| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6003 | 3317 | Jun 1, 2024 | Heldreth, Kathleen | 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, 324-A, 424 Savannah Road, Lewes, DE 19958
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23 | $686.72 | $- | $686.72 |
!Patient invoiced 4x
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| 6137 | 7753 | Jan 12, 2025 | Vogt, Ryan | A0429 | Beebe Healthcare's South Coastal Emergency Department |
Beebe Healthcare's South Coastal Emergency Department, SCED 11, 32750 Roxana Rd, Frankford, DE 19945
|
Beebe Hospital |
Beebe Hospital, ED 9, 424 Savannah Road, Lewes, DE 19958
|
23.1 | $687.57 | $- | $687.57 |
No other insurance found, billing patient. LDZ 01/31/2025
(BCBS Medicaid) No individual OON deductible for 2025, MA 01/31/2025
Recheck eligibility. Nr 1/31/25
(BCBS) No individual OON deductible for BCBS, MA 01/15/2025
!Insurance Denial. Patient Invoiced 3x
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| 6216 | 6391 | Nov 11, 2024 | Vidal, Kimberly | A0427 | Beebe Healthcare's South Coastal Emergency Department |
Beebe Healthcare's South Coastal Emergency Department, ED 6, 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 found inactive under PT ID #0001446463, address updated as face sheet, MA 11/12/2024
!Patient Invoiced 4x
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| 6377 | 7208 | Dec 18, 2024 | Johnson, Deidre | A0427 | Beebe Healthcare's South Coastal Emergency Department |
Beebe Healthcare's South Coastal Emergency Department, ED 12, 32750 Roxana Rd, Frankford, DE 19945
|
Beebe Hospital |
Beebe Hospital, 221B, 424 Savannah Road, Lewes, DE 19958
|
23.1 | $767.57 | $- | $767.57 |
Verified BCBS, no secondary or Medicaid, address updated as per face sheet, MA 12/19/2024
!Patient Invoiced 4x
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| 6377 | 3881 | Jul 1, 2024 | Glassman, Kathleen | A0427 | Beebe Healthcare's South Coastal Emergency Department |
Beebe Healthcare's South Coastal Emergency Department, ED 8, 32750 Roxana Rd, Frankford, DE 19945
|
Beebe Hospital |
Beebe Hospital, 255 A, 424 Savannah Road, Lewes, DE 19958
|
23 | $766.72 | $- | $766.72 |
Claim submitted on 9/9/24 , As per availity claim#22143185243 is finalized on 9/19/24 and balance due from the subscriber. As per previous call ref# I-132427409 , s/w JAM - A stated claim processed as OON and payment paid directly to patient and for payment details and for EOB contact patient. As per rep provider get in-network on 9/1/24. 12/18/24MK
Spoke to patient, policy verified. NR 8/15/24
Unable to verify insurance, billing patient LDZ 08/15/2024
Highmark BCBS
JHE93277710
please bill insurance
RMB 7/29/24
Per Nsure no insurance found LDZ 07/08/2024
!Uninsured
!Patient Invoiced 4x
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| 6665 | 10887 | Jun 7, 2025 | Pellegrini, Pasquale F | A0427 | Beebe Healthcare's South Coastal Emergency Department |
Beebe Healthcare's South Coastal Emergency Department, ED 6, 32750 Roxana Rd, Frankford, DE 19945
|
Tidalhealth General Surgery |
Tidalhealth General Surgery, 3119, 145 E Carroll Street, Salisbury, MD 21801
|
31 | $834.48 | $- | $834.48 |
2025/06/18: mcr denied due to destination modifier. -REG
2025/06/11: (MCR and AARP) Part B deductible left $ 0 for 2025 and No individual OON deductible for AARP, UPS
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| 6794 | 7409 | Dec 27, 2024 | Curry Sr, Gary J | A0428 | Beebe Healthcare's South Coastal Emergency Department |
Beebe Healthcare's South Coastal Emergency Department, 12, 32750 Roxana Rd, Frankford, DE 19945
|
30803 LONG LEAF RD |
30803 LONG LEAF RD, Dagsboro, DE 19939
|
9 | $379.30 | $- | $379.30 |
6/30/2025-JM !Invoiced Patient 4x
Adjusted price per RB, if PIF. NR 2/18/25
Teri's WC email. NR 2/8/25
Spoke with patient and explained why he was getting a bill. He stated that he would be contacting Beebe's patient experience department to find out why they didnt use other means of transportation. LDZ 01/28/2025
WHEEL CHAIR BOUND
(MCR and Amerihealth Administrator) Part B deductible left $ 0 for 2025 and No individual OON deductible for Amerihealth Administrator, MA 01/20/2025
Submitted.
PCR states patient transport to residence and PCS states transported to Beebe Hospital. Please review for corrections. LDZ 01/02/2025
Verified MCR and Amerihealth Administrator, address verified, No hospice, MA 12/30/2024
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| 6794 | 7403 | Dec 27, 2024 | Ford, Thomas | A0427 | 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, 525 B, 424 Savannah Road, Lewes, DE 19958
|
23.1 | $767.57 | $- | $767.57 |
6/30/2025 - JM !Invoiced Patient 4x
2025/05/27 spoke with April at The Hartford and she stated there was only one open claim for him back in 2022. Will rebill the patient. LDZ
WC adjuster- April Merritt - The Hartford 315-385-3628 claim #
One crew signature missing LDZ 01/02/2025
As per face sheet PT have Workers Comp under group ID #DOL122720 but unable to verify, No Medicaid, so checked and verified Aetna by Nsure, address updated as per face sheet, MA 12/31/2024
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| 6794 | 6511 | Nov 17, 2024 | Firlein, Nicholas | A0427 | Beebe Healthcare's South Coastal Emergency Department |
Beebe Healthcare's South Coastal Emergency Department, SCED 9, 32750 Roxana Rd, Frankford, DE 19945
|
Beebe Hospital |
Beebe Hospital, 407, 424 Savannah Road, Lewes, DE 19958
|
23.1 | $767.57 | $- | $767.57 |
Verified Meritain Health, no secondary or Medicaid found inactive under PT ID #0001140638, address updated as per face sheet, MA 11/19/2024
6/30/2025 - !Invoiced Patient 5x
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| 6794 | 4415 | Jul 27, 2024 | Armston, Gary | A0427 | 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, ER, 424 Savannah Road, Lewes, DE 19958
|
23 | $766.72 | $- | $766.72 |
6/30/2025 JM - !Invoiced Patient 5x
pt mailed in cc info with no cvc code. unable to process pmt. 4/7/25REG
Claim submitted on 9/9/24 , As per availity claim#22843305265 is finalized on 9/20/24 and balance due from the subscriber. As per previous call ref# I-132427409, s/w JAM - A stated claim processed as OON and payment paid directly to patient and for payment details and for EOB contact patient. As per rep provider get in-network on 9/1/24. 12/19/24MK
Patient called in with insurance, verified and filed LDZ 09/09/2024
Unable to locate BCBS coverage for patient that is listed under MSP, patient only has MCR part A only LDZ 07/30/2024
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