| 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 | 11171 | Jun 19, 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
|
|
|
|
| 6666 | 11161 | Jun 18, 2025 | Lueckel, Robert | A0428 | Beebe Hospital |
Beebe Hospital, 525 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 | 11164 | Jun 18, 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, 525 A, 424 Savannah Road, Lewes, DE 19958
|
4.1 | $342.57 | $- | $342.57 |
WAIT AND RETURN
|
|
|
|
| 6662 | 10958 | Jun 10, 2025 | Sternberg, Eddie E | 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, 324 A, 424 Savannah Road, Lewes, DE 19958
|
4.2 | $343.96 | $- | $343.96 |
CANCER TREATMENT AND RETURN
|
|
|
|
| 6662 | 10708 | Jun 10, 2025 | Sternberg, Eddie E | A0428 | Beebe Hospital |
Beebe Hospital, 324 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 |
CANCER : WAIT AND RETURN
|
|
|
|
| 6662 | 10955 | Jun 10, 2025 | White, Kevin M | A0427 | John Hopkins |
John Hopkins, GI SUITE, 1800 Orleans St, Baltimore, MD 21287
|
Beebe Hospital |
Beebe Hospital, 217 A, 424 Savannah Road, Lewes, DE 19958
|
142 | $1,933.53 | $- | $1,933.53 |
2025/06/12 inpatient round trip per Rich LDZ
2025/06/11: (Humana adv) No individual OON deductible for 2025, UPS
|
|
|
|
| 6662 | 10948 | Jun 10, 2025 | White, Kevin M | A0427 | Beebe Hospital |
Beebe Hospital, 372A, 424 Savannah Road, Lewes, DE 19958
|
John Hopkins |
John Hopkins, GI SUITE, 1800 Orleans St, Baltimore, MD 21287
|
142 | $1,933.53 | $- | $1,933.53 |
2025/06/11: (Humana adv) No individual OON deductible for 2025, UPS
Inpatient round trip with dispatch 10955.RMB
|
|
|
|
| 6379 | 6998 | Dec 9, 2024 | Reynoso, Sergio | A0427 | Beebe Hospital |
Beebe Hospital, ED 10, 424 Savannah Road, Lewes, DE 19958
|
Thomas Jefferson University Hospital |
Thomas Jefferson University Hospital, GIBBONS BUILDING 9128, 111 S. 11th St, Philadelphia, PA 19107
|
119.8 | $1,687.45 | $- | $1,687.45 |
No insurance information found , No information in face sheet , no? Medicaid, checked Nsure but no policy found, MA 12/10/2024
!Uninsured, Patient invoiced 4x
|
|
|
|
| 6379 | 4163 | Jul 15, 2024 | Caplan, Edward | A0427 | Bayhealth - Total Care |
Bayhealth - Total Care, 4, 18383 Hudson Rd, Milton, DE 19968
|
Beebe Hospital |
Beebe Hospital, ed, 424 Savannah Road, Lewes, DE 19958
|
7.6 | $633.01 | $- | $633.01 |
REJECTED FOR INVALID INFORMATION. ENTITY'S CONTRACT/MEMBER NUMBER. INSURED OR SUBSCRIBER
Patient is contacting insurance to find out how this can be taken care of and will let us know. LDZ 12/10/2024
Per Nsure no insurance found LDZ 07/16/2024
348036195 Illinois MCD per patient LDZ 12/05/2024
!Uninsured
|
|
|
|
| 6378 | 10933 | Jun 9, 2025 | Sternberg, Eddie E | 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, 324 A, 424 Savannah Road, Lewes, DE 19958
|
4.1 | $342.57 | $- | $342.57 |
CANCER : WAIT AND RETURN
|
|
|
|

