This is what I would do: (I assume you're the patient attending the
clinic). Say the clinic bills $200 and Medicare pays/prepays $150 ($50
co-pay).

I believe the Expenses:Medical:Rebates is an expense contra-account? The
GnuCash account type would still be EXPENSE, but would become more negative
with time.

On Thu, 13 Feb 2020 at 16:34, Fran_3 <[email protected]> wrote:

> Here is the original scenario:
> 1 - Doctor billed patient
> 2 - Insurance paid patient
> 3 - Patient paid doctor
>

1. Clinic bills patient
    Create bill, include services rendered, post to AP
    Expenses:Medical $200
    A/Payable: -$200

2. Insurance pays patient
    Expenses:Medical:Rebates -$150
    Bank +$150

3. Patient pays clinic
    A/Payable: +$200
    Bank: -$200
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