Total Records: 192
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Array ( [id] => 800 [invoice_id] => 4806 [dispatch_id] => 4696 [date_time_of_service] => 2024-08-10 18:03:00 [patient_full_name] => Ramirez Cash, Vinicio [billable_service_code] => A0427 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 516, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Jefferson Hospital [destination_address] => Jefferson Hospital, 9222, 1200 Old York Rd, Abington, PA 19001 [mileage] => 137 [price_invoiced] => $1,842.59 [amount_received] => $- [current_amount_due] => $5,724.00 [billing_notes] => Beebe provided: DE Medicaid (ID# 0004030812. Nr 3/19/25 One crew signature missing LDZ 08/19/2024 Per Nsure no insurance found LDZ 08/19/2024 Completed. No PCR. JH 08/11/24 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 799 [invoice_id] => 4806 [dispatch_id] => 5433 [date_time_of_service] => 2024-09-19 21:34:00 [patient_full_name] => Coffey, Maia [billable_service_code] => A0429 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 1, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Nemours/A.I. duPont Hospital for Children [destination_address] => Nemours/A.I. duPont Hospital for Children, ED, 1600 Rockland Road, Wilmington, DE 19803-3616 [mileage] => 91.9 [price_invoiced] => $1,352.08 [amount_received] => $- [current_amount_due] => $4,132.00 [billing_notes] => 4/24/25: Emailed RM, put back to facility invoice. NR Beebe provided: Highmark Health Options (ID# XHD13201703. (See name spelling on documentation). NR 3/19/25 No insurance information found , Face sheet missing , no? Medicaid, checked Nsure but no policy found, MA 09/20/2024 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 798 [invoice_id] => 4806 [dispatch_id] => 4969 [date_time_of_service] => 2024-08-26 19:53:00 [patient_full_name] => Archino, David [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 373 B, 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] => $435.99 [amount_received] => $- [current_amount_due] => $435.99 [billing_notes] => 2025/03/19_Corrected original patient discount and corrected invoice for Beebe. NR 3/19/25 ambulates with assistance from his cane Verified MCR and AARP and Tricare as Tertiary, address updated as per face sheet, No hospice, MA 08/27/2024 !Not Medically Necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 797 [invoice_id] => 4806 [dispatch_id] => 3982 [date_time_of_service] => 2024-07-06 19:59:00 [patient_full_name] => Rivera, Jaeveliz [billable_service_code] => A0429 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 04, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Nemours/A.I. duPont Hospital for Children [destination_address] => Nemours/A.I. duPont Hospital for Children, ED, 1600 Rockland Road, Wilmington, DE 19803-3616 [mileage] => 91.9 [price_invoiced] => $1,352.08 [amount_received] => $61.07 [current_amount_due] => $4,070.93 [billing_notes] => 2025/05/25: Advised Beebe. NR 2025/5/7_MK - Call Health Partner s/w Colleen stated no patient found with name (Jaeveliz Rivera) with DOB 2/27/2020. As per rep Member ID# 910517661 not belongs to Health Partner. Need to contact patient for correct insurance information. Callref#50550099 Patient name spelling needs correction, Beebe provided: Health Partners (ID# 910517661. NR 3/19/25 Unable to locate insurance for minor. LDZ 07/10/2024 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 796 [invoice_id] => 4806 [dispatch_id] => 3874 [date_time_of_service] => 2024-07-01 04:23:00 [patient_full_name] => Johnson, Dominique [billable_service_code] => A0427 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, TRAUMA 2, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Christiana Hospital [destination_address] => Christiana Hospital, 2B10, 4755 Ogletown Stanton Road, Newark, DE 19718 [mileage] => 82.3 [price_invoiced] => $1,349.20 [amount_received] => $61.07 [current_amount_due] => $4,568.93 [billing_notes] => 2025/05/25: Advised Beebe. NR 2025/5/16_MK - Call Geico s/w Liz stated she is not able to find the patient with Member ID#61710005241 , Name and DOB . Need to contact patient for correct info. Callref# Liz-5/16/2025 Beebe provided: Geico AUTO (ID# 61710005241. NR 3/19/25 Per Nsure no insurance found LDZ 07/03/2024 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 795 [invoice_id] => 4806 [dispatch_id] => 3599 [date_time_of_service] => 2024-06-18 15:53:00 [patient_full_name] => Furlan, Daniel [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 360A, 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] => $61.07 [current_amount_due] => $242.33 [billing_notes] => No Date !Patient Invoiced 3x [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 794 [invoice_id] => 4806 [dispatch_id] => 2520 [date_time_of_service] => 2024-03-20 20:15:00 [patient_full_name] => Duffy, Katrina [billable_service_code] => A0429 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 36, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Bayhealth - Sussex Campus [destination_address] => Bayhealth - Sussex Campus, ED, 100 Wellness Way, Milford, DE 19963 [mileage] => 18.7 [price_invoiced] => $691.82 [amount_received] => $61.07 [current_amount_due] => $630.75 [billing_notes] => No Date !Patient Invoiced 3x [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 793 [invoice_id] => 4806 [dispatch_id] => 1871 [date_time_of_service] => 2024-01-17 21:56:00 [patient_full_name] => Flepie, Pablo [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Christiana Hospital [destination_address] => Christiana Hospital, ED, 4755 Ogletown Stanton Road, Newark, DE 19718 [mileage] => 82.3 [price_invoiced] => $1,098.06 [amount_received] => $61.07 [current_amount_due] => $1,036.99 [billing_notes] => 2024/01/18_No insurance listed or found LDZ 01/18/2024 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 792 [invoice_id] => 4706 [dispatch_id] => 7460 [date_time_of_service] => 2024-12-30 11:01:00 [patient_full_name] => Nocks, Daquan [billable_service_code] => A0130 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 12, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Taton House [destination_address] => Taton House, 18090 Harbeson Road, Milton, DE 19968 [mileage] => 9.8 [price_invoiced] => $411.64 [amount_received] => $44.91 [current_amount_due] => $96.54 [billing_notes] => 2025/05/06: Adjusted to WCV per RB. NR 2024/01/03_Non billable destination- billing Beebe per NR LDZ 01/03/2024 Verified UHC dual plan, checked but unable to verify UHC medicaid MCO, Highmark Health Options Medicaid found active under pt id #XHD129757529001, Aid category(67-MEDICAID - SSI DISABLED, NON-GRANT ELDERLY/DISABLE), no insurance information in face sheet, So need to wait for cross over, address updated as per face sheet, No hospice , MA 12/31/2024 !Non-covered destination, Not medically necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 791 [invoice_id] => 4706 [dispatch_id] => 7387 [date_time_of_service] => 2024-12-26 22:50:00 [patient_full_name] => Williams, Linda M [billable_service_code] => A0130 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 21, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 24313 ZINFANDEL LANE [destination_address] => 24313 ZINFANDEL LANE, Lewes, DE 19958 [mileage] => 4 [price_invoiced] => $333.16 [amount_received] => $44.91 [current_amount_due] => $66.09 [billing_notes] => 2025/05/06: Adjustedd to WCV per RB. NR 2024/12/27_Patient walked to and from stretcher- lives alone Verified MCR and Cigna, address verified, No hospice, MA 12/27/2024 !Not medically necessary [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
4806 4696 Aug 10, 2024 Ramirez Cash, Vinicio A0427 Beebe Hospital
Beebe Hospital, 516, 424 Savannah Road, Lewes, DE 19958
Jefferson Hospital
Jefferson Hospital, 9222, 1200 Old York Rd, Abington, PA 19001
137 $1,842.59 $- $5,724.00
Beebe provided: DE Medicaid (ID# 0004030812. Nr 3/19/25 One crew signature missing LDZ 08/19/2024 Per Nsure no insurance found LDZ 08/19/2024 Completed. No PCR. JH 08/11/24 !Uninsured
4806 5433 Sep 19, 2024 Coffey, Maia A0429 Beebe Hospital
Beebe Hospital, ED 1, 424 Savannah Road, Lewes, DE 19958
