This page features a one-stop shop for all of First Coast’s self-service tools.
If you need help on a particular tool, we encourage you to look for related guides on the help page.
Interactive worksheets or reports
Use this lookup application to find easy-to-read descriptions of the error codes produced on your HIPAA 5010 277CA – Claim Acknowledgement.
This calculator will assist you in determining when additional documentation requested by First Coast Service Options Inc. (First Coast) must be received.
This interactive page features detailed descriptions of all five appeal levels and five calculators (one for each level) that will help you determine when you must submit your request based upon the date of either the initial claim determination or the preceding appeal level.
Find out whether you have been sent a revalidation request by using this search option featured on First Coast Service Options’ popular enrollment status lookup. You may search for revalidation requests by entering your NPI or your PTAN.
Request a reload of your acknowledgement information via the provider website. Once the request is processed, the information will be sent directly to your EDI gateway mailbox.
Request a reload of your remittance advice information via the provider website. Once the request is processed, the information will be sent directly to your EDI gateway mailbox.
Evaluation and management (E/M) services refer to visits furnished by physicians. The purpose of this interactive worksheet is to assist providers with identifying the appropriate E/M code based upon either the 1995 or 1997 E/M documentation guidelines.
Use this calculator to determine a beneficiary's ESRD coordination period.
This versatile application allows you to check the status of your enrollment in the Medicare program in three ways. You may search for all pending applications by entering your National Provider Identifier (NPI) and provider transaction access number (PTAN), check the status of a specific application by entering the 12-digit correspondence control number (CCN) and three-digit record number (listed in your acknowledgement letter), or check to determine if you have been sent a revalidation request letter by entering your NPI or PTAN.
First Coast’s fee schedule lookup tool provides fee and policy information for most Medicare-covered procedure codes. Select from a list of fee schedules to obtain Medicare fee-for-service allowances and other information for physicians and/or other providers.
This converter has been created to assist you with using the touch-tone entry method on the Interactive Voice Response system.
This tool provides current and draft local coverage determinations (LCDs), when they exist, for Medicare-covered procedure codes. Not every procedure code is covered by an LCD. For previous versions of an LCD, refer to the CMS Medicare coverage database.
The Provider Data Summary (PDS) is a comprehensive billing report that is designed to be utilized along with Medicare Remittance Notices (MRNs) and other provider-accessible billing resources to identify potential Medicare billing issues through a detailed analysis of personal billing patterns in comparison with those of similar providers. Use the PDS portal to request this useful report and enhance the accuracy and efficiency of your Medicare billing process
This tool provides procedure code to diagnosis code relationships in current and draft local coverage determinations (LCDs).