Page 198 - Financial Workbook July

Date: Aug 25, 2017 Towne Square Care of Puryear - SNF
Time: 15:01:58 CT A/R Aging by Service Date
User: Zach Bell August 2017 Page # 1

Status: Both Buckets: PCC Default Payers: All
Resident Name (ID) Total Future Cash Current 30 60 90 120 150 180 210
+ 08/17 08/17 07/17 06/17 05/17 04/17 03/17 02/17 + 01/17

Payer: Amerigroup AMG
Barker, Lori (BARK L) $5,119.80 $0.00 $0.00 $0.00 $5,077.80 $10.85 $10.50 $10.85 $9.80 $0.00
Beazley, Rosalie (BEAZ R) $4,944.46 $0.00 $4,944.46 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Bell, Elsie (BELL E) $4,140.41 $0.00 $4,140.41 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Brunzel, Sandra (BRUN S) $4,459.46 $0.00 $4,459.46 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Erwin, Wanda (ERWI W) ($1,957.19) ($1,957.19) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Fitzgerald, Thomas (FITZ T) $4,340.46 $0.00 $4,340.46 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Krolak, Donald (KROL D) $1,966.16 $0.00 $1,966.16 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Moon, Clara (MOON C) $2,914.46 $0.00 $2,914.46 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Sanders, Jessye (SAND J) $4,556.46 $0.00 $4,556.46 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Sykes, Martha (SYKE) $7.20 $0.00 $0.00 $0.00 $0.00 $0.00 ($7.15) $4.55 $9.80 $0.00
TOTAL $30,491.68 ($1,957.19) $27,321.87 $0.00 $5,077.80 $10.85 $3.35 $15.40 $19.60 $0.00
Payer: Hospice Medicaid TN HMT
Cowsert, Frances (COWSF) $2,389.24 $0.00 $2,389.24 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
RAINEY, BERNICE (RAINB) $4,429.59 $0.00 $5,004.92 $4,994.07 ($10.50) ($10.85) ($10.50) ($10.85) ($521.78) ($5,004.92)
Sanders, Henry (SAND H) $3,623.19 $0.00 $4,138.17 $4,138.17 $0.00 $0.00 $0.00 $0.00 ($514.98) ($4,138.17)
Sykes, Helen (SYKE H) ($176.66) $0.00 ($176.66) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Sykes, Martha (SYKE) ($1,091.13) $0.00 $0.00 $0.00 ($1,092.53) $0.00 $0.00 $1.40 $0.00 $0.00
TOTAL $9,174.23 $0.00 $11,355.67 $9,132.24 ($1,103.03) ($10.85) ($10.50) ($9.45) ($1,036.76) ($9,143.09)
Payer: Hospice Private HP
Bogard, Mary (BOGA M) ($1,155.00) $0.00 ($1,155.00) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Jones, Elaine (JONEE) $5,115.00 $0.00 $5,115.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Paschall, Joetta (PASCJ) $1,815.00 $0.00 $0.00 $0.00 $1,815.00 $0.00 $0.00 $0.00 $0.00 $0.00
TOTAL $5,775.00 $0.00 $3,960.00 $0.00 $1,815.00 $0.00 $0.00 $0.00 $0.00 $0.00
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 $578.34 $0.00
TOTAL $578.34 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $578.34 $0.00
Payer: Medicaid BlueCare TN MBC
Estes, Brenda (ESTEB) $22,297.31 $0.00 $4,025.36 $4,063.46 $3,892.80 $4,063.46 $3,892.80 $2,359.43 $0.00 $0.00
Flanary, Dolores (FLAND) $9,933.51 $0.00 $4,037.56 $3,125.85 $0.00 $0.00 $0.00 $0.00 $2,770.10 $0.00
Jeter, Daisy (JETED) $25,058.10 $0.00 $4,502.46 $4,502.46 $4,331.80 $4,066.74 $4,177.26 $3,477.38 $0.00 $0.00
Manning, Rita (MANN) $30,355.92 $0.00 $4,458.46 $4,458.46 $4,287.80 $4,458.46 $4,287.80 $4,458.46 $3,946.48 $0.00
Smith, Billy (BSMITH) $3,812.83 $0.00 $0.00 $0.00 $782.68 $3,030.15 $0.00 $0.00 $0.00 $0.00