Total Records: 192
Page: 15 of 20
Showing: 10 records
Array ( [id] => 820 [invoice_id] => 5035 [dispatch_id] => 6441 [date_time_of_service] => 2024-11-13 17:09:00 [patient_full_name] => Mojica, Benjamin [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, ED 5, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 321 B, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23.1 [price_invoiced] => $731.51 [amount_received] => $- [current_amount_due] => $731.51 [billing_notes] => Beebe provided - DE Medicaid ID# 0004135961 - JM 3/19/25 No insurance information found , No information in face sheet , no? Medicaid, checked Nsure but no policy found, MA 11/14/2024 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 819 [invoice_id] => 5035 [dispatch_id] => 6243 [date_time_of_service] => 2024-11-03 07:47:00 [patient_full_name] => Church, Brandi [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, ED 11, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, ED, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23.1 [price_invoiced] => $731.51 [amount_received] => $67.93 [current_amount_due] => $663.58 [billing_notes] => 2025/01/01_BCBS policy starts 01/01/2025 Recheck eligibility. NR 11/21/24 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 818 [invoice_id] => 5035 [dispatch_id] => 6207 [date_time_of_service] => 2024-10-31 21:59:00 [patient_full_name] => Green, Amelia [billable_service_code] => A0429 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 315, 424 Savannah Road, Lewes, DE 19958 [destination_name] => John Hopkins [destination_address] => John Hopkins, MAIN CAMPUS MEDICAL WEINBERG 4AB, 1800 Orleans St, Baltimore, MD 21287 [mileage] => 142.1 [price_invoiced] => $1,804.89 [amount_received] => $- [current_amount_due] => $1,804.89 [billing_notes] => Beebe provided - DE Medicaid ID# 0001558719 - JM 3/19/25 Per Nsure no insurance found LDZ 11/01/2024 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 817 [invoice_id] => 5035 [dispatch_id] => 6172 [date_time_of_service] => 2024-10-29 22:16:00 [patient_full_name] => Naciso, Perez [billable_service_code] => A0429 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 20, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Thomas Jefferson University Hospital [destination_address] => Thomas Jefferson University Hospital, ED, 111 S. 11th St, Philadelphia, PA 19107 [mileage] => 119.8 [price_invoiced] => $1,603.74 [amount_received] => $67.93 [current_amount_due] => $1,535.81 [billing_notes] => 2024/10/30_No insurance information found , No information in face sheet , no? Medicaid, checked Nsure but no policy found, MA 10/30/2024 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 816 [invoice_id] => 5035 [dispatch_id] => 6094 [date_time_of_service] => 2024-10-26 17:36:00 [patient_full_name] => Rojas Hernandez, Zobeida [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, ED 205, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 226 B, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $730.60 [amount_received] => $- [current_amount_due] => $730.60 [billing_notes] => Beebe provided - DE Medicaid ID# 0001617320 - JM 3/19/25 No insurance information found , Face sheet missing , no? Medicaid, checked Nsure but no policy found, MA 10/29/2024 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 815 [invoice_id] => 5035 [dispatch_id] => 6026 [date_time_of_service] => 2024-10-23 11:22:00 [patient_full_name] => Elliott, Ronald [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 4, 424 Savannah Road, Lewes, DE 19958 [destination_name] => The Moorings At Lewes [destination_address] => The Moorings At Lewes, 17028 Cadbury Circle Lewes, Lewes, DE 19958 [mileage] => 1.8 [price_invoiced] => $303.40 [amount_received] => $67.93 [current_amount_due] => $235.47 [billing_notes] => 2024/10/24_Medical necessity missing in narrative LDZ 10/24/2024 Verified Humana