Thanks Christopher, that is exactly what we did except in this case the 
insured was covered 100% so your $150 partial payment received would have been 
$200 full payment received.
Thanks again everyone for the help.

    On Thursday, February 13, 2020, 5:23:29 PM EST, Christopher Lam 
<christopher....@gmail.com> wrote:  
 
 This is what I would do: (I assume you're the patient attending the clinic). 
Say the clinic bills $200 and Medicare pays/prepays $150 ($50 co-pay). 

I believe the Expenses:Medical:Rebates is an expense contra-account? The 
GnuCash account type would still be EXPENSE, but would become more negative 
with time.

On Thu, 13 Feb 2020 at 16:34, Fran_3 <mailbox0...@yahoo.com> wrote:

Here is the original scenario:1 - Doctor billed patient2 - Insurance paid 
patient3 - Patient paid doctor

1. Clinic bills patient    Create bill, include services rendered, post to AP   
 Expenses:Medical $200    A/Payable: -$200
2. Insurance pays patient    Expenses:Medical:Rebates -$150    Bank +$150
3. Patient pays clinic    A/Payable: +$200    Bank: -$200
   
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