Total Records: 192
Page: 13 of 20
Showing: 10 records
Array ( [id] => 840 [invoice_id] => 6138 [dispatch_id] => 10134 [date_time_of_service] => 2025-05-05 16:55:00 [patient_full_name] => Farmer, Louise [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 536 A, 424 Savannah Road, Lewes, DE 19958 [destination_name] => RESIDENCE [destination_address] => RESIDENCE, 702 DUNBARTON APARTMENTS, Georgetown, DE 19947 [mileage] => 13 [price_invoiced] => $465.92 [amount_received] => $- [current_amount_due] => $465.92 [billing_notes] => It sounds like it was appropriately denied by insurance. Forward it to the next payor in the process.RMB 2025/05/06 Narrative states patient is able to walk with walker and EMS assistance at facility and then once at home was able to walk to waiting wheelchair, however PCS from Beebe states patient is unable to ambulate safely. Beebe requested BLS service for this transport. Please review LDZ !Medically Unnecessary. Denied by insurance [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 839 [invoice_id] => 6138 [dispatch_id] => 7402 [date_time_of_service] => 2024-12-27 18:48:00 [patient_full_name] => Truitt, Melvin [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 317, 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] => $292.57 [amount_received] => $- [current_amount_due] => $292.57 [billing_notes] => 2025/05/09: pt's aunt POA, called in with ins info. moving to facility billing. -REG MCD is active on DOS 0000458072 PCS states patient is able to go by wheelchair van LDZ 01/02/2025 Verified MCR and Medicaid DE, Aid category (Q1-QMB - QUALIFIED MEDICARE BENEFICIARY, NON-INSTITUT), address updated as per face sheet, Hospice Active Dates- 10/20/2024 to 01/17/2025, MA 12/31/2024 !Invoice Patient 4x [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 838 [invoice_id] => 6004 [dispatch_id] => 9831 [date_time_of_service] => 2025-04-21 18:46:00 [patient_full_name] => Thomas, Charles [billable_service_code] => A0429 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 360 A, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Wilmington Hospital [destination_address] => Wilmington Hospital, HOSPICE, 501 West 14th Street, Wilmington, DE 19801 [mileage] => 90.1 [price_invoiced] => $1,368.25 [amount_received] => $- [current_amount_due] => $1,368.25 [billing_notes] => Submitted. PCR is still a draft. JH 04/22/25 !Please bill Beebe Hospital per CM Leadership- LORRETTA APPROVED IT SINCE LISA WAS OFF TODAY FOR THIS TRANSPORT. [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 837 [invoice_id] => 5918 [dispatch_id] => 1476 [date_time_of_service] => 2023-12-15 13:44:00 [patient_full_name] => White Sr, James [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, DISCHARGE LOUNGE, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 19210 COASTAL HIGHWAY [destination_address] => 108, 19210 COASTAL HIGHWAY, Rehobeth Beach, DE 19971 [mileage] => 4 [price_invoiced] => $327.65 [amount_received] => $- [current_amount_due] => $327.65 [billing_notes] => 2025/05/23: Explained PTF. NR 2025/5/7 - JM- Please check insurance. Information from Beebe: Medicare: 6WP0HY0EC31 Amerihealth Caritas: 0001260004 2023/12/18_PCS not attached LDZ 12/18/2023 Per Nsure no insurance found LDZ 12/18/2023 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 836 [invoice_id] => 5860 [dispatch_id] => 9223 [date_time_of_service] => 2025-03-21 21:12:00 [patient_full_name] => Wong, Earsie L [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 315, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Cadia Healthcare Renaissance [destination_address] => Cadia Healthcare Renaissance, CHK W/ RN, 26002 John J Williams Hwy, Millsboro, DE 19966 [mileage] => 11.6 [price_invoiced] => $446.52 [amount_received] => $- [current_amount_due] => $446.52 [billing_notes] => Inpatient with Beebe till 03/22/2025 per PGBA LDZ 04/18/2025 denied due to inpatient status. 4/14/25REG (MCR and AARP and Medicaid) Part B deductible left $ 0 for 2025 and No individual OON deductible for AARP and Medicaid, MA 03/24/2025 !Inpatient [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 835 [invoice_id] => 5860 [dispatch_id] => 7348 [date_time_of_service] => 2024-12-24 16:30:00 [patient_full_name] => Boulden, Robert [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 33, 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] => $292.57 [amount_received] => $- [current_amount_due] => $292.57 [billing_notes] => 4/25/2025: Beebe requesting WCV rate. NR Not medically necessary- billed patient and billed Beebe and Beebe is sending back with insurance which we already have. LDZ 04/24/2025 s/w Lucinda stated Multiple claim for this patient on DOS- 12/24/2024 but no claim is billed with amount of $292.57 and $1905.00 as per angeltrack . Patient policy effective from 9/1/2024 and still active with Member ID#0002445447. As per rep TFL is 120 days from DOS. Payer ID# 77799 to submit an electronic claim. Mailing address#P.O. Box 80100. London, KY 40742-0100. Callref#Lucinda-4/24/2025 4/24/2025MK Info from Beebe: Insurance = Amerihealth Caritas ID# 0002445447 rcvd letter from pt stating bill to amerihealth 200110477. did not ver as run is not medically necessary. 