Total Records: 192
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Showing: 10 records
Array ( [id] => 880 [invoice_id] => 6374 [dispatch_id] => 8017 [date_time_of_service] => 2025-01-25 14:56:00 [patient_full_name] => Smith, Paul S [billable_service_code] => A0427 [origin_name] => Beebe Healthcare's South Coastal Emergency Department [origin_address] => Beebe Healthcare's South Coastal Emergency Department, ED 8, 32750 Roxana Rd, Frankford, DE 19945 [destination_name] => Beebe Hospital [destination_address] => Beebe Hospital, 384 A, 424 Savannah Road, Lewes, DE 19958 [mileage] => 23.1 [price_invoiced] => $834.90 [amount_received] => $- [current_amount_due] => $834.90 [billing_notes] => 2025/05/29 MCR part A only, GEHA denied claim. LDZ 2025/05/27: denied. secondary eob only shows co45. -REG 2025/5/16_MK -As per IVR claim is still in process. 2025/04/14_As per ivr claim is still in process.Claim#25058314033. 4/14/2025MK Patient called in with GEHA secondary- filing MCR for denial so GEHA can process as secondary LDZ 02/18/2025 (MCR with Part A only) Part B deductible left $ 0 for 2025 ,MA 01/28/2025 !Insurance Denial, Beebe Payor Last Resort [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 879 [invoice_id] => 6374 [dispatch_id] => 7946 [date_time_of_service] => 2025-01-22 09:25:00 [patient_full_name] => Grimes, Lisa K [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, ED 12, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Atlantic Shores Rehabilitation And Healthcare Center [destination_address] => Atlantic Shores Rehabilitation And Healthcare Center, CHK W/ CHARGE, 231 Washington St, Millsboro, DE 19966 [mileage] => 16.5 [price_invoiced] => $514.43 [amount_received] => $175.74 [current_amount_due] => $338.69 [billing_notes] => 2025/01/22_(UHC adv and Highmark Health Option Medicaid) No individual OON deductible for 2025, MA 01/22/2025 !Insurance Denial, Beebe Payor Last Resort [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 878 [invoice_id] => 6374 [dispatch_id] => 7908 [date_time_of_service] => 2025-01-20 16:39:00 [patient_full_name] => Grimes, Lisa K [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 228, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Atlantic Shores Rehabilitation And Healthcare Center [destination_address] => Atlantic Shores Rehabilitation And Healthcare Center, CHK W/ CHARGE, 231 Washington St, Millsboro, DE 19966 [mileage] => 16.5 [price_invoiced] => $514.43 [amount_received] => $175.74 [current_amount_due] => $338.69 [billing_notes] => 2025/01/22_(UHC adv and Highmark Health Option Medicaid) No individual OON deductible for 2025, MA 01/22/2025 !Insurance Denial, Beebe Payor Last Resort [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 877 [invoice_id] => 6374 [dispatch_id] => 3770 [date_time_of_service] => 2024-06-26 18:46:00 [patient_full_name] => Merchant, John [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 421 A, 424 Savannah Road, Lewes, DE 19958 [destination_name] => Peachtree [destination_address] => Peachtree, 26890 Lewes-Georgetown Highway, Harberson, DE 19951 [mileage] => 8 [price_invoiced] => $387.28 [amount_received] => $59.04 [current_amount_due] => $328.24 [billing_notes] => 2025/4/28: bcbs secondary denied for timely. -REG Claim submitted on 7/9/24 , s/w Reges-F states No fax on file. As per rep send a corrected claim with correct format with indicator code 16. Callref# I-132482819. 12/19/24MK Will attached EOB for BCBS LDZ 07/12/2024 OHI? Nr 7/11/24 One crew signature missing LDZ 06/28/2024 !Insurance Denial, Beebe Payor Last Resort [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 876 [invoice_id] => 6370 [dispatch_id] => 10627 [date_time_of_service] => 2025-05-27 14:19:00 [patient_full_name] => Sternberg, Eddie E [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, 324 A, 424 Savannah Road, Lewes, DE 19958 [mileage] => 4.1 [price_invoiced] => $342.57 [amount_received] => $- [current_amount_due] => $342.57 [billing_notes] => 2025/05/28 CANCER TREATMENT and return [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 875 [invoice_id] => 6370 [dispatch_id] => 10619 [date_time_of_service] => 2025-05-27 11:56:00 [patient_full_name] => Bardi, Janis M [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, 327A, 424 Savannah Road, Lewes, DE 19958 [mileage] => 4.1 [price_invoiced] => $342.57 [amount_received] => $- [current_amount_due] => $342.57 [billing_notes] => 2025/05/28 CANCER TREATMENT and return [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 874 [invoice_id] => 6370 [dispatch_id] => 10613 [date_time_of_service] => 2025-05-27 11:40:00 [patient_full_name] => Sternberg, Eddie E [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 324 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] => 2025/05/28 CANCER TREATMENT and return [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 873 [invoice_id] => 6370 [dispatch_id] => 10501 [date_time_of_service] => 2025-05-27 11:11:00 [patient_full_name] => Bardi, Janis M [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 327A, 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] => 2025/05/28 CANCER TREATMENT and return [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 872 [invoice_id] => 6370 [dispatch_id] => 10542 [date_time_of_service] => 2025-05-23 16:11:00 [patient_full_name] => Bardi, Janis M [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, 327-A, 424 Savannah Road, Lewes, DE 19958 [mileage] => 4.1 [price_invoiced] => $342.57 [amount_received] => $- [current_amount_due] => $342.57 [billing_notes] => CANCER TREATMENT AND RETURN [beebe_comments] => [aec_comments] => [epic_comments] => ) Array ( [id] => 871 [invoice_id] => 6370 [dispatch_id] => 10500 [date_time_of_service] => 2025-05-23 14:48:00 [patient_full_name] => Bardi, Janis M [billable_service_code] => A0428 [origin_name] => Beebe Hospital [origin_address] => Beebe Hospital, 327-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] => CANCER TREATMENT 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
6374 8017 Jan 25, 2025 Smith, Paul S A0427 Beebe Healthcare's South Coastal Emergency Department
Beebe Healthcare's South Coastal Emergency Department, ED 8, 32750 Roxana Rd, Frankford, DE 19945
Beebe Hospital
Beebe Hospital, 384 A, 424 Savannah Road, Lewes, DE 19958
23.1 $834.90 $- $834.90
2025/05/29 MCR part A only, GEHA denied claim. LDZ 2025/05/27: denied. secondary eob only shows co45. -REG 2025/5/16_MK -As per IVR claim is still in process. 2025/04/14_As per ivr claim is still in process.Claim#25058314033. 4/14/2025MK Patient called in with GEHA secondary- filing MCR for denial so GEHA can process as secondary LDZ 02/18/2025 (MCR with Part A only) Part B deductible left $ 0 for 2025 ,MA 01/28/2025 !Insurance Denial, Beebe Payor Last Resort
6374 7946 Jan 22, 2025 Grimes, Lisa K A0428 Beebe Hospital
Beebe Hospital, ED 12, 424 Savannah Road, Lewes, DE 19958
Atlantic Shores Rehabilitation And Healthcare Center
Atlantic Shores Rehabilitation And Healthcare Center, CHK W/ CHARGE, 231 Washington St, Millsboro, DE 19966
16.5 $514.43 $175.74 $338.69
2025/01/22_(UHC adv and Highmark Health Option Medicaid) No individual OON deductible for 2025, MA 01/22/2025 !Insurance Denial, Beebe Payor Last Resort
6374 7908 Jan 20, 2025 Grimes, Lisa K A0428 Beebe Hospital
Beebe Hospital, 228, 424 Savannah Road, Lewes, DE 19958
Atlantic Shores Rehabilitation And Healthcare Center
Atlantic Shores Rehabilitation And Healthcare Center, CHK W/ CHARGE, 231 Washington St, Millsboro, DE 19966
16.5 $514.43 $175.74 $338.69
2025/01/22_(UHC adv and Highmark Health Option Medicaid) No individual OON deductible for 2025, MA 01/22/2025 !Insurance Denial, Beebe Payor Last Resort
6374 3770 Jun 26, 2024 Merchant, John A0428 Beebe Hospital
Beebe Hospital, 421 A, 424 Savannah Road, Lewes, DE 19958
Peachtree
Peachtree, 26890 Lewes-Georgetown Highway, Harberson, DE 19951
8 $387.28 $59.04 $328.24
2025/4/28: bcbs secondary denied for timely. -REG Claim submitted on 7/9/24 , s/w Reges-F states No fax on file. As per rep send a corrected claim with correct format with indicator code 16. Callref# I-132482819. 12/19/24MK Will attached EOB for BCBS LDZ 07/12/2024 OHI? Nr 7/11/24 One crew signature missing LDZ 06/28/2024 !Insurance Denial, Beebe Payor Last Resort
6370 10627 May 27, 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
2025/05/28 CANCER TREATMENT and return
6370 10619 May 27, 2025 Bardi, Janis M 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, 327A, 424 Savannah Road, Lewes, DE 19958
4.1 $342.57 $- $342.57
2025/05/28 CANCER TREATMENT and return
6370 10613 May 27, 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
2025/05/28 CANCER TREATMENT and return
6370 10501 May 27, 2025 Bardi, Janis M A0428 Beebe Hospital
Beebe Hospital, 327A, 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
2025/05/28 CANCER TREATMENT and return
6370 10542 May 23, 2025 Bardi, Janis M 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, 327-A, 424 Savannah Road, Lewes, DE 19958
4.1 $342.57 $- $342.57
CANCER TREATMENT AND RETURN
6370 10500 May 23, 2025 Bardi, Janis M A0428 Beebe Hospital
Beebe Hospital, 327-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 TREATMENT AND RETURN
Showing 81 to 90 of 192 records