Your Practice Name VSS Medical Office System Run: Feb 24, 2003 ACCOUNTS RECEIVABLE REPORT Page: 1 NOT REPORTING CREDIT BALANCES For: Provider 1 AMOUNT DUE EXCLUDE HOLD & COLLECTION By: Patient's Name C/H/P Account Date Invoice Prcd Loc Resp Current 30-59 60-89 90-119 120+ Flag --------------------------------------------------------- ----------- ----------- ----------- ----------- ----------- -- Adells Helena 03/07/02 252 1 1 MC 110.00 Adells Helena 07/26/98 227 1 3 BS 77.40 Adells Helena 06/10/97 188 1 1 PT 70.20 Allentown John 08/22/96 7 1 1 PT 25.77 Allentown John 12/08/94 139 1 1 PT 13.56 Allentown John 12/08/94 141 1 1 MC 12.80 Amellia Julia 02/10/93 65 1 1 MC 50.00 Angels Marilyn 02/12/93 95 1 2 PT 55.00 Byran Michael 09/12/97 205 1 2 PT 103.02 Clementime Alma 02/10/93 70 1 1 MC 55.00 Cucumber Lewis 02/10/93 71 1 3 MC 55.00 Cuddles Susan 02/10/93 74 1 1 PT 5.48 Davidson Russell 06/12/97 191 1 2 BS 40.00 Dragonski Louis 01/20/93 93 1 1 MC 374.69 Fountin Rose 02/12/02 251 1 1 AFL 1,045.00 Fountin Rose 06/12/97 190 1 1 BS65 140.00 Fountin Rose 04/03/97 167 1 1 KEYS 135.00 Fountin Rose 04/27/98 225 1 1 KEYS 135.00 Garfield Kathy 08/04/98 231 1 PT 36.06 Your Practice Name VSS Medical Office System Run: Feb 24, 2003 ACCOUNTS RECEIVABLE REPORT Page: 4 NOT REPORTING CREDIT BALANCES For: Provider 12 AMOUNT DUE EXCLUDE HOLD & COLLECTION By: Patient's Name C/H/P Account Date Invoice Prcd Loc Resp Current 30-59 60-89 90-119 120+ Flag --------------------------------------------------------- ----------- ----------- ----------- ----------- ----------- -- Afish Joyce 07/30/98 228 12 1 AR5 50.00 Allentown John 12/08/94 138 12 1 MC 8.40 Flagstone Doreen 09/12/97 206 12 1 BS 80.00 King Peter 09/12/97 212 12 2 PT 99.35 Palmquist Thomas 08/29/97 192 12 2 BS 180.00 Polenski Judy 09/12/97 209 12 1 METR 55.00 ---------- ---------- ---------- ---------- ----------- Total For: Provider 12 373.40 99.35 Claim Count: 6 Your Practice Name VSS Medical Office System Run: Feb 24, 2003 ACCOUNTS RECEIVABLE REPORT Page: 5 NOT REPORTING CREDIT BALANCES For: Provider 20 AMOUNT DUE EXCLUDE HOLD & COLLECTION By: Patient's Name C/H/P Account Date Invoice Prcd Loc Resp Current 30-59 60-89 90-119 120+ Flag --------------------------------------------------------- ----------- ----------- ----------- ----------- ----------- -- Jones Harvey 02/12/94 232 20 1 MC 50.00 ---------- ---------- ---------- ---------- ----------- Total For: Provider 20 50.00 Claim Count: 1 Your Practice Name VSS Medical Office System Run: Feb 24, 2003 ACCOUNTS RECEIVABLE REPORT Page: 6 NOT REPORTING CREDIT BALANCES For: Provider 8 AMOUNT DUE EXCLUDE HOLD & COLLECTION By: Patient's Name C/H/P Account Date Invoice Prcd Loc Resp Current 30-59 60-89 90-119 120+ Flag --------------------------------------------------------- ----------- ----------- ----------- ----------- ----------- -- Polenski Judy 09/12/97 210 8 1 PT 55.83 ---------- ---------- ---------- ---------- ----------- Total For: Provider 8 55.83 Claim Count: 1 Your Practice Name VSS Medical Office System Run: Feb 24, 2003 ACCOUNTS RECEIVABLE REPORT Page: 7 NOT REPORTING CREDIT BALANCES AMOUNT DUE EXCLUDE HOLD & COLLECTION By: Summary GRAND TOTALS Claim Count: 86 TOTAL CURRENT 30-59 60-89 90-119 120+ ============== ============= ============= ============= ============= ============= GRAND TOTALS 13,282.61 11,467.29 1,076.86 639.11 99.35 ============== ============= ============= ============= ============= ============= For this report to balance with the Daily Recap A/R Total, it must include Collection/Hold and Credit Balance Invoices. Also, all Invoices must be selected for all aging categories.