c. Processing Payments
(1) The patient takes copy 1 to the MSA cashier and makes payment. The
MSA cashier obtains copies 3 and 4 of DA Form 3154 from the invoice suspense file and
receipts them in one operation with the original recording on copy 1. Copy 1 is returned to
the patient as a receipt.
(2) At the end of the day, copy 3 of all receipted DA Forms 3154 is sent with an
adding machine listing of the day's transaction to the MSA ledger clerk. Copy 4 is retained
until completion of month-end processing.
(3) The MSA ledger clerk posts the payment to the ledger card (DA Form
3153) and refiles the ledger card in the active accounts receivable file until completion of
(4) Using the receipted DA Forms 3154, the MSA ledger clerk posts receipts
to DA form 3929 (Accounts Receivable Register and Control Ledger). After the posting,
copy 3 is filed in the invoice chronological file (alphabetic file).
d. When copy 1 of the DA Form 3154 is presented or mailed by the patient, the
MSA cashier removes the corresponding copies of the DA Form 3154 and follows the
procedures described in paragraph c above.
e. If payment is received without presentation of copy 1 of the DA Form 3154, the
MSA cashier removes copies 3 and 4 from the invoice suspense file and receipts these
copies in one operation. The receipted copy 4 of the DA Form 3154 is presented to or, if
requested, mailed to the remitter. Copy 3 is then retained until reconciled with the daily
collections and, supported with an adding machine control tape, is forwarded to the MSA
ledger clerk. An optional method is available if payment is made without presentation of
copy 1 of the DA Form 3154. A complete new set of DA Form 3154 may be initiated with
the appropriate cross-references made by the ledger clerk.
Section V. MONTH-END PROCESSING
4-11. REMAINING PATIENTS
a. On the first working day of each month, the MSA ledger clerk pulls all DA Forms
3153, posts code "R" to the last day of the month for remaining patients and code "T" to the
first day of the next (current) month and computes chargeable days. Included are patients
on leave who have not returned to the hospital or to duty.