By adding this- You would easily be able to look at the patient's ledger and see what is out to insurance (not yet the patient's responsibility) and what is the patient's responsibility- This would be ONLY AFTER insurance has paid. This would in turn make phone calls, and statements make more sense as patients would not get a balance that is out to insurance. Meaning that a patient could still get a bill from a past appt even if they just had one very recently. Ex: Total balance on account $300 Pt only owes $100 and would only show balance due $100 and pending insurance as $200. This would also help with collections report as it would ONLY show pt portion in collections report and the insurance past due (rebill) should only be in claims aging. This would also go for credits (overpayments from insurance- overpayment from patient) This will help you to know where a refund should be sent,