Total Records: 192
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Showing: 10 records
Array ( [id] => 790 [invoice_id] => 4706 [dispatch_id] => 7325 [date_time_of_service] => 2024-12-23 20:49:00 [patient_full_name] => Henry, Carolyn [billable_service_code] => A0130 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 529 B, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Sea Spray Group Home [destination_address] => Sea Spray Group Home, 17910 Ebb Tide Drive, Lewes, DE 19958 [mileage] => 4.2 [price_invoiced] => $335.87 [amount_received] => $44.91 [current_amount_due] => $67.14 [billing_notes] => 2025/05/06: Adjustedd to WCV per RB. NR 2024/12/26_PCS states patient is in a wheelchair Verified MCR and Amerihealth Caritas Medicaid, Aid category(15-MEDICAID - SSI AGED, GRANT MR WAIVER), address verified as per face sheet but as per MCR address is '1054 S Governors Ave Dover 19904', No hospice, MA 12/26/2024 !Not medically necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 789 [invoice_id] => 4706 [dispatch_id] => 7323 [date_time_of_service] => 2024-12-23 19:00:00 [patient_full_name] => Clark, Deborah K [billable_service_code] => A0130 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 533, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Harrison House Of Georgetown [destination_address] => Harrison House Of Georgetown, 110 W North St, Georgetown, DE 19947 [mileage] => 15.5 [price_invoiced] => $488.76 [amount_received] => $44.91 [current_amount_due] => $126.47 [billing_notes] => 2025/05/06: Adjustedd to WCV per RB. NR 2024/12/24_PCS states patient can use a wheelchair van Verified MCR and Amerihealth Caritas Medicaid, Aid category(28-MEDICAID - SSI AGED, NON-GRANT INSTITUTIONALIZED (), address updated as per face sheet but as per MCR address is '26408 Fells St Georgetown 19947', No hospice, MA 12/24/2024 !Not medically necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 788 [invoice_id] => 4706 [dispatch_id] => 7316 [date_time_of_service] => 2024-12-23 16:09:00 [patient_full_name] => Johnson, Lorraine E [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 502, 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] => $44.91 [current_amount_due] => $391.08 [billing_notes] => 2024/12/24_PCS states patient can be transported by wheelchair van Verified MCR and Highmark Health Options Medicaid, Aid category (28-MEDICAID - SSI AGED, NON-GRANT INSTITUTIONALIZED (), address verified as per face sheet but as per MCR address is '1140 Savannah Road Lewes 19958', No hospice, MA 12/24/2024 !Not medically necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 787 [invoice_id] => 4706 [dispatch_id] => 7302 [date_time_of_service] => 2024-12-22 22:46:00 [patient_full_name] => Baynes, Dawn P [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 24, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 34150 JUNIPER DRIVE [destination_address] => 34150 JUNIPER DRIVE, Lewes, DE 19958 [mileage] => 4 [price_invoiced] => $333.16 [amount_received] => $44.91 [current_amount_due] => $288.25 [billing_notes] => 2024/12/30_Patient filed appeal with insurance, Highmark letter reads we did not insurance information. Billing contract. Nr 12/30/24 Patient walked with no assistance from the hospital bed to the stretcher, lives alone Verified MCR and Highmark Health Medicaid, Aid category (57-MEDICAID - SSI DISABLED, GRANT ELDERLY/DISABLED WA), no insurance information in face sheet, address updated as per face sheet, No hospice, MA 12/26/2024 !Not medically necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 786 [invoice_id] => 4706 [dispatch_id] => 7253 [date_time_of_service] => 2024-12-20 14:49:00 [patient_full_name] => Henry, Constance A [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 308 A, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 36383 RABBIT RUN [destination_address] => 36383 RABBIT RUN, Millsboro, DE 19966 [mileage] => 17 [price_invoiced] => $509.05 [amount_received] => $44.91 [current_amount_due] => $464.14 [billing_notes] => 2024/12/23_PCS states patient could use WC van- wheelchair bound Verified Aetna adv and Highmark Health options Medicaid, Aid category(27-MEDICAID - SSI AGED, NON-GRANT ELDERLY/DISABLED WA), address updated as per face sheet, No hospice, MA 12/23/2024 !Not medically necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 785 [invoice_id] => 4706 [dispatch_id] => 7211 [date_time_of_service] => 2024-12-18 19:32:00 [patient_full_name] => Reynolds, Carmen [billable_service_code] => A0130 