Hi,
Perhaps as suggested by Martin introducing a virtual currency may solve the 
problem. I'll call the new currency DEDUCT.

2019-10-30 * "Dental" ; day of service
  Assets:Bank                            -29 EUR
  Expenses:Medical:Claims     29 EUR
  Expenses:Medical:DeductibleAccrued     (29-20.78)  DEDUCT   ; this will 
have to be backfilled using data from the "certificate" / Explanation of 
Benefits.
  Expenses:Medical:Copayments
  
2019-12-27 * "Dental"
  Assets:Bank                              20.78 EUR
  Expenses:ClaimsPayment     -20.78 EUR

Then, your used up deductible would be reflected in 
Expenses:Medical:DeductibleAccrued. Your out-of-pocket would also 
correspond to the same account, or equivalently in 
Expenses:Medical:Copayments (but not in EUR).
Clearly Expenses:Medical:DeductibleAccrued would eventually exceed the plan 
deductible, but there's no harm in that. 
Did I miss anything? 
On Saturday, July 4, 2020 at 7:53:54 AM UTC-7 IImayneII wrote:

> 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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