| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6666 | 11315 | Jun 23, 2025 | Lueckel, Robert | 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, 524 A, 424 Savannah Road, Lewes, DE 19958
|
4.1 | $342.57 | $- | $342.57 |
WAIT AND RETURN
|
|
|
|
| 6666 | 11228 | Jun 23, 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 | 11227 | Jun 23, 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
|
|
|
|
| 6666 | 11220 | Jun 20, 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, 329 A, 424 Savannah Road, Lewes, DE 19958
|
4.1 | $342.57 | $- | $342.57 |
WAIT N RETURN
|
|
|
|
| 6666 | 11221 | Jun 20, 2025 | Lueckel, Robert | 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, 524 A, 424 Savannah Road, Lewes, DE 19958
|
4.1 | $342.57 | $- | $342.57 |
Treatment and return
|
|
|
|
| 6666 | 11216 | Jun 20, 2025 | Wilkins, Richard D | A0428 | Beebe Hospital |
Beebe Hospital, 329 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 N RETURN
2025/06/23: Verified BCBS adv, No Insurance information in face sheet, No secondary or Medicaid, Address updated as per face sheet, No Hospice, UPS
|
|
|
|
| 6666 | 11207 | Jun 20, 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 |
Treatment and return
2025/06/23: (UHC adv) No individual OON deductible for 2025, UPS
|
|
|
|
| 6666 | 11205 | Jun 19, 2025 | Lueckel, Robert | 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, 524 A, 424 Savannah Road, Lewes, DE 19958
|
4.1 | $342.57 | $- | $342.57 |
Treatment and return
|
|
|
|
| 6666 | 11202 | Jun 19, 2025 | Twardesky, Terry L | 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, 317 A, 424 Savannah Road, Lewes, DE 19958
|
4.1 | $342.57 | $- | $342.57 |
Treatment and return
|
|
|
|
| 6666 | 11172 | Jun 19, 2025 | Twardesky, Terry L | A0428 | Beebe Hospital |
Beebe Hospital, 317 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 |
Treatment and return
|
|
|
|