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 538, 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] => $44.91 [current_amount_due] => $50.34 [billing_notes] => 2025/05/06: Adjustedd to WCV per RB. NR 2024/12/23_PCS states wheelchair van is more appropriate LDZ 12/23/2024 Verified Aetna adv and Medicaid, Aid category(Q1-QMB - QUALIFIED MEDICARE BENEFICIARY, NON-INSTITUT), address verified, No hospice, MA 12/23/2024 !Not medically necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 784 [invoice_id] => 4706 [dispatch_id] => 7155 [date_time_of_service] => 2024-12-17 00:40:00 [patient_full_name] => Stephenson, Joan [billable_service_code] => A0130 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 367 A, 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] => $44.91 [current_amount_due] => $105.99 [billing_notes] => 2025/05/06: Adjustedd to WCV per RB. NR 2024/12/17_PCS states patient be transported in a wheelchair Verified MCR, no secondary or Medicaid, ,address verified, No hospice MA 12/17/2024 !Not medically necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 783 [invoice_id] => 4706 [dispatch_id] => 7097 [date_time_of_service] => 2024-12-13 15:42:00 [patient_full_name] => Spoerer, John [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 505, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Brandywine Living At Seaside Pointe [destination_address] => Brandywine Living At Seaside Pointe, Check w/ Front Desk, 36101 Seaside Blvd, Rehoboth Beach, DE 19971 [mileage] => 4.7 [price_invoiced] => $342.64 [amount_received] => $44.91 [current_amount_due] => $297.73 [billing_notes] => 2024/12/16_Billing to Beebe 2024 claim - not medically necessary Patient walked to and from stretcher unassisted Verified MCR and BCBS, address verified, No hospice, MA 12/16/2024 !Not medically necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 782 [invoice_id] => 4706 [dispatch_id] => 7062 [date_time_of_service] => 2024-12-12 07:01:00 [patient_full_name] => Macbride, Mary [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 5, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 35461 KNOLL WAY [destination_address] => 35461 KNOLL WAY, Millsboro, DE 19966 [mileage] => 15.7 [price_invoiced] => $491.47 [amount_received] => $44.91 [current_amount_due] => $446.56 [billing_notes] => 2025/02/24_Spoke with patient who states that she is not paying this bill, she had no way home and didnt request for the ambulance to take her home. She said that Beebe should be the one taking care of the bill since they arranged it. LDZ 02/24/2025 Pt was transported home and ambulated up the stair into the house with minimal assistance where she lives alone Verified MCR, No insurance information found in face sheet, no secondary or Medicaid, ,address updated as per face sheet, No hospice MA 12/12/2024 !Not medically necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 781 [invoice_id] => 4706 [dispatch_id] => 6978 [date_time_of_service] => 2024-12-08 13:27:00 [patient_full_name] => Spoerer, John [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 8, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Brandywine Living At Seaside Pointe [destination_address] => Brandywine Living At Seaside Pointe, Check w/ Front Desk, 36101 Seaside Blvd, Rehoboth Beach, DE 19971 [mileage] => 4.7 [price_invoiced] => $342.64 [amount_received] => $44.91 [current_amount_due] => $297.73 [billing_notes] => 2024/12/09_Billing to Beebe 2024 claim - not medically necessary Patient walked with little assistance from the bed to the stretcher Verified MCR and BCBS, address updated as per face sheet, No hospice, MA 12/09/2024 !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
4706 7325 Dec 23, 2024 Henry, Carolyn A0130 Beebe Hospital
Beebe Hospital, 529 B, 424 Savannah Road, Lewes, DE 19958
Sea Spray Group Home
Sea Spray Group Home, 17910 Ebb Tide Drive, Lewes, DE 19958
4.2 $335.87 $44.91 $67.14
2025/05/06: Adjustedd to WCV per RB. NR 2024/12/26_PCS states patient is in a wheelchair Verified MCR and Amerihealth Caritas Medicaid, Aid category(15-MEDICAID - SSI AGED, GRANT MR WAIVER), address verified as per face sheet but as per MCR address is '1054 S Governors Ave Dover 19904', No hospice, MA 12/26/2024 !Not medically necessary
4706 7323 Dec 23, 2024 Clark, Deborah K A0130 Beebe Hospital
Beebe Hospital, 533, 424 Savannah Road, Lewes, DE 19958
Harrison House Of Georgetown
Harrison House Of Georgetown, 110 W North St, Georgetown, DE 19947
15.5 $488.76 $44.91 $126.47
