| 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
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RESIDENCE |
RESIDENCE, 702 DUNBARTON APARTMENTS, Georgetown, DE 19947
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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
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| 6138 | 7402 | Dec 27, 2024 | Truitt, Melvin | A0428 | Beebe Hospital |
Beebe Hospital, 317, 424 Savannah Road, Lewes, DE 19958
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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
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| 6004 | 9831 | Apr 21, 2025 | Thomas, Charles | A0429 | Beebe Hospital |
Beebe Hospital, 360 A, 424 Savannah Road, Lewes, DE 19958
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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.
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| 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
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| 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
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| 5860 | 7348 | Dec 24, 2024 | Boulden, Robert | A0428 | Beebe Hospital |
Beebe Hospital, ED 33, 424 Savannah Road, Lewes, DE 19958
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Harbor Healthcare & Rehabilitation Center |
Harbor Healthcare & Rehabilitation Center, Chk w/ FD, 301 Ocean View Blvd, Lewis, DE 19958
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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
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| 5732 | 7231 | Dec 19, 2024 | Longo, Vicki | A0428 | Beebe Hospital |
Beebe Hospital, 314 A, 424 Savannah Road, Lewes, DE 19958
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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
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| 5533 | 7157 | Dec 16, 2024 | Wade, Agnes J | A0428 | Beebe Hospital |
Beebe Hospital, 368 A, 424 Savannah Road, Lewes, DE 19958
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33120 N VILLAGE LOOP |
APT 2105, 33120 N VILLAGE LOOP, Lewes, DE 19958
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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
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| 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
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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
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| 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
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