemed: $0.00
Zimmerman, Sally $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $100.00 $100.00
GC Sold: $150.00 GC Redeemed: $50.00
$0.00 $27,750.00 $0.00 $0.00 $0.00 $27,750.00 $0.00 $35,200.00 $10,650.00 ($2,800.00)
GC Sold: $450.00 GC Redeemed: $50.00
Kyle, Bryan C
Abrams, Gail $1,500.00 $1,050.00 $0.00 $0.00 $0.00 $1,050.00 $0.00 $0.00 $450.00 $0.00 $0.00
Allen, Shelley R $1,350.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,350.00 $1,350.00
Archer, Sandra $6,500.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6,500.00 $0.00 $0.00
Arnold, Ashley P $1,080.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($10,650.00) ($10,650.00) $0.00 $1,080.00 $13,330.00
Atwood, Dan $1,918.00 $450.00 $0.00 $0.00 $0.00 $450.00 $0.00 $450.00 $450.00 $1,468.00 $1,468.00
Battier, Nicole B $5,050.00 $0.00 $5,050.00 $0.00 $0.00 $5,050.00 $0.00 $5,050.00 $5,050.00 $0.00 $0.00
Bourne, Kimberly B $12,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12,000.00 $0.00 $0.00
Cecil, Bryan $6,000.00 $0.00 $0.00 $6,000.00 $0.00 $6,000.00 $0.00 $6,000.00 $6,000.00 $0.00 $0.00
Daniel, Ed $6,000.00 $0.00 $6,000.00 $0.00 $0.00 $6,000.00 $0.00 $6,000.00 $6,000.00 $0.00 $0.00
Deckard, June D $0.00 $7,600.00 $0.00 $0.00 $0.00 $7,600.00 $0.00 $0.00 $7,600.00 ($15,200.00) $0.00
Dole, Carolyn $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
GC Sold: $0.00 GC Redeemed: $25.00
Harley, Benda K $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($70.00) ($70.00)
GC Sold: $50.00 GC Redeemed: $120.00
Hickman, Jamie $15,900.00 $0.00 $10,150.00 $5,750.00 $0.00 $15,900.00 $0.00 $5,750.00 $5,750.00 $0.00 $0.00
Smith, Debbie M $33,650.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33,650.00 $33,650.00
Smith, Janice $52.42 $2.42 $0.00 $0.00 $0.00 $2.42 $0.00 $52.42 $52.42 $0.00 $0.00
GC Sold: $0.00 GC Redeemed: $50.00
$91,025.42 $9,102.42 $21,200.00 $11,750.00 $0.00 $42,052.42 ($10,650.00) $12,652.42 $49,852.42 $22,278.00
GC Sold: $50.00 GC Redeemed: $195.00
Lewis, April J
Abrams, Greg D $0.00 $200.00 $0.00 $0.00 $0.00 $200.00 $0.00 $0.00 $0.00 ($350.00) ($328.80)
GC Sold: $0.00 GC Redeemed: $150.00
Ackerson, Debbie A $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $100.00 $100.00 $100.00 ($100.00) $0.00
Ackerson, Norman P $5,728.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,728.00 $1,728.00 $4,958.00 $770.00 $770.00
Ackerson, Rob E $5,750.00 $0.00 $2,500.00 $0.00 $0.00 $2,500.00 $0.00 $2,500.00 $0.00 $5,750.00 $5,750.00
Altman, Roberta B $3,530.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,505.00 $2,505.00 $3,530.00 $0.00 $0.00
Amherst, Nicole M $8,500.00 $0.00 $8,500.00 $0.00 $0.00 $8,500.00 $0.00 $8,500.00 $8,500.00 $0.00 $0.00
Archer, Three K $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($877.50)
Arnold, Nicole H $7,250.00 $0.00 $1,500.00 $0.00 $0.00 $1,500.00 $0.00 $1,500.00 $7,250.00 $0.00 $0.00
Aronson, Bill N $5,750.00 $0.00 $0.00 $5,750.00 $0.00 $5,750.00 $0.00 $5,750.00 $5,750.00 $0.00 $0.00
