Total Records: 192
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Array ( [id] => 850 [invoice_id] => 6369 [dispatch_id] => 8816 [date_time_of_service] => 2025-03-03 07:44:00 [patient_full_name] => Warner, David W [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 11, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Peachtree Health [destination_address] => Peachtree Health, 26900 Lewes Georgetown Hwy, Harbeson, DE 19951 [mileage] => 8 [price_invoiced] => $396.62 [amount_received] => $- [current_amount_due] => $396.62 [billing_notes] => 2025/03/04_(Delaware First Health Medicaid) No individual OON deductible for Delaware First Health Medicaid, MA 03/04/2025 !MCD denial, cannot bill patient [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 849 [invoice_id] => 6369 [dispatch_id] => 8746 [date_time_of_service] => 2025-02-27 13:24:00 [patient_full_name] => Draper, Hertford [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 24, 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] => 16.5 [price_invoiced] => $514.43 [amount_received] => $- [current_amount_due] => $514.43 [billing_notes] => 2025/02/28_(Highmark Health Options Medicaid) No individual OON deductible for 2025, MA 02/28/2025 !MCD denial, unable to bill patient [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 848 [invoice_id] => 6369 [dispatch_id] => 8699 [date_time_of_service] => 2025-02-25 16:25:00 [patient_full_name] => Maull, Willis J [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, HALL C, 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] => 2025/02/26_(Aetna adv and Delaware First Health Medicaid) No individual OON deductible for 2025, MA 02/26/2025 !MCD does not cover non-emergent [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 847 [invoice_id] => 6369 [dispatch_id] => 7898 [date_time_of_service] => 2025-01-20 11:48:00 [patient_full_name] => Adams, George L [billable_service_code] => A0130 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 527, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Harbor Healthcare & Rehabilitation Center [destination_address] => Harbor Healthcare & Rehabilitation Center, Chk w/ FD, 301 Ocean View Blvd, Lewis, DE 19958 [mileage] => 1 [price_invoiced] => $95.25 [amount_received] => $- [current_amount_due] => $95.25 [billing_notes] => !patient uses a walker, not medically necessary PCS states patient can go by wheelchair van- patient uses walker (MCR and Mutual of Omaha) Part B deductible left $ 257 for 2025 and No individual OON deductible for 2025, MA 01/21/2025 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 846 [invoice_id] => 6369 [dispatch_id] => 7624 [date_time_of_service] => 2025-01-07 17:07:00 [patient_full_name] => York, Alma L [billable_service_code] => A0130 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 4TH FLOOR DISCHARGE LOUNGE, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 32334 ROBIN HOODS LOOP [destination_address] => 32334 ROBIN HOODS LOOP, Millsboro, DE 19966 [mileage] => 12 [price_invoiced] => $153.00 [amount_received] => $- [current_amount_due] => $153.00 [billing_notes] => !billing Beebe, WC transport 2025/05/23 per NR billing Beebe, WC transport. LDZ Adjusted price per RB email. NR 3/13/25 (using other leg amount) PCS states patient can use a wheelchair (Aetna adv and Highmark Health Options Medicaid) No individual OON deductible for 2025, MA 01/08/2025 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 845 [invoice_id] => 6369 [dispatch_id] => 7496 [date_time_of_service] => 2024-12-31 14:20:00 [patient_full_name] => Oakley, Samuel [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 360 A, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 32546 SWAMP ROAD [destination_address] => 32546 SWAMP ROAD, Dagsboro, DE 19939 [mileage] => 23 [price_invoiced] => $563.17 [amount_received] => $- [current_amount_due] => $563.17 [billing_notes] => 2025/05/13: denied for no PA. -REG MCD active on DOS 0004140683 Patient is able to sit in wheelchair- has power wheelchair at home LDZ 01/03/2025 Verified BCBS Medicaid(VIRGINIA), address updated as per face sheet but as per Payer address is 'PO BOX 54 NASSAWADOX, VA 23413', MA 01/02/2025 !MCD denial, no PA [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 844 [invoice_id] => 6369 [dispatch_id] => 7358 [date_time_of_service] => 2024-12-25 11:15:00 [patient_full_name] => Conlon, Ellen [billable_service_code] => A0427 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 1, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Christiana Hospital [destination_address] => Christiana Hospital, ED, 4755 Ogletown Stanton Road, Newark, DE 19718 [mileage] => 82.8 [price_invoiced] => $1,353.71 [amount_received] => $- [current_amount_due] => $1,353.71 [billing_notes] => 2025/02/26_s/w Nora stated claim rcvd on 12/31/24 and denied on 1/17/2024 as they need Provider Medicaid Management Information System (MMIS) number. As per rep if we don't have the MMIS number , provider need to contact @ 18003439000 to obtained the number. Fax MMIS number on FAX#8772598429. Case Number#48758576 Claim#042781552700.Callref#Nora-2/26/2025. 2/26/2025MK No insurance information found, No information in face sheet, As per Nsure member have Fidelis Care New York insurance under PT ID # 74140420700 is primary but unable to verify eligbilty,no? Medicaid, MA 12/27/2024 !OOS MCD [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 843 [invoice_id] => 6369 [dispatch_id] => 6240 [date_time_of_service] => 2024-11-03 00:12:00 [patient_full_name] => Theoharis, Themistocles G [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, SCED 13, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 227 B, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23.1 [price_invoiced] => $731.51 [amount_received] => $140.85 [current_amount_due] => $590.66 [billing_notes] => !inpatient with Beebe hospital on DOS 2025/05/29: mcr took back full amt, eft 888672148. -REG 2025/04/15_mcr notice of takeback, inpatient status. 4/15/25REG As checked on waystar, EOB found and claim paid on 11/27/24 and paid $531.14 with pt resp.$135.49 under EFT#888411796 and claim#2924317209690. 11/27/24 MK Verified MCR and UHC by Nsure, face sheet mising, address updated as per MCR, No hospice, MA 11/11/2024 !Inpatient 11/2-11/5 Submitted. No PCR. JH 11/04/24 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 842 [invoice_id] => 6217 [dispatch_id] => 10438 [date_time_of_service] => 2025-05-19 19:15:00 [patient_full_name] => Ritts, Marlene E [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 1, 424 Savannah Road, Lewes, DE 19958 [destination_name] => RESIDENCE [destination_address] => RESIDENCE, 30194 REGATTA BAY BLVD, Lewes, DE 19958 [mileage] => 0 [price_invoiced] => $285.74 [amount_received] => $- [current_amount_due] => $285.74 [billing_notes] => This patient was not on oxygen and was completely ambulatory. You can build this to Beebe at the BLS rate, the nurse refused to downgrade it to wheelchair van.RMB !Not Medically Neccessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 841 [invoice_id] => 6217 [dispatch_id] => 10320 [date_time_of_service] => 2025-05-15 04:31:00 [patient_full_name] => Sanders, Earl [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 17, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 28473 DUPONT BLVD [destination_address] => 28473 DUPONT BLVD, Millsboro, DE 19966 [mileage] => 0 [price_invoiced] => $285.74 [amount_received] => $- [current_amount_due] => $285.74 [billing_notes] => No PCS. Request was called in by Christina.Bill Beebe for transport.RMB 2025/05/16: PLEASE ATTACH PCS. HLB 2025/05/15: (UHC Dual adv Plan) No individual OON deductible for 2025, UPS !No PCS. Request was called in by Christina.Bill Beebe for transport. [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
6369 8816 Mar 3, 2025 Warner, David W A0428 Beebe Hospital
Beebe Hospital, ED 11, 424 Savannah Road, Lewes, DE 19958
Peachtree Health
Peachtree Health, 26900 Lewes Georgetown Hwy, Harbeson, DE 19951
8 $396.62 $- $396.62
2025/03/04_(Delaware First Health Medicaid) No individual OON deductible for Delaware First Health Medicaid, MA 03/04/2025 !MCD denial, cannot bill patient
6369 8746 Feb 27, 2025 Draper, Hertford A0428 Beebe Hospital
Beebe Hospital, ED 24, 424 Savannah Road, Lewes, DE 19958
Ocean Grove Post Acute
Ocean Grove Post Acute, CHK W/ CHARGE, 231 Washington St, Millsboro, DE 19966
16.5 $514.43 $- $514.43
2025/02/28_(Highmark Health Options Medicaid) No individual OON deductible for 2025, MA 02/28/2025 !MCD denial, unable to bill patient
