Section IV. DISPOSITION PROCESSING
4-7.
ENLISTED ARMY PATIENTS
a. On the day of disposition of a patient, the MSA ledger clerk posts "D" to the
proper calendar day on the DA Form 3153 (MSA Patient Ledger Card) and computes the
chargeable days. Remember, this includes the day of admission and excludes the day of
disposition.
b. Using information from the ledger card, the ledger clerk prepares a letter to the
member's unit. This letter informs the unit of the number of chargeable days and the
specific dates the patient was in your MTF. Figure 4-13 shows a suggested format for this
letter. The unit uses the information from your letter to prepare a DA Form 4187 to notify
the servicing finance and accounting office to collect the subsistence rate from the
member's pay.
c. The DA Form 3153 is then held in the active accounts receivable file until month-
end processing. This is discussed in paragraph 4-12.
d. The above procedures are also followed when patient's entire stay has been in
an absent sick or supplemental care status.
4-8.
OTHER MILITARY PERSONNEL
a. On the day of disposition, the ledger clerk will post and compute the charges on
the DA Form 3153.
b. The patient will be given the option of paying the charges at that time or having
the charges deducted from his pay. If the patient chooses to pay the charges, the ledger
clerk will prepare a DA Form 3154 (MSA Invoice and Receipt), which will be covered in a
later paragraph. If the patient elects to have the charges deducted from his pay, the DD
Form 139 (Pay Adjustment Authorization) received with the ledger card on admission will
be completed and forward to the servicing finance and accounting office.
c. The DA Form 3153 is then held in the active accounts receivable file until month-
end processing.
d. Billings for Army officers admitted to civilian hospitals in absent sick status will
be sent to the officers' military address and processed as if the officer had been in an
Army MTF.
MD0752
4-17