Total Records: 192
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Showing: 10 records
Array ( [id] => 870 [invoice_id] => 6370 [dispatch_id] => 10515 [date_time_of_service] => 2025-05-22 16:11:00 [patient_full_name] => Bardi, Janis M [billable_service_code] => A0428 [origin_name] => Beebe Healthcare's Tunnell Cancer Center [origin_address] => Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 327-A, 424 Savannah Road, Lewes, DE 19958 [mileage] => 4.1 [price_invoiced] => $342.57 [amount_received] => $- [current_amount_due] => $342.57 [billing_notes] => 2025/05/23 wait and return transport LDZ [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 869 [invoice_id] => 6370 [dispatch_id] => 10489 [date_time_of_service] => 2025-05-22 15:15:00 [patient_full_name] => Bardi, Janis M [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 327-A, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Beebe Healthcare's Tunnell Cancer Center [destination_address] => Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971 [mileage] => 4.2 [price_invoiced] => $343.96 [amount_received] => $- [current_amount_due] => $343.96 [billing_notes] => 2025/05/23 wait and return transport LDZ [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 868 [invoice_id] => 6370 [dispatch_id] => 10479 [date_time_of_service] => 2025-05-21 15:36:00 [patient_full_name] => Bardi, Janis M [billable_service_code] => A0428 [origin_name] => Beebe Healthcare's Tunnell Cancer Center [origin_address] => Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 327 A, 424 Savannah Road, Lewes, DE 19958 [mileage] => 4.1 [price_invoiced] => $342.57 [amount_received] => $- [current_amount_due] => $342.57 [billing_notes] => 2025/05/22 cancer treatment and return LDZ [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 867 [invoice_id] => 6370 [dispatch_id] => 10476 [date_time_of_service] => 2025-05-21 13:16:00 [patient_full_name] => Alston, Kevin [billable_service_code] => A0428 [origin_name] => OAK ORCHARD [origin_address] => OAK ORCHARD, 26744 JOHN J WILLIAMS HIGHWAY, Millsboro, DE 19966 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, ED 7, 424 Savannah Road, Lewes, DE 19958 [mileage] => 0 [price_invoiced] => $285.74 [amount_received] => $- [current_amount_due] => $285.74 [billing_notes] => 2025/05/22 wait and return Beebe Healthcare Open MRI at Oak Orchard Professional Center LDZ 2025/05/22: (BCBS) For BCBS $ 5,000 left for 2025, UPS [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 866 [invoice_id] => 6370 [dispatch_id] => 10474 [date_time_of_service] => 2025-05-21 11:21:00 [patient_full_name] => Alston, Kevin [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 7, 424 Savannah Road, Lewes, DE 19958 [destination_name] => OAK ORCHARD [destination_address] => OAK ORCHARD, 26744 JOHN J WILLIAMS HIGHWAY, Millsboro, DE 19966 [mileage] => 0 [price_invoiced] => $285.74 [amount_received] => $- [current_amount_due] => $285.74 [billing_notes] => 2025/05/22 wait and return Beebe Healthcare Open MRI at Oak Orchard Professional Center LDZ 2025/05/22: (BCBS) For BCBS $ 5,000 left for 2025, UPS [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 865 [invoice_id] => 6370 [dispatch_id] => 10451 [date_time_of_service] => 2025-05-21 12:44:00 [patient_full_name] => Bardi, Janis M [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 327 A, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Beebe Healthcare's Tunnell Cancer Center [destination_address] => Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971 [mileage] => 4.2 [price_invoiced] => $343.96 [amount_received] => $- [current_amount_due] => $343.96 [billing_notes] => 2025/05/22 cancer treatment and return LDZ [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 864 [invoice_id] => 6369 [dispatch_id] => 10069 [date_time_of_service] => 2025-05-02 03:14:00 [patient_full_name] => Maull, Willis J [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 18, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Excelcare at Lewes [destination_address] => Excelcare at Lewes, Chk w/ FD, 301 Ocean View Blvd, Lewes, DE 19958 [mileage] => 1 [price_invoiced] => $299.60 [amount_received] => $64.60 [current_amount_due] => $235.00 [billing_notes] => !MCD does not cover non-emergent [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 863 [invoice_id] => 6369 [dispatch_id] => 9934 [date_time_of_service] => 2025-04-25 21:02:00 [patient_full_name] => Mccarter, Dennis [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 21, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Ocean Grove Post Acute [destination_address] => Ocean Grove Post Acute, CHK W/ CHARGE, 231 Washington St, Millsboro, DE 19966 [mileage] => 16.4 [price_invoiced] => $513.05 [amount_received] => $- [current_amount_due] => $2,507.00 [billing_notes] => 2025/05/14: denied, requesting MRs/prim carrier EOB. -REG 2025/04/29: (Amerihealth Caritas Medicaid) No individual