Total Records: 192
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Array ( [id] => 780 [invoice_id] => 4706 [dispatch_id] => 6948 [date_time_of_service] => 2024-12-06 14:52:00 [patient_full_name] => Sensenig, Betty A [billable_service_code] => A0130 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 408, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 1 NOTTINGHAM DRIVE [destination_address] => 1 NOTTINGHAM DRIVE, 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 2024/12/09_Patient is wheelchair bound and can safely transport in one Verified MCR 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 12/09/2024 !Not medically necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 779 [invoice_id] => 4705 [dispatch_id] => 5153 [date_time_of_service] => 2024-09-04 13:15:00 [patient_full_name] => Kraft, Elizabeth [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 523 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] => $48.25 [current_amount_due] => $387.74 [billing_notes] => 2024/10/10_Per Natalie, billing facility. Reviewed notes from hospital and stated upper left extremality slight weakness. LDZ 10/10/2024 Patient walked to and from stretcher unassisted Verified MCR and AARP, address updated as per face sheet, No hospice, MA 09/04/2024 !Not medically necessary [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 778 [invoice_id] => 4703 [dispatch_id] => 4692 [date_time_of_service] => 2024-08-09 23:06:00 [patient_full_name] => Larrabee, Jade [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, 6, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 365, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $730.60 [amount_received] => $- [current_amount_due] => $2,754.00 [billing_notes] => 2025/5/20_MK- As checked on Availity claim finalized on 4/9/2025 under claim#22857387568 paid $270.25 to Member through check#99999995 issued on 4/8/2025 to patient. Need to send TBC letter. Unable to verify insurance, will file with what was given to us. LDZ 04/04/2025 Information from Beebe: Insurance = BCBS of Delaware ID# ZBF20106391 Per Nsure no insurance found LDZ 08/12/2024 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 777 [invoice_id] => 4703 [dispatch_id] => 4605 [date_time_of_service] => 2024-08-07 03:38:00 [patient_full_name] => Litalien, Nathan [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, 11, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 365A, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $730.60 [amount_received] => $- [current_amount_due] => $2,754.00 [billing_notes] => 2025/04/30: denied for timely. -REG Information from Beebe: Insurance = Amerihealth Caritas NEXT ID# 67007366900 Amerihealth termed 12/31/2023 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 776 [invoice_id] => 4698 [dispatch_id] => 4404 [date_time_of_service] => 2024-07-27 03:14:00 [patient_full_name] => Charlton, Melissa [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, 14, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 103, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $730.60 [amount_received] => $- [current_amount_due] => $730.60 [billing_notes] => Information from Beebe: Insurance = BCBS of Delaware ID# XHP11472926 Per Nsure no insurance found LDZ 07/30/2024 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 775 [invoice_id] => 4698 [dispatch_id] => 4354 [date_time_of_service] => 2024-07-25 03:18:00 [patient_full_name] => Stout, Annmarie [billable_service_code] => A0427 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, 13, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 223A, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $814.31 [amount_received] => $- [current_amount_due] => $814.31 [billing_notes] => 2025/5/20_MK- As checked on Waystar claim accepted for processing on 4/5/2025. Further checked on Availity claim not found. so need to file again. Unable to verify coverage, will file with info given to us. LDZ 04/04/2025 Information from Beebe: Insurance = BCBS of Delaware ID# QDR10240470 Per Nsure no insurance found LDZ 07/29/2024 Submitted. No PCR. JH 07/25/24 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 774 [invoice_id] => 4698 [dispatch_id] => 4210 [date_time_of_service] => 2024-07-16 21:51:00 [patient_full_name] => Cupples, Jackson [billable_service_code] => A0429 