adv, no insurance information in face sheet, no secondary or Medicaid found inactive under PT ID #0000416751, address verified, No hospice, MA 10/24/2024 !Patient Invoiced 3x [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 814 [invoice_id] => 5035 [dispatch_id] => 6000 [date_time_of_service] => 2024-10-22 02:55:00 [patient_full_name] => Elliott, Ronald [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, HALLWAY B, 424 Savannah Road, Lewes, DE 19958 [destination_name] => The Moorings At Lewes [destination_address] => The Moorings At Lewes, 17028 Cadbury Circle Lewes, Lewes, DE 19958 [mileage] => 1.8 [price_invoiced] => $303.40 [amount_received] => $67.93 [current_amount_due] => $235.47 [billing_notes] => 2024/10/23_Medical necessity missing in narrative LDZ 10/23/2024 Verified Humana adv, no secondary or Medicaid found inactive under PT ID #0000416751, address updated as per face sheet, No hospice, MA 10/22/2024 !Patient Invoiced 3x [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 813 [invoice_id] => 5035 [dispatch_id] => 5936 [date_time_of_service] => 2024-10-18 07:32:00 [patient_full_name] => Maclary, Susan [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, HALLWAY B, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 20632 CANAL RD [destination_address] => 20632 CANAL RD, Rehoboth, DE 19971 [mileage] => 7 [price_invoiced] => $373.75 [amount_received] => $67.93 [current_amount_due] => $305.82 [billing_notes] => 2025/03/19_Beebe provided - Medicare / AARP ID# 4WA1EX7RE02 / 31041007211 - JM 3/19/25 She was able to walk with her cane. Pt is self efficient and was left home alone Verified MCR, no insurance information in face sheet, no secondary or Medicaid, ,address updated as per face sheet, No hospice MA 10/18/2024 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 812 [invoice_id] => 5035 [dispatch_id] => 5935 [date_time_of_service] => 2024-10-18 02:03:00 [patient_full_name] => Anwar, Zulfiqar [billable_service_code] => A0427 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 1, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Thomas Jefferson University Hospital [destination_address] => Thomas Jefferson University Hospital, PAVILLION 1412, 111 S. 11th St, Philadelphia, PA 19107 [mileage] => 119.8 [price_invoiced] => $1,687.45 [amount_received] => $- [current_amount_due] => $1,687.45 [billing_notes] => Beebe provided -DE Medicaid ID# 0004127082 - JM 3/19/25 No insurance information found , Face sheet missing , no? Medicaid, checked Nsure but no policy found, MA 10/18/2024 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 811 [invoice_id] => 5035 [dispatch_id] => 5911 [date_time_of_service] => 2024-10-16 17:30:00 [patient_full_name] => Sockritter, Scott [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, ED 1, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, PACU 1, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $730.60 [amount_received] => $- [current_amount_due] => $730.60 [billing_notes] => Beebe provided - DE Medicaid ID# 0001565803 - JM 3/19/25 No insurance information found , As per face sheet we have Amerihealth Caritas as primary but unable to verifiy, PT id is also not mentioned, Also Dob is also different from face sheet which I updated correctly, no Medicaid, Also checked Nsure but no policy found, MA 10/17/2024 [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
5035 6441 Nov 13, 2024 Mojica, Benjamin A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, ED 5, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 321 B, 424 Savannah Road, Lewes, DE 19958
23.1 $731.51 $- $731.51
Beebe provided - DE Medicaid ID# 0004135961 - JM 3/19/25 No insurance information found , No information in face sheet , no? Medicaid, checked Nsure but no policy found, MA 11/14/2024
