Added a sentence about the true cost to the article thanks!

I need to do better about importing this stuff on a regular basis, I tend 
to put it off until year’s end. 

I find that as long as I have a robust importer for it, it takes just a 
minute to login to the website, grab and import the csv. I do it lazily, 
when there's a need -- usually when there are bills I don't understand. My 
reward is being able to pay a bill with the confidence of having verified 
it.
​


On Friday, November 14, 2025 at 4:32:48 PM UTC-8 [email protected] wrote:

> I have a similar approach, though I capture a bit more data.  I track the 
> "true" (as true as it can be in the US healthcare system...) cost in the 
> expense, then offset that expense contra account entires for the insurance 
> plan's adjustment and portion paid.
>
> Expenses:Health:Medical:Doctor  200.00
> Expenses:Health:Medical:Doctor:InsuranceAdjustment -50.00
> Expenses:Health:Medical:Doctor:InsurancePayment -50.00
> Liabilities:Healthcare:Accounts-Payable:MyDoctorsClinic
>
> Then pay the liability as necessary.
>
> Having the "true" cost of healthcare has helped me to see the benefits 
> insurance is providing and helps in evaluating new plan options.
>
> I similarly use metadata to capture amounts toward deductible and 
> coinsurance maximums. I would like to make use of this to report on 
> progress towards meeting those limits but have not done so yet.
>
> So far I have decided to use tags for individuals rather than subaccounts. 
> I have found it adequate for my needs rather than the additional 
> subaccounts.
>
> I need to do better about importing this stuff on a regular basis, I tend 
> to put it off until year's end. Thanks for the inspiration!
>
> On Sunday, November 2, 2025 at 1:15:43 AM UTC-6 [email protected] wrote:
>
> Wrote up a quick (thanks, AI!) article on Double-Entry Bookkeeping for US 
> Healthcare 
> <https://reds-rants.netlify.app/personal-finance/double-entry-bookkeeping-for-us-healthcare/>
>  
> including importing EOBs and tracking payment plans.
> ​
>
>

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