Your Practice Name VSS Medical Office System Run: Feb 24, 2003 ACCOUNTS RECEIVABLE REPORT Page: 1 For: Provider 1 NOT REPORTING CREDIT BALANCES AMOUNT DUE By: Patient's Name EXCLUDE HOLD & COLLECTION C/H/P --Last Payment--- Account Patient's Name Phone Number Date Invoice Prvd Loc Rosp Current 30-59 60-90 90-119 120+ Flag Date Amount --------------------------------------------------------------------------- ---------- ---------- ---------- ---------- ----------- ---------------------- 1 Adells Helena (412) 835-9415 06/10/97 188 1 1 PT 70.20 03/07/02 60.00 1 Adells Helena (412) 835-9415 07/26/98 227 1 3 BS 77.40 03/07/02 60.00 1 Adells Helena (412) 835-9415 03/07/02 252 1 1 MC 110.00 03/07/02 60.00 6 Allentown John (412) 555-1193 08/22/96 7 1 1 PT 25.77 08/30/96 84.80 6 Allentown John (412) 555-1193 12/08/94 139 1 1 PT 13.56 08/30/96 84.80 6 Allentown John (412) 555-1193 12/08/94 141 1 1 MC 12.80 08/30/96 84.80 58 Amellia Julia (412) 555-4498 02/10/93 65 1 1 MC 50.00 02/10/93 9.69 83 Angels Marilyn (412) 555-8578 02/12/93 95 1 2 PT 55.00 23 Byran Michael (412) 555-6398 09/12/97 205 1 2 PT 103.02 03/02/98 35.00 62 Clementime Alma (412) 555-2537 02/10/93 70 1 1 MC 55.00 53 Cucumber Lewis (412) 555-6052 02/10/93 71 1 3 MC 55.00 65 Cuddles Susan (412) 555-8860 02/10/93 74 1 1 PT 5.48 02/10/93 50.00 73 Davidson Russell (412) 555-6679 06/12/97 191 1 2 BS 40.00 06/12/97 15.00 82 Dragonski Louis (412) 555-5283 01/20/93 93 1 1 MC 374.69 10/16/97 600.00 12 Fountin Rose (412) 555-5955 06/12/97 190 1 1 BS65 140.00 03/02/98 50.00 12 Fountin Rose (412) 555-5955 04/03/97 167 1 1 KEYS 135.00 03/02/98 50.00 12 Fountin Rose (412) 555-5955 04/27/98 225 1 1 KEYS 135.00 03/02/98 50.00 12 Fountin Rose (412) 555-5955 02/12/02 251 1 1 AFL 1,045.00 03/02/98 50.00