Total Records: 192
Page: 5 of 20
Showing: 10 records
Array ( [id] => 920 [invoice_id] => 6795 [dispatch_id] => 11357 [date_time_of_service] => 2025-06-25 11:34:00 [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] => 919 [invoice_id] => 6795 [dispatch_id] => 11298 [date_time_of_service] => 2025-06-25 10:53:00 [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] => ) Array ( [id] => 918 [invoice_id] => 6790 [dispatch_id] => 11277 [date_time_of_service] => 2025-06-22 02:30:00 [patient_full_name] => Kennedy, Michael [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 11, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 412 NORTH RACE ST [destination_address] => 412 NORTH RACE ST, Georgetown, DE 19947 [mileage] => 15 [price_invoiced] => $493.64 [amount_received] => $- [current_amount_due] => $493.64 [billing_notes] => 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 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 917 [invoice_id] => 6790 [dispatch_id] => 11091 [date_time_of_service] => 2025-06-15 18:31:00 [patient_full_name] => Refino, Jean [billable_service_code] => A0130 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 510A, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 34060 ORCHID LANE [destination_address] => 34060 ORCHID LANE, Lewes, DE 19958 [mileage] => 10 [price_invoiced] => $142.50 [amount_received] => $- [current_amount_due] => $142.50 [billing_notes] => See below. 2025/06/16: No PCR. JH Bill WCV to Beebe per Lisa Knapp. RMB [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 916 [invoice_id] => 6790 [dispatch_id] => 10377 [date_time_of_service] => 2025-05-16 22:45:00 [patient_full_name] => Larue, Harold [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 9, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Ocean Grove Post Acute [destination_address] => Ocean Grove Post Acute, CHK W/ CHARGE, 231 Washington St, Millsboro, DE 19966 [mileage] => 16.4 [price_invoiced] => $513.05 [amount_received] => $- [current_amount_due] => $513.05 [billing_notes] => 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 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 915 [invoice_id] => 6790 [dispatch_id] => 10293 [date_time_of_service] => 2025-05-13 19:17:00 [patient_full_name] => Galatolo, Lisa [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 9, 424 Savannah Road, Lewes, DE 19958 [destination_name] => 25897 RIVERBEND ROAD [destination_address] => APT 209, 25897 RIVERBEND ROAD, Millsboro, DE 19966 [mileage] => 17 [price_invoiced] => $521.36 [amount_received] => $- [current_amount_due] => $521.36 [billing_notes] => 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 [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 914 [invoice_id] => 6666 [dispatch_id] => 11330 [date_time_of_service] => 2025-06-24 12:27:00 [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] => 913 [invoice_id] => 6666 [dispatch_id] => 11296 [date_time_of_service] => 2025-06-24 11:47:00 [patient_full_name] => Wilkins, Richard D [billable_service_code] => A0429 [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] => $515.40 [amount_received] => $- [current_amount_due] => $515.40 [billing_notes] => **WAIT AND RETURN** [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 912 [invoice_id] => 6666 [dispatch_id] => 11299 [date_time_of_service] => 2025-06-24 12:56:00 [patient_full_name] => Lueckel, Robert [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 524 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] => ) Array ( [id] => 911 [invoice_id] => 6666 [dispatch_id] => 11316 [date_time_of_service] => 2025-06-23 16:45:00 [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, 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] => )
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
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
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
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
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**
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
Showing 41 to 50 of 192 records