| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6795 | 11357 | Jun 25, 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 | 11298 | Jun 25, 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
|
|
|
|
| 6790 | 11277 | Jun 22, 2025 | Kennedy, Michael | A0428 | Beebe Hospital |
Beebe Hospital, ED 11, 424 Savannah Road, Lewes, DE 19958
|
412 NORTH RACE ST |
412 NORTH RACE ST, Georgetown, DE 19947
|
15 | $493.64 | $- | $493.64 |
2025/06/23 Beebe requested BLS service- but selected Wheelchair Van (no medical necessity) patient is homeless and dropped off on the side of the road in his WC
2025/06/23: (Amerihealth Caritas Medicaid) No individual OON deductible for 2025, UPS
|
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| 6790 | 11091 | Jun 15, 2025 | Refino, Jean | A0130 | Beebe Hospital |
Beebe Hospital, 510A, 424 Savannah Road, Lewes, DE 19958
|
34060 ORCHID LANE |
34060 ORCHID LANE, Lewes, DE 19958
|
10 | $142.50 | $- | $142.50 |
See below.
2025/06/16: No PCR. JH
Bill WCV to Beebe per Lisa Knapp. RMB
|
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|
| 6790 | 10377 | May 16, 2025 | Larue, Harold | A0428 | Beebe Hospital |
Beebe Hospital, ED 9, 424 Savannah Road, Lewes, DE 19958
|
Ocean Grove Post Acute |
Ocean Grove Post Acute, CHK W/ CHARGE, 231 Washington St, Millsboro, DE 19966
|
16.4 | $513.05 | $- | $513.05 |
2025/06/20 per NR billing facility, Amerihealth will not provide PAs for non emergent in DE. LDZ
2025/05/20 one crew signature missing
2025/05/19: (Amerihealth Caritas Medicaid) No individual OON deductible for 2025, UPS
|
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|
| 6790 | 10293 | May 13, 2025 | Galatolo, Lisa | A0428 | Beebe Hospital |
Beebe Hospital, ED 9, 424 Savannah Road, Lewes, DE 19958
|
25897 RIVERBEND ROAD |
APT 209, 25897 RIVERBEND ROAD, Millsboro, DE 19966
|
17 | $521.36 | $- | $521.36 |
2025/06/20 per NR billing facility, Amerihealth will not provide PAs for non emergent in DE. LDZ
2025/05/14: (Amerihealth Caritas Medicaid) No individual OON deductible for 2025, UPS
|
|
|
|
| 6666 | 11330 | Jun 24, 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**
|
|
|
|
| 6666 | 11296 | Jun 24, 2025 | Wilkins, Richard D | A0429 | 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 | $515.40 | $- | $515.40 |
**WAIT AND RETURN**
|
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|
| 6666 | 11299 | Jun 24, 2025 | Lueckel, Robert | A0428 | Beebe Hospital |
Beebe Hospital, 524 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**
|
|
|
|
| 6666 | 11316 | Jun 23, 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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