Nemours/A.I. duPont Hospital for Children
Nemours/A.I. duPont Hospital for Children, ED, 1600 Rockland Road, Wilmington, DE 19803-3616
91.9 $1,352.08 $- $4,132.00
4/24/25: Emailed RM, put back to facility invoice. NR Beebe provided: Highmark Health Options (ID# XHD13201703. (See name spelling on documentation). NR 3/19/25 No insurance information found , Face sheet missing , no? Medicaid, checked Nsure but no policy found, MA 09/20/2024 !Uninsured
4806 4969 Aug 26, 2024 Archino, David A0428 Beebe Hospital
Beebe Hospital, 373 B, 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 $435.99 $- $435.99
2025/03/19_Corrected original patient discount and corrected invoice for Beebe. NR 3/19/25 ambulates with assistance from his cane Verified MCR and AARP and Tricare as Tertiary, address updated as per face sheet, No hospice, MA 08/27/2024 !Not Medically Necessary
4806 3982 Jul 6, 2024 Rivera, Jaeveliz A0429 Beebe Hospital
Beebe Hospital, ED 04, 424 Savannah Road, Lewes, DE 19958
Nemours/A.I. duPont Hospital for Children
Nemours/A.I. duPont Hospital for Children, ED, 1600 Rockland Road, Wilmington, DE 19803-3616
91.9 $1,352.08 $61.07 $4,070.93
2025/05/25: Advised Beebe. NR 2025/5/7_MK - Call Health Partner s/w Colleen stated no patient found with name (Jaeveliz Rivera) with DOB 2/27/2020. As per rep Member ID# 910517661 not belongs to Health Partner. Need to contact patient for correct insurance information. Callref#50550099 Patient name spelling needs correction, Beebe provided: Health Partners (ID# 910517661. NR 3/19/25 Unable to locate insurance for minor. LDZ 07/10/2024 !Uninsured
4806 3874 Jul 1, 2024 Johnson, Dominique A0427 Beebe Hospital
Beebe Hospital, TRAUMA 2, 424 Savannah Road, Lewes, DE 19958
Christiana Hospital
Christiana Hospital, 2B10, 4755 Ogletown Stanton Road, Newark, DE 19718
82.3 $1,349.20 $61.07 $4,568.93
2025/05/25: Advised Beebe. NR 2025/5/16_MK - Call Geico s/w Liz stated she is not able to find the patient with Member ID#61710005241 , Name and DOB . Need to contact patient for correct info. Callref# Liz-5/16/2025 Beebe provided: Geico AUTO (ID# 61710005241. NR 3/19/25 Per Nsure no insurance found LDZ 07/03/2024 !Uninsured
4806 3599 Jun 18, 2024 Furlan, Daniel A0428 Beebe Hospital
Beebe Hospital, 360A, 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 $61.07 $242.33
No Date !Patient Invoiced 3x
4806 2520 Mar 20, 2024 Duffy, Katrina A0429 Beebe Hospital
Beebe Hospital, 36, 424 Savannah Road, Lewes, DE 19958
Bayhealth - Sussex Campus
Bayhealth - Sussex Campus, ED, 100 Wellness Way, Milford, DE 19963
18.7 $691.82 $61.07 $630.75
No Date !Patient Invoiced 3x
4806 1871 Jan 17, 2024 Flepie, Pablo A0428 Beebe Hospital
Beebe Hospital, ED, 424 Savannah Road, Lewes, DE 19958
Christiana Hospital
Christiana Hospital, ED, 4755 Ogletown Stanton Road, Newark, DE 19718
82.3 $1,098.06 $61.07 $1,036.99
2024/01/18_No insurance listed or found LDZ 01/18/2024 !Uninsured
4706 7460 Dec 30, 2024 Nocks, Daquan A0130 Beebe Hospital
Beebe Hospital, ED 12, 424 Savannah Road, Lewes, DE 19958
Taton House
Taton House, 18090 Harbeson Road, Milton, DE 19968
9.8 $411.64 $44.91 $96.54
2025/05/06: Adjusted to WCV per RB. NR 2024/01/03_Non billable destination- billing Beebe per NR LDZ 01/03/2024 Verified UHC dual plan, checked but unable to verify UHC medicaid MCO, Highmark Health Options Medicaid found active under pt id #XHD129757529001, Aid category(67-MEDICAID - SSI DISABLED, NON-GRANT ELDERLY/DISABLE), no insurance information in face sheet, So need to wait for cross over, address updated as per face sheet, No hospice , MA 12/31/2024 !Non-covered destination, Not medically necessary
4706 7387 Dec 26, 2024 Williams, Linda M A0130 Beebe Hospital
Beebe Hospital, ED 21, 424 Savannah Road, Lewes, DE 19958
24313 ZINFANDEL LANE
24313 ZINFANDEL LANE, Lewes, DE 19958
4 $333.16 $44.91 $66.09
2025/05/06: Adjustedd to WCV per RB. NR 2024/12/27_Patient walked to and from stretcher- lives alone Verified MCR and Cigna, address verified, No hospice, MA 12/27/2024 !Not medically necessary
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