Balley, Miquel A $2,200.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,200.00 $0.00 $0.00
Bartley, Kelly L $7,250.00 $0.00 $7,250.00 $0.00 $0.00 $7,250.00 $0.00 $7,250.00 $7,250.00 $0.00 $0.00
Beckham, Carol H $0.00 $0.00 $2,196.00 $0.00 $0.00 $2,196.00 $0.00 $2,196.00 $0.00 $0.00 $0.00
Beckham, Joseph R $3,500.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,500.00 $3,500.00
Bell, Sue E $0.00 $0.00 $1,500.00 $0.00 $0.00 $1,500.00 $0.00 $1,500.00 $0.00 $0.00 $0.00
Bensel, Brandon A $2,200.00 $0.00 $2,200.00 $0.00 $0.00 $2,200.00 $0.00 $2,200.00 $2,200.00 $0.00 $0.00
Bernard, Marisa K $5,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,000.00 $0.00 $0.00
Bourne, Marisa L $12,000.00 $12,000.00 $0.00 $0.00 $0.00 $12,000.00 $0.00 $12,000.00 $12,000.00 $0.00 $0.00
Bourne, Marsha $12,000.00 $0.00 $12,000.00 $0.00 $0.00 $12,000.00 $0.00 $12,000.00 $12,000.00 $0.00 $0.00
Brown, Charliu $2,845.22 $0.00 $2,845.22 $0.00 $0.00 $2,845.22 $0.00 $0.00 $2,845.22 ($2,845.22) $0.00
Brown, Jim $910.00 $0.00 $500.00 $0.00 $0.00 $500.00 $410.00 $910.00 $910.00 $0.00 $0.00
Cecil, Ashley W $6,000.00 $6,000.00 $0.00 $0.00 $0.00 $6,000.00 $0.00 $6,000.00 $6,000.00 $0.00 $0.00
Conger, Greg $325.00 $0.00 $325.00 $0.00 $0.00 $325.00 $0.00 $325.00 $325.00 $0.00 $0.00
Conger, Wilford J $0.00 $0.00 $300.00 $0.00 $0.00 $300.00 $502.00 $802.00 $802.00 ($802.00) $0.00
Dailey, Patricia H $3,200.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,010.00 $2,190.00 $2,190.00
Daniel, Martha $7,200.00 $0.00 $7,200.00 $0.00 $0.00 $7,200.00 $0.00 $7,200.00 $7,200.00 $0.00 $0.00
Daniels, Audrey F $4,030.00 $0.00 $2,700.00 $0.00 $0.00 $2,700.00 $830.00 $3,530.00 $3,530.00 $500.00 $500.00
Dateline, Anastasia M $1,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,000.00 $0.00 $0.00
Decker, Kathlene K $0.00 $0.00 $25.00 $0.00 $0.00 $25.00 $0.00 $25.00 $0.00 $0.00 $0.00
Dillow, Benda V $2,600.00 $0.00 $1,000.00 $0.00 $0.00 $1,000.00 $2,530.00 $3,530.00 $3,530.00 ($930.00) $2,795.00
Dillow, Reba V $550.00 $0.00 $550.00 $0.00 $0.00 $550.00 $0.00 $550.00 $550.00 $0.00 $0.00
Doe, Ann B $0.00 $0.00 $250.00 $0.00 $0.00 $250.00 $0.00 $250.00 $0.00 $0.00 $0.00
Dole, Carolyn $105.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
GC Sold: $0.00 GC Redeemed: $105.00
Gyuty, Robert H $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $175.00 $175.00
GC Sold: $150.00 GC Redeemed: $0.00
Harley, Charles L $0.00 $50.00 $0.00 $0.00 $0.00 $50.00 $0.00 $0.00 $0.00 ($50.00) $5,500.00
Haywood, John $0.00 $0.00 $30.00 $0.00 $0.00 $30.00 $0.00 $130.00 $0.00 $0.00 $0.00
GC Sold: $0.00 GC Redeemed: $100.00
Lewis, Rita V $2,945.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,000.00 $1,945.00 $1,945.00
McDonald, Cecelia T $11,500.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11,500.00 $11,500.00
Moert, Elliot V $2,376.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,376.00 $8,176.00
Price, Beth $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($150.00) $0.00
