Total Records: 192
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Showing: 10 records
Array ( [id] => 930 [invoice_id] => 6794 [dispatch_id] => 3909 [date_time_of_service] => 2024-07-02 23:05:00 [patient_full_name] => Bradley, Alton [billable_service_code] => A0429 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, 9, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 224A, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23 [price_invoiced] => $686.72 [amount_received] => $- [current_amount_due] => $686.72 [billing_notes] => 2025/6/30 JM - !Patient Invoiced 5x Claim submitted on 9/9/24 , As per availity claim#22243106947 is finalized on 9/13/24 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 Patient has Carefirst BCBS ID # THI100011233898. 2ndry is Highmark Health Options MCD ID # XHD128579285001. Can call mom at 302-519-8534 if any issue. Nr 8/30/24 Unable to read attached facesheet LDZ 07/08/2024 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 929 [invoice_id] => 6796 [dispatch_id] => 7928 [date_time_of_service] => 2025-01-21 15:59:00 [patient_full_name] => Treadwell, Steven P [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 501 A, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Excelcare at Lewes [destination_address] => Excelcare at Lewes, Chk w/ FD, 301 Ocean View Blvd, Lewes, DE 19958 [mileage] => 1 [price_invoiced] => $299.60 [amount_received] => $- [current_amount_due] => $299.60 [billing_notes] => 2025/6/30- JM !Invoiced Patient 4x 2025/01/22_(MCR with Part A only) MA 01/22/2025 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 928 [invoice_id] => 6796 [dispatch_id] => 7181 [date_time_of_service] => 2024-12-17 13:04:00 [patient_full_name] => Mumford, Constance A [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 369 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] => $- [current_amount_due] => $435.99 [billing_notes] => 2025/6/30 - JM !Invoiced Patient 4x Adjusted price per RB, if PIF. NR 2/18/25 Teri's WC email. NR 2/8/25 Spoke with patients family member and explained why she was getting a bill and she stated that she was going to contact Beebe regarding this transport. LDZ 02/04/2025 PCS states patient is able to use a wheelchair Verified MCR and Aetna, address verified, No hospice, MA 12/18/2024 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 927 [invoice_id] => 6796 [dispatch_id] => 4375 [date_time_of_service] => 2024-07-25 22:45:00 [patient_full_name] => Lee, Avery [billable_service_code] => A0429 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 27, 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] => $1,352.08 [billing_notes] => 2025/6/30 - JM !Invoiced patient 4x 2025/05/26: Left VM for mother. NR 2024/09/24_Claim paid on 7/29/24 ck # 0060238128 $ 422.89, allowed $528.61 and PR is $105.72. NR 9/24/24. NR 9/24/24 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 926 [invoice_id] => 6795 [dispatch_id] => 11494 [date_time_of_service] => 2025-06-30 14:45:00 [patient_full_name] => Wilkins, Richard D [billable_service_code] => A0428 [origin_name] => Beebe Healthcare's Tunnell Cancer Center [origin_address] => Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, RM 304, 424 Savannah Road, Lewes, DE 19958 [mileage] => 4.1 [price_invoiced] => $342.57 [amount_received] => $- [current_amount_due] => $342.57 [billing_notes] => RADIATION TREATMENT [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 925 [invoice_id] => 6795 [dispatch_id] => 11487 [date_time_of_service] => 2025-06-30 13:20:00 [patient_full_name] => Wilkins, Richard D [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, RM 304, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Beebe Healthcare's Tunnell Cancer Center [destination_address] => Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971 [mileage] => 4.2 [price_invoiced] => $343.96 [amount_received] => $- [current_amount_due] => $343.96 [billing_notes] => RADIATION TREATMENT [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 924 [invoice_id] => 6795 [dispatch_id] => 11420 [date_time_of_service] => 2025-06-27 09:34:00 [patient_full_name] => Pesce, Vincent [billable_service_code] => A0428 [origin_name] => Beebe Healthcare's Tunnell Cancer Center [origin_address] => Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 523 A, 424 Savannah Road, Lewes, DE 19958 [mileage] => 4.1 [price_invoiced] => $342.57 [amount_received] => $- [current_amount_due] => $342.57 [billing_notes] => METASTATIC CANCER ** WAIT AND RETURN** [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 923 [invoice_id] => 6795 [dispatch_id] => 11406 [date_time_of_service] => 2025-06-27 07:08:00 [patient_full_name] => Pesce, Vincent [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 523 A, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Beebe Healthcare's Tunnell Cancer Center [destination_address] => Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971 [mileage] => 4.2 [price_invoiced] => $343.96 [amount_received] => $- [current_amount_due] => $343.96 [billing_notes] => METASTATIC CANCER ** WAIT AND RETURN** [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 922 [invoice_id] => 6795 [dispatch_id] => 11389 [date_time_of_service] => 2025-06-26 11:47:00 [patient_full_name] => Wilkins, Richard D [billable_service_code] => A0428 [origin_name] => Beebe Healthcare's Tunnell Cancer Center [origin_address] => Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 326 A, 424 Savannah Road, Lewes, DE 19958 [mileage] => 4.1 [price_invoiced] => $342.57 [amount_received] => $- [current_amount_due] => $342.57 [billing_notes] => WAIT AND RETURN [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 921 [invoice_id] => 6795 [dispatch_id] => 11295 [date_time_of_service] => 2025-06-26 11:12:00 [patient_full_name] => Wilkins, Richard D [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 326 A, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Beebe Healthcare's Tunnell Cancer Center [destination_address] => Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971 [mileage] => 4.2 [price_invoiced] => $343.96 [amount_received] => $- [current_amount_due] => $343.96 [billing_notes] => WAIT AND RETURN [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
6794 3909 Jul 2, 2024 Bradley, Alton A0429 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, 9, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 224A, 424 Savannah Road, Lewes, DE 19958
23 $686.72 $- $686.72
2025/6/30 JM - !Patient Invoiced 5x Claim submitted on 9/9/24 , As per availity claim#22243106947 is finalized on 9/13/24 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 Patient has Carefirst BCBS ID # THI100011233898. 2ndry is Highmark Health Options MCD ID # XHD128579285001. Can call mom at 302-519-8534 if any issue. Nr 8/30/24 Unable to read attached facesheet LDZ 07/08/2024
6796 7928 Jan 21, 2025 Treadwell, Steven P A0428 Beebe Hospital
Beebe Hospital, 501 A, 424 Savannah Road, Lewes, DE 19958
Excelcare at Lewes
Excelcare at Lewes, Chk w/ FD, 301 Ocean View Blvd, Lewes, DE 19958
1 $299.60 $- $299.60
2025/6/30- JM !Invoiced Patient 4x 2025/01/22_(MCR with Part A only) MA 01/22/2025
6796 7181 Dec 17, 2024 Mumford, Constance A A0428 Beebe Hospital
Beebe Hospital, 369 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 $- $435.99
2025/6/30 - JM !Invoiced Patient 4x Adjusted price per RB, if PIF. NR 2/18/25 Teri's WC email. NR 2/8/25 Spoke with patients family member and explained why she was getting a bill and she stated that she was going to contact Beebe regarding this transport. LDZ 02/04/2025 PCS states patient is able to use a wheelchair Verified MCR and Aetna, address verified, No hospice, MA 12/18/2024
6796 4375 Jul 25, 2024 Lee, Avery A0429 Beebe Hospital
Beebe Hospital, ED 27, 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 $- $1,352.08
2025/6/30 - JM !Invoiced patient 4x 2025/05/26: Left VM for mother. NR 2024/09/24_Claim paid on 7/29/24 ck # 0060238128 $ 422.89, allowed $528.61 and PR is $105.72. NR 9/24/24. NR 9/24/24
6795 11494 Jun 30, 2025 Wilkins, Richard D A0428 Beebe Healthcare's Tunnell Cancer Center
Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971
Beebe Hospital
Beebe Hospital, RM 304, 424 Savannah Road, Lewes, DE 19958
4.1 $342.57 $- $342.57
RADIATION TREATMENT
6795 11487 Jun 30, 2025 Wilkins, Richard D A0428 Beebe Hospital
Beebe Hospital, RM 304, 424 Savannah Road, Lewes, DE 19958
Beebe Healthcare's Tunnell Cancer Center
Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971
4.2 $343.96 $- $343.96
RADIATION TREATMENT
6795 11420 Jun 27, 2025 Pesce, Vincent A0428 Beebe Healthcare's Tunnell Cancer Center
Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971
Beebe Hospital
Beebe Hospital, 523 A, 424 Savannah Road, Lewes, DE 19958
4.1 $342.57 $- $342.57
METASTATIC CANCER ** WAIT AND RETURN**
6795 11406 Jun 27, 2025 Pesce, Vincent A0428 Beebe Hospital
Beebe Hospital, 523 A, 424 Savannah Road, Lewes, DE 19958
Beebe Healthcare's Tunnell Cancer Center
Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971
4.2 $343.96 $- $343.96
METASTATIC CANCER ** WAIT AND RETURN**
6795 11389 Jun 26, 2025 Wilkins, Richard D A0428 Beebe Healthcare's Tunnell Cancer Center
Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971
Beebe Hospital
Beebe Hospital, 326 A, 424 Savannah Road, Lewes, DE 19958
4.1 $342.57 $- $342.57
WAIT AND RETURN
6795 11295 Jun 26, 2025 Wilkins, Richard D A0428 Beebe Hospital
Beebe Hospital, 326 A, 424 Savannah Road, Lewes, DE 19958
Beebe Healthcare's Tunnell Cancer Center
Beebe Healthcare's Tunnell Cancer Center, 101, 18947 John J Williams Hwy, Rehoboth, DE 19971
4.2 $343.96 $- $343.96
WAIT AND RETURN
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