How to track renegotiated insurance bills towards deductible in Quicken?

I'm attempting to set things up for tracking medical expenses in Quicken using Richard Weaver's write-up on how to do it.

(see this thread for a post of his write-up

Yes, I do know that Quicken has their medical expense manager software package, but it doesn't integrate with Quicken or TurboTax, I hate to enter the same information twice.

I'm just getting started and I've run into a situation I don't know how to handle, I'm hoping someone here might be able to give me some ideas.

I have a Doctors bill, say $200 that I'd normally enter with a category of expTdedAetna (tax related expense, insurer deductible, for Aetna - see Richard's write-up) - the problem being that my insurance re-negotiates the price down to say $150. So I'd enter an entry of insT0wo (insurance write-off, remainder will be at 0%) for $50, giving a balance of $150.

My problem is that I was thinking that the category of expTdedAetna would be how I track my meeting my deductible, that doesn't work if I enter it this way. And while I made up the 0% anticipated reimbursement category (normally it's the 80% they reimbursed for once I meet my deductible), it's the balance that I'd need to track, not the write down.

I don't see any way to distinguish between the balance I owe towards my deductible and any outstanding balance that might exist in the account.

Also, any suggestions how to handle a bill for which part of it will go towards meeting the deductible, and when that's met, the rest will be covered 80%? For example, if in the previous bill my deductible was $100 (how I wish!) only the first $100 of the balance would go towards the deductible, the remaining $50 in this case would be covered 80% in my case. I'm guessing I can just split the entry somehow, but I'm a Quicken novice and not sure how would be best to do that.

Thanks for any help anyone can give me on this!