Copy of Medical bill tracker by  rgervais  rgervais 
  Log In  |  Create a FREE Account  |  Everyone's Spreadsheets  |  Tags  |  Help  
 Saving... 
  login to save   undo redo  |  bold italic font text underline more font formatting  |  align left align center align right  |  text color background text color  |  sum hide/show tools
  fx
Medical Bill Tracker
Total billed25.5Total out-of-pocket paid25.9
Total paid by insuranceTotal due
p
Date of BillBilling Party NameStatement NumberDescription of ServicesTotal Amount BilledInsurance #1 Amount PaidInsurance #2 Amount PaidOut-of-Pocket Expenses PaidCheck NumberAmount Due
08/25/2009WALGREENS
WALGREENS
MEDS
MEDS
6.95006.95CC0
09/15/2009WALGREENS
WALGREENS
MEDS
MEDS
18.550018.95CC0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Totals25.525.9
 
Average Rating:  Not rated (Not yet rated)
 
Name:  Copy of Medical bill tracker by  rgervais rgervais 
Description:  Medical bill tracker
Tags:  medical bill tracker  
[ default color ]
 
 recent: