I am using accounts payable for medical bills. I create a vendor for each
provider and then enter each bill. Usually it's just a one-liner, sometimes
a few lines. When the insurance companies pay, I record the insurance
company payment amounts in the same bill. I use a negative one quantity,
and then put in the amount and let it multiply. So every time payment is
made  by a third party, it reduces the amount owing. When it gets to be
time to pay the bill, I just use the Gnucash bill payment system to enter
either the checking account or credit card charge. By making sure that the
date of service shows up on the line item for the original charge, I can
use this set of records to make sure that I don't double pay anything.

One warning external to gnucash.  Unless you're certain you're paying the
credit card at the end of the month, never use a credit card to pay medical
debt since it immediately becomes non-medical debt. In the US, at least,
medical debt has certain protections for the debtor built in that do not
apply to other kinds of debt.

On Fri, Nov 7, 2025, 14:13 keith adams via gnucash-user <
[email protected]> wrote:

> 11/07/2025 @ 0726 EST
> Gnucash (Flathub v5.13). I have a payment plan set up with the hospital
> that owns numerous providers. I record payments in my Gnucash checking
> account. The balance in the plan changes when I receive services or make
> payments. After many hours I cannot figure out how to correctly show
> activity in the plan (with sub accounts for each provider/service so I can
> make itemized reports). Please Help. And Thank You!
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