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 6, 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] => $68.82 [current_amount_due] => $1,283.26 [billing_notes] => 2024/10/17_Mother called in, she is going to call insurance, I am attempting to file. NR 10/17/24 UHC called in provided MCD information. Policy is NJ MCD. OOS MCD. Explained to UHC rep. NR 8/21/24 No MCD found, unable to locate insurance for minor LDZ 07/18/2024 !OOS MCD [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 773 [invoice_id] => 4698 [dispatch_id] => 4007 [date_time_of_service] => 2024-07-08 08:34:00 [patient_full_name] => Stillman, John [billable_service_code] => A0429 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 07, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Thomas Jefferson University Hospital [destination_address] => Thomas Jefferson University Hospital, 3 CENTER BUILDING ROOM 3228, 111 S. 11th St, Philadelphia, PA 19107 [mileage] => 119.8 [price_invoiced] => $1,603.74 [amount_received] => $68.82 [current_amount_due] => $1,534.92 [billing_notes] => No Date !Patient invoiced 3x: [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 772 [invoice_id] => 4697 [dispatch_id] => 3848 [date_time_of_service] => 2024-06-29 22:30:00 [patient_full_name] => Bowden, Joseph [billable_service_code] => A0427 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 5, 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] => $1,349.20 [amount_received] => $- [current_amount_due] => $4,630.00 [billing_notes] => 2025/05/25: Advised Beebe of denial. NR 2025/5/20_MK- As checked on Availity claim denied on 4/9/2025 as remarks code S5004 : We are unable to identify this patient from the identification number reported above. Please verify the name and number indicated on the identification card. If the patient is covered by us, please resubmit the claim. Claim#22076512698. As per member ID prefix ID belongs to Horizon BCBS of New Jersey, Need to review or need to contact patient for correct information. Unable to verify BCBS coverage, will file as given to us. LDZ 04/04/2025 Information from Beebe: Insurance = BCBS of Delaware ID# HUF3HZN2758 Per Nsure no insurance found LDZ 07/31/2024 Submitted. PCR is still a draft. JH 06/30/24 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 771 [invoice_id] => 4697 [dispatch_id] => 3325 [date_time_of_service] => 2024-06-02 21:34:00 [patient_full_name] => Ohara, Timothy [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, 1, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 504-A, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $730.60 [amount_received] => $- [current_amount_due] => $2,754.00 [billing_notes] => 2025/07/06: coverage terminated sent to Michelle. NR 2025/05/28_MK - As checked on Availity claim#22157424001 denied on 4/11/2025 as Remarks code E5365 This claim was submitted under the BlueCard Program with an incorrect prefix. No more info available on availity. Further checked member ID prefix belongs to Carefirst BCBS of Maryland. Claim query send on availtiy. Need to review 2025/04/08_(MCR) Part B deductible left $ 0 for 2025, MA 04/08/2025 Recheck eligibility. NR 4/7/25 MCR verified, shows BCBS as primary and BCBS termed on 05/01/2023. LDZ 06/04/2024 !Patient invoiced 3x [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 6948 Dec 6, 2024 Sensenig, Betty A A0130 Beebe Hospital
Beebe Hospital, 408, 424 Savannah Road, Lewes, DE 19958
1 NOTTINGHAM DRIVE
1 NOTTINGHAM DRIVE, Lewes, DE 19958
4 $333.16 $44.91 $66.09
2025/05/06: Adjustedd to WCV per RB. NR 2024/12/09_Patient is wheelchair bound and can safely transport in one Verified MCR 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 12/09/2024 !Not medically necessary
4705 5153 Sep 4, 2024 Kraft, Elizabeth A0428 Beebe Hospital
Beebe Hospital, 523 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 $48.25 $387.74
2024/10/10_Per Natalie, billing facility. Reviewed notes from hospital and stated upper left extremality slight weakness. LDZ 10/10/2024 Patient walked to and from stretcher unassisted Verified MCR and AARP, address updated as per face sheet, No hospice, MA 09/04/2024 !Not medically necessary
4703 4692 Aug 9, 2024 Larrabee, Jade A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, 6, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 365, 424 Savannah Road, Lewes, DE 19958
