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Last Modified: 2/10/2012 Location: FL, PR, USVI Business: Part B

Top Part B inquiries

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

Listed below are the topics which the Part B provider contact center received the most inquiries about during the month of December 2011 throughout jurisdiction 9 (J9), which encompasses Florida, Puerto Rico, and the U.S. Virgin Islands. This list is updated monthly. We have included tips and resources to help you avoid or reduce the amount of time you spend on many of these issues.
Remember: Questions about claim status, patient eligibility (Medicare, MSP and Medicare Advantage [formerly Medicare HMO]), deductible information, and your financial information (last three checks, month/year to date dollar amounts), as well as most clerical reopening requests for single-line claims must go through the Interactive Voice Response unit or IVR. Contact the Part B IVR by calling 1-877-847-4992. Refer to the Medicare Provider Part B IVR Quick Reference Guide f file for instructions.

If you have a question related to:

Claim adjustment inquiry -- click here
Claim denials -- click here
Claim not on file -- click here
Claims denied as a duplicate -- click here
Clerical error reopenings -- click here
Coding errors/modifiers/global surgery -- click here
Contact information -- click here
Medicare as a secondary payer (MSP) -- click here
Obtaining a patient's eligibility information -- click here
Obtaining a copy of a remittance notice -- click here
Offset (monies withheld) on your remittance notice -- click here
Payment explanation/calculation -- click here
Payment floor/check status -- click here
Provider enrollment applications, status or information -- click here
Revalidation initiative -- see Revalidation FAQs
Status of resolution of a claim appeal -- click here
Unprocessable claims -- click here
Other common tips on inquiries and denials -- click here
For inquiries other than those listed above, contact FCSO’s Provider contact center. When calling the Provider contact center, make sure you have all the information necessary for the call. You can do this by viewing the Provider inquiry checklist.
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.