Hi. I have a question for a good method of booking healthcare expenses. I 
had found some information (
https://docs.google.com/document/d/16RKEl1NJ3qg8VU9vKRRvgIv3CyGs0_4ASS4lD5iBFTw/edit#heading=h.k8gf9rm4lopl
) 
but the part for tracking deductible, co-payments here is not finished and 
the person mentions this 
""" I carry this out using the “mirror accounting” technique I describe in 
another document. The idea is to use an alternative currency to count for 
these amounts."""
Is the only way to do this is using alternative currencies? I would like to 
try to avoid this.

My issue looks something like this. 

; detailed paper
Refund: 20.78 EUR
Honorarium : 26.78 EUR
Deductible: 6.00 EUR
Payed: 29.00 EUR 
Copayment: 8.22 EUR 


Day of service/Day of payment; no information about individual parts
Real Payed: 29.00 EUR ;payed from account

Day of certificate; information about parts
Refund: 20.78 EUR ; refund from insurance
Honorarium : 26.78 EUR ; salary doctor
Deductible: 6.00 EUR ; tracking deductible for insurance per year
Payed: 29.00 EUR    ; total cost 
Copayment: 8.22 EUR ; personal cost

Day of reimbursement; deposit on account 
Refund: 20.78 EUR

-------------------------------------------------------

2019-10-30 * "Dental"; day of service 
  Activa:Account                                             -29.00 EUR
  Expenses:Health:Medical:Claims           29.00 EUR
  
2019-10-31 * "Dental"; day of certificate
  Expenses:Health:Medical:ClaimsPayment           -20.78 EUR ;savings
  Expenses:Health:Medical:Copayment           (8.22-6.00) EUR 
  Expenses:Health:Medical:Deductible     6.00 EUR
  Liabilities:Medical:Payed                            -8.22 EUR 
  Liabilities:Medical-Refund    20.78 EUR
  
2019-12-27 * "Dental"; day of reimbursement
  Activa:Account            20.78 EUR
  Liabilities:Medical-Refund                 -20.78 EUR


Just not sure how I would structure the transaction on 2019-10-31 if I want 
to split up between copayment and deductible. 
I could just leave it out and track what my total personal cost was and be 
it reflected in the top account of "Expenses:Health:Medical" but I would 
like to track both if possible instead of just doing the following.
 
2019-10-31 * "Dental"; day of certificate
  Expenses:Health:Medical:ClaimsPayment           -20.78 EUR ;savings
  Liabilities:Medical-Refund   20.78 EUR
  

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