We have Medicare and BC/BS as secondary. So for each

item we have:

Doctor's bill

Senior discount

Doctor's write off

Medicare approved

Medicare pay

Secondary pay

We pay

Do these all go in under one doctor visit. It seems

logical that these would all go in under one event

with each subsequent payment being shown somewhat

like a 'split' in quicken.

Someone else might have a better suggestion ... but here's how it looks to me. It would be one event but you would need to edit the Details fields as new information comes in. What you ultimately pay would be the Copay plus Addl. Payment fields. The Billed field would be the total billed. The Paid by Insurance and Write Off fields would be the eventual sum of these items. The item can be flagged as Pending until all information is received.

If nothing else, how do I handle 2 insurers?

To handle two insurers (medicare and the supplement) select the Split Insurance option when you select insurance from the drop down list. You can enter the amount paid by each insurer and the total write off.

Just my view. ;-)

Wayward

Before I begin, I'd encourage you to read <url=http://www.quickenforums.com/thread.jspa?threadID=600002284&tstart=0&mod=1135286320840>this post</url>, which should encourage you, if you're not exactly happy with how this happens now. A change for the better is coming!

We have Medicare and BC/BS as secondary. So for each

item we have:

1. Doctor's bill

2. Senior discount

3. Doctor's write off

4. Medicare approved

5. Medicare pay

6. Secondary pay

7. We pay

I've numbered these for easier reference below.

Do these all go in under one doctor visit.

Yes.

It seems

logical that these would all go in under one event

with each subsequent payment being shown somewhat

like a 'split' in quicken.

If nothing else, how do I handle 2 insurers?

This part is easy. When you go to select the insurer, use your mouse to open the drop down and notice the two buttons on the bottom. The one you want to select is "Split Insurance".

Now, how to handle the amounts with which you must deal. On the screen that pops up when you choose "Split Insurance":

1. goes into "Amount billed by providor".

5. goes into "Amount paid by insurance 1".

6. goes into "Amount paid by insurance 2".

Save that. Now go to details for the details for the expense. On the details screen:

7. goes into "Copay" and "Addl. payment". If you don't have a copay, then it all goes into "Addl. payment" and copay remains zero.

Here's where it gets a bit less pleasant. Add 2 and 3 together and put that in "Provider write off". In the Billing Notes, you can list the breakout of those two values, but there is no place to store them separately. Since both values have the same effect on the flow of money, the "Provider write off" is the most appropriate place to put it.

As for the Medicare approved value <number 4>, I don't exactly know. Since I don't have Medicare, I'm not sure what affect their approval has on the flow of money. My guess is that it feeds into what you eventually have to pay, in which case there would be no place to put it other than the Billing Notes along with your discount/write-off break out. I'll leave it to someone with Medicare to correct anything I've said.

HTH

-Tony