AI- 94744
Health & Human Services Dept. 15.B.
CC REGULAR AGENDA SPECIAL MTG
- Meeting Date:
- 04/02/2024
- Submitted For:
- Eddie Olivarez
- Submitted By:
- Mike Escaname
- Department:
- HEALTH & HUMAN SERVICES DEPT.
CAPTION
Pursuant to Texas Local Government Code Section 157.903, requesting approval of indemnification in the amount of $40.00 as a result of clerical errors regarding health service fees.
BACKGROUND
03/05/2024 - Receipt No. 103085 - Client was undercharged $5.00 per vaccine for two vaccines; Total = $10.00
03/25/2024 - Receipt No. 103191 - Client was undercharged $30.00 as a result of using an incorrect encounter form. Total = $30.00
03/25/2024 - Receipt No. 103191 - Client was undercharged $30.00 as a result of using an incorrect encounter form. Total = $30.00
Fiscal Impact
- CALENDAR YEAR:
- 2024
- ACCT. #:
- 4-1100-441-00-340-001-0-890
- FUNDS AVAILABLE Y/N?:
- Y
- MATCHING FUNDS Y/N?:
- N
BUDGETARY IMPACT:
03/05/2024 - Receipt No. 103085 - Client was undercharged $5.00 per vaccine for two vaccines; Total = $10.0003/24/2024 - Receipt No. 103191 - Client was undercharged $30.00 as a result of using an incorrect encounter form; Total = $30.00
Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Budget and Management | Veronica Ortiz | 03/28/2024 09:57 AM |
| Final Approval | Monica Salinas | 03/28/2024 04:50 PM |
- Form Started By:
- Mike Escaname
- Started On:
- 03/27/2024 08:08 AM
- Final Approval Date:
- 03/28/2024