THAT is precisely why I said we need the details of these transactions.
What you said here is correct/usual BUT we were told about checks going
out from the provider to the clients after the insurance payment comes
in. NOT the clients being reimbursed directly from the insurance company.
Michael D Novack
On 2/27/2026 11:36 AM, David T. wrote:
In my experience as a patient, if I go to a provider who's covered by
my insurance, I'm only paying a fraction of the total cost on the
service. The copay.
I assume that the remainder gets submitted by the provider to my
insurance company, who then pays that to the provider. The insurance
pays to the provider on behalf of the patient. So, in my thinking,
that insurance check to the provider is, in fact, income to that provider.
I believe OP represents a provider receiving checks from the insurance
company on behalf of patients-- thus this would represent income.
This is not the same as when I go to the out of network aura healer,
pay them the entire amount, and then submit the paid invoice to the
insurance for reimbursement. The check the insurance company sends me
reduces my expense account for aura healing services.
David T.
On February 27, 2026 7:15:47 PM GMT+05:30, Michael or Penny Novack via
gnucash-user <[email protected]> wrote:
On 2/26/2026 2:37 PM, Jose Fuenzalida wrote:
Hi; my wife has a very small private practice and I have been
writing entries in our checking account and her Business
checking without much detail in them ( the entries )
Everything is into one file ,it is much easier to see
everything in this way. Recently I tried to help her a bit but
I ran into a problem : in order to enter an income check from
insurance company X I tried to enter more detail because she
gets a check for lets say 3 clients ,this 3 clients belong to
the same insurance company X but since the have different
There may be a more basic (accounting) issue. You said she
received an INCOME check from an insurance company. There are
special circumstances where money coming from an insurance company
might be "income" but those would be the exception. For the
moment, go back and describe the transactions (money coming in
from the insurance company and going out to her clients, money
coming in from the insurance company and then going out to
clients. Seems to me that the credit side of the money coming in
would more properly be a temporary liability (owed to clients)
which gets cleared (by debiting) when she sends checks to these
clients. The money never "hers" (never "income"). The potential
harm in using an income account to record the transactions (still
would be temporary) is if a P&L type report runs between the time
the money comes i and goes out. I suspect the income was ALREADY
recorded when the clients paid her in full for the services
rendered but are being reimbursed for some of that by insurance.
Michael D Novack
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