diff --git a/library/patient.inc.php b/library/patient.inc.php
index c519ea174f4..687f04c167d 100644
--- a/library/patient.inc.php
+++ b/library/patient.inc.php
@@ -1598,7 +1598,7 @@ function getAllinsurances($pid)
  * @param int     Optional encounter id. If value is passed, will fetch only bills from specified encounter.
  * @return number The balance.
  */
-function get_patient_balance($pid, $with_insurance = false, $eid = false)
+function get_patient_balance($pid, $with_insurance = false, $eid = false, $in_collection = false)
 {
     $balance = 0;
     $bindarray = array($pid);
@@ -1609,6 +1609,11 @@ function get_patient_balance($pid, $with_insurance = false, $eid = false)
         $sqlstatement .= " AND encounter = ?";
         array_push($bindarray, $eid);
     }
+
+    if ($in_collection) {
+        $sqlstatement .= " AND in_collection = ?";
+        array_push($bindarray, 1);
+    }
     $feres = sqlStatement($sqlstatement, $bindarray);
     while ($ferow = sqlFetchArray($feres)) {
         $encounter = $ferow['encounter'];
@@ -1641,10 +1646,16 @@ function get_patient_balance($pid, $with_insurance = false, $eid = false)
                 $balance += $ptbal;
             }
         } else {
-            // Including insurance or not out to insurance, everything is due.
-            $brow = sqlQuery("SELECT SUM(fee) AS amount FROM billing WHERE " .
-            "pid = ? AND encounter = ? AND " .
-            "activity = 1", array($pid, $encounter));
+            if (!$with_insurance && $ferow['last_level_closed'] >= $inscount && $in_collection) {
+                $brow = sqlQuery("SELECT SUM(fee) AS amount FROM billing WHERE " .
+                    "pid = ? AND encounter = ? AND " .
+                    "activity = 1", array($pid, $encounter));
+            } else {
+                // Including insurance or not out to insurance, everything is due.
+                $brow = sqlQuery("SELECT SUM(fee) AS amount FROM billing WHERE " .
+                    "pid = ? AND encounter = ? AND " .
+                    "activity = 1", array($pid, $encounter));
+            }
             $drow = sqlQuery("SELECT SUM(pay_amount) AS payments, " .
               "SUM(adj_amount) AS adjustments FROM ar_activity WHERE " .
               "deleted IS NULL AND pid = ? AND encounter = ?", array($pid, $encounter));
diff --git a/src/Patient/Cards/BillingViewCard.php b/src/Patient/Cards/BillingViewCard.php
index 8b1caef6b94..0785f14dfbc 100644
--- a/src/Patient/Cards/BillingViewCard.php
+++ b/src/Patient/Cards/BillingViewCard.php
@@ -67,6 +67,7 @@ private function setupBillingData()
         $insurancebalance = get_patient_balance($pid, true) - $patientbalance;
         $totalbalance = $patientbalance + $insurancebalance;
         $unallocated_amt = get_unallocated_patient_balance($pid);
+        $collectionbalance = get_patient_balance($pid, false, false, true);
 
         $id = self::CARD_ID . "_ps_expand";
         $dispatchResult = $ed->dispatch(new RenderEvent('billing'), RenderEvent::EVENT_HANDLE);
@@ -79,6 +80,7 @@ private function setupBillingData()
             'patientBalance' => $patientbalance,
             'insuranceBalance' => $insurancebalance,
             'totalBalance' => $totalbalance,
+            'collectionBalance' => $collectionbalance,
             'unallocated' => $unallocated_amt,
             'forceAlwaysOpen' => $forceBillingExpandAlways,
             'prependedInjection' => $dispatchResult->getPrependedInjection(),
diff --git a/templates/patient/card/billing.html.twig b/templates/patient/card/billing.html.twig
index 67df0476d4b..30bea509f3c 100644
--- a/templates/patient/card/billing.html.twig
+++ b/templates/patient/card/billing.html.twig
@@ -22,6 +22,13 @@
     </div>
     {% endif %}
 
+    {% if collectionBalance > 0 %}
+    <div class="row alert-danger">
+        <div class="col-4">{{ "Collection Balance"|xlt }}</div>
+        <div class="col">{{ collectionBalance|money|text }}</font></div>
+    </div>
+    {% endif %}
+
     {% if billingNote %}
     <div class="row">
         <div class="col-4">{{ "Billing Note"|xlt }}</div>