23 $730.60 $- $2,754.00
2025/5/20_MK- As checked on Availity claim finalized on 4/9/2025 under claim#22857387568 paid $270.25 to Member through check#99999995 issued on 4/8/2025 to patient. Need to send TBC letter. Unable to verify insurance, will file with what was given to us. LDZ 04/04/2025 Information from Beebe: Insurance = BCBS of Delaware ID# ZBF20106391 Per Nsure no insurance found LDZ 08/12/2024 !Uninsured
4703 4605 Aug 7, 2024 Litalien, Nathan A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, 11, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 365A, 424 Savannah Road, Lewes, DE 19958
23 $730.60 $- $2,754.00
2025/04/30: denied for timely. -REG Information from Beebe: Insurance = Amerihealth Caritas NEXT ID# 67007366900 Amerihealth termed 12/31/2023 !Uninsured
4698 4404 Jul 27, 2024 Charlton, Melissa A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, 14, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 103, 424 Savannah Road, Lewes, DE 19958
23 $730.60 $- $730.60
Information from Beebe: Insurance = BCBS of Delaware ID# XHP11472926 Per Nsure no insurance found LDZ 07/30/2024 !Uninsured
4698 4354 Jul 25, 2024 Stout, Annmarie A0427 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, 13, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 223A, 424 Savannah Road, Lewes, DE 19958
23 $814.31 $- $814.31
2025/5/20_MK- As checked on Waystar claim accepted for processing on 4/5/2025. Further checked on Availity claim not found. so need to file again. Unable to verify coverage, will file with info given to us. LDZ 04/04/2025 Information from Beebe: Insurance = BCBS of Delaware ID# QDR10240470 Per Nsure no insurance found LDZ 07/29/2024 Submitted. No PCR. JH 07/25/24 !Uninsured
4698 4210 Jul 16, 2024 Cupples, Jackson A0429 Beebe Hospital
Beebe Hospital, 6, 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 $68.82 $1,283.26
2024/10/17_Mother called in, she is going to call insurance, I am attempting to file. NR 10/17/24 UHC called in provided MCD information. Policy is NJ MCD. OOS MCD. Explained to UHC rep. NR 8/21/24 No MCD found, unable to locate insurance for minor LDZ 07/18/2024 !OOS MCD
4698 4007 Jul 8, 2024 Stillman, John A0429 Beebe Hospital
Beebe Hospital, ED 07, 424 Savannah Road, Lewes, DE 19958
Thomas Jefferson University Hospital
Thomas Jefferson University Hospital, 3 CENTER BUILDING ROOM 3228, 111 S. 11th St, Philadelphia, PA 19107
119.8 $1,603.74 $68.82 $1,534.92
No Date !Patient invoiced 3x:
4697 3848 Jun 29, 2024 Bowden, Joseph A0427 Beebe Hospital
Beebe Hospital, ED 5, 424 Savannah Road, Lewes, DE 19958
Christiana Hospital
Christiana Hospital, ED, 4755 Ogletown Stanton Road, Newark, DE 19718
82.3 $1,349.20 $- $4,630.00
2025/05/25: Advised Beebe of denial. NR 2025/5/20_MK- As checked on Availity claim denied on 4/9/2025 as remarks code S5004 : We are unable to identify this patient from the identification number reported above. Please verify the name and number indicated on the identification card. If the patient is covered by us, please resubmit the claim. Claim#22076512698. As per member ID prefix ID belongs to Horizon BCBS of New Jersey, Need to review or need to contact patient for correct information. Unable to verify BCBS coverage, will file as given to us. LDZ 04/04/2025 Information from Beebe: Insurance = BCBS of Delaware ID# HUF3HZN2758 Per Nsure no insurance found LDZ 07/31/2024 Submitted. PCR is still a draft. JH 06/30/24 !Uninsured
4697 3325 Jun 2, 2024 Ohara, Timothy A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, 1, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 504-A, 424 Savannah Road, Lewes, DE 19958
23 $730.60 $- $2,754.00
2025/07/06: coverage terminated sent to Michelle. NR 2025/05/28_MK - As checked on Availity claim#22157424001 denied on 4/11/2025 as Remarks code E5365 This claim was submitted under the BlueCard Program with an incorrect prefix. No more info available on availity. Further checked member ID prefix belongs to Carefirst BCBS of Maryland. Claim query send on availtiy. Need to review 2025/04/08_(MCR) Part B deductible left $ 0 for 2025, MA 04/08/2025 Recheck eligibility. NR 4/7/25 MCR verified, shows BCBS as primary and BCBS termed on 05/01/2023. LDZ 06/04/2024 !Patient invoiced 3x
Showing 181 to 190 of 192 records