5035 6243 Nov 3, 2024 Church, Brandi A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, ED 11, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, ED, 424 Savannah Road, Lewes, DE 19958
23.1 $731.51 $67.93 $663.58
2025/01/01_BCBS policy starts 01/01/2025 Recheck eligibility. NR 11/21/24
5035 6207 Oct 31, 2024 Green, Amelia A0429 Beebe Hospital
Beebe Hospital, 315, 424 Savannah Road, Lewes, DE 19958
John Hopkins
John Hopkins, MAIN CAMPUS MEDICAL WEINBERG 4AB, 1800 Orleans St, Baltimore, MD 21287
142.1 $1,804.89 $- $1,804.89
Beebe provided - DE Medicaid ID# 0001558719 - JM 3/19/25 Per Nsure no insurance found LDZ 11/01/2024 !Uninsured
5035 6172 Oct 29, 2024 Naciso, Perez A0429 Beebe Hospital
Beebe Hospital, ED 20, 424 Savannah Road, Lewes, DE 19958
Thomas Jefferson University Hospital
Thomas Jefferson University Hospital, ED, 111 S. 11th St, Philadelphia, PA 19107
119.8 $1,603.74 $67.93 $1,535.81
2024/10/30_No insurance information found , No information in face sheet , no? Medicaid, checked Nsure but no policy found, MA 10/30/2024
5035 6094 Oct 26, 2024 Rojas Hernandez, Zobeida A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, ED 205, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 226 B, 424 Savannah Road, Lewes, DE 19958
23 $730.60 $- $730.60
Beebe provided - DE Medicaid ID# 0001617320 - JM 3/19/25 No insurance information found , Face sheet missing , no? Medicaid, checked Nsure but no policy found, MA 10/29/2024
5035 6026 Oct 23, 2024 Elliott, Ronald A0428 Beebe Hospital
Beebe Hospital, ED 4, 424 Savannah Road, Lewes, DE 19958
The Moorings At Lewes
The Moorings At Lewes, 17028 Cadbury Circle Lewes, Lewes, DE 19958
1.8 $303.40 $67.93 $235.47
2024/10/24_Medical necessity missing in narrative LDZ 10/24/2024 Verified Humana adv, no insurance information in face sheet, no secondary or Medicaid found inactive under PT ID #0000416751, address verified, No hospice, MA 10/24/2024 !Patient Invoiced 3x
5035 6000 Oct 22, 2024 Elliott, Ronald A0428 Beebe Hospital
Beebe Hospital, HALLWAY B, 424 Savannah Road, Lewes, DE 19958
The Moorings At Lewes
The Moorings At Lewes, 17028 Cadbury Circle Lewes, Lewes, DE 19958
1.8 $303.40 $67.93 $235.47
2024/10/23_Medical necessity missing in narrative LDZ 10/23/2024 Verified Humana adv, no secondary or Medicaid found inactive under PT ID #0000416751, address updated as per face sheet, No hospice, MA 10/22/2024 !Patient Invoiced 3x
5035 5936 Oct 18, 2024 Maclary, Susan A0428 Beebe Hospital
Beebe Hospital, HALLWAY B, 424 Savannah Road, Lewes, DE 19958
20632 CANAL RD
20632 CANAL RD, Rehoboth, DE 19971
7 $373.75 $67.93 $305.82
2025/03/19_Beebe provided - Medicare / AARP ID# 4WA1EX7RE02 / 31041007211 - JM 3/19/25 She was able to walk with her cane. Pt is self efficient and was left home alone Verified MCR, no insurance information in face sheet, no secondary or Medicaid, ,address updated as per face sheet, No hospice MA 10/18/2024
5035 5935 Oct 18, 2024 Anwar, Zulfiqar A0427 Beebe Hospital
Beebe Hospital, ED 1, 424 Savannah Road, Lewes, DE 19958
Thomas Jefferson University Hospital
Thomas Jefferson University Hospital, PAVILLION 1412, 111 S. 11th St, Philadelphia, PA 19107
119.8 $1,687.45 $- $1,687.45
Beebe provided -DE Medicaid ID# 0004127082 - JM 3/19/25 No insurance information found , Face sheet missing , no? Medicaid, checked Nsure but no policy found, MA 10/18/2024 !Uninsured
5035 5911 Oct 16, 2024 Sockritter, Scott A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, ED 1, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, PACU 1, 424 Savannah Road, Lewes, DE 19958
23 $730.60 $- $730.60
Beebe provided - DE Medicaid ID# 0001565803 - JM 3/19/25 No insurance information found , As per face sheet we have Amerihealth Caritas as primary but unable to verifiy, PT id is also not mentioned, Also Dob is also different from face sheet which I updated correctly, no Medicaid, Also checked Nsure but no policy found, MA 10/17/2024
Showing 141 to 150 of 192 records