2025/05/06: Adjustedd to WCV per RB. NR 2024/12/24_PCS states patient can use a wheelchair van Verified MCR and Amerihealth Caritas Medicaid, Aid category(28-MEDICAID - SSI AGED, NON-GRANT INSTITUTIONALIZED (), address updated as per face sheet but as per MCR address is '26408 Fells St Georgetown 19947', No hospice, MA 12/24/2024 !Not medically necessary
4706 7316 Dec 23, 2024 Johnson, Lorraine E A0428 Beebe Hospital
Beebe Hospital, 502, 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 $44.91 $391.08
2024/12/24_PCS states patient can be transported by wheelchair van Verified MCR and Highmark Health Options Medicaid, Aid category (28-MEDICAID - SSI AGED, NON-GRANT INSTITUTIONALIZED (), address verified as per face sheet but as per MCR address is '1140 Savannah Road Lewes 19958', No hospice, MA 12/24/2024 !Not medically necessary
4706 7302 Dec 22, 2024 Baynes, Dawn P A0428 Beebe Hospital
Beebe Hospital, ED 24, 424 Savannah Road, Lewes, DE 19958
34150 JUNIPER DRIVE
34150 JUNIPER DRIVE, Lewes, DE 19958
4 $333.16 $44.91 $288.25
2024/12/30_Patient filed appeal with insurance, Highmark letter reads we did not insurance information. Billing contract. Nr 12/30/24 Patient walked with no assistance from the hospital bed to the stretcher, lives alone Verified MCR and Highmark Health Medicaid, Aid category (57-MEDICAID - SSI DISABLED, GRANT ELDERLY/DISABLED WA), no insurance information in face sheet, address updated as per face sheet, No hospice, MA 12/26/2024 !Not medically necessary
4706 7253 Dec 20, 2024 Henry, Constance A A0428 Beebe Hospital
Beebe Hospital, 308 A, 424 Savannah Road, Lewes, DE 19958
36383 RABBIT RUN
36383 RABBIT RUN, Millsboro, DE 19966
17 $509.05 $44.91 $464.14
2024/12/23_PCS states patient could use WC van- wheelchair bound Verified Aetna adv and Highmark Health options Medicaid, Aid category(27-MEDICAID - SSI AGED, NON-GRANT ELDERLY/DISABLED WA), address updated as per face sheet, No hospice, MA 12/23/2024 !Not medically necessary
4706 7211 Dec 18, 2024 Reynolds, Carmen A0130 Beebe Hospital
Beebe Hospital, 538, 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 $44.91 $50.34
2025/05/06: Adjustedd to WCV per RB. NR 2024/12/23_PCS states wheelchair van is more appropriate LDZ 12/23/2024 Verified Aetna adv and Medicaid, Aid category(Q1-QMB - QUALIFIED MEDICARE BENEFICIARY, NON-INSTITUT), address verified, No hospice, MA 12/23/2024 !Not medically necessary
4706 7155 Dec 17, 2024 Stephenson, Joan A0130 Beebe Hospital
Beebe Hospital, 367 A, 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 $44.91 $105.99
2025/05/06: Adjustedd to WCV per RB. NR 2024/12/17_PCS states patient be transported in a wheelchair Verified MCR, no secondary or Medicaid, ,address verified, No hospice MA 12/17/2024 !Not medically necessary
4706 7097 Dec 13, 2024 Spoerer, John A0428 Beebe Hospital
Beebe Hospital, 505, 424 Savannah Road, Lewes, DE 19958
Brandywine Living At Seaside Pointe
Brandywine Living At Seaside Pointe, Check w/ Front Desk, 36101 Seaside Blvd, Rehoboth Beach, DE 19971
4.7 $342.64 $44.91 $297.73
2024/12/16_Billing to Beebe 2024 claim - not medically necessary Patient walked to and from stretcher unassisted Verified MCR and BCBS, address verified, No hospice, MA 12/16/2024 !Not medically necessary
4706 7062 Dec 12, 2024 Macbride, Mary A0428 Beebe Hospital
Beebe Hospital, ED 5, 424 Savannah Road, Lewes, DE 19958
35461 KNOLL WAY
35461 KNOLL WAY, Millsboro, DE 19966
15.7 $491.47 $44.91 $446.56
2025/02/24_Spoke with patient who states that she is not paying this bill, she had no way home and didnt request for the ambulance to take her home. She said that Beebe should be the one taking care of the bill since they arranged it. LDZ 02/24/2025 Pt was transported home and ambulated up the stair into the house with minimal assistance where she lives alone Verified MCR, No insurance information found in face sheet, no secondary or Medicaid, ,address updated as per face sheet, No hospice MA 12/12/2024 !Not medically necessary
4706 6978 Dec 8, 2024 Spoerer, John A0428 Beebe Hospital
Beebe Hospital, ED 8, 424 Savannah Road, Lewes, DE 19958
Brandywine Living At Seaside Pointe
Brandywine Living At Seaside Pointe, Check w/ Front Desk, 36101 Seaside Blvd, Rehoboth Beach, DE 19971
4.7 $342.64 $44.91 $297.73
2024/12/09_Billing to Beebe 2024 claim - not medically necessary Patient walked with little assistance from the bed to the stretcher Verified MCR and BCBS, address updated as per face sheet, No hospice, MA 12/09/2024 !Not medically necessary
Showing 171 to 180 of 192 records