Caring that makes the difference
Official Benefit Funds Statement
Generated: November 3, 2026 · 4:31 PM
Individual Record · H1-1021
Alex Rivera
Medical Record Number: MRN-31675 · Assigned Caseworker: Jordan Davis
AR
Alex Rivera
Enrolled: Jun 10, 2024 · Status: Active
MRN: MRN-31675
Last 4 SSN: •••• 4901
MCI: ENC-MCI-31675
PA ABLE: Not established
Benefit received · Oct
$980.00
Government entitlement
Additional income
$0.00
Gifts, work, refunds
Expenses recorded
$650.00
October spending
Agency advance balance
$150.00
Outstanding agency debt
Financial Stream Overview
Current balances and accounting ledger boundaries
Government benefits ledger (October)
$980.00
Additional income running balance
$0.00
Expenses recorded (October)
−$650.00
Outstanding agency debt
$150.00
Ledgers are strictly maintained in separate tables to avoid co-mingling benefit entitlement with other funds or agency debt.
Administrative Record
Health1st ID
H1-1021
Medical Record Number
MRN-31675
Assigned Caseworker
Jordan Davis
PA ABLE Account Status
Not established
Account Status
Active
Government Benefit History
Monthly entitlement records for Alex Rivera
| Month | Amount Received | Received Date | Status |
|---|---|---|---|
| 2026-10 | $980.00 | Oct 3, 2026 | Confirmed |
Effective Category Allocations
Recommended percentages and planning allocations
Housing
50%
Food & groceries
20%
Personal needs
10%
Transportation
10%
Other approved needs
10%
Allocations are planning recommendations derived from actual benefit received.
Isolated Income Sources
Running balances per source
| Source Ledger | Type | Current Balance | Transactions |
|---|---|---|---|
| October Government Benefit | Government Benefit | $980.00 | 1 recorded |
Income Transactions Stream
| Date | Source | Description | Amount | Status |
|---|---|---|---|---|
| Oct 3, 2026 | October Government Benefit | October Monthly Benefit | $980.00 | Recorded |
Expense Ledger
Recorded expenses and receipt verification status
| Date | Category | Vendor / Description | Amount | Receipt Status | Exception Review |
|---|---|---|---|---|---|
| Oct 19, 2026 | Housing | Oakridge Residential Monthly residential rent support | $650.00 | Attached | Recorded |
Gift Records & 3-Calendar-Day Rule
Gifts causing countable resources to exceed $2,000 must have excess addressed within 3 calendar days
| Date Received | Donor | Gift Amount | Excess Over $2,000 | Deadline | Transfer Status |
|---|---|---|---|---|---|
| No gifts recorded for this individual. | |||||
Agency Advances Owed to Health1st
Tracked separately as an amount owed until fully recouped
| Reference | Date | Reason | Original Amount | Repaid to Date | Remaining Debt | Status |
|---|---|---|---|---|---|---|
| ADV-2026-044 | Sep 29, 2026 | Benefit Funding Delay | $400.00 | $250.00 | $150.00 | Partially Repaid |
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