Page 179 - Financial Workbook October

Date: Dec 4, 2017 Towne Square Care of Puryear - SNF
Time: 16:52:03 CT A/R Aging by Service Date
User: Zach Bell December 2017 Page # 2
Resident Name (ID) Total Future Cash Current 30 60 90 120 150 180 210
+ 12/17 12/17 11/17 10/17 09/17 08/17 07/17 06/17 + 05/17

Payer: Managed Care Therapies MCT
Bogard, Mary (BOGA M) $578.34 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $578.34
TOTAL $578.34 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $578.34
Payer: Medicaid BlueCare TN MBC
Beane, Jo Nell (BEANJ) $13,968.66 $0.00 $4,355.07 $3,862.89 $4,463.07 $1,287.63 $0.00 $0.00 $0.00 $0.00
Bell, Virginia (BELLV) $9,538.32 $0.00 $4,239.27 $4,068.30 $1,230.75 $0.00 $0.00 $0.00 $0.00 $0.00
Estes, Brenda (ESTEB) $9,998.17 $0.00 $5,150.83 $4,979.86 $9.61 $4,979.86 ($5,131.61) $9.61 $0.00 $0.01
Flanary, Dolores (FLAND) $3,938.40 $0.00 $4,053.17 $3,882.20 $9.61 $9.30 ($4,023.24) $7.44 $0.00 ($0.08)
Jeter, Daisy (JETED) $13,222.96 $0.00 $4,512.07 $4,341.10 $9.61 $4,341.10 $9.61 $9.61 $0.00 ($0.14)
Manning, Rita (MANN) $5,160.39 $0.00 $4,468.07 $4,297.10 $9.61 $9.30 ($3,633.30) $9.61 $0.00 $0.00
Prince, Cathy (PRINC) ($719.70) $0.00 $4,283.07 $4,112.10 ($1,007.39) ($1,007.70) ($1,007.39) ($1,007.39) ($1,017.00) ($4,068.00)
Smith, Billy (BSMITH) $0.12 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.02 $0.10
Smith, Martha (SMITHM) $11,113.05 $0.00 $5,300.07 $5,129.10 $683.88 $0.00 $0.00 $0.00 $0.00 $0.00
Wright, Mary (WRIGM) $29,452.40 $0.00 $4,243.07 $4,072.10 $4,243.07 $4,072.10 $4,243.07 $4,243.07 $4,062.80 $273.12
TOTAL $95,672.77 $0.00 $40,604.69 $38,744.75 $9,651.82 $13,691.59 ($9,542.86) $3,271.95 $3,045.82 ($3,794.99)
Payer: Medicaid Pending MP
BINKLEY, WILLIAM (BINKW) $8,085.00 $0.00 $5,115.00 $2,970.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Ware, Ruth (WARER) $9,240.00 $0.00 $5,115.00 $4,125.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Wright, Mary (WRIGM) ($13,180.86) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($13,180.86)
TOTAL $4,144.14 $0.00 $10,230.00 $7,095.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($13,180.86)
Payer: Medicare A MCA
Beane, Jo Nell (BEANJ) $477.07 $0.00 $0.00 $477.07 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
BERKLEY, TREVA (BERKT) $8,918.72 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8,918.72
Conaway, Harvey (CONAH) $3,908.89 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $749.97 $3,158.92
Curd, Russell (CURDR) $25,821.21 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,760.31 $8,343.40 $14,717.50
Fitzgerald, Thomas (FITZ T) $3,134.61 $0.00 $1,544.36 $1,590.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Flanary, Dolores (FLAND) $19,069.43 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $637.36 $2,830.61 $15,601.46
Jeter, Daisy (JETED) $7,531.93 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7,531.93
Palmer, Bertha (PALMB) $9,044.18 $0.00 $0.00 $0.00 $5,954.00 $3,090.18 $0.00 $0.00 $0.00 $0.00
Saulsburry, Irene (SAUL I) $159.02 $0.00 $0.00 $0.00 $159.02 $0.00 $0.00 $0.00 $0.00 $0.00
SCOTT, CHARLES (SCOTC) $27,208.27 $0.00 ($8.74) $5,184.51 $7,961.63 $10,527.13 $3,543.74 $0.00 $0.00 $0.00
Smith, Martha (SMITHM) $25,282.24 $0.00 $0.00 $0.00 $5,771.99 $6,382.89 $10,544.98 $2,582.38 $0.00 $0.00
WILLIAMS, ARLON (WILLIA) $18,630.01 $0.00 $796.10 $6,807.09 $11,026.82 $0.00 $0.00 $0.00 $0.00 $0.00
Willis, Dorothy (WILLD) $3,149.89 $0.00 $2,672.82 $477.07 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Wright, Mary (WRIGM) $7,941.54 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7,941.54
TOTAL $160,277.01 $0.00 $5,004.54 $14,535.99 $30,873.46 $20,000.20 $14,088.72 $5,980.05 $11,923.98 $57,870.07