6369 8699 Feb 25, 2025 Maull, Willis J A0428 Beebe Hospital
Beebe Hospital, HALL C, 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
2025/02/26_(Aetna adv and Delaware First Health Medicaid) No individual OON deductible for 2025, MA 02/26/2025 !MCD does not cover non-emergent
6369 7898 Jan 20, 2025 Adams, George L A0130 Beebe Hospital
Beebe Hospital, 527, 424 Savannah Road, Lewes, DE 19958
Harbor Healthcare & Rehabilitation Center
Harbor Healthcare & Rehabilitation Center, Chk w/ FD, 301 Ocean View Blvd, Lewis, DE 19958
1 $95.25 $- $95.25
!patient uses a walker, not medically necessary PCS states patient can go by wheelchair van- patient uses walker (MCR and Mutual of Omaha) Part B deductible left $ 257 for 2025 and No individual OON deductible for 2025, MA 01/21/2025
6369 7624 Jan 7, 2025 York, Alma L A0130 Beebe Hospital
Beebe Hospital, 4TH FLOOR DISCHARGE LOUNGE, 424 Savannah Road, Lewes, DE 19958
32334 ROBIN HOODS LOOP
32334 ROBIN HOODS LOOP, Millsboro, DE 19966
12 $153.00 $- $153.00
!billing Beebe, WC transport 2025/05/23 per NR billing Beebe, WC transport. LDZ Adjusted price per RB email. NR 3/13/25 (using other leg amount) PCS states patient can use a wheelchair (Aetna adv and Highmark Health Options Medicaid) No individual OON deductible for 2025, MA 01/08/2025
6369 7496 Dec 31, 2024 Oakley, Samuel A0428 Beebe Hospital
Beebe Hospital, 360 A, 424 Savannah Road, Lewes, DE 19958
32546 SWAMP ROAD
32546 SWAMP ROAD, Dagsboro, DE 19939
23 $563.17 $- $563.17
2025/05/13: denied for no PA. -REG MCD active on DOS 0004140683 Patient is able to sit in wheelchair- has power wheelchair at home LDZ 01/03/2025 Verified BCBS Medicaid(VIRGINIA), address updated as per face sheet but as per Payer address is 'PO BOX 54 NASSAWADOX, VA 23413', MA 01/02/2025 !MCD denial, no PA
6369 7358 Dec 25, 2024 Conlon, Ellen A0427 Beebe Hospital
Beebe Hospital, ED 1, 424 Savannah Road, Lewes, DE 19958
Christiana Hospital
Christiana Hospital, ED, 4755 Ogletown Stanton Road, Newark, DE 19718
82.8 $1,353.71 $- $1,353.71
2025/02/26_s/w Nora stated claim rcvd on 12/31/24 and denied on 1/17/2024 as they need Provider Medicaid Management Information System (MMIS) number. As per rep if we don't have the MMIS number , provider need to contact @ 18003439000 to obtained the number. Fax MMIS number on FAX#8772598429. Case Number#48758576 Claim#042781552700.Callref#Nora-2/26/2025. 2/26/2025MK No insurance information found, No information in face sheet, As per Nsure member have Fidelis Care New York insurance under PT ID # 74140420700 is primary but unable to verify eligbilty,no? Medicaid, MA 12/27/2024 !OOS MCD
6369 6240 Nov 3, 2024 Theoharis, Themistocles G A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, SCED 13, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 227 B, 424 Savannah Road, Lewes, DE 19958
23.1 $731.51 $140.85 $590.66
!inpatient with Beebe hospital on DOS 2025/05/29: mcr took back full amt, eft 888672148. -REG 2025/04/15_mcr notice of takeback, inpatient status. 4/15/25REG As checked on waystar, EOB found and claim paid on 11/27/24 and paid $531.14 with pt resp.$135.49 under EFT#888411796 and claim#2924317209690. 11/27/24 MK Verified MCR and UHC by Nsure, face sheet mising, address updated as per MCR, No hospice, MA 11/11/2024 !Inpatient 11/2-11/5 Submitted. No PCR. JH 11/04/24
6217 10438 May 19, 2025 Ritts, Marlene E A0428 Beebe Hospital
Beebe Hospital, ED 1, 424 Savannah Road, Lewes, DE 19958
RESIDENCE
RESIDENCE, 30194 REGATTA BAY BLVD, Lewes, DE 19958
0 $285.74 $- $285.74
This patient was not on oxygen and was completely ambulatory. You can build this to Beebe at the BLS rate, the nurse refused to downgrade it to wheelchair van.RMB !Not Medically Neccessary
6217 10320 May 15, 2025 Sanders, Earl A0428 Beebe Hospital
Beebe Hospital, ED 17, 424 Savannah Road, Lewes, DE 19958
28473 DUPONT BLVD
28473 DUPONT BLVD, Millsboro, DE 19966
0 $285.74 $- $285.74
No PCS. Request was called in by Christina.Bill Beebe for transport.RMB 2025/05/16: PLEASE ATTACH PCS. HLB 2025/05/15: (UHC Dual adv Plan) No individual OON deductible for 2025, UPS !No PCS. Request was called in by Christina.Bill Beebe for transport.
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