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First Coast Service Options Inc.
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Last Modified: 2/10/2012 Location: FL, PR, USVI Business: Part A

Top Part A provider inquiries

Would you like to reduce the time you spend contacting Medicare?

Listed below are the topics for which the Part A provider contact centers received the most inquiries during the month of December 2011. This list is updated monthly and includes tips and resources to help you avoid or reduce the amount of time spent on many of these issues.

If you have a question related to:

Appeals status/explanation/resolution -- click here
Beneficiary's eligibility or entitlement to Medicare -- click here
Cancellation of claim -- click here
Claim adjustments -- click here
Claim being reprocessed/adjusted by contractor -- click here
Claim billed in error -- click here
Claim filing/billing instructions -- click here
Claim form item -- click here
Claim in suspense or pending completion
Claim pending 30 days or less -- please allow up to 14 days for claims submitted electronically and 30 days for paper claims to complete processing.
Claim in suspense or pending more than 30 days -- click here
Claim not on file – click here
Claim returned -- click here
Claim status
If you have received the status of your claim, but you need specifics on why it was rejected or returned -- click here if your claim was rejected; click here if your claims was returned to provider or RTP'd.
If you are unsure of the status (received, denied, rejected, etc.) of your claim, status can be addressed either via direct data entry (DDE) pdf file or you must go through the Interactive Voice Response (IVR) system.
Contact the Part A IVR by calling 1-877-602-8816. Refer to the Part A Quick Reference Guide pdf file for instructions.
Coding errors -- click here
Common working file (CWF) rejects -- click here
Connectivity issues -- click here
Correcting a claim -- click here
Duplicate claim -- click here
Medical necessity -- click here
Medicare secondary payer (MSP) -- click here
Overlapping claims -- see Claims overlap FAQs
Overpayments -- see Overpayment FAQs
Patient status codes -- click here
Payment calculation -- click here
Processing issues -- click here
Reference resources referral – click here
Other common tips on inquiries and denials -- click here
Source: FCSO Education Action Team

First Coast Service Options (FCSO) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.