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First Coast Service Options Inc.
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Last Modified: 10/7/2011 Location: FL, PR, USVI Business: Part A

Beneficiary demographic inquiry

Have you verified your patient’s eligibility prior to submission of the claim?
• To verify beneficiary information, there are several ways you can accomplish this:
• Utilize the Part A interactive voice response unit (IVR) pdf file.
• Direct Data Entry (DDE) pdf file by using ELGA (eligibility A) or HIQA (health insurance query A), which will access the common working file (CWF).
• 270/271 transactions external link, which access the CWF.
If your claim has rejected or returned to provider (RTP) due to a CWF eligibility issue, contact customer service to discuss.
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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.