OON deductible for 2025, UPS !MCD denial, unable to bill patient [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 862 [invoice_id] => 6369 [dispatch_id] => 9908 [date_time_of_service] => 2025-04-24 21:07:00 [patient_full_name] => Wallenbrock, Sierra [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 17, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Peachtree [destination_address] => Peachtree, 26890 Lewes-Georgetown Highway, Harberson, DE 19951 [mileage] => 8 [price_invoiced] => $396.62 [amount_received] => $- [current_amount_due] => $396.62 [billing_notes] => Attached. Please attach PCS LDZ 04/25/2025 !MCD denial, unable to bill patient [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 861 [invoice_id] => 6369 [dispatch_id] => 9869 [date_time_of_service] => 2025-04-23 00:21:00 [patient_full_name] => Warner, David W [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 2, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Peachtree [destination_address] => Peachtree, 26890 Lewes-Georgetown Highway, Harberson, DE 19951 [mileage] => 8 [price_invoiced] => $396.62 [amount_received] => $- [current_amount_due] => $396.62 [billing_notes] => 2025/04/28 on crew signature missing LDZ (Delaware First Health Medicaid) No individual OON deductible for Delaware First Health Medicaid, UPS 2025/04/28 !MCD denial, unable to bill patient [beebe_comments] => [aec_comments] => [epic_comments] => )
Invoice ID Dispatch ID Service Date Patient Name Service Code Origin Name Origin Address Destination Name Destination Address Mileage Price Invoiced Amount Received Amount Due Billing Notes Beebe Comments AEC Comments Epic Comments
6370 10515 May 22, 2025 Bardi, Janis M A0428 Beebe Healthcare's Tunnell Cancer Center
Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971
Beebe Hospital
Beebe Hospital, 327-A, 424 Savannah Road, Lewes, DE 19958
4.1 $342.57 $- $342.57
2025/05/23 wait and return transport LDZ
6370 10489 May 22, 2025 Bardi, Janis M A0428 Beebe Hospital
Beebe Hospital, 327-A, 424 Savannah Road, Lewes, DE 19958
Beebe Healthcare's Tunnell Cancer Center
Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971
4.2 $343.96 $- $343.96
2025/05/23 wait and return transport LDZ
6370 10479 May 21, 2025 Bardi, Janis M A0428 Beebe Healthcare's Tunnell Cancer Center
Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971
Beebe Hospital
Beebe Hospital, 327 A, 424 Savannah Road, Lewes, DE 19958
4.1 $342.57 $- $342.57
2025/05/22 cancer treatment and return LDZ
6370 10476 May 21, 2025 Alston, Kevin A0428 OAK ORCHARD
OAK ORCHARD, 26744 JOHN J WILLIAMS HIGHWAY, Millsboro, DE 19966
Beebe Hospital
Beebe Hospital, ED 7, 424 Savannah Road, Lewes, DE 19958
0 $285.74 $- $285.74
2025/05/22 wait and return Beebe Healthcare Open MRI at Oak Orchard Professional Center LDZ 2025/05/22: (BCBS) For BCBS $ 5,000 left for 2025, UPS
6370 10474 May 21, 2025 Alston, Kevin A0428 Beebe Hospital
Beebe Hospital, ED 7, 424 Savannah Road, Lewes, DE 19958
OAK ORCHARD
OAK ORCHARD, 26744 JOHN J WILLIAMS HIGHWAY, Millsboro, DE 19966
0 $285.74 $- $285.74
2025/05/22 wait and return Beebe Healthcare Open MRI at Oak Orchard Professional Center LDZ 2025/05/22: (BCBS) For BCBS $ 5,000 left for 2025, UPS
6370 10451 May 21, 2025 Bardi, Janis M A0428 Beebe Hospital
Beebe Hospital, 327 A, 424 Savannah Road, Lewes, DE 19958
Beebe Healthcare's Tunnell Cancer Center
Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971
4.2 $343.96 $- $343.96
2025/05/22 cancer treatment and return LDZ
6369 10069 May 2, 2025 Maull, Willis J A0428 Beebe Hospital
Beebe Hospital, ED 18, 424 Savannah Road, Lewes, DE 19958
Excelcare at Lewes
Excelcare at Lewes, Chk w/ FD, 301 Ocean View Blvd, Lewes, DE 19958
1 $299.60 $64.60 $235.00
!MCD does not cover non-emergent
6369 9934 Apr 25, 2025 Mccarter, Dennis A0428 Beebe Hospital
Beebe Hospital, ED 21, 424 Savannah Road, Lewes, DE 19958
Ocean Grove Post Acute
Ocean Grove Post Acute, CHK W/ CHARGE, 231 Washington St, Millsboro, DE 19966
16.4 $513.05 $- $2,507.00
2025/05/14: denied, requesting MRs/prim carrier EOB. -REG 2025/04/29: (Amerihealth Caritas Medicaid) No individual OON deductible for 2025, UPS !MCD denial, unable to bill patient
6369 9908 Apr 24, 2025 Wallenbrock, Sierra A0428 Beebe Hospital
Beebe Hospital, ED 17, 424 Savannah Road, Lewes, DE 19958
Peachtree
Peachtree, 26890 Lewes-Georgetown Highway, Harberson, DE 19951
8 $396.62 $- $396.62
Attached. Please attach PCS LDZ 04/25/2025 !MCD denial, unable to bill patient
6369 9869 Apr 23, 2025 Warner, David W A0428 Beebe Hospital
Beebe Hospital, ED 2, 424 Savannah Road, Lewes, DE 19958
Peachtree
Peachtree, 26890 Lewes-Georgetown Highway, Harberson, DE 19951
8 $396.62 $- $396.62
2025/04/28 on crew signature missing LDZ (Delaware First Health Medicaid) No individual OON deductible for Delaware First Health Medicaid, UPS 2025/04/28 !MCD denial, unable to bill patient
Showing 91 to 100 of 192 records