3/18/25REG Ambulated to the stretcher where he was secured for transport No insurance information found, No information in face sheet, no Medicaid, checked Nsure but no policy found, MA 12/27/2024 !Uninsured !Not Medically Necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 834 [invoice_id] => 5732 [dispatch_id] => 7231 [date_time_of_service] => 2024-12-19 18:15:00 [patient_full_name] => Longo, Vicki [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 314 A, 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] => 17.1 [price_invoiced] => $509.96 [amount_received] => $- [current_amount_due] => $509.96 [billing_notes] => 2025/04/25: Beebe requesting WVC rate. NR Patient was moved by assisted walking to the stretcher Verified MCR, no secondary or Medicaid, ,address updated as per face sheet but as per MCR address is '651 Valley Rd Ste 1595 Hockessin 19707', No hospice MA 12/23/2024 !Not Medically Necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 833 [invoice_id] => 5533 [dispatch_id] => 7157 [date_time_of_service] => 2024-12-16 17:44:00 [patient_full_name] => Wade, Agnes J [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 368 A, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 33120 N VILLAGE LOOP [destination_address] => APT 2105, 33120 N VILLAGE LOOP, Lewes, DE 19958 [mileage] => 7 [price_invoiced] => $373.75 [amount_received] => $37.37 [current_amount_due] => $336.38 [billing_notes] => PCS states patient can be transported by wheelchair- patient lives alone Verified MCR and AARP, address updated as per face sheet, No hospice, MA 12/17/2024 !WC [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 832 [invoice_id] => 5533 [dispatch_id] => 421 [date_time_of_service] => 2023-08-20 22:37:00 [patient_full_name] => Jefferson, Alan [billable_service_code] => A0427 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, ED 4, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 510 'A', 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $799.41 [amount_received] => $- [current_amount_due] => $799.41 [billing_notes] => 2023/08/23_Info from Beebe: Insurance = Cigna / Health Options ID# 10890796600 / XHD13098127 Unable to verify BCBS on FS and Nsure has no insurance listed LDZ 08/24/2023 #421- no documentation 08/23/2023 MB !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 831 [invoice_id] => 5423 [dispatch_id] => 8905 [date_time_of_service] => 2025-03-07 11:04:00 [patient_full_name] => Ockasi, Joyce C [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 16, 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] => Unable to obtain post service PA from Cigna Healthspring LDZ 03/10/2025 (Cigna Health spring adv) No individual OON deductible for Cigna adv, MA 03/10/2025 !No PA [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
6138 10134 May 5, 2025 Farmer, Louise A0428 Beebe Hospital
Beebe Hospital, 536 A, 424 Savannah Road, Lewes, DE 19958
RESIDENCE
RESIDENCE, 702 DUNBARTON APARTMENTS, Georgetown, DE 19947
13 $465.92 $- $465.92
It sounds like it was appropriately denied by insurance. Forward it to the next payor in the process.RMB 2025/05/06 Narrative states patient is able to walk with walker and EMS assistance at facility and then once at home was able to walk to waiting wheelchair, however PCS from Beebe states patient is unable to ambulate safely. Beebe requested BLS service for this transport. Please review LDZ !Medically Unnecessary. Denied by insurance
6138 7402 Dec 27, 2024 Truitt, Melvin A0428 Beebe Hospital
Beebe Hospital, 317, 424 Savannah Road, Lewes, DE 19958
Excelcare at Lewes
Excelcare at Lewes, Chk w/ FD, 301 Ocean View Blvd, Lewes, DE 19958
1 $292.57 $- $292.57
2025/05/09: pt's aunt POA, called in with ins info. moving to facility billing. -REG MCD is active on DOS 0000458072 PCS states patient is able to go by wheelchair van LDZ 01/02/2025 Verified MCR and Medicaid DE, Aid category (Q1-QMB - QUALIFIED MEDICARE BENEFICIARY, NON-INSTITUT), address updated as per face sheet, Hospice Active Dates- 10/20/2024 to 01/17/2025, MA 12/31/2024 !Invoice Patient 4x
6004 9831 Apr 21, 2025 Thomas, Charles A0429 Beebe Hospital
Beebe Hospital, 360 A, 424 Savannah Road, Lewes, DE 19958
Wilmington Hospital
Wilmington Hospital, HOSPICE, 501 West 14th Street, Wilmington, DE 19801
90.1 $1,368.25 $- $1,368.25
Submitted. PCR is still a draft. JH 04/22/25 !Please bill Beebe Hospital per CM Leadership- LORRETTA APPROVED IT SINCE LISA WAS OFF TODAY FOR THIS TRANSPORT.
