The Franklin County health department told the commission it seeks approval of its third-quarter 2025 adjustment report, listing insurance adjustments of $27,663.08 and bad-debt write-offs of $2,167.27. The presenter said insurance billing remains complex and staff routinely rebill claims multiple times, a process slowed recently by system errors at insurers and a surprise rollout of a new Patagonia billing platform.

"The insurance adjustments total $27,663.08, and the back debt write offs are $2,167.27," the health department presenter said, asking commissioners to approve the adjustment report. The presenter said some insurers experienced system errors this quarter and described additional staff time spent rebilling and seeking training on the platform to make the process smoother for patients.

Commissioners thanked the presenter and approved the adjustment report by motion and roll-call vote. The presenter noted that when clients are billed for family-planning or maternal-child-health services those costs are typically covered by grants. No additional follow-up tasks or dollar amounts for year-end adjustments were read into the record during the meeting.

Next steps: The health department will continue rebilling and working with insurers and platform vendors to resolve payment issues; the approved adjustment report will be recorded in county financial records.