| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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**
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| 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**
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| 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
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| 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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