Total Records: 192
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Array ( [id] => 950 [invoice_id] => 4805 [dispatch_id] => 3688 [date_time_of_service] => 2024-06-22 23:19:00 [patient_full_name] => Dorczuk Yazzie, Susan A [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, 370B, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $686.72 [amount_received] => $- [current_amount_due] => $686.72 [billing_notes] => Waystar rejected as unable to locate member, looked on Cigna portal and no patient found LDZ 03/20/2025 Cigna # 891166631. Beebe has name spelled: Susan Ann Dorczuk Yazzie. Nr 3/18/25 Unable to verify insurance on FS. LDZ 06/26/2024 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 949 [invoice_id] => 4805 [dispatch_id] => 3378 [date_time_of_service] => 2024-06-06 13:50:00 [patient_full_name] => Brossus, Leslye [billable_service_code] => A0428 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, 10, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, PACU, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $686.72 [amount_received] => $- [current_amount_due] => $2,754.00 [billing_notes] => 2025/06/02: KP confirmed no active coverage on DOS. NR 2025/05/05: If infact emergent, please review response modes in PCR, insurance is showing an auth was issued and this should be non-emergent. NR 2025/05/04: Another EOB received, contacted KP. NR 2025/04/28: New MR request # 202508002406000 Kaiser # 00002595114. NR 3/18/25 One crew signature missing on PCR LDZ 06/13/2024 Unable to verify Kaiser coverage LDZ 06/13/2024 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 948 [invoice_id] => 5034 [dispatch_id] => 5900 [date_time_of_service] => 2024-10-16 18:39:00 [patient_full_name] => Harrison, Melissa [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, ED 13, 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] => $686.72 [amount_received] => $- [current_amount_due] => $686.72 [billing_notes] => 2025/03/19_Beebe provided - Highmark BCBS ID# THI10001123 - JM 3/19/25 No insurance information found , Face sheet missing , no? Medicaid, checked Nsure but no policy found, MA 10/17/2024 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 947 [invoice_id] => 5034 [dispatch_id] => 5645 [date_time_of_service] => 2024-10-02 07:13:00 [patient_full_name] => Gordill Lopez, Lilian [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, ED 9, 32750 Roxana Rd, Frankford, DE 19945 [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] => 108.3 [price_invoiced] => $1,409.22 [amount_received] => $- [current_amount_due] => $1,409.22 [billing_notes] => Waystar rejected stating unable to locate member LDZ 03/21/2025 Beebe provided - Highmark Health Options (D# XHD12715642 - JM 3/19/25 No insurance information found , face sheet missing , no? Medicaid, checked Nsure but no policy found, MA 10/04/2024 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 946 [invoice_id] => 5034 [dispatch_id] => 5601 [date_time_of_service] => 2024-09-30 02:51:00 [patient_full_name] => Coats, Shelly [billable_service_code] => A0427 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, ED 7, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, ED, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $766.72 [amount_received] => $- [current_amount_due] => $766.72 [billing_notes] => 2024/09/30_Verified UHC, No secondary or medicaid, address updated as per face sheet, MA 09/30/2024 !Patient Invoiced 3x [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 945 [invoice_id] => 5034 [dispatch_id] => 5306 [date_time_of_service] => 2024-09-13 02:14:00 [patient_full_name] => Hernandez Cata, Alexis [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, 10, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 327 A, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $686.72 [amount_received] => $- [current_amount_due] => $686.72 [billing_notes] => 2024/09/13_Verified BCBS DE, addres updated as per face sheet, No secondary or Medicaid, MA 09/13/2024 !Patient Invoiced 3x [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 944 [invoice_id] => 5034 [dispatch_id] => 3485 [date_time_of_service] => 2024-06-13 17:25:00 [patient_full_name] => Ohaire, Patrick [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, 8, 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] => $686.72 [amount_received] => $- [current_amount_due] => $686.72 [billing_notes] => !Patient Invoiced 3x [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 943 [invoice_id] => 5034 [dispatch_id] => 3376 [date_time_of_service] => 2024-06-06 10:18:00 [patient_full_name] => Mccall, Jacob [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, 317 B, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $686.72 [amount_received] => $- [current_amount_due] => $686.72 [billing_notes] => 2024/06/07_Per Nsure no insurance found LDZ 06/07/2024 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 942 [invoice_id] => 5422 [dispatch_id] => 8572 [date_time_of_service] => 2025-02-20 10:35:00 [patient_full_name] => Wietsruk, Jordan [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, 529 B, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23.1 [price_invoiced] => $687.57 [amount_received] => $- [current_amount_due] => $749.17 [billing_notes] => 2025/04/28 Rejected in Waystar stating unable to locate eligibility for patient. LDZ Info from Beebe: Insurance = Cigna ID# 77978156632 No insurance information found, No information in face sheet, no Medicaid, checked Nsure but no policy found, MA 02/21/2025 !Uninsured [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 941 [invoice_id] => 6003 [dispatch_id] => 6257 [date_time_of_service] => 2024-11-04 12:05:00 [patient_full_name] => Johnson, Calvin [billable_service_code] => A0427 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, ED 10, 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] => $767.57 [amount_received] => $- [current_amount_due] => $767.57 [billing_notes] => Verified BCBS, no secondary or Medicaid, address updated as face sheet, MA 11/05/2024 !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
4805 3688 Jun 22, 2024 Dorczuk Yazzie, Susan A 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, 370B, 424 Savannah Road, Lewes, DE 19958
23 $686.72 $- $686.72
Waystar rejected as unable to locate member, looked on Cigna portal and no patient found LDZ 03/20/2025 Cigna # 891166631. Beebe has name spelled: Susan Ann Dorczuk Yazzie. Nr 3/18/25 Unable to verify insurance on FS. LDZ 06/26/2024 !Uninsured
4805 3378 Jun 6, 2024 Brossus, Leslye A0428 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, 10, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, PACU, 424 Savannah Road, Lewes, DE 19958
23 $686.72 $- $2,754.00
2025/06/02: KP confirmed no active coverage on DOS. NR 2025/05/05: If infact emergent, please review response modes in PCR, insurance is showing an auth was issued and this should be non-emergent. NR 2025/05/04: Another EOB received, contacted KP. NR 2025/04/28: New MR request # 202508002406000 Kaiser # 00002595114. NR 3/18/25 One crew signature missing on PCR LDZ 06/13/2024 Unable to verify Kaiser coverage LDZ 06/13/2024 !Uninsured
5034 5900 Oct 16, 2024 Harrison, Melissa A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, ED 13, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 504 A, 424 Savannah Road, Lewes, DE 19958
23 $686.72 $- $686.72
2025/03/19_Beebe provided - Highmark BCBS ID# THI10001123 - JM 3/19/25 No insurance information found , Face sheet missing , no? Medicaid, checked Nsure but no policy found, MA 10/17/2024 !Uninsured
5034 5645 Oct 2, 2024 Gordill Lopez, Lilian A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, ED 9, 32750 Roxana Rd, Frankford, DE 19945
Nemours/A.I. duPont Hospital for Children
Nemours/A.I. duPont Hospital for Children, ED, 1600 Rockland Road, Wilmington, DE 19803-3616
108.3 $1,409.22 $- $1,409.22
Waystar rejected stating unable to locate member LDZ 03/21/2025 Beebe provided - Highmark Health Options (D# XHD12715642 - JM 3/19/25 No insurance information found , face sheet missing , no? Medicaid, checked Nsure but no policy found, MA 10/04/2024 !Uninsured
5034 5601 Sep 30, 2024 Coats, Shelly A0427 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, ED 7, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, ED, 424 Savannah Road, Lewes, DE 19958
23 $766.72 $- $766.72
2024/09/30_Verified UHC, No secondary or medicaid, address updated as per face sheet, MA 09/30/2024 !Patient Invoiced 3x
5034 5306 Sep 13, 2024 Hernandez Cata, Alexis A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, 10, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 327 A, 424 Savannah Road, Lewes, DE 19958
23 $686.72 $- $686.72
2024/09/13_Verified BCBS DE, addres updated as per face sheet, No secondary or Medicaid, MA 09/13/2024 !Patient Invoiced 3x
5034 3485 Jun 13, 2024 Ohaire, Patrick A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, 8, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 504 A, 424 Savannah Road, Lewes, DE 19958
23 $686.72 $- $686.72
!Patient Invoiced 3x
5034 3376 Jun 6, 2024 Mccall, Jacob 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, 317 B, 424 Savannah Road, Lewes, DE 19958
23 $686.72 $- $686.72
2024/06/07_Per Nsure no insurance found LDZ 06/07/2024 !Uninsured
5422 8572 Feb 20, 2025 Wietsruk, Jordan 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, 529 B, 424 Savannah Road, Lewes, DE 19958
23.1 $687.57 $- $749.17
2025/04/28 Rejected in Waystar stating unable to locate eligibility for patient. LDZ Info from Beebe: Insurance = Cigna ID# 77978156632 No insurance information found, No information in face sheet, no Medicaid, checked Nsure but no policy found, MA 02/21/2025 !Uninsured
6003 6257 Nov 4, 2024 Johnson, Calvin A0427 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, ED 10, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, ED, 424 Savannah Road, Lewes, DE 19958
23.1 $767.57 $- $767.57
Verified BCBS, no secondary or Medicaid, address updated as face sheet, MA 11/05/2024 !Patient Invoiced 3x
Showing 11 to 20 of 192 records