b. DA Form 3154 (MSA Invoice and Receipt). DA Form 3154 (see figure 4-2) is
prepared in quadruplicate (copies 1, 2, 3, and 4) for interim and month-end billings for a
pay patient and as a receipt for payment. All DA Forms 3154 are prenumbered, used in
numbered sequence, and accounted for at all times.
Figure 4-2. DA Form 3154 (MSA Invoice and Receipt).
c. DA Form 3029 (MSA Accounts Receivable Register and Control Ledger).
DA Form 3929 (see figure 4-3) is used to record invoiced hospital charges and payments
or transfers of such charges to the servicing finance and accounting officer or to the U.S.
Army Medical Command. Accountability for each day's activities is recorded by type of
transaction and by separate line item and accountability will be maintained for each
calendar month.
MD0752
4-5