Accounts Receivable Aging Report Month _______________________________ Date performed ________________ Performed by __________________
Payer Patient portion Medicaid Medicare Workers comp Patient portion Medicaid Medicare Workers comp Patient portion Medicaid Medicare Workers comp Patient portion Medicaid Medicare Workers comp Patient portion Medicaid Medicare Workers comp Patient portion Medicaid Medicare Workers comp Patient portion Medicaid Medicare Workers comp 0-30 31-60 61-90 91+ Notes