5918 1476 Dec 15, 2023 White Sr, James A0428 Beebe Hospital
Beebe Hospital, DISCHARGE LOUNGE, 424 Savannah Road, Lewes, DE 19958
19210 COASTAL HIGHWAY
108, 19210 COASTAL HIGHWAY, Rehobeth Beach, DE 19971
4 $327.65 $- $327.65
2025/05/23: Explained PTF. NR 2025/5/7 - JM- Please check insurance. Information from Beebe: Medicare: 6WP0HY0EC31 Amerihealth Caritas: 0001260004 2023/12/18_PCS not attached LDZ 12/18/2023 Per Nsure no insurance found LDZ 12/18/2023 !Uninsured
5860 9223 Mar 21, 2025 Wong, Earsie L A0428 Beebe Hospital
Beebe Hospital, 315, 424 Savannah Road, Lewes, DE 19958
Cadia Healthcare Renaissance
Cadia Healthcare Renaissance, CHK W/ RN, 26002 John J Williams Hwy, Millsboro, DE 19966
11.6 $446.52 $- $446.52
Inpatient with Beebe till 03/22/2025 per PGBA LDZ 04/18/2025 denied due to inpatient status. 4/14/25REG (MCR and AARP and Medicaid) Part B deductible left $ 0 for 2025 and No individual OON deductible for AARP and Medicaid, MA 03/24/2025 !Inpatient
5860 7348 Dec 24, 2024 Boulden, Robert A0428 Beebe Hospital
Beebe Hospital, ED 33, 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 $292.57 $- $292.57
4/25/2025: Beebe requesting WCV rate. NR Not medically necessary- billed patient and billed Beebe and Beebe is sending back with insurance which we already have. LDZ 04/24/2025 s/w Lucinda stated Multiple claim for this patient on DOS- 12/24/2024 but no claim is billed with amount of $292.57 and $1905.00 as per angeltrack . Patient policy effective from 9/1/2024 and still active with Member ID#0002445447. As per rep TFL is 120 days from DOS. Payer ID# 77799 to submit an electronic claim. Mailing address#P.O. Box 80100. London, KY 40742-0100. Callref#Lucinda-4/24/2025 4/24/2025MK Info from Beebe: Insurance = Amerihealth Caritas ID# 0002445447 rcvd letter from pt stating bill to amerihealth 200110477. did not ver as run is not medically necessary. 3/18/25REG Ambulated to the stretcher where he was secured for transport No insurance information found, No information in face sheet, no Medicaid, checked Nsure but no policy found, MA 12/27/2024 !Uninsured !Not Medically Necessary
5732 7231 Dec 19, 2024 Longo, Vicki A0428 Beebe Hospital
Beebe Hospital, 314 A, 424 Savannah Road, Lewes, DE 19958
Ocean Grove Post Acute
Ocean Grove Post Acute, CHK W/ CHARGE, 231 Washington St, Millsboro, DE 19966
17.1 $509.96 $- $509.96
2025/04/25: Beebe requesting WVC rate. NR Patient was moved by assisted walking to the stretcher Verified MCR, no secondary or Medicaid, ,address updated as per face sheet but as per MCR address is '651 Valley Rd Ste 1595 Hockessin 19707', No hospice MA 12/23/2024 !Not Medically Necessary
5533 7157 Dec 16, 2024 Wade, Agnes J A0428 Beebe Hospital
Beebe Hospital, 368 A, 424 Savannah Road, Lewes, DE 19958
33120 N VILLAGE LOOP
APT 2105, 33120 N VILLAGE LOOP, Lewes, DE 19958
7 $373.75 $37.37 $336.38
PCS states patient can be transported by wheelchair- patient lives alone Verified MCR and AARP, address updated as per face sheet, No hospice, MA 12/17/2024 !WC
5533 421 Aug 20, 2023 Jefferson, Alan A0427 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, ED 4, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 510 'A', 424 Savannah Road, Lewes, DE 19958
23 $799.41 $- $799.41
2023/08/23_Info from Beebe: Insurance = Cigna / Health Options ID# 10890796600 / XHD13098127 Unable to verify BCBS on FS and Nsure has no insurance listed LDZ 08/24/2023 #421- no documentation 08/23/2023 MB !Uninsured
5423 8905 Mar 7, 2025 Ockasi, Joyce C A0428 Beebe Hospital
Beebe Hospital, ED 16, 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
Unable to obtain post service PA from Cigna Healthspring LDZ 03/10/2025 (Cigna Health spring adv) No individual OON deductible for Cigna adv, MA 03/10/2025 !No PA
Showing 121 to 130 of 192 records