GC Sold: $0.00 GC Redeemed: $150.00
Quinter, Annette C $160.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $10.00
GC Sold: $0.00 GC Redeemed: $150.00
Quinter, Mary K $0.00 $0.00 $300.00 $0.00 $0.00 $300.00 $0.00 $0.00 $0.00 $0.00 ($2,615.14)
GC Sold: $300.00 GC Redeemed: $0.00
Quinter, Paula V $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $560.00 $0.00 $0.00 ($560.00) ($560.00)
Quirk, Bud V $0.00 $0.00 $123,123.00 $0.00 $0.00 $123,123.00 $0.00 $123,123.00 $0.00 $0.00 $0.00
Quirk, Tran S $0.00 $0.00 $75.00 $0.00 $0.00 $75.00 $0.00 $75.00 $0.00 $0.00 $2,600.00
Sample, Michelle I $2,600.00 $0.00 $2,600.00 $0.00 $0.00 $2,600.00 $0.00 $2,600.00 $2,600.00 $0.00 $0.00
Seib, Deana M $123.60 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $123.60 $123.60 $0.00 $0.00
GC Sold: $0.00 GC Redeemed: $123.60
$129,152.82 $18,250.00 $179,469.22 $5,750.00 $0.00 $203,469.22 $9,165.00 $208,902.60 $102,163.82 $22,928.78
GC Sold: $450.00 GC Redeemed: $778.60
McDermott, Phillip F
Adair, Deanna Marie $455.00 $0.00 $300.00 $0.00 $0.00 $300.00 $0.00 $300.00 $300.00 $155.00 $155.00
Bartley, Nelson A $10,500.00 $10,500.00 $0.00 $0.00 $0.00 $10,500.00 $0.00 $10,500.00 $10,500.00 $0.00 $0.00
Casper, Marion J $765.00 $0.00 $500.00 $0.00 $0.00 $500.00 $265.00 $765.00 $765.00 $0.00 $0.00
Castanza, Judy A $5,050.00 $5,050.00 $0.00 $0.00 $0.00 $5,050.00 $0.00 $5,050.00 $5,050.00 $0.00 $0.00
Cecil, Jean $4,100.00 $4,100.00 $0.00 $0.00 $0.00 $4,100.00 $0.00 $4,100.00 $4,100.00 $0.00 $0.00
Quinter, Mary K $11,522.00 $708.39 $12,795.00 $2,145.75 $0.00 $15,649.14 $0.00 $455.00 $455.00 ($4,052.14) ($2,615.14)
GC Sold: $150.00 GC Redeemed: $75.00
Schneider, Elissa Kay $3,200.00 $0.00 $1,000.00 $0.00 $0.00 $1,000.00 $2,200.00 $3,200.00 $3,200.00 $0.00 $0.00
Smith, Amanda $4,958.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,278.00 $2,278.00 $4,958.00 $0.00 $500.00
$40,550.00 $20,358.39 $14,595.00 $2,145.75 $0.00 $37,099.14 $4,743.00 $26,648.00 $29,328.00 ($3,897.14)
GC Sold: $150.00 GC Redeemed: $75.00
Provider, Demo
Brown, Charliu $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,845.22 $0.00 $2,845.22 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,845.22 $0.00 $2,845.22
Smith, Jan
Ackerson, Rob E $0.00 $150.00 $0.00 $0.00 $0.00 $150.00 $0.00 $150.00 $150.00 $0.00 $5,750.00
GC Sold: $150.00 GC Redeemed: $0.00
Banion, Linda V $0.00 $150.00 $0.00 $0.00 $0.00 $150.00 $0.00 $150.00 $150.00 $0.00 $0.00
GC Sold: $150.00 GC Redeemed: $0.00
Bartley, Sally T $10,500.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10,500.00 $0.00 $0.00
Bennetton, Ingrid L $0.00 $50.00 $0.00 $0.00 $0.00 $50.00 $0.00 $50.00 $50.00 $0.00 $0.00
GC Sold: $50.00 GC Redeemed: $0.00
Haggart, Kathy A $0.00 $0.00 $0.00 $150.00 $0.00 $150.00 $0.00 $150.00 $150.00 $0.00 $0.00
GC Sold: $150.00 GC Redeemed: $0.00
Harley, Amanda $0.00 $150.00 $0.00 $0.00 $0.00 $150.00 $0.00 $0.00 $0.00 $0.00 $0.00
GC Sold: $150.00 GC Redeemed: $0.00
Holmes, John V $0.00 $50.00 $0